somniferous drug dealer

@VitalStatist1X @MaxSchubertMD Must be pediatric cases? I can't imagine someone is doing this for adults

@MaxSchubertMD not a doc but from what I saw they run sevo until pt is asleep, and then they push sux/glyco/dex, followed shortly by Propofol.

Asking the anesthesiologists, when you induce do you wait to push the roc after the prop? If so how long do you wait and why I do not mean for special cases like RSI or cases where paralytic won’t be used. Healthy patient, empty stomach.

@olsonplanner "lol Peace ✌️"

Attendings - Suppose you went to your employer and told them you wanted A, B and C if they wanted to retain you as an employee. What do you think would happen?

@fuzzymittens You can order one ahead of time to be delivered between Jan 6 and Mardi gras from any of the famous bakeries. Need to be quick bc the good places sell out quickly

@fuzzymittens No king cake until after Twelfth Night. Any king cake outta season is just take money from tourists

@orneryscientist @DoctorNeu2 @TransNursing Depending on the central line (such as triple lumen or double lumen), a 16ga PIV will run much faster. Often times for straightforward cabg we place a double lumen CVL for infusions and a large PIV for volume.

@AndrewJuge @cryptoburger Pete Werner

“i’m going to learn about investing” journey phase 1: intelligent investor > ben graham & warren buffet, value investing, some peter lynch stuff, maybe even some greenblatt & klarman if you’re adventurous “ok i’ll buy good companies at fair prices, what else is out there?”

@evansaacks How many penalties is that on special teams in less than a half? Jeez

I am going to frame Brian Polian for international treason

@SatansDad69 @Nudesandnursing "I don't feel comfortable" had become the crutch for those that refuse to actually become competent and thus "comfortable"

@Nudesandnursing Had a nurse in a sitter covid room last night say "I haven't ambulated adult patients in a year, I don't feel comfortable" as she was a fuckin stand by with a walker... called us in each time.

Can't believe they are going to make a MAN queen. This woke nonsense has gone too far.

Welp. #FSUvsLSU

hmmm i think i'll stay up for 5 more hours just to make sure i have a fucked up miserable day tomorrow

Former #Saints Reggie Bush and Drew Brees talking about some of his throws that were a little off.

Stonks

@MSharifpourMD @LionSleeps4ever Lol, imagine identifying a patient by a close up of their 20ga PIV. Also, imagine telling the anesthesiologist to get their own line 😂

@LionSleeps4ever First you have no idea what you are talking about. 2nd, I always get my own lines. 3rd, it is to improve patient safety

@burke_doc "And who is here with you today?"

@kdsvector @MSharifpourMD Who says no ketamine for coronary artery disease? I induce nearly all my cardiac cases with some ketamine.

@MSharifpourMD Never give ketamine to a pt with CAD All pts arriving for surgery in the morning need their NPO "fluid deficit" replaced

I was thinking about creating a 🧵 on anesthesia myths. Please feel free to add: 1. NPO at midnight (can have clear liquids up to 2 hrs before) 2. Cricoid pressure for RSI 3. No IV/BP cuff on ipsilateral arm as previous mastectomy w/ or w/o lymph node dissection

@MSharifpourMD @drdre424 I have NEVER regretted having too much access

@drdre424 This is routine practice. What if you lose your IV and both arms are tucked? Then what? Or if you need a pressor. You bolus ur pressor every time you increase your fluid rate?

@DrLongissimus Pt is on Home O2 --> Pt is a homo too

What's a hilarious typo that you've seen in a patient's chart?

@SKDhillonMD So thankful yall are ok!