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Mitch Keamy
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Mar 15, 2010
Data on anesthesia care team suggests that outcomes are statistically similar to MD anesthesia and slightly better than unsupervised CRNA anesthesia, but this data is hotly contested by the economically interested sides. I believe in anesthesia care team as a model, but I believe in colleagial care in general; there is a reason there are two pilots on a commercial flight, and its not just in case one of them croaks. Having said this, not-so-subtle deceit about the circumstances of your care in the face of a specific request is unconscionable, and speaks to the integrity of that team. (or lack thereof) If it happened like you say, write the medical board, the hospital CEO, discuss it with your surgeon, and take your care elsewhere; thats what Id do. How you do anything is how you do everything, as they say...
We have met the enemy, and he is us....
I'm back... A year or so ago, I was walking down the OR corridor between cases, and a surgeon I had known for fifteen years pointed at me and said sharply; "come on; what are you doing wandering around? - take the patient back!" I was momentarily confused, since we weren't working together th...
I actually think that a subxiphoid view will let you see how well you are performing CPR. All you need to see are the ventricles and pericardium.
On Sep 20, 2009, at 5:31 PM, typepad@sixapart.com wrote:
Bringing Resuscitation into the 21st century, or Seeing is Believing...
I do a fair amount of trauma anesthesia. An important part of trauma bay resuscitation is a quick and dirty transcutaneous ultrasound evaluation; Heart, pleural space, liver, spleen, bladder. Fifteen years ago, one of my partners had a patient develop pulseless electrical activity (PEA) i...
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