NPO?

[Anes2010]

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True story. Woman for ACDF. When asked if she was npo she initially said yes. After 3 mg versed she stated she had given her BF oral sex 3 hours prior, and swallowed. She explained that they wanted to get one last session in before the procedure since it wouldn’t be possible for a few weeks after. Do you proceed with induction, modify to a RSI, or delay the case?

 

[sigrhoillusion]

Funny... but proceed.

 

[deleted162650]

Answer = D. You ask for her #.

 

[AdmiralChz]

It’s less fluid than bicitra. Don’t modify to RSI, just laugh and move on.

 

[dannyboy1]

If all goes well it should be added to the ERAS protocol 😉

 

[anbuitachi]

Does this patient really need the acdf

 

[2Fast2Des]

Does this patient really need the acdf

She really needed an acute consult of the D fornication

 

[deleted162650]

Does this patient really need the acdf

Would be better off opting for the disk replacement to preserve mobility.

 

[caligas]

You planning to use the Astroglide-scope?

 

[okayplayer]

I call BS. Nobody-I repeat nobody-gives 3mg Versed.

 

[IMGASMD]

I will play along. Wait 6 maybe 4, I can consider it as human milk.

 

[deleted162650]

I call BS. Nobody-I repeat nobody-gives 3mg Versed.

LOL. I almost posted the exact same thing.

 

[somedumbDO]

[QUOTE="AdmiralChz, post: 20091992, member: 222515[/QUOTE] It’s less fluid than bicitra. Don’t modify to RSI, just laugh and move on.

Volumes can vary ....

 

[WholeLottaGame7]

True story. Woman for ACDF. When asked if she was npo she initially said yes. After 3 mg versed she stated she had given her BF oral sex 3 hours prior, and swallowed. She explained that they wanted to get one last session in before the procedure since it wouldn’t be possible for a few weeks after. Do you proceed with induction, modify to a RSI, or delay the case?

It's got protein! 6 hours! Just kidding. Proceed. Submit to ASA as a PBLD.

 

[deleted162650]

Just think if she had aspirated.

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[Psai]

Its appropriate that the featured topic at the top is "how to give an oral case presentation"

 

[Arch Guillotti]

I will play along. Wait 6 maybe 4, I can consider it as human milk.

You aren’t serious are you?

 

[Planktonmd]

Just when you think you've heard it all!

 

[narcusprince]

I wonder what her neck range of motion is? Lol

 

[Twiggidy]

True story. Woman for ACDF. When asked if she was npo she initially said yes. After 3 mg versed she stated she had given her BF oral sex 3 hours prior, and swallowed. She explained that they wanted to get one last session in before the procedure since it wouldn’t be possible for a few weeks after. Do you proceed with induction, modify to a RSI, or delay the case?

Do the case as normal and go home and tell the story to your significant other and take a slow sip of tea after telling it.

 

[Twiggidy]

Just think if she had aspirated.

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I would give me a reason to actually attend the ASA meeting

 

[2Fast2Des]

Something that popped in my mind.. If a patient has minimal/none gag reflex baseline 😉, if they need awake foi, would you skip the lidocaine gargle and go straight to transtracheal injection or just LTA for the cords?