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Usually we do ERCP under sedation but for patients with predicted airway difficulty I intubate them ... Sent from mBox Mail Hotmail for iPhone and iPod Touch ...
I have a low threshold to intubate. I include in my assessment, the skill level of the gastroenterologist. We have a few who need 2-3 hours to complete an...
in predicted difficult laryngoscopy or airway maintenance i think that secured airway is a must for safe ERCP so intubation is indicated. however if airway...
Duration and difficulty of the ERCP procedure will be an issue likely mainly to the amount of air insufflation used - that can lead to stomach distention and...
Stocky, 40ish male with multiple ureteric stones high in one uterer. For ureteroscopy, lithotripsy and stent insertion. No thought of spinal or GA via LMA with...
... I would have done exactly what you did (without the sux). And I would have told the surgeon to man up and concentrate on the surgery ;-) I like the comment...
Tell him that the good urologist never seem to have a problem with the slight respiratory movements. ... From: Alan Tallmeister <tallmeister9818@...> ...
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Dr. Armando Fortuna
armando.fortuna@...
Feb 2, 2012 5:55 am
Dear friends: Forgive me my ignorance. After all, I am a foreigner and I hate all these abbreviations, which are quite a puzzle for me. Why not place the...
All abdominal, chest and kidney surgeons work on or near a moving target, unless on CPB (bypass). When they're in bad mood or do a particularly hard case they...
Armando, You are more than correct to ask those who use abbreviations to please include the complete title, but I believe that calling yourself stupid...
*Ivan,* Thanks a lot for your interest in our studies about high frequency positive pressure ventilation (HFPPV). It was my thesis for MD degree. I modified it...
... I completely agree. The north american obsession with hip acronyms is a continuous source of amusement to those who inhabit the rest of the world. As luck...
Allen, You did the best. I think that the use of high frequency positive pressure ventilation (HFPPV) would be helpful using tidal volume of 2 mL/kg of the ...
Mohamed, could you possibly post a little cookbook (and perhaps attach some basic literature) how and when to use conventional anesthesia mechines for HFPPV ?...
Ivan, ... conventional anesthesia machine for HFPPV. Moreover, i attached a PDF cut from my MD thesis reviewing this issue. Dr.Mohamed R.El-Tahan Assistant...
I have had similar issues with stockyish pts. and ureteroscopy. I carefully explain that I can't fight Newtons law of F=ma, where such massive patients require...
Ivan, Mohamed - with a high RR I am getting a very low ETCO2 - i guess ventilating dead space.. With HFPPV, there is arterial hypercarbia and low EtCO2 with...
Miller ... I did not try HFPPV yet in urological procedures. For thoracic procedures (Open and video assisted), the little inflated vibrating operative lung...
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Dr. Armando Fortuna
armando.fortuna@...
Feb 2, 2012 7:12 pm
Dear Friends: Being 82 years old. A “retired professor”. I decide to write my memories, from more than 50 years active in the practice and teaching of our...
Omar, if you normally do ERCP under sedation, as you say you do, and the patient breathes fine when asleep but has a predicted difficult largygoscopy, what is...
Medical terminology should be unambiguous. And terminology, even when restricted to English, does vary internationally, so acronyms should be avoided on an...
I ended up intubating my difficult airway patient with Versed, Ketamine, 50 mcg/kg/min (is kg understandable enough ?-kilograms) of Propofol and inhaled 4%...
yes i agree with your proposition but in fact it is very rare to intubate patient for ERCP or any other procedure done under sedation. however, when i feel...
Giovanni, What's the answer to the argument that if the patient is on anti-platelet drugs the platelets in a given platelet transfusion will get dysfunctional...
Miller, The attached clip showed the lung movement during video-assisted thoracoscopic surgery (VATS) with the application of HFPPV to that lung. Here I was...
Ivan, Miller This is a video clip for a case of on pump CABG during the use of two lungs HFPPV using GE Datex S/5 station during the dissection of internal...
Scheduled Maintenance:
We are undertaking some essential, but extensive maintenance to improve Yahoo!
Calendar. Your Group Calendar is being migrated to a much improved version of
Yahoo! Calendar. During the maintenance period, you may not have access to your
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shape and we are working to have it available again as quickly as possible
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