Future technologies in anesthesiology
I was pondering how safe anesthesia is these days, with a couple of technologies we all know that brought us to this point ie. pulse ox, capnography, video laryngoscopy, ultrasound, and even non-invasive cardiac output monitoring. Our drugs are great and reliable. I was trying to think of anything that would be revolutionary in our field.
One thing that obviously comes to mind is the use of AI, which is already being used to assess LV function based on ECG via machine learning. However, it...
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Source: Student Doctor Network - August 25, 2023 Category: Universities & Medical Training Authors: NumTacos Tags: Anesthesiology Source Type: forums
That Time of Year Again (VL vs DL)
https://www.nejm.org/doi/full/10.1056/NEJMoa2301601?query=featured_home
Seems like a study to this extent comes out every couple years. Anybody doing anything different? Anecdotally I've noticed most residents and/or CRNAs nowadays use VL as their first option.
AbstractBACKGROUNDWhether video laryngoscopy as compared with direct laryngoscopy increases the likelihood of successful tracheal intubation on the first attempt among critically ill adults is uncertain...
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Source: Student Doctor Network - June 16, 2023 Category: Universities & Medical Training Authors: Ronin786 Tags: Anesthesiology Source Type: forums
working with CRNAS
for those seasoned attendings out there, how do you approach CRNAS who dont listen to you during critical moments like intubations, for example you tell them to come and ventilate the patient for a bit because because the patient is desaturating ...but they dont want to listen and to try and get their view, they say im so close i can get it but are only cranking the laryngoscope harder to no avail.......
this is just one of many examples (Source: Student Doctor Network)
Source: Student Doctor Network - January 5, 2023 Category: Universities & Medical Training Authors: jon stewart Tags: Anesthesiology Source Type: forums
How important is the physical exam in medical oncology?
The physical exam is obviously really important for surgical oncologists and radiation oncologists will routinely do DREs, pelvic exams, breast exams, flexible laryngoscopy, etc.
I am curious how important the physical exam is in medical oncology? Do medical oncologists tend to perform DREs, pelvic exams, laryngoscopy like rad oncs? (Source: Student Doctor Network)
Source: Student Doctor Network - August 1, 2022 Category: Universities & Medical Training Authors: futuredoc484 Tags: Hematology / Oncology Source Type: forums
Video laryngoscopes
I'm trying to buy relatively cheap/durable video laryngoscopes for some very small rural EDs. The users would be infrequent intubators who have reasonable but novice airway experience. It would be nice to have something like the Karl Storz C-MAC Pocket Monitor, for example, but it's just not feasible financially. So far, I've looked at the iView, McGrath Mac, AirTraq, Glide Scope and Ambu King Vision. Any recommendations, thoughts, or experiences? I would appreciate any help.
(I've already...
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Source: Student Doctor Network - February 21, 2022 Category: Universities & Medical Training Authors: lymphocyte Tags: Emergency Medicine Source Type: forums
Video Laryngoscopy 100% of the time … every time.
If you have a decked out 2021 Tesla Model S Plaid in your driveway… why drive the 1989 Honda Civic?
Once upon a time the only way to place a central line was by doing it “blind” aka using landmarks. Today, not using an ultrasound is considered to be below the standard of care (unless it’s an emergency).
How many of you have similarly evolved your practice to using a video laryngoscope 100% of the time (McGrath)?
- optimizes first attempt success (therefore you’re reliably faster, fewer...
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Source: Student Doctor Network - December 9, 2021 Category: Universities & Medical Training Authors: MalloryWeiss Tags: Anesthesiology Source Type: forums
Do you sweep the tongue in DL?
Second year anesthesia resident here, currently in a two month long off site ob rotation. Tbh after two months with only spinals and epidurals my DL skills are a lil rusty, I guess it’s bad form but I never sweep the tongue. This week they started making gyn laparoscopic surgeries, so I started intubating again. My mentor here insists I sweep the tongue this Weird way, twisting the Laryngoscope. Im trying but somehow this made it more difficult, any advice? (Source: Student Doctor Network)
Source: Student Doctor Network - September 5, 2021 Category: Universities & Medical Training Authors: Sleeplessbordernights Tags: Anesthesiology Source Type: forums
Glidescope vs DL
We've got some residents starting soon and I'm sure I'll have to be monitoring their intubations. One thing I've noticed with many of the newer grads is their sole reliance on glide scope. I rarely see anyone using DL anymore and I'm probably one of the "older dinosaurs" that still almost exclusively uses DL and eschews video laryngoscopy unless it's a case where I anticipate difficulty. I certainly recognize the new era and almost standardization of VL but I can't help but feel some of the...
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Source: Student Doctor Network - June 22, 2021 Category: Universities & Medical Training Authors: Groove Tags: Emergency Medicine Source Type: forums
ideas for Go-bag during COVID field work
I'm putting together a go-bag to do occasional field work as part of my new role in my urban metro area. I've received the 1st of the pfizer vaccine (with the 2nd this week) and managed not to get ill doing clinical work all last year. I've been relatively more careful than my peers at two different hospitals: N95 on/off in parking lot, face shield for every encounter regardless of Sx, PAPR and video laryngoscopy for intubations, decon room/shower in my house. It's all about COVID where I'm...
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Source: Student Doctor Network - January 4, 2021 Category: Universities & Medical Training Authors: 911anh Tags: Emergency Medicine Source Type: forums
I Love the miller blade - Seeking more mastery
Hey everyone,
After being in a supervisory role for over a year, I realize I need to keep my chops in top shape. I have three finer style points that I wanted to see if anyone could weigh in on regarding use of a Miller.
1. Proper sniffing position vs. head extension - when seeing ENT do their suspended laryngoscopy (as well as occasionally in my own experience), lots of head extension seems best. Other times I feel like sniffing position works perfectly. Other than the obvious - try one...
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Source: Student Doctor Network - December 17, 2020 Category: Universities & Medical Training Authors: ISoNitrous Tags: Anesthesiology Source Type: forums
Be ahead of the curve
MicroStrategy Adopts Bitcoin as Primary Treasury Reserve Asset | MicroStrategy Incorporated
2017 was retail FOMO
2020 is the start of corporate FOMO
2024? Nation state FOMO
More people are realizing the value proposition of $BTC and now small and mid cap companies are allocating a percentage of their treasury to bitcoin. Wait till an nation whose currency...
Be ahead of the curve (Source: Student Doctor Network)
Source: Student Doctor Network - August 15, 2020 Category: Universities & Medical Training Authors: Direct Laryngoscopy Tags: Anesthesiology Source Type: forums
Will video laryngoscopes become standard of care? Should they?
Read a recent article regarding ultrasound-guided central lines leading to lower complications, and it got me thinking: 1) why the hell are people still studying this since it seems so obvious to me what the results will be, and 2) will I be thinking the same thing about video laryngoscopy in 20 years when costs come down and they have potential to be in every OR/ICU in the country?
Thoughts? (Source: Student Doctor Network)
Source: Student Doctor Network - April 24, 2019 Category: Universities & Medical Training Authors: Urzuz Tags: Anesthesiology Source Type: forums
Why don't family medicine docs do flexible/fiber optic naso-laryngoscopy?
Hi all.
M3/4 here. I know my question may seem strange. But I just got done with a 4 week ENT rotation and something occurred to me I'd be curious to get some input on. ENT is one of those mixed surgical fields where docs could be doing anything from managing thyroid medication and cleaning out eardrums to complex free flaps. However, it seemed to me that the vast majority of what they did, at least in clinic (and I recognize this may be particular to the institution I was at), was hear...
Why don't family medicine docs do flexible/fiber optic naso-laryngoscopy? (Source: Student Doctor Network)
Source: Student Doctor Network - May 14, 2017 Category: Universities & Medical Training Authors: luckrules Source Type: forums
Airway Disaster: Postop Tonsillectomy Bleed in Adult
Hey all,
Just wanted to get some ideas and see if things could have been done better. This happens 6 months after I'm finished my training.
Had a young guy in their 20s come back POD3 tonsillectomy for chronic tonsillitis at a tertiary center. He also had dinner 3 hours hours ago and is now coughing up a lot of blood in ED. In the holding area, he actually seems relatively stable and the bleeding has slowed. ASA 1 and no difficult predictors for laryngoscopy. I bolus him with 10 mg of...
Airway Disaster: Postop Tonsillectomy Bleed in Adult (Source: Student Doctor Network)
Source: Student Doctor Network - March 25, 2017 Category: Universities & Medical Training Authors: jope Source Type: forums
Advanced Airway Management (AIRTRAQ laryngoscopy) shown at Cardiovascular Nursing Meeting
(Source: Cardiac Forum)
Source: Cardiac Forum - March 19, 2017 Category: Cardiology Authors: Justin Tags: Video Blog Source Type: forums
