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Category Archive for 'Nurse anesthesia'

  On call this past weekend, I was paged to the post-partum floor to evaluate a young woman who had vaginally delivered a healthy baby boy 16 hours ago. Her chief complaint? Intractable back pain. [Background: She had delivered 2 babies aided by an epidural block in the past, and complained of back pain during this […]

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What? No Propofol?

Not the best news for the New Year, but something that we all need to be aware of and get a little outraged over, just the same. I have already written before about how Propofol is your friend and mine. Now, some insurance companies have determined that its use is medically unnecessary for colonoscopies. This is […]

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  There is nothing more instantly gratifying for an anesthesia provider than relieving someone’s pain. This can be both the lure and the catch that reels in so many nurses and physicians that go into this specialty. When patients are asleep for surgery, we deliver some of their analgesia proactively, in anticipation of the expected […]

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  Yesterday, like most days, my patients came in all different shapes, sizes, and situations. Patient #1 was petite and frail, in her early 60’s, and only 5′ tall. She had the body habitus that we who work in the OR always love to see. Light as a feather, and easily lifted and re-positioned. Which we needed […]

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The power of our drugs never ceases to amaze me. Take muscle relaxants, for instance. By delivering as little as a teaspoon of a drug like rocuronium or vecuronium, we anesthesia providers can literally paralyze YOU for your surgery. This comes in pretty handy when your surgeon does not want you to move during your operation! […]

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  Not that long ago, my husband had a colonoscopy done at the institution where I work. It was a no-brainer decision for him to have it done there – I know and work with the members of both the gastroenterology and anesthesiology departments, so my husband and I had a certain comfort level with who […]

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In my previous life, before I became an anesthetist, I had worked for years in critical care and PACU. I became quite familiar with the care of post-operative patients and the issues that surround operative care. When I decided to start my family, I carefully read every book I could lay my hands on about a natural, well-planned […]

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  If there is one drug which truly enhances the arsenal of an anesthesia provider, that drug would be Propofol. What is Propofol? Chemically described as diisopropylphenol, it is an emulsion; it is white, it contains soybean oil. It is a sedative-hypnotic agent that is used for the induction and maintenance of both general and […]

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  Imagine going to work everyday and the only thing you can see on your co-workers’ faces is their eyes. Such is the parallel universe that is the Operating Room. We all wear masks in the OR. It is for our protection, and yours. Surgery can be messy; “things” can splatter. And our germs are nasty; all […]

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  What really goes on in the Operating Room while you are asleep? I get asked this question by friends and family all of the time. “Are they talking about me?” “Laughing at me?” “Commenting about my thighs?” None of the above, really. Conversations in the OR can range from sports to politics to gossip, […]

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