Anesthesia without scavening systems

[jwizle]

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Hey guys,

I'm looking to hear what you all think. I'm starting a new gig at a outpatient plastics place that does not have a scavenging system and no anesthesia gas. The previous doc mixes remi and propofol in 1 syringe and apparently has done this for 10 years without issue. Thoughts ?

 

[nimbus]

That is a reasonable tiva but what else don’t they have? That place wouldn’t pass our inspection/survey for new sites.

 

[cchoukal]

Devils advocate: no gas, no need to scavenge. But Nimbus’ point is correct. What else is missing?

 

[CopaceticOne]

I’m going to guess no succinylcholine, no dantrolene

 

[painquestions8989]

I’m going to guess no succinylcholine, no dantrolene

Would you be ok if there's roc?

 

[CopaceticOne]

Would you be ok if there's roc?

I’m not working in that place, so it isn’t a question I’ll need to answer.

What’s the IM dose of roc for a 80kg adult?

 

[Lab Lover]

I’m not working in that place, so it isn’t a question I’ll need to answer.

What’s the IM dose of roc for a 80kg adult?

I’d be ok working at a surgicenter without sux. No IV—No surgery. Hence no need for IM roc. Should an IV fall out and subsequent laryngospasm and desire for IM roc—->the correct dose is ALL.

 

[<(^_^)>]

The market is good right now. Why subject yourself to this? I can make plenty working at places with adequate equipment/medications. Chances are you can too.

 

[CopaceticOne]

I’d be ok working at a surgicenter without sux. No IV—No surgery. Hence no need for IM roc. Should an IV fall out and subsequent laryngospasm and desire for IM roc—->the correct dose is ALL.

I don’t need a Joan Rivers type outcome.

I guess we all drawn the line somewhere.