Hi Ivan, I agree, its never the technology, it's how we use it. Regards Mark ... -- ... Dr. med. Mark Weinert, D.E.S.A. FA Anästhesie Wellington Hospital ...
Mark Weinert
mark.weinert@...
Aug 1, 2008 7:26 am
2220
Ivan, I'm referring also to the ability to control this remotely, as in the bad old days when anesthesiologists would be elsewhere, such as the lounge, while...
strange. generally reports of hypersensitivity come out in Phase IV. they must have been pretty common to show up in phase II/III. The other thing is that I...
some sort of eye surgery. The report wasnt clear, but it seems like they knocked it out by pushing its head into a glass tube and knocking it out with an...
the thing about constricting an animal to calm it is actually pretty well documented. there's a nice story by oliver sachs about an autistic person who from...
*If* it makes it. Sugammadex is a big, complex molecule, which may be capable of producing hypersensitivity all by itself, independently of how it's packaged....
I had been waiting (expecting) for this issue to come up! The structure of sugamaddex is one of DEXTRAN similar composition and significant molecule size and...
Ivan Was there any indication to intubate without ms. relax.? Hossam A.Rahman MD. Anesthesia Dept. IMC ... From: Ivan Hronek <ivanhronek@...> Subject:...
Why you do not add some topical anesthetics to decrease the need for general anesthetics. Topical anesthesia of the airway may be performed in lighter levels....
Het Hossam, I wish others would be as active as you are, they seem the b e asleep. There was a long detailed discussion on intubation without a muscle relaxant...
Mahmoud, not sure if you followed the recent exhcange on our list when some members said there was no added benefit for the use of local anesthetics in the...
Ivan, I agree that the applicability of using LA n this setting is limited. But the discussion was about not using a MR, which indeed not a common scenario...
... Indeed. I had an exemplary case recently: an immediate take-back when the surgeon realized he'd left something behind in the abdomen. I'd just dropped her...
Hi What could be the reason for this.. A 50 yrs old man posted for posterior stabilisation (spine--L 4-5).He was around 80kgs(ht 5'7) with short neck and...
Thank you for nice words, I agree totally with causes you mentioned for avoiding using ms.relax. I was asking particularly about that case you intubated...
Not asleep - on holiday in the Hebrides Would anyone seriously contemplate a career in anesthesia without access to MR drugs?? Read John Snow's casebook. Of...
icalder@...
Aug 4, 2008 7:34 am
2235
Boy! is the FDA nervous. The EU approved Sugammadex on Wednesday and the next day the FDA issued its non-approval letter. At larger than clinical dosing a...
Scott Groudine
groudis@...
Aug 4, 2008 5:54 pm
2236
the non-approval is rediculous, to think that we currently reverse with a molecule similar to soman nerve agent, or organophosphate pesticide. we are asking...
Dear Cool Jana, Â I think this is likely to be a case of R mainstem intubation causing atelectasis of the LLL that ends up being collapsed. Â This is the...
FDA Advisory Committee Unanimously Recommends U.S. Approval of Sugammadex, the First and Only Selective Relaxant Binding Agent Committee Recommends FDA Approve...
Tom, Thanks for your inquiry. I disclose that I invented the product during residency and have since formed a company to make products utilizing this concept....
Nelson, Lindsey (nels...
nelsonly@...
Aug 4, 2008 8:50 pm
2240
Muscle relaxants: good or bad ?  Depends on the situation..: * if the reason for difficulty is poor mouth opening, you need M.R. * if you may not be able...
Scott, Why such a rush to allow Sugammadex? We've had excellent reversal of NMBs with prostigmine for a long time, and with an excellent track record....
Thanks Ivan, I should have done recrutement manneover after all suspected endobrochial intubation. Regards Dr Janarthana Reddy MD. ... From: Ivan Hronek...
hi scott, first of all I really like to have sugammadex, and i think the fda is over reacting. [quote] ... ... this is the reason ,by the way, why dextran has...
Mark Weinert
mark.weinert@...
Aug 5, 2008 5:52 am
2244
Good stuff Ivan - please don't give me sux either - I felt like I had been in an avalanche the time I had it. ? What I am concerned about is the problem of...
icalder@...
Aug 5, 2008 8:48 am
2245
Dear Joe: I think there is a tremendous unmet need that sugammadex fills. It can reverse a block at any level. I will be able to assist my surgeons in their...
Scott Groudine
groudis@...
Aug 5, 2008 1:33 pm
2246
I am searching for a CRNA opportunity. Is anyone aware of any posiitons? If, so where? ... From: Scott Groudine <groudis@...> To:...
Can you define opportunity? Jobs are everywhere. Juan F. Quintana MHS, CRNA SLEEPY ANESTHESIA ASSOCIATES PLLC Office: 903-725-3595 Fx: 903-725-3599 ...
Scott, I can certainly understand your enthusiasm for an agent you've spent so much time and energy on, and I can also picture it being very useful in some...
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