Procedures Tips and Knowledge Pearls

VentdependenT · May 31, 2005

As we progress through our careers it would be nice to have a little place to pass on info about procedural skills.

This is that place.

VentdependenT · May 31, 2005

coccygodynia · Jul 12, 2005

Emergence

http://forums.studentdoctor.net/showthread.php?t=213500

... hope you don't mind me adding, Vent, but this thread has some great pointers.

VentdependenT · Sep 9, 2005

Ok buddy, you're goen down.

http://forums.studentdoctor.net/showthread.php?t=226462

VentdependenT · Sep 11, 2005

UT's on it again. We were handed these on our first day. Leave it hooked to the clipboard. Nice little thing to have handy.

http://www.accrs.com/default.html

VentdependenT · Nov 16, 2005

http://forums.studentdoctor.net/showthread.php?t=240104

VentdependenT · Apr 26, 2006

http://forums.studentdoctor.net/showthread.php?t=275953

Ender · Jun 20, 2006

When placing a central line on an awake patient (like in pre-op) always use an US machine if possible (sterile technique of course), have the patient in trendelenburg, and HAVE THE PATIENT VALSALVA. This will cause the IJ to blow up like a baloon allowing you to quickly place your line and save you and the patient a lot of pain and frustration.

VentdependenT · Aug 18, 2006

http://forums.studentdoctor.net/showthread.php?t=301869

VentdependenT · Sep 30, 2006

I suggest the following materials for board prep:

Baby Miller: This thing is solid for boards. Its deceptively dense & covers topics well.

Chattigan and Hall Anesthesia a comprehensive review: This thing is a must. know it cover to cover to earn big points on the exam. Its pretty straight forward and has great explinations.

MGH handbook: yup I said it. I read this thing all the time in the OR's.

Faust Anesthesiology Review: Another must. Know this bad boy for sure.

Michelle Star Anesthesiology Board Prep: I was suprised by how "on" this book was. Its set up sort of like your usmle first aid. simple explanations, pneumonics, etc. Great book. A few errors but overall I highly recommend it.

USMLE FIRST AID step 1: WTF?!?! don't worry. take 20 minutes and go over the stats crap we learned way back when. there were about 20 simple questions on the exam that caught me by suprise. I could have answered the majority of them with at least some clue if I had reviewed my FA stats section.

If you use the above your gonna kick some major tail. I suggest starting EARLY. What the hell, you gotta know this stuff anyways. You need only read an hour a day and your golden. after 3 years of pounding the above into yer noggin your going to be solid for the exam.

GENERAL KNOWLEDGE READING:

I prefer BARASH to MILLER.

Yao and Artusio (a favorite. read and grow strong young grasshoppah)

Reed's Clinical cases in anesthesia. (another favorite)

Morgan and Mikhail. (the bombsniggity)

A practical approach to cardiovascular anesthesia

Steward's Manual of Pediatric Anesthesia

The ICU book (read during intern year, you'll be glad you did)

VentdependenT · May 6, 2007

http://gasforums.studentdoctor.net/showthread.php?t=395814

VentdependenT · Oct 29, 2007

http://www.cja-jca.org/cgi/reprint/52/suppl_1/R8.pdf

timtye78 · Dec 31, 2007

Something I did after a year of frustration trying to remember what each attending likes and dislikes, and saving pearls (occasionally) given by attendings goes like this:

Buy a cheap spiral bound small notebook. Label the first section of the little book A-Z with several pages per letter. Then for every attending you work with you can put in how he/she wants the room set up for either just big cases (hearts, heads, spines, etc) or anything else that may be particular to them. This reduces frustration on your part trying to remember how that specific attending likes the drugs drawn up, syringes labeled, lines, etc etc AND makes you look like a superstar when they come in before the case and survey your setup. You can also note their common pimp topics, drugs they like to use and their dosages, etc etc.

The second section was saved for the random pearls I learned from various attendings. Credit was given to the attending who showed me but was simple, such as Dr.X's slick epidural placement, etc. Also other little tidbits like access codes to different places, key phone numbers, and whatever else you may like to save in a small, portable, central location.

I have had several lower level residents come to me and say " Hey Tim, I heard you had a little notebook for Dr Soandso, how does he like to do his hearts? Can I see your notebook?"

Some of my buddies told me I should get it printed off, and have the first 'useful' Senior Project. I appreciate the complement. It makes for an interesting read, saves me grief and time. It also stirs up old memories, some unpleasant, about my wonderful residency experience.

VentdependenT · Dec 31, 2007

http://forums.studentdoctor.net/showthread.php?t=482044

Private practice studs go on about academic practice vs reality
http://forums.studentdoctor.net/showthread.php?t=479004

C-Section and ABX
http://forums.studentdoctor.net/showthread.php?t=480613

A mother of academic discussions: Pulmonary Vascular Resistance. Now with a clinical spin.
http://forums.studentdoctor.net/showthread.php?t=477165

ETT bites the big one in a prone case
http://forums.studentdoctor.net/showthread.php?t=475855

LITA tube/LTA and the bronch.
http://forums.studentdoctor.net/showthread.php?t=472257

VentdependenT · Jan 12, 2008

http://forums.studentdoctor.net/showthread.php?p=5936761#post5936761

Remember, a low CVP doesn't prevent a hole being placed in the IVC. Use NTG if you gotta make the surgeon happy.

VentdependenT · Mar 18, 2008

Feel free to post ASA practice guideline links here too.

ACC/AHA guidelines intermixed with the excessive preoperative non-invasive testing for goal Cardiac Revascularization in patients undergoing non-cardiac surgery:

This is an excellent review
http://www.anesthesia-analgesia.org/cgi/content/full/106/3/764

NEJM article
http://content.nejm.org/cgi/content/abstract/351/27/2795

Idiopathic · Mar 25, 2008

quite possibly the best thread, pound-for-pound, on the interwebs. Thanks, Vent.

VentdependenT · Mar 29, 2008

Just hope people get some use out of it!

VentdependenT · Apr 15, 2008

Check Zip's post towards the bottom of the first page. It truly is classic.

http://forums.studentdoctor.net/showthread.php?t=512352&page=2

abiallan12 · Oct 16, 2008

hi

thanks for your valuable information buddy...

update then and there.. if its possiblee🙂

its rocking man👍

drjsg · Dec 4, 2008

I wasn't able to open this link.
Can you copy and paste it?
Thanks

drjsg · Dec 4, 2008

VentdependenT said:
UT's on it again. We were handed these on our first day. Leave it hooked to the clipboard. Nice little thing to have handy.

http://www.accrs.com/default.html

Sorry, I meant this link

dhb · Dec 27, 2008

http://forums.studentdoctor.net/showthread.php?t=583062

http://forums.studentdoctor.net/showthread.php?t=585389

kirk002 · May 11, 2010

The links to the posts about quick turnover t&a's is not working. Tried searching without luck. Can anyone either help me find the link or have some tips on some quick turnover t&a's. Thanks in advance.

GoodmanBrown · May 12, 2010

kirk002 said:
The links to the posts about quick turnover t&a's is not working. Tried searching without luck. Can anyone either help me find the link or have some tips on some quick turnover t&a's. Thanks in advance.

I think all you need to do is change the "gasforums" to just "forums." So,

http://gasforums.studentdoctor.net/showthread.php?t=396882 (I can't make this link not shorten itself, but it looks identical to the lower one except for the "gasforums" part.)

becomes

http://forums.studentdoctor.net/showthread.php?t=396882

If other links don't work, if they're external sites (i.e. not SDN), they may have just come down over time. If there are other SDN links that don't work, I'm not sure how to help.

Procedures Tips and Knowledge Pearls

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