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For sure: roc induction + roc gtt + suggamadex. But at 500kg she would need a whopping dose. Fortunately she doesn't look like a nightmare airway with her neck length. I actually think she'll survive and I would love to do this case
I guess you can do anything since it is unlikely that she will survive this surgery anyway,
Infection should be high on the list of her possible endings too.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.
The hospital is in India though!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!
Not for long. Better jump on her!The real question here is: Is she single?
Would place epidural, then retrograde wire.
Eh, I'm thinking quadratus lumborum blocks would be better.No TAP block?
No TAP block?
Would place epidural, then retrograde wire.
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.
Do you do any regional? I 100% disagree with the above.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.
They already do.I think you stumbled upon the ASA's next slogan: "Anesthesia: It's so easy, even a nurse can do it."
And I 100% don't care.Do you do any regional? I 100% disagree with the above.
And I 100% don't care.
she won't die intraop, it'll be weeks postop when she has the PE
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".And I 100% don't care.
And I'll lose sleep over that....ummmm.....never.You're not going to be appointed to head of the Enhanced Recovery Committee at your hospital with that attitude.
I've done more blocks then you'll do in your life, little boy.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".
I think we're getting mixed up on terminology. Supratentorial doesn't countI've done more blocks then you'll do in your life, little boy.
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!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!
And I 100% don't care.
Are you joking or is there an advantage to pent?Don't they have penthotal in India? I would do pent sux tube.
Reminiscing the good ol' days of pent sux tube.Are you joking or is there an advantage to pent?
Are you joking or is there an advantage to pent?
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/
Not in the US.If you do it for free then are you absolved of responsibility for bad outcomes
That's not how it goes even in IndiaIf you do it for free then are you absolved of responsibility for bad outcomes
"We are happy to inform all well-wishers that the medical team of Saifee Hospital has successfully performed the surgery on Eman Ahmed," said a statement.
"Eman successfully underwent a Laparoscopic Sleeve Gastrectomy on March 7th 2017 at Saifee Hospital. She had an uneventful surgery and anaesthesia course.
"She is now on oral fluids and accepting them well. The future course of action for the medical team working on her will be to correct all her associated medical problems, to get her fit enough to fly back to Egypt as soon as possible," it added.