Is ramping blasé?

[MirrorTodd]

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Just the other day, a surgeon literally started removing the pulse-ox from my patient after we induced anesthesia, were masking while waiting for roc to kick in, and had obviously not yet intubated.

I sat and watched at first just assuming maybe he was unsticking it a bit so it would be easier to remove and switch to the other arm after we intubated, but no he legit started pulling it off until I said somewhat aggressively "Dr. ****, Can you leave that pulse-ox on until we have secured this airway please?"

He looked up at me totally confused at first. Seriously ridiculous.

I mean we kinda want to keep the pulse ox even after intubation too.

 

[coffeebythelake]

Just the other day, a surgeon literally started removing the pulse-ox from my patient after we induced anesthesia, were masking while waiting for roc to kick in, and had obviously not yet intubated.

I sat and watched at first just assuming maybe he was unsticking it a bit so it would be easier to remove and switch to the other arm after we intubated, but no he legit started pulling it off until I said somewhat aggressively "Dr. ****, Can you leave that pulse-ox on until we have secured this airway please?"

He looked up at me totally confused at first. Seriously ridiculous.

Like I said, its tunnel vision / zombie haze
Completely oblivious to whats going on around them

 

[deleted162650]

Just the other day, a surgeon literally started removing the pulse-ox from my patient after we induced anesthesia, were masking while waiting for roc to kick in, and had obviously not yet intubated.

I sat and watched at first just assuming maybe he was unsticking it a bit so it would be easier to remove and switch to the other arm after we intubated, but no he legit started pulling it off until I said somewhat aggressively "Dr. ****, Can you leave that pulse-ox on until we have secured this airway please?"

He looked up at me totally confused at first. Seriously ridiculous.

That’s when I start taking down the drapes when they still have 1/2 the skin closure to go.

 

[deleted87051]

That’s when I start taking down the drapes when they still have 1/2 the skin closure to go.

“Tee time in 20min!”

 

[kidthor]

Just the other day, a surgeon literally started removing the pulse-ox from my patient after we induced anesthesia, were masking while waiting for roc to kick in, and had obviously not yet intubated.

I sat and watched at first just assuming maybe he was unsticking it a bit so it would be easier to remove and switch to the other arm after we intubated, but no he legit started pulling it off until I said somewhat aggressively "Dr. ****, Can you leave that pulse-ox on until we have secured this airway please?"

He looked up at me totally confused at first. Seriously ridiculous.

So you're saying there was an anesthesia delay?

 

[GassYous]

Some of my surgeons don't even cut without my say so. I can't believe the kind of **** you guys deal with.

 

[chocomorsel]

okay. I wanted to ask if people were unconcerned about building a ramp. Could you gvie me an example, using the word blasé, in a sentence on how I should have used it?

Thanks for help.

This sounds just like the question they ask in spelling bees. Lol.
There are people on here who use "then" instead of "than" all the time and vice versa. It drives me absolutely nuts, but I have learned to breathe through it. Corrected it once or twice and gave up.
We can all figure out what the other means.

 

[abolt18]

I mean we kinda want to keep the pulse ox even after intubation too.

Agreed. Just needed to switch it to the other side.

 

[deleted162650]

“Tee time in 20min!”

Sounds like some stuff a Caucasian with a golf club memebership would say.

 

[coffeebythelake]

Some of my surgeons don't even cut without my say so. I can't believe the kind of **** you guys deal with.

I work in an academic center, where the surgeons take 4x longer than PP but somehow anesthesia gets blamed for why things are delayed.

 

[D P356]

Ramping consensus seems more laissez-faire than blasé, passé, en vogue or bougie (not the airway bougie).

 

[dhb]

there’s a picture earlier in the thread that describes what I do. It also includes the blanket under the shoulders. I believe everyone should do what works for them. Back of the bed up to get the chest weight off the lungs and isolating the airway for what it truly is (as opposed to adding chest weight to it, making things more difficult) has always worked for me.

Ok, most of the tables i work with are not the fancy ones that fold at 5 different spots.

 

[Southpaw]

Ok, most of the tables i work with are not the fancy ones that fold at 5 different spots.

Fair. I've never had a table that couldn't do back up or reverse Tburg.

 

[drmwvr]

Ramping consensus seems more laissez-faire than blasé, passé, en vogue or bougie (not the airway bougie).

ummmm...think you meant "boujie"?... You call yourself a doctor?

 

[NoodleIncident]

I haven't ramped in over a decade when my attendings told me to. My practice is about 20% bariatrics. I might put the table in reverse T-berg if I'm concerned.

 

[D P356]

ummmm...think you meant "boujie"?... You call yourself a doctor?

I simplified bourgeoisie down to bougie(or boujee/boojie). There are many ways to spell the slang version.

I thought it was a great tie-in with the malleable bougie instrument/eschmann.

If you were joking, ignore above.

But seriously, if you’re going to be the grammar police, put your question mark inside the quotation mark.

 

[drmwvr]

I simplified bourgeoisie down to bougie(or boujee/boojie). There are many ways to spell the slang version.

I thought it was a great tie-in with the malleable bougie instrument/eschmann.

If you were joking, ignore above.

But seriously, if you’re going to be the grammar police, put your question mark inside the quotation mark.

Ignoring...crappy attempt at humor....I'll use an emoji next time...