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Prop Roc Tube?
Started by caligas
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Why not? We have Bridion.
I guess you can do anything since it is unlikely that she will survive this surgery anyway,
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she won't die intraop, it'll be weeks postop when she has the PE
Oh I'm serious, I would definitely love to do this case. It would be my Moby Dick
Infection should be high on the list of her possible endings too.
D
deleted643396
Just have patience. In another 10 years this will be routine and there will be an expectation of same day discharge.
In my experience they rarely close the skin on those super big ones and instead just use wound vac from the start. I think the odds of her dying from infection leading to sepsis are kinda slim.
The hospital is in India though!
there are some very good hospitals in India as well as plenty of terrible ones. I have no idea what quality of hospital this is. I suppose if you do the surgery in a dump you can be almost assured of wound infection.
D
deleted162650
The real question here is: Is she single?
Would place epidural, then retrograde wire.
Not for long. Better jump on her!
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No TAP block?
Eh, I'm thinking quadratus lumborum blocks would be better.
I'm curious what sort of max depths of LOR people have gotten on epidurals. My all time record is 15 cm on a thoracic epidural on a huge thick biker with rib fractures. I got scared when the regular Tuohy couldn't even reach spinous process and had to grab the 6 inch. Ended up working like a charm, though.
MAC + local
Prop/Roc/Tube or Prop/Sux/Tube are how I do 95% of my cases. Keep it simple - put the pt. to sleep, wake them up. It's that easy. Don't complicate things. It makes ZERO difference.
D
deleted643396
I think you stumbled upon the ASA's next slogan: "Anesthesia: It's so easy, even a nurse can do it."
Do you do any regional? I 100% disagree with the above.
They already do.
And I 100% don't care.
You're not going to be appointed to head of the Enhanced Recovery Committee at your hospital with that attitude.
Why? I'm sure she'll walk and do laps around the nurses station; she's shown a commitment to her goals previously, such as obtaining the title of World's Heaviest Woman. Or she can just put the compression stockings right next to her legs. I've heard they work best if they are off but immediately next to your legs.
That's great. If your patients knew your attitude, they WOULD care. And since it sounds like you haven't done a block this decade, I'm not sure you're the best source on anesthetic technique making "zero difference".
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And I'll lose sleep over that....ummmm.....never.
I've done more blocks then you'll do in your life, little boy.
I think we're getting mixed up on terminology. Supratentorial doesn't count
Consigliere, you sure have become an angry person of late. Is everything OK in your world?
No. Thanks for asking. Working too much, too little vacation time/time with family. That will soon change though. I appreciate you asking - that means a lot. Thanks!
Now we're getting some of the old time forum style back!
I wouldn't touch this lady with a barge pole.
Nope, sux, tube.
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Il Destriero
Are you joking or is there an advantage to pent?
Reminiscing the good ol' days of pent sux tube.
There seems to be a direct correlation between when pentathol went away and when Consigliere became crabby. I would call him getting his mojo back an advantage.
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Yes, India has thiopentone. The hospital mentioned is one of the common destinations for medical tourists, must be for a reason. The attraction in her case could be due to the fact that the surgeon has agreed to do the case free of charge
https://www.thesun.co.uk/news/28406...cial-cargo-plane-to-have-life-saving-surgery/
https://www.thesun.co.uk/news/28406...cial-cargo-plane-to-have-life-saving-surgery/
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If you do it for free then are you absolved of responsibility for bad outcomes
D
deleted171991
Not in the US.
That's not how it goes even in India
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She doesn't look like a CICV. Prop/Sux/Roc/tube.
done Laparoscopic! well done. even if the surgeon does it free of charge, doesn't she still have to pay for anesthesia and hospital stay lol
looks like we've "successfully" exported the SAD diet.
