Airway bougies

[Wiscoblue]

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For those that are math impaired, once a week equals about 1-2% incidence.

You're doing 100-200 cases a week? Wow!


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[Mman]

You're doing 100-200 cases a week? Wow!


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For those that still can't do math, 1-2% of cases for a total of 1 per week means a case volume of 50-100 per week. And yes, that's pretty standard. I can do 30+ cases at the outpatient surgicenter in a day at times.

 

[Wiscoblue]

I'm just impressed at the sheer number of cases. I do my own cases, and for the past 20 years, my average is 22 cases a week. No need to get your knickers in a twist.

 

[goosegas]

I can do 30+ cases at the outpatient surgicenter in a day at times.

30 cases a day? In a 10 hour day, that would be 3 cases an hour. You can see your patient, interview them, start IV, do case, hand off in recovery, all in 20 minutes like clockwork throughout the day?

 

[Arch Guillotti]

30 cases a day? In a 10 hour day, that would be 3 cases an hour. You can see your patient, interview them, start IV, do case, hand off in recovery, all in 20 minutes like clockwork throughout the day?

He supervises. Could be 2 endo rooms with 10 scopes each. That leaves 10 cases split between 2 other rooms.

 

[Mman]

30 cases a day? In a 10 hour day, that would be 3 cases an hour. You can see your patient, interview them, start IV, do case, hand off in recovery, all in 20 minutes like clockwork throughout the day?

when you supervise 4 rooms in a busy outpatient center you can easily do way more. It's a ton of work to preop every patient, be present for every induction and emergence, and take care of any PACU issues. Then again it also pays the bills.

 

[ZzzPlz]

when you supervise 4 rooms in a busy outpatient center you can easily do way more. It's a ton of work to preop every patient, be present for every induction and emergence, and take care of any PACU issues. Then again it also pays the bills.

It is a ton of work. Especially when there are a bunch of peds cases that need IVs after induction. We can get up into the 40's for cases in a day. Usually one anesthesiologist does the cases and a second guy does pain but is available to help if needed.

 

[urge]

For those that still can't do math, 1-2% of cases for a total of 1 per week means a case volume of 50-100 per week. And yes, that's pretty standard. I can do 30+ cases at the outpatient surgicenter in a day at times.

If you are doing so many short cases I doubt all of them get intubated. My guess is actually very few get intubated.

What's the incidence now, for the benefit of the "math challenged"?

 

[deleted87051]

30 cases a day? In a 10 hour day, that would be 3 cases an hour. You can see your patient, interview them, start IV, do case, hand off in recovery, all in 20 minutes like clockwork throughout the day?

On a mission trip, we have a surgeon who does 60 strabismus cases in 1 day. We put one patient to sleep while he operates on an adjacent table. So each anesthesiologist does 30 cases. It is a lot of work and it does go like clockwork.

 

[urge]

On a mission trip, we have a surgeon who does 60 strabismus cases in 1 day. We put one patient to sleep while he operates on an adjacent table. So each anesthesiologist does 30 cases. It is a lot of work and it does go like clockwork.

You guys should come to my hospital and fix a good number of the staff.

 

[Crash cart]

They make a malleable bougie with a wire that allows you to change the angle. It's helpful with very anterior airways that are even tough with the glide.

 

[Mman]

If you are doing so many short cases I doubt all of them get intubated. My guess is actually very few get intubated.

What's the incidence now, for the benefit of the "math challenged"?

Sorry, that's the total number of GAs. I was ignoring MAC cases. Does that make it easier to understand?

 

[jwk]

Sorry, that's the total number of GAs. I was ignoring MAC cases. Does that make it easier to understand?

Some just can't comprehend the difference between academia and a busy, high volume, time-is-money practice.

 

[propadope]

Pocket bougie... I know sounds dirty right?

http://www.bomimed.com/products.php?product=37

 

[IlDestriero]

I was surprised to find that our Bougies are actually malleable. We changed manufacturers some time ago and sure enough they are. It's not their malleable one, yet it is malleable.
http://www.sun-med.com/products/intubation-aids/introducers/original/introducer-bougie

 

[Ignatius J]

He is new but the groups isn't! Did you see the part where I asked him why his group didnt have one?

What does it matter? Answering this is of no significance towards getting his task completed.

 

[pastafan]

Many of my older attendings used to carry (and still do) a Rusch stylet all the time but I have never seen anyone use it.

The Rusch stylet is far superior to all of the others that I have tried. They stopped selling them in the US in the 90's but they are amazing. They are softer and more malleable than what is available. When the epiglottis is floppy and laying on the posterior pharynx you can slip this underneath and intubate. Invaluable tool in the right hands.