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The group has expanded extensively over this very short period of time If its ok Ivan, I have created a database so we have a record of the members countries...
 Dear Mohamad ,  Concerning your opinion that case reports have no big value for our daily practice influence:  1- Case report had changed many practice...
Thanks for your reply, Ahed. As regarding the weak role of case reports in the era of evidence based medicine, I think that my previous references links are...
Wow, That was prompt response,Ivan I have been trying this for some time( Actually after reading a few blogs in this site.. I have tried, but do get a bit...
... We all know it poisons methionine synthetase, which is fairly important to rapidly dividing cells. Why do these women all take folate? Can you give one...
... Nonsense. You are talking about onset, not peak effect. Try measuring O2 saturation breathing room air and report back to me about when the peak effect...
These references might be a good start to think about LMA vs ETT. A journal article is Never proof of much, simply more information to consider. The whole ...
Tell me folks, do you agree with the statement below regarding:"with concomitant stability of the autonomic, cardiovascular, respiratory, and thermoregulatory ...
I'm getting the impression that u guys in the states do not use LMAs extensively as we do here in the UK. We use them (looking at yesterday lists in our 24...
Paul , Very wise comments , this what I am trying to tell mohamed . and let take the following scenario : if you have a patient aspirated after LMA and in...
Paul , Very wise comments , this what I am trying to tell mohamed . and let take the following scenario : if you have a patient aspirated after LMA and in...
... In my region around Toronto, most of the IVF procedures are done outside of mainstream hospitals in specialized clinics. I haven't personally been involved...
Paul , Very wise comments , this what I am trying to tell mohamed . and let take the following scenario : if you have a patient aspirated after LMA and in...
Ahed, I will give the patient whatever he choose either LMA or ETT. This choice depends on many motivational and cultural factors. However, FROM THE BEGINING,...
You guys are having one of the best exchanges we've had here - let me cut in the cheese here -- Mohamed, when you say you will avoid a LM in the morbidly obese...
Ivan, thanks for your response. At my original center at Mansoura University Hospitals, Mansoura city, Egypt (9 general and specialized hospitals including...
... i do not think i can 'generally anesthetise' myself, so do not think that it has anything to do with 'behavioral state(s)'; i cannot claim my patients are...
Sandy, Thanks for the explanation on Nitrous. But it is used by many centres. I will try options now and get back with a data, A Question: Did a self donor who...
Ahed, That is a great argument from a legal mind, that the judge will say things about LMA, and the patient will hear about aspiration after LMA. I am sure...
... Hmmm, that's a toughie. Did the nitrous oxide contribute to the bad outcome, or was it just rotten luck? That I can't answer, but if she came back for...
Thanks Sandy, Before Oz goes off to sleep, I am sending a message of thanks. You are saying do not use Nitrous, Ivan says do not use Narcotics. You all are ...
Dear Yogen , I like your strong scientific reply , However, my dear, do not forget that the usage of ETT tube worldwide is 10000xxxxxxx fold ( I do not have...
That's one reason for our existence - to counteract the excesses of theoreticians such as this one...I. ... That's one reason for our existence - to counteract...
Dear Ivan Is it correct to use low concentration of volatile anesthetics either sevoflurane or desflurane  along with remifentanil and propofol infusion...
Dr. Kula, I am not trying to be rude, but please explain the need for this question. You already know how to administer each of these drugs, their actions,...
In my residency years (1982-86) the predominant if not only mode of airway management for many attendings was ETT. Pulse oximetry only started becoming...
... Opioids do not poison the eggs. With a propofol based total intravenous technique, a little squirt of fentanyl helps keep 'em still during the pick-up and...
Sandy, I'm surprised you advocate monitoring CO2 from a facemask. What does it tell you re. pulmonary ventilation? Why not just SpO2 while breathing air, if...
IÂ am sure here it is at least that although England of course is the original home of the laryngeal masks. Â My personal feeling is we do overuse LMs...
It tells you the respiratory rate in an easier and more convenient way than counting it yourself. You can easily detect early apnea or bradypnea and adjust...