I do not know, but for quite some time when ever I type gasbag.net in the browser, some site that is selling gift items open up.
The items are not related to Anaesthesia.
Is it part of our forum? Is there a means to rectify?

Only you did not mention what was the complication.
And if anyone says that he has not seen a scoline apneoa or repeat dose Brady, it means he is too young, of lucky. All my gen people have seen and dreaded the complications. Our time the choice was between Galamine and Scoline. The later was better by any standard, fpr short cases.
We have also heard of Brady leading to Asystole and not picking up.
But still a better choice as a drug in many patients.

Is Nitrouoxide needed for cuff of endotracheal tube?
Is that the question?
We are discussing, if Nitrous enters the cuff from the tissues.
Does it and can it actually enter? That is the question.
Cuff pressure does rise. But does it rise due to entry of Nitrous in the cuff? Is there an article that says so and chemically proved that cuff contains Nitrous?
That was my question!

In our set up we bargained for a retainership fees and got about 80 % of my demand. I also bargained for a small apartment in the premises. There are always, people looking for a job and a place to stay.
Now, If I appoint an additional Anaesthesiologist, I have to pay additional sum for that.
This retainer fees and market value of rental for the Apartment( Part of deal to the person appointed) is sufficient to square it up.
In effect, the whole thing is free to the group and still the job is done. We also make it a deal with the new fellow, that if the night list is heavy, he has to come in action to help the person on call.
In other words, he is being exploited, but the equation has to work.
You are now able to fulfill the hospital need and still without a burden.
Not that it will be right in your setup, but modify and see.

HI,
It is good to have an in house Anaesthesiologist for any institution. But do they have an in house Obstetrician?
If yes, then their demand is valid, seeing it from the eyes of the CEO.
What you all can do is, to keep one person on call and in the premises. We do it this way and charge the hospital as a retainership fees of a certain amount per night and Holidays day plus night duty. If they want you in the premises of the hospital, they have to pay you additional amount unless you are fulltimers and the contract says that one of you will be on the premises round the clock.
Now it is how you work out the same thing in your benefit, along with the benefit of the patient and hospital and the management.
This is my way of looking at the same thing and we are doing it.
Regards

HI,
It is great to know that some one does use LMA in prone in regular practice. We insert it in prone. Now a  days we only use LMA Supreme. It is easy to insert as it has a shape of tongue depressor.  Easier than an Airway, which has to be turned in the throat during insertion. Keep the head lateral, let some one give a short tilt of head and the LMA walks in smoothly.
Movie cant be shown on this site. Do let me know if you need to see a few pictures during insertion.
Regards

HI,
It is great to know that 0.075% Ropivacain is available ready made. I have never tried that mixture. You satisfied with that low concentration? Do let me know. I will also try it out. Sufent is not available here in India. Please send more of your observations.
Regards.

HI,
I have started using Ropivacain for Labour Analgesia for some time. I am still trying to come to a proper dosage, concentration and combination.
Though the literature( Published by manufacturer) says that 0.2 % along with 2mcg of Fentanyl is the best combination, we are not happy with it.
We have tried out many permitation and combination, and now we are giving 0.12% with Fent 1 mcg/ml (15 ml each dose)
This is the best combination so far.
But the patient gets no feel of contraction at all.
Shall I go a bit lowers still?
It acts nicely for almost 150 mins per dose.
would like to learn more from you all.
Please guide us.
Regards

HI,
Thanks for the instant response.
The site was running dry, no one writing.
That is why I put the controversial point.
Yes, I always use NS, but I still, like air, and now I am no more ashamed of announcing it.
I knew that there will be scintific reply within 2 days. I got it.
Regards, and welcome back.

Hi,
Feeling lost for a while. No one filling Gas in our Bag for over a month. Does it mean that I alone have to have a complication and put it on net for ppl to disect it?
A lot is said about saline. But I , being an oldtimer, am still in pref of Air. I use NS most of the time for location of epidural space, but still I am fond of Air. No, I do not inject air in the space, just use it to feel the give way sensation. Not even half ML of air goes in.
Am I wrong in this tech?
Should I change over to only NS?
Group members are all quite young and bruoght up with NS only. But I still preffer air. Not always, but I do use it in treaky cases.
comments!!!!!

Hi,
I read a lot about cuff pressure of ETT and LMA going up by 15-20 % in 60 mins of surgery with 66% Nitrous used as gas in any circuit.
I am a bit confused about it. Ofcourse they must have conducted studies and even analysed nitrous presence i n the cuff. Also body temp will also increase the volume of gases in the cuff.
Any second opinion on this?
We have a rule to release and reinflate the cuff after 1 hour because a little tissue edema also takes places and so the cuff fits snuggly leading to no leak on complete deflating also. Is it not a combine effect of gas and edema and temp that the pressure rises?
Or  is it that a lot of nitrous enters the cuff through the PVC or what ever material?

Well, by putting in an LMA you have played a safer mode than me. I might not have put in an LMA. I would have done it under TIVA only. but you were better.
Wait for a few more months and she will be back for a section, and that will be the real test.
Take care.

HI,
Shivdatta, you would make a great scientist.
This knowledge is great to acquire. It has a lot of scientific details.
Thanks.
Regards.

Low flow on Bains will be unscintific as Dr. Jafo mentioned.
But I have seen a few of our members use Bains Circuit in Circle absorber. What is the logic?? I cant imagine.
Low flow is best.
We use up about 16 ltrs of gases in Bains or 8 ltrs in other open circuits. What happens to Nitrous Oxide that goes in the atmosphere?
The only way to break up Nitrous is Lightening.
How much effective it is, only time will tell.
At this rate a time may come when Nitrous may be banned all over the world. Imagine what happens then.
May be your Anaesthesia machines will not be needed,
only IV routs will be preffered.
Be prepared now only and imagine tomorrow.
Regards.

HI,
Funny things happen when you try newer things.
I managed to break two LMA Supreme, half way down the surgery. Suddenly from no where the venti started sounding disconnection alarm. On examination under panic, we found that the LMA had broken at its neck and was not possible to ventilate any more.
We immediately replaced it by LMA Classic and managed to ventilate, but it gives a fright, specially half way in the surgery, with the patient draped and access to reintubate was difficult.
Be careful about LMA Supreme, its neck is delicate.