Procedures Tips and Knowledge Pearls

This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.

VentdependenT

You didnt build thaT
Moderator Emeritus
15+ Year Member
Joined
Oct 3, 2003
Messages
4,007
Reaction score
27
As we progress through our careers it would be nice to have a little place to pass on info about procedural skills.

This is that place.

Members don't see this ad.
 
private practice T&A's
http://gasforums.studentdoctor.net/showthread.php?t=323621

Pregnancy in elective cases
http://gasforums.studentdoctor.net/showthread.php?t=395556

D&C airway management
http://gasforums.studentdoctor.net/showthread.php?t=396882

CENTRAL LINES
http://gasforums.studentdoctor.net/showthread.php?t=366655

Quick turnover T&A's
http://forums.gasforums.net/showthread.php?t=323621

Dilauded spinals
http://forums.studentdoctor.net/showthread.php?t=300894

FIRE IN THE HOLE...err ETT!
http://forums.studentdoctor.net/showthread.php?t=298599

B-blockers n Asthma
http://forums.studentdoctor.net/showthread.php?t=304258

CLinical Ketamine Pushers
http://forums.studentdoctor.net/showthread.php?t=303718

Itra-op arrythmias
http://forums.studentdoctor.net/showthread.php?t=309245

Beta Blockade
http://forums.studentdoctor.net/showthread.php?t=259179

A-Lines
http://forums.studentdoctor.net/showthread.php?t=203547

http://forums.studentdoctor.net/showthread.php?t=202801

http://forums.studentdoctor.net/showthread.php?t=203547

PONV, our little buddy
http://forums.studentdoctor.net/showthread.php?t=251436

PIV's
http://forums.studentdoctor.net/showthread.php?t=203081

Intubation
http://forums.studentdoctor.net/showthread.php?t=186136&highlight=intubation

"Deep" Extubation
http://forums.studentdoctor.net/forumdisplay.php?f=45

Foley Cath's
Joking

Oral boards and general stuff from the UW site
http://depts.washington.edu/anesth/tips/index.shtml

Pulmonary Catheter "simulator"/information
http://www.manbit.com/PAC/chapters/PAC.cfm

For all your regional needs

http://www.nysora.com/home.shtml

AM room setup
http://forums.studentdoctor.net/showthread.php?t=209292

Pulm HTN
http://forums.studentdoctor.net/showthread.php?t=213207
http://forums.studentdoctor.net/showthread.php?t=213642

LMA use in folks with BMI's >30 or something like that
http://forums.studentdoctor.net/showthread.php?t=213729

More on porcine individuals and the LMA
http://forums.studentdoctor.net/showthread.php?t=275092

More thoughts on LMA'shttp://forums.studentdoctor.net/showthread.php?t=214158

CSE's
http://forums.studentdoctor.net/showthread.php?t=214026

Thoughts on Fluids
http://forums.studentdoctor.net/showthread.php?t=219683
http://forums.studentdoctor.net/showthread.php?t=482033

Colloid Thoughts
http://forums.studentdoctor.net/showthread.php?t=229662

Rich and hearty ER forum discussion on crystalloid choice
http://forums.studentdoctor.net/showthread.php?t=228098

Medical Clearance? You call the shots.
http://forums.studentdoctor.net/showthread.php?t=226568

Tube taping...not to be confused with tube tying or tubal ligation or pullen tubes
http://forums.studentdoctor.net/showthread.php?t=230478

Neuraxial blockade during general anesthesia
http://forums.studentdoctor.net/showthread.php?t=295506
http://forums.studentdoctor.net/showthread.php?t=480787

The outpatient spinal and the inpt epidural. CSE placement
http://forums.studentdoctor.net/showthread.php?t=310132
http://forums.studentdoctor.net/showthread.php?t=308646
http://forums.studentdoctor.net/showthread.php?t=307728
http://forums.studentdoctor.net/showthread.php?t=300391

Why can't I put a damn tube in the trachea: Basics

http://forums.studentdoctor.net/showthread.php?t=307685

Drug eluting stents
http://forums.gasforums.net/showthread.php?t=323200

Defasiculating NDMR dose with sux to prevent postop myalgias: worth it or not?

http://forums.gasforums.net/showthread.php?t=320263

More debate rages on for preop cardiac risk analysis for non-cardiac surgery
http://forums.studentdoctor.net/showthread.php?t=482563

What do yall put in your labor spinals?
http://forums.studentdoctor.net/showthread.php?t=482266

MS and pregnancy
http://forums.studentdoctor.net/showthread.php?t=481321
 
Members don't see this ad :)
When placing a central line on an awake patient (like in pre-op) always use an US machine if possible (sterile technique of course), have the patient in trendelenburg, and HAVE THE PATIENT VALSALVA. This will cause the IJ to blow up like a baloon allowing you to quickly place your line and save you and the patient a lot of pain and frustration.
 
I suggest the following materials for board prep:

Baby Miller: This thing is solid for boards. Its deceptively dense & covers topics well.

Chattigan and Hall Anesthesia a comprehensive review: This thing is a must. know it cover to cover to earn big points on the exam. Its pretty straight forward and has great explinations.

MGH handbook: yup I said it. I read this thing all the time in the OR's.

Faust Anesthesiology Review: Another must. Know this bad boy for sure.

Michelle Star Anesthesiology Board Prep: I was suprised by how "on" this book was. Its set up sort of like your usmle first aid. simple explanations, pneumonics, etc. Great book. A few errors but overall I highly recommend it.

USMLE FIRST AID step 1: WTF?!?! don't worry. take 20 minutes and go over the stats crap we learned way back when. there were about 20 simple questions on the exam that caught me by suprise. I could have answered the majority of them with at least some clue if I had reviewed my FA stats section.

If you use the above your gonna kick some major tail. I suggest starting EARLY. What the hell, you gotta know this stuff anyways. You need only read an hour a day and your golden. after 3 years of pounding the above into yer noggin your going to be solid for the exam.


GENERAL KNOWLEDGE READING:

I prefer BARASH to MILLER.

Yao and Artusio (a favorite. read and grow strong young grasshoppah)

Reed's Clinical cases in anesthesia. (another favorite)

Morgan and Mikhail. (the bombsniggity)

A practical approach to cardiovascular anesthesia

Steward's Manual of Pediatric Anesthesia

The ICU book (read during intern year, you'll be glad you did)
 
Something I did after a year of frustration trying to remember what each attending likes and dislikes, and saving pearls (occasionally) given by attendings goes like this:


Buy a cheap spiral bound small notebook. Label the first section of the little book A-Z with several pages per letter. Then for every attending you work with you can put in how he/she wants the room set up for either just big cases (hearts, heads, spines, etc) or anything else that may be particular to them. This reduces frustration on your part trying to remember how that specific attending likes the drugs drawn up, syringes labeled, lines, etc etc AND makes you look like a superstar when they come in before the case and survey your setup. You can also note their common pimp topics, drugs they like to use and their dosages, etc etc.

The second section was saved for the random pearls I learned from various attendings. Credit was given to the attending who showed me but was simple, such as Dr.X's slick epidural placement, etc. Also other little tidbits like access codes to different places, key phone numbers, and whatever else you may like to save in a small, portable, central location.

I have had several lower level residents come to me and say " Hey Tim, I heard you had a little notebook for Dr Soandso, how does he like to do his hearts? Can I see your notebook?"

Some of my buddies told me I should get it printed off, and have the first 'useful' Senior Project. I appreciate the complement. It makes for an interesting read, saves me grief and time. It also stirs up old memories, some unpleasant, about my wonderful residency experience.
 
Members don't see this ad :)
http://forums.studentdoctor.net/showthread.php?t=482044

Private practice studs go on about academic practice vs reality

http://forums.studentdoctor.net/showthread.php?t=479004

C-Section and ABX

http://forums.studentdoctor.net/showthread.php?t=480613

A mother of academic discussions: Pulmonary Vascular Resistance. Now with a clinical spin.

http://forums.studentdoctor.net/showthread.php?t=477165

ETT bites the big one in a prone case
http://forums.studentdoctor.net/showthread.php?t=475855

LITA tube/LTA and the bronch.
http://forums.studentdoctor.net/showthread.php?t=472257
 
hi

thanks for your valuable information buddy...

update then and there.. if its possiblee:)

its rocking man:thumbup:
 
I wasn't able to open this link.
Can you copy and paste it?
Thanks
 
The links to the posts about quick turnover t&a's is not working. Tried searching without luck. Can anyone either help me find the link or have some tips on some quick turnover t&a's. Thanks in advance.
 
The links to the posts about quick turnover t&a's is not working. Tried searching without luck. Can anyone either help me find the link or have some tips on some quick turnover t&a's. Thanks in advance.

I think all you need to do is change the "gasforums" to just "forums." So,

http://gasforums.studentdoctor.net/showthread.php?t=396882 (I can't make this link not shorten itself, but it looks identical to the lower one except for the "gasforums" part.)

becomes

http://forums.studentdoctor.net/showthread.php?t=396882

If other links don't work, if they're external sites (i.e. not SDN), they may have just come down over time. If there are other SDN links that don't work, I'm not sure how to help.
 
Top