- Joined
- Apr 12, 2007
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Ever been in a situation where the right clinical decision is the opposite of what you should do?
Get called STAT to the OR. When i arrive, a top notch CRNA is bagging the patient. "Doc I cant ventilate her! " He is trying harder and harder to bag. SBP 60, no ETCO2, HR ST120. I listen to the lung hear no breath sounds. I disconnect the circuit from the ETT and push on her chest, hear a rush of bubbling air come out. I suction for 30 seconds, get a bunch of junk out and everything gets better.
The situation reminds me of the Plane that crashed after leaving south america on its way to france. Co pilot wanted to gain altitude so he keep pulling up never realizing he was only creating more stall and therefore more loss of altitude.
Any other clinical situations out there you have encountered where do the opposite of your initial reaction is the right thing to do?
Moderators please dont allow this to turn into a CRNA bash fest, close the thread before that happens
Get called STAT to the OR. When i arrive, a top notch CRNA is bagging the patient. "Doc I cant ventilate her! " He is trying harder and harder to bag. SBP 60, no ETCO2, HR ST120. I listen to the lung hear no breath sounds. I disconnect the circuit from the ETT and push on her chest, hear a rush of bubbling air come out. I suction for 30 seconds, get a bunch of junk out and everything gets better.
The situation reminds me of the Plane that crashed after leaving south america on its way to france. Co pilot wanted to gain altitude so he keep pulling up never realizing he was only creating more stall and therefore more loss of altitude.
Any other clinical situations out there you have encountered where do the opposite of your initial reaction is the right thing to do?
Moderators please dont allow this to turn into a CRNA bash fest, close the thread before that happens