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0
votes
3answers
35 views

New onset AF pre-THJR

Today when reviewing a 56yo ex-smoker pre-THJR, I found him to be in AF at a rate of 72/min. Confirmed by 12 lead ECG. Physician review 2 weeks previously did not note AF. He was a …
0
votes
1answer
19 views

Higher that expected Insp Co2?

Cuffed or un-cuffed endotracheal tubes in children at 3 months or less in age. After taking the anesthesia machine only out of the puzzel. What would cause higher than 4mmhg Insp C …
0
votes
0answers
11 views

tourniquet complications

What are the evidence-based guidelines for pressures used for tourniquets?
1
vote
1answer
77 views

Oral Propofol anybody?

Here's a bit of a pharmacokinetic puzzle posed by a nurse, and the more I think about it, the more interested I am in the possible answer. The question was simply, "what would happ …
0
votes
2answers
41 views

choice of inotropic drugs

i wonder which inotropic drug is 1st choice in critical patients with hypovolemic shock? please tell us the right dose & infusion rate. the available drugs we have here are onl …
0
votes
2answers
111 views

How to manage severe bronchospasm under anaesthesia ?

any perticular protocol to follow even if patient is in deep plane ? cannot ventilate situation stony hard lung ? patient desaturating to 75% what should be done?
0
votes
1answer
61 views

HYPERTENSION INDUCED ACUTE PULMONARY EDEMA ANYTHING NEW? MORPHINE /LASIX SHOULD BE OR SHOULD NOT BE GIVEN ? WHAT IS THE NITROGlYCERINE DOSES REQUIRED TO TREAT ACUTE PULMONARY EDEMA ?

WE NO MORE DOSING THESE PATIENTS WITH ANY LASIX OR MORPHINE STILL GETTING 100% SUCCESS RATE . WE USE ONLY BiPAP 100% OXYGEN + NITROGLYCERINE BOLOUSES 400 MICRO TO 800 MICRO EAC …
0
votes
3answers
67 views

Inhalational anaesthetics works on which sites ?where are the receptors ? what is the mechanism of action?

sevo,des,iso how they work? where in the brain , brain stem ? RAS? which receptors? gaba ,nmda ? anybody has any idea any evidence to support? where where where?????/
0
votes
1answer
99 views

Mechanical Ventilator setting.

What is the ideal mechanical ventilator setting in patient with METABOLIC ACIDOSIS due to any etiology.
0
votes
1answer
31 views

Failure of intra-articular local anaesthesia after arthroscopy

The orthopaedic surgeons I work with all use intra-articular bupivacaine (+/- morphine or magnesium) after their knee arthroscopies. This usually works well, and I give no opioid, …
2
votes
2answers
62 views

what is diastolic heart failure and its importance in anaesthesia ? what are the diagnostic tools?

ECHO? or BNP ? or Angio pressure? what are the anaesthetic implications? any details about preserved ejection fraction heart failure?
6
votes
15answers
334 views

What are some good mnemonics for residents learning Anesthesiology?

What are some good mnemonics for residents starting Anesthesiology training? For example, MUDPILES (methanol, uremia, DKA, paraldehyde, INH, lactic acidosis, ethylene glycol, s …
0
votes
0answers
28 views

scope for MDs from india

how is the scope in foreign countries and what are the opportunities for further study and jobs for MDs in anesthesiology from india?
2
votes
1answer
48 views

Use of mannitol to lower intraocular pressure

I was recently asked to give 500mls of 20% mannitol as part of an institutional protocol to lower IOP before insertion of a Molteno drain for glaucoma. I felt this to be a substant …

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