Ogilives pseudoobstruction

[Beeftenderloin]

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I gave 100 yesterday and the patient started moving less than an hour in and I was like uh...

100mg is now my “routine dose” for any surgery longer than 90-120min. As others have said, improper storage markedly and reliably reduces potency/clinical effect and it’s almost always stored improperly at some point along the distribution chain.

 

[pgg]

100mg is now my “routine dose” for any surgery longer than 90-120min. As others have said, improper storage markedly and reliably reduces potency/clinical effect and it’s almost always stored improperly at some point along the distribution chain.

And with sugammadex, you can't really get burned the way you could in the neostigmine days. Riding the edge of a couple twitches while lightening the anesthetic during closing, so the patient would be reversible as the dressing went on, was a fine art.

Now there's no reason not to leave them completely paralyzed until the very end, unless you believe in getting them breathing early, which I don't.