Ivan, I tend to be verbose by nature and experience, people like clear and
extensive explanations as do the Med students.
As for the "price" of anything in a hospital, there are a number in any
institution and then the COST will be determined by the deal the hospital can
negotiate with the delivery and marketing corporation. If you want YOUR price of
COST, then ahve your supply people put out a bid. My experience in tyhe amtter
is that introduction of a device is rather expensive as you will not be able to
insure a large number of product used.

As for thge issue of jaw thrust, if you plan your anesthetic adequately you
should be leaving an awake and unsupported patient in the PACU, given the drive
distance formt he OR and "report, etc. I indicated you might need to support the
airway or have an oral airway in at extubation, as they can be anywhere from 0-2
mac with the technique described, the option is yours!

P kempen


Your post very deep as usual but a little complex as you tend to talk
about more than at the same time.
>
> As to OR extubation: jaw thrust or similar sometimes required: it
> is, but
> my belief is a recovery room nurse needs to be well versed
In that....or no ? Either way ?

After all ..aren't there patients obstructing in recover room with OR
extubation practices ?
A later extubation after a period of time = less airway obstruction.

Sympathetic stimulation on the way to recovery with an airway in: yes,
it happens...iusually just take the tube out..if the patients are
stimulated by it so much..

> Ivan Hronek MD
>
>