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Any experience or opinions on SAB with Chiari Type 1? It’s an outpatient procedure and due to limited PPE, we are trying to avoid GA as much as possible. I don’t have a recent MRI.
Any experience or opinions on SAB with Chiari Type 1? It’s an outpatient procedure and due to limited PPE, we are trying to avoid GA as much as possible. I don’t have a recent MRI.
A wet tap with a touhy could be very bad in this case. So I’m not keen to try that. We do many of our outpatient knee scopes with nesacaine spinals or epidurals normally. They work well, with occasional epidural failures (one sided block) and occasional outliers on motor recovery.Could you just do an epidural and pretend it's a c-section? I know that's outside the realm of outpt procedures, but just tell the surgeon to work fast and don't puncture the dura.
There's still plenty of places who are doing ETT or spinal, no LMA due to COVID-19. And don't trust a negative test. I'm currently on mandatory quarantine thanks to a patient with 2 negative tests over the course of several days turning positive 2 days after surgery.Who the f*** does an SAB for an outpt knee scope???
Put the LMA in and get back to Sudoku.
Who the f*** does an SAB for an outpt knee scope???
Put the LMA in and get back to Sudoku.
Where is that rule from?Intubation box..in most cases it's taken off after intubation and so the aerosol inside it flies everywhere..correct ? A plastic drape with strong suction under it that stays on throughout the case and recovery seems safer to me..
This question whether an LMA or an ETT is better in a potential C 19+ - if the LMA is smooth with an apneic patient on induction, well suctioned on extubation and not needing positive pressure it's likely ok and maybe better than an ETT but how will u make sure all those will happen ?
Btw: adductor block after GA...kinda breaks the rule blocks should be done awake unless not possible like in kids, correct ..?
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Malpractice lawyer's handbook.Where is that rule from?
God damn lawyers.Malpractice lawyer's handbook.
Btw: adductor block after GA...kinda breaks the rule blocks should be done awake unless not possible like in kids, correct ..?
Same here.Im fine with ACB asleep or after SAB since there’s no motor component.