Perchance to Dream
@lazaruslong.medsky.social
Freelance anesthesiologist old enough to remember Halothane. Defrocked chemical engineer #medsky #ansky
Information now estimating 3.0 magnitude quake centered in Hasbrouck Heights, NJ
August 3, 2025 at 2:49 AM
Information now estimating 3.0 magnitude quake centered in Hasbrouck Heights, NJ
I agree. But if I dare to suggest such a thing, it’s guaranteed to get a response of “0kay, boomer”
July 23, 2025 at 10:09 PM
I agree. But if I dare to suggest such a thing, it’s guaranteed to get a response of “0kay, boomer”
I misread it. Need more coffee
July 23, 2025 at 3:12 PM
I misread it. Need more coffee
Absolutely true. And I could certainly posit a case where I would defend my use of a spinal. But I have given testimony in enough malpractice cases to know that good reasoning isn’t always enough to protect you.
July 23, 2025 at 1:56 PM
Absolutely true. And I could certainly posit a case where I would defend my use of a spinal. But I have given testimony in enough malpractice cases to know that good reasoning isn’t always enough to protect you.
There is much that can be said about healthcare in the US. But it is certainly not free.
July 23, 2025 at 1:40 PM
There is much that can be said about healthcare in the US. But it is certainly not free.
In our trauma center, the patients are usually started on heparin when admitted. Much easier to deal with than longer acting agents. An NOF will be in the OR within 48 hours unless medically contra-indicated
July 23, 2025 at 12:16 PM
In our trauma center, the patients are usually started on heparin when admitted. Much easier to deal with than longer acting agents. An NOF will be in the OR within 48 hours unless medically contra-indicated
All on continuous pumps, of course
July 23, 2025 at 12:04 PM
All on continuous pumps, of course
Fentanyl- yes. Alfentanil is no longer available in the U.S. A common tiva combo is propofol-remi-rocuronium
July 23, 2025 at 12:01 PM
Fentanyl- yes. Alfentanil is no longer available in the U.S. A common tiva combo is propofol-remi-rocuronium
Usage has skyrocketed here with our TIVA divas.
July 23, 2025 at 10:42 AM
Usage has skyrocketed here with our TIVA divas.
Medici-legal is a HUGE concern here in the US. This is not really a debate for us. The spinal would be a no-go
July 23, 2025 at 10:38 AM
Medici-legal is a HUGE concern here in the US. This is not really a debate for us. The spinal would be a no-go
My first successful epidural as a resident on the labor floor. The Mother was so happy, she named the baby after me.
July 19, 2025 at 9:41 PM
My first successful epidural as a resident on the labor floor. The Mother was so happy, she named the baby after me.
Most people do not dream under general anesthesia because, unlike sleep, there is no REM stage. Under sedation (rather than GA), dreams can occur
July 18, 2025 at 9:14 PM
Most people do not dream under general anesthesia because, unlike sleep, there is no REM stage. Under sedation (rather than GA), dreams can occur
I would not have guessed that the global usage of ketamine was that high.
July 17, 2025 at 10:40 AM
I would not have guessed that the global usage of ketamine was that high.
Thank you. I’m actually a few years older than you, but I was unaware of this change.
July 16, 2025 at 1:21 PM
Thank you. I’m actually a few years older than you, but I was unaware of this change.
Not available in the U.S. since 2007. November one will sell it to us
July 16, 2025 at 1:17 PM
Not available in the U.S. since 2007. November one will sell it to us
Skin necrosis was a rare but serious complication that could occur if thio was injected into the soft tissues instead of the vein. Almost always through a dislodged or misplaced IV. I never heard of anyone doubling the thio conc, but sooner or later people do anything
July 16, 2025 at 1:15 PM
Skin necrosis was a rare but serious complication that could occur if thio was injected into the soft tissues instead of the vein. Almost always through a dislodged or misplaced IV. I never heard of anyone doubling the thio conc, but sooner or later people do anything
I’ve seen things given into an IA catheter, an epidural catheter and even had a disaster when something was given into a peritoneal catheter. Murphy’s Law always applies.
July 16, 2025 at 1:12 PM
I’ve seen things given into an IA catheter, an epidural catheter and even had a disaster when something was given into a peritoneal catheter. Murphy’s Law always applies.
I’ve always hated vomidate, both as an anesthesiologist and a patient. But when you have no other reasonable induction agent for 4 months, you live with it.
July 16, 2025 at 1:10 PM
I’ve always hated vomidate, both as an anesthesiologist and a patient. But when you have no other reasonable induction agent for 4 months, you live with it.