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Bucking, LITA tube and APCU extubation   Message List  
Reply | Forward Message #4388 of 5812 |
RE: [ai] Bucking, LITA tube and APCU extubation

So you have enough ventilators in the PACU to cover virtually all of your beds?
We extubate in the OR unless the pt is going to stay ventilated, and seldom have
more than 2 or 3 vents going at once. Getting any more is a major hassle.


Sanford M. Miller, MD
sanford.miller@...

________________________________

From: Anesthideas@yahoogroups.com [mailto:Anesthideas@yahoogroups.com] On
Behalf Of James DuCanto
Sent: Friday, July 03, 2009 5:56 AM


Our practice of extubation in the OR vs recovery room is largely dictated by
the culture of the institution. The recovery room nurses at my institution are
all ICU trained, so they don't flinch when a patient arrives that needs a
ventilator or a t-piece.
Jim



Fri Jul 3, 2009 2:11 pm

sanfordmmiller
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Message #4388 of 5812 |
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The LITA tube is an expensive way to perform the "Kempen technique" of lidocaine installation via any  existing ETT. That LITA ETT has an injection port just...
Paul Kempen
kmpnpm
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Jul 2, 2009
12:56 pm

Your post very deep as usual but a little complex as you tend to talk about more than issues at the same time. As to OR extubation: jaw thrust or similar...
Ivan Hronek
ivanhronek
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Jul 2, 2009
5:45 pm

Paul, we all respect your extensive experience and yes, you say my personal preference is to extubate in the OR... Extubation practices can influence how the...
Ivan Hronek
ivanhronek
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Jul 3, 2009
4:52 am

Our practice of extubation in the OR vs recovery room is largely dictated by the culture of the institution. The recovery room nurses at my institution are...
James DuCanto
jducanto
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Jul 3, 2009
10:00 am

So you have enough ventilators in the PACU to cover virtually all of your beds? We extubate in the OR unless the pt is going to stay ventilated, and seldom...
Miller, Sanford
sanfordmmiller
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Jul 3, 2009
2:12 pm

You can do that - these don't have to be sophisticated ventilators but usually you can get most patients breathing spontaneously towards the end of the case...
Ivan Hronek
ivanhronek
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Jul 3, 2009
5:13 pm

Somehow this thread has become very complicated over a very routine subject. Except for the sick patient who has been in surgery all day, or similar patient,...
Joseph Lesser
jlessercrna
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Jul 3, 2009
10:05 pm

Joe, if you were an OR manager, and if you critically look at the time it takes from the end of surgery to leaving the OR, in a large OR suite you will get to...
Ivan Hronek
ivanhronek
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Jul 3, 2009
10:20 pm

Ivan, I've just never worked anywhere that the anesthesia staff could not have the patient extubated and breathing spontaneously by the end of the case,...
Joseph Lesser
jlessercrna
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Jul 3, 2009
11:06 pm

Get an RT specifically assigned to the PACU? Buy enough ventilators to supply the PACU if most pts come in intubated? In the midst of a hiring/purchasing...
Miller, Sanford
sanfordmmiller
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Jul 4, 2009
8:44 pm

Sandy, this is your beloved scepticisim again...You know I have always been your great supporter, but I have to say scepicism is easy - you don't have to do...
Ivan Hronek
ivanhronek
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Jul 4, 2009
10:29 pm

Ivan, I love the way you love my skepticism, but you seem to have forgotten how Bellevue works-or, since you were a resident, you may never have known. Trying...
Miller, Sanford
sanfordmmiller
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Jul 6, 2009
11:43 am
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