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Don't worry, Ivan, I never thought this could be a personal controversy. I wonder if you can undestand (and forgive) my horrible English. And this attitude...
Ivan, you cando this and thanks for believing what I said, but nowadays I think there isn`t a good reason to still using scch. I'm afraid there could be some...
Dear Ivan, let me tell you somethig what I suppose will be surprising for you. In Argentina, where I worked as an anaesthesist for 35 years we used to perform...
In Argentina, where I worked as an anaesthesist for 35 years we used to perform a very special TIVA (Argen-tiva, if you admit the neologysm);<<<< And - I...
Shoulda mentioned that, too. Been there, done that, but there's a tendency to keep struggling too long before thinking about it. Sanford M. Miller, MD ...
Guys, can you remember any cases from the exam that you can post and share with everyone ? Ivan Hronek MD On Aug 1, 2009, at 5:52 AM, James Anderson...
Questions from the exam cannot be reproduced (including by memorization) per examinee's agreement with the ABA. However, I can post some similar questions...
Just thought I'd post a link to what Steve mentioned... Anyone using those ? Are these a good preparation for the exam ? Anyone can post a link to other CMEs ?...
This I think could be a new fun game for all of us: Posting any kind of question, clinical scenario or anything else and let others answer ! Anything will go !...
That's against the terms of the exam, however, several of the questions were "repeats" from the review book I used. I'll get one out this weekend. Test went...
Six hours for the anterior portion of this surgery? WTF. The real key to this case in the intraoperative blood loss. Way too much to NOT require this...
Really ? If you give red blood cells as well ? The cause of blindness in these surgeries is not clear as far as I know and venous congestion in the eye is one...
I like the ASA's ACE and SEE. They are relevant, can be taken on-line, and you can earn up to 60 hours of CME. Steve Anderson, MD Sent from my iPhone...
Intraoperative Factors http://thejns.org/doi/full/10.3171/FOC-07/11/15?cookieSet=1  Perioperative factors that have been implicated in the development of...
We've had several discussions on this, and a continuing factor has been the pressure on the optic nerve generated by edema from excess fluid administration,...
Exactly..that's what I am finding in the literature that I posted as well. Apart from limiting crystalloids perhaps transfusing early on (or cell-saver). I...
Case study  An octogenarian taking Prednisone 20 mg daily with a serum Na+ of 118 has free air demonstrated on abdominal CT, surgeon says exp. lap. needs...
Ivan, Sounds like adrenal insufficiency. I'd replete with hydrocortisone, get an abg-aline in and get his perforation fixed ASAP and arrange a unit bed ASAP. ...
Yes Art, adrenal insufficiency is certainly a possibility but it is only when the patient arrives to the OR you open the chart and find the patient had...
I had no way of finding if this was so or if the patient received some supplementation earlier that led to the concomitant hyperkalemia of 5.9. I think it may...
Which rules for hyponatremia correction are correct ? A/ suggested hourly rate of correction is 0.5 mml/L B/ more rapid correction of hyponatremia is not...
Ivan, We also maintain the bp within the patients normal range as best as possible, avoiding hypotension. A low BP can contribute just as excess pressure...