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Interesting Case

Discussion in 'Anesthesiology' started by Noyac, May 7, 2008.

  1. Noyac

    Noyac ASA Member
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  3. jetproppilot

    jetproppilot Turboprop Driver
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    WOW!

    A milligram of spinal morphine only?

    No local?

    I'm open to learning new techniques!

    But I've never heard of doing a big ortho procedure with primary anesthetic consisting of intrathecal opiod sans local anesthetic.

    I'm all ears.
     
  4. jetproppilot

    jetproppilot Turboprop Driver
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  5. Planktonmd

    Moderator Emeritus Lifetime Donor Classifieds Approved 10+ Year Member

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    yes, very strange!
     
  6. Arch Guillotti

    Arch Guillotti Senior Member
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    That is crazy talk.
     
  7. TIVA

    TIVA Member
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    No wonder he required 500 of propofol and 8 of versed and 30 of toradol.
     
  8. coprolalia

    coprolalia Bored Certified
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    A mg of morphine AND 100mcg of spinal fentanyl?

    I bet that dude scratched all of his skin off postoperatively. Damn! Probably one big excoriation. That's a cruel anesthetic. I'll bet that hospital had a shortage of nalbuphine, naloxone, and hydroxyzine after that case!

    Notice, though, that through all of that he still had a negative Throckmorton's sign. :laugh:

    -copro
     
  9. dhb

    dhb Member
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    iv fentanyl.
    it looks like a solid GA: 8mg versed... :eek:
    maybe it's a typo in the article and should of read 0.1mg spinal morphine, i suspect reviewers from ORTHOPEDICS wouldn't have picked that up :D
     
  10. Bougie

    Bougie Junior Member
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    Cut them some slack guys, they're orthopods. I'm surprised they spelled morfeene right. The boneheads at our place can barely read.

    I had an ortho attending ask me last month why I hadn't transfused any FFP; didn't I know his platelet count was 95?

    "Yes sir, we're at negative two twitches but I'll give him some more droperidol."

    "Fine, that'll really help us out."

    I never knew they had journals; I figured they gathered around the fire every few weeks and just grunted at each other.
     
  11. jetproppilot

    jetproppilot Turboprop Driver
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    UHHHHHH.....

    there was a fire in the ortho library last week.....it was a TOTAL LOSS.....

    they lost BOTH books....including the coloring-link-the-dots-anatomy-book....:lol:


    DEFINITION OF A DOUBLE BLIND STUDY?.....

    2 ORTHOPEDIC SURGEONS LOOKING AT AN EKG....:laugh:
     
  12. jetproppilot

    jetproppilot Turboprop Driver
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    HAHAHAHAHAHAHA

    Man, I love orthopods...just tell'em something......ANYTHING......and the world is ALL GOOD again...
     
  13. dhb

    dhb Member
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    :lol: :lol:
     
  14. scotchnwater

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    Haha. Nice catch. That's the only thing I really remember from my month in Radiology. I also figured out the shortest route to the coffee kiosk since I required 5 cups just to stay awake.
     
  15. Gas

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    How do you hide a $20 bill from an orthopod? Put in the patient's chart.

    How do you hide a $20 bill from a neurosurgeon? Tape it to his kid's forehead.

    How do you hide a $20 bill from a plastic surgeon? You can't hide a $20 bill from a plastic surgeon. You just can't.
     
  16. Noyac

    Noyac ASA Member
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    How do you hide a $20 bill from an anesthesiologist? Put it in the room with a crna.
     
  17. fastosprintini

    fastosprintini Junior Member
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    how can you tell that the physician walking down the or corridor is an orthopod ?
    his knuckels are scraping on the ground....
    whats the difference between an orthopod and a carpenter?
    the carpenter knows the names of two antibiotics...
    fasto
     
  18. Noyac

    Noyac ASA Member
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    You mean there are more than one antibiotics available?

    Oh, wait I remember a second one, cefazolin.
     
  19. TIVA

    TIVA Member
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    Awwww ... that's the one I was thinking of ... what's the other one?
     
  20. Noyac

    Noyac ASA Member
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    Ancef, of course.
     
  21. Strength&Speed

    Strength&Speed Need more speed......
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    i had an orthopod mention to me two times in 24 hours that an EKG looked like a bunch of squiggly lines to him. I was like...thanks dude, i understand in your field it's cool to be an idiot...I got it. :thumbup:
     
  22. Strength&Speed

    Strength&Speed Need more speed......
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    you guys setting up each other's jokes? wow, the teamwork
     
  23. CanGas

    CanGas Member
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    Ah, ortho jokes.

    Q: What is the heart to an orthopedic surgeon.

    Ans: The squishy thing that pushes the ancef around.
     
  24. Idiopathic

    Idiopathic Newly Minted
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    Ive delivered that anesthetic before, minus the big dose of midaz. A typical hip would get a bit more IV narc but usually only 0.3mg IT morphine.
     

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