What's a good rate and specific coverages you should look for with disability Insurance.

I know that nurses get like 1.5x pay for overtime. Do anesthesiologists do too in practice?

Also would we get included in the Trump no tax on overtime policy if we working more than 40 hours a week?

Hi all, is there anyone here practicing with hearing loss/single-sided deafness? I’m soon going to be completely deaf in one ear (2/2 a translab crani in a few months) and I’m trying to get a feel for how much of an impact it is going to have on my day to day, especially at work.

Hi,

Does anyone have any info on the hourly OR revenue, profit/ margin, or facilities fee?

Thanks

Hello everyone

Looking for general information regarding the ESAIC Mentorship Programme.

How was your experience? Would you recommend it? What types of topics did you focus on with your mentor?

Also, any tips on the application process would be greatly appreciated!

Thanks!

I’m an M3, currently on clinical rotations. Planning to apply to anesthesiology for residency next year. My school doesn’t have an anesthesia program, but I plan to do atleast 2 away rotations to make up for that.

Which specialties should I get a letter of recommendation for ERAS? For context, my schools program includes 6 core rotations (family med, peds psych, internal med, surgery, ob/gyn), and for each attending im paired with, we only rotate with them for a week on average (max 2 weeks, if that). So im a little confused on how/where to get a strong letter from. Any advice appreciated!

Today, the nurses were performing their end-of-case count of sponges when Europe's "The Final Countdown" started playing. What other songs are perfect, not for enjoyment while working per se, but for their fit, for the pun, for the dad-joke quality? Any stage of the procedure.

"Every Breath You Take"

"I’ve Got You Under My Skin"

Shout-out to BMJ Christmas 2014

https://www.reddit.com/r/norulevideos/comments/1gmxs0x/the_neck_dude/?utm_source=share&utm_medium=web3x&utm_name=web3xcss&utm_term=1&utm_content=share_button

I took an TEE course online a couple years ago and can't remember or find it anymore. I think I paid around $400 yearly for access. I recall it having a huge selection of videos and some practice tests. I remember everything I as done in blue slides. Does this ring a bell for anyone? (I can't find anything in my email from back the to remind me of the source.)

Finishing up my last month of peds next week and feel like I’m still terrible at placing IVs in younger patients, especially 1 year and younger… any tips on putting in IVs in pediatric patients?

And sorta related, but as someone who’s interested in pursuing peds, is this something that I’d be expected to be proficient at right off the bat when starting fellowship?

Thanks everyone!

Anyone use any of the Mapleson circuits with any regularity?

I've never seen one in real life, let alone use one so just curious about them and the real benefits or frustrations with them (I know what the books say, curious about actual use)

Happy Friday everyone

Hi guys,

I want to get my anaesthetist friend a high quality scrub cap. They struggle with seb derm and get bad flares so something that is suitable for very sensitive skin and scalp. Price isn’t important. :)

Thank you for your help!

Hello, my nephew's 18th birthday is coming up and will be joing the AF soon and since he was 12 years old he has wanted to become an anesthesiologist,. I was considering getting him a book on anesthesiology or pharmacokinetics and pharmacodynamics. Either a text book he should be likely to use within a year or two, or an interesting reference book that he'll be able to refer back for report writing (I can't imagine something bought now would be relevant long into his career and would love some suggestions

Why do Americans call anesthesiologists what the rest of the world calls anesthetists? Is it just good ol' fashioned self-aggrandizement or is there an academic basis to it?

I've been an anesthesiologist at a major Canadian hospital for the past 24 years. This is one thing that has bugged me for a long time. I'm wondering what else everyone has observed in other institutions.

Our hospital has three major OR suites. Each of these OR suites has anywhere from 8 to 11 ORs. The holding areas of these OR suites offer absolutely no patient privacy. So, the surgeons, nursing staff as well as anesthesiologist routinely are talking to patients, obtaining patient history with everybody else listening in. There are easily eight adjacent patients side by side by side every morning and then later on in the day it's hit and miss. It could easily be two or three patients still easily within earshot of each other.

I have tried to bring this to hospital administration's attention but nobody seems to act on it because it would be very costly to change things up. I am wondering what other solutions people have seen and whether things are done any better at your hospitals.

Hello all,

Anyone sit for the exam this year? Thoughts if you did ? I think the results come out tomorrow. Third times a charm ! 😂😂

Anyone know why we don’t routinely trim back hair when we do spinals and just prep it in? Has this ever been studied? The risk of meningitis so low from a single shot spinal that is adequately prepped that we don’t do it.? What about epidurals?

Does anyone know of an occurrence-based claims med mal insurance company that accepts credit card as a form of payment?

I trained and currently work in an academic center in North America. I am now spending a few weeks at a large European hospital.

In my training, the approach was :

• Regional blocks are performed under sterile conditions (chlorex, sterile gloves, sterile gel and US probe cover for single shots +/- gown and drapes if placing a catheter)
• Art lines in the OR are not sterile (just regular gloves and normal saline if US guidance)

At the European hospital, they do the exact opposite. Any thoughts on this ?

Just wondering what other people’s approaches are to set taps, like real wet taps not just a dural tear.

Thread catheter and drop rate at a intrathecal catheter?

Go to a different level completely?

Something else?

Completely lost on how to study for oral boards, where to start, hours per day, schedule.

I know everyone says practice with another person as much as possible which I plan on doing. But my real question is where to start with the knowledge part of it. Dilemma is I when I practice with people I want to at least have some foundation. Of course I understand a lot of the knowledge comes from residency and written exams, just looking for a starting off point.

Whats your strategy for timing your extubation for cases with lots of set up and weird positioning? Do you use nitrous oxide to buy time? Just have a stick of propofol ready? Would love to hear your approach

With NSAIDs being relatively contraindicated in CAD, in your practice do you hold or give a single IV Toradol 10-15mg dose periop in patients with stable CAD and normal kidney function? What about celebrex?

Edit: CRNA for rule 6

Attention morning people: How do you manage to stay vigilant during overnight work? What hacks have you developed over time?

I’m fairly textbook morning guy. Workout before the OR, pretty upbeat through the AM, nosedive crash at about 2pm. Usually it’s no big deal since my day wraps up by about 3:30 most days.

Struggle more with overnight. I’m just 16h call, but i find even at 4pm when i arrive my brain is already sluggish - and it’s only downhill from there. Throw in a bowel obstruction at midnight and I’m just functioning entirely on autopilot from residency. Less efficient. Slower.

I haven’t switched my habits much other than napping 1-2h before my shift but even that doesn’t help (sometimes i think it makes me groggy).

Wondering if you morning folk have found good workarounds for this? For context, I’m 5 years into practice at a Canadian site with sometimes limited help after hours - no resident, sometimes an AA until 11pm but sometimes not, 1 anesthetist in house covering both main OR and OB, with one at home to come in if there are simultaneous cases. Main OR usually goes until 11pm, and then the rest of the night is variable between the usual OB epidurals/sections, and the occasional emergency case.

Thanks plenty!