Fatties and anesthesia
So I don't do anesthesia much on really really big people....I know that is standard for many of you.
But I have a question for those that do.
I did a laprscopic case (weight loss surgery) yesterday. BMI 53. The patient was persistently hypoxia (84 to 89%) which I am 99% sure the shunting was from decreased FRC and atelecasis. I know this because I was stressed at the beginning - confirmed tube placement above carina, ruled out pneumo with ultrasound, and the kicker was when we put...
Fatties and anesthesia (Source: Student Doctor Network)
Source: Student Doctor Network - January 20, 2017 Category: Universities & Medical Training Authors: epidural man Source Type: forums
Tenex
Any of you guys doing the TENEX procedure? If so, are there courses to learn it? I had a couple weeks with the sports medicine guys and they were doing a lot of it. Seems like patients really benefit from it and it seems pretty straightforward once you get the ultrasound anatomy down.
Sent from my iPhone using SDN mobile (Source: Student Doctor Network)
Source: Student Doctor Network - January 7, 2017 Category: Universities & Medical Training Authors: Nonphysiologic Source Type: forums
Ultrasound / Regional Atlas recommendations..
Guys,
With the demise of medical bookstores and Amazon's crappy search results, I have experienced much buyer's remorse... Sigh, I miss the days of browsing bookstores.
Could anyone recommend a good regional anesthesia atlas with good ultrasound images?
I can do the blocks and catheters, I just want a book to leaf through when I want to refresh my memory.
The atlas from
Things I have tried:
Atlas of Ultrasound Guided Regional Anesthesia, 1st edition, Gray. Images are...
Ultrasound / Regional Atlas recommendations.. (Source: Student Doctor Network)
Source: Student Doctor Network - January 7, 2017 Category: Universities & Medical Training Authors: dmk5n Source Type: forums
Medical ultrasound bcu
Forum: Healthcare
Posted By: Carly181286
Post Time: 03-01-2017 at 17:16 (Source: The Student Room)
Source: The Student Room - January 3, 2017 Category: Universities & Medical Training Source Type: forums
Use of ED ultrasound
I wanted to 'poll the audience' to see what others think about use of US in the ED. Of course it's helpful for the quick FAST or to place a central line, but I mean beyond that. I trained at a time when it was just on the up and up but they're now using teaching ER doctors to do the full gallbladder, DVT, and all pelvic scans on their own (amongst others). While it's not beyond our level of comprehension or particularly complex, I do hesitate to
a) take the time to do a full scan when I'm...
Use of ED ultrasound (Source: Student Doctor Network)
Source: Student Doctor Network - December 27, 2016 Category: Universities & Medical Training Authors: msgsk Source Type: forums
What brand of ultrasound and supplies for starting regional Blocks
The Hospital where I work has recruited 2 orthopods starting mid feb 2017. The orthopods want regional blocks. The OR manager showed me a Hitachi ultrasound machine that was rusting in the OB department with ob us probe. I yelled at him and wanted the state of art, ultrasound machine that has printing capability and anesthesia friendly. Have to specify what and give him reasons as to why i dont want to improvize old ultrasound machine.
Question 1)
Which company and specific model is...
What brand of ultrasound and supplies for starting regional Blocks (Source: Student Doctor Network)
Source: Student Doctor Network - December 20, 2016 Category: Universities & Medical Training Authors: inquisitiveanes Source Type: forums
OB Case: What would you do?
On call the other night and get a call from OB resident at 2am that there is a patient that was scheduled for a C-section the upcoming day for 7:30am. PAtient had come to OB office that afternoon due to feeling contractions around 4PM. In office patient was found to be 3cm and sent to hospital for observation, ultrasound and cerv exams.
So at 2:30AM patient with increasing contractions and found to be 5cm, so they wanted to go ahead and do the section. When I asked why the patient was...
OB Case: What would you do? (Source: Student Doctor Network)
Source: Student Doctor Network - October 5, 2016 Category: Universities & Medical Training Authors: sigrhoillusion Source Type: forums
PT Aide responsibilities in my PTCAS App
Hey guys. I've been a PT Aide for about 1.5 years in a clinic which lets me do everything but stretch the patients. So, I do ultrasound, put electric stimulation on patients, hot packs/cold packs, and do actual mayofascial release (massage) even though I am not certified. This place is obviously a little sketchy. My question is should I be honest with what I do as a PT Aide in my PTCAS application/essay/interview or should I just stick with saying that I supervise patients and make sure they...
PT Aide responsibilities in my PTCAS App (Source: Student Doctor Network)
Source: Student Doctor Network - September 26, 2016 Category: Universities & Medical Training Authors: aquah Source Type: forums
Opinions on Ultrasound Machines - Sonosite M-Turbo vs GE Logiq e
We're looking to buy another ultrasound machine here. I've used the M-Turbo but not the GE.
Anyone have any comments comparing them? Intended use would be PNBs and vascular access. No need to ever support TEE at this location.
M-Turbo would come with the HFL38 linear probe (6 - 13 MHz) and the enhanced needle visualization software.
Logiq e BT12 would come with the 12L-RS linear probe (5 - 13 MHz) and their advanced imaging pack software (cross beam imaging, b-steer, logiqview, easy...
Opinions on Ultrasound Machines - Sonosite M-Turbo vs GE Logiq e (Source: Student Doctor Network)
Source: Student Doctor Network - September 1, 2016 Category: Universities & Medical Training Authors: pgg Source Type: forums
private practice vs. ultrasound
Hello all,
Can any kind and patient soul explain in very basic terms what is and is not reimbursable using ultrasound? I find this very confusing. In training I used it a ton, but I have found some in private practice who completely avoid it not because they don't know how to use it, but because they have found that its use would lead to significantly less reimbursement.
I would also like to open up this topic to any random opinions on ultrasound use in private practice, or predictions...
private practice vs. ultrasound (Source: Student Doctor Network)
Source: Student Doctor Network - August 26, 2016 Category: Universities & Medical Training Authors: ateria radicularis magna Source Type: forums
GE ultrasounds
Our hospital is refusing to get us the Sonosite we are requesting and instead offering as a substitute the GE Venue 50. I (and most of my group) am quite partial to Sonosite, mainly because that's all I've used and I am very happy with them.
Anybody used this one? Give me the dirt.
Thanks (Source: Student Doctor Network)
Source: Student Doctor Network - August 7, 2016 Category: Universities & Medical Training Authors: okayplayer Source Type: forums
Pediatric abdominal pain: CT, MRI, US ???
Having recently attended a pediatric ER conference I learned about this protocol for r/o appy in peds.
Ultrasound followed by MRI if results are equivocal instead of CT. I had never heard of this, but I can see this starting to gain traction in the community. I'm curious about people's practices for imaging kids for r/o appy.
How many people are using MRI as a follow up exam for nondiagnostic ultrasounds? Are you experiencing any barriers to this protocol? What do you...
Pediatric abdominal pain: CT, MRI, US ??? (Source: Student Doctor Network)
Source: Student Doctor Network - August 2, 2016 Category: Universities & Medical Training Authors: n2b8me Source Type: forums
Useful non-EM electives for Emergency Medicine applicants?
What non-EM electives do you think would be useful to take 4th year (maybe ones that EM residency training doesn't give enough practice in)?
I've already done a SICU elective and am scheduled for a radiology and an EKG one, but I might still have some room for a few more 2 and/or 4 week. I've heard people say anesthesiology, derm, ophthalmology, ortho/sports med, Peds EM, Tox, ID, ultrasound, etc. And wanted to see what current attendings, residents, or even 4th years think. Any thoughts...
Useful non-EM electives for Emergency Medicine applicants? (Source: Student Doctor Network)
Source: Student Doctor Network - July 20, 2016 Category: Universities & Medical Training Authors: House911MD Source Type: forums
Idea for Personal Statement a turn-off for adcomms?
Background: I did a crowdfunding campaign to raise money to purchase an ultrasound machine for a hospital I volunteered at in Tanzania. It took eighteen months, but it worked: $8K and a new ultrasound.
I'm thinking of introducing this as the first part of my PS in a "walk-you-through-my-thinking" (first person) style to demonstrate an ability to use problem-solving skills to help others. Again, this was for a regional hospital in Tanzania, and the majority of the donors were in the US, UK...
Idea for Personal Statement a turn-off for adcomms? (Source: Student Doctor Network)
Source: Student Doctor Network - June 26, 2016 Category: Universities & Medical Training Authors: LIC2015 Source Type: forums
