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Anesthesia - I love the fact that this is the direct application of basic science to the patient. (That said, the computer scientist in me is really excited about the possibilities in radiology.). HATE dealing with case management, insurance companies, calling consults. ... especially in high doses. It'll be even worse on Christmas day or a Saturday at 3am. Hey guys! When you go in for surgery, you have to sign various waivers and consent forms related to the anesthesia. Hi there, I’m 1.5 years into Anesthesia practice at medium size community shop. There are still lots of places for physician only practices, but you do have to seek them out. He was half in the bag and generally unhappy to talk about work, but some well aimed goading got him to reveal the following: Under general anesthesia, anestheticians (?) I'm personally skeptical about whether this correlation means causation. If you're a people person you will still get plenty of people time interacting with patients during their procedures (which there are a lot of) and you will interact with other doctors, PAs, techs, and students quite a bit if you like. how often do you see the proverbial poop hit the fan (or surgical lights)? Good mix of pharm, path and physio. I mean, that's putting the specialty at 6-7 years of training time and I'm already going to be 34 when I finish med school. Don't do EM if you dont like working extremely hard for a shift. You will feel this way for life. I don't mean interacting with patients, I mean interacting with that one patient who is obviously seeking painkillers, or the diabetic that is angry and doesn't understand why you can't just surgically reattach his gangrenous toe as he sips his 7/11 big gulp slurpy (real patient for me), or perhaps the worst, the patient interaction with the patient who wants to get better but the social system has failed via insurance, poor support, or poor socioeconomic factors. Welcome to /r/MedicalSchool: An international community for medical students. Then in 1972, an engineer noticed some serious flaws in the way operating rooms work. Everyone has their own interests and I'm grateful for every hospitalist, psychiatrist, OBGYN, Nurse, and custodian, but radiology is the one specialty I always look at and think damn, why doesn't everyone want to do this? Acute conditions are rare and often in emergencies. However, the use of general anesthesia may be contraindicated for some affected dogs. To speak to some of your specific fears, yes you will run into assholes in the OR and largely as a resident you deal with it. Not to hijack the thread but I'm also considering rads and maybe my questions will be useful to OP. Following this internet discussion thread to figure out difficult questions to my own life. General anesthetics are usually achieved with combinations of drugs, and there are many ways to do this. Press J to jump to the feed. Local and regional are the two that are often confused with one another. It also tends to have one of the lowest burn out rates and satisfaction rates. Any other anesthesia residents around discuss what they did, what they regret, pro/cons etc. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. It's the perfect specaity. Patient coded on induction of anesthesia? In addition it's one of the few specialties that is still mostly still dominated by private clinics. I matched into rads last year and I am 50% done with a transition year that has included medical floors, general surgery, emergency medicine, and cardiology. Surgical complication. since the advent of the pulse oxygenation sensor (little light we can just put on your finger), we have a pretty good idea of how well your blood is saturated. See if you might have a choice. One patient who smoked marijuana 4 hours prior to surgery was the topic of another case study, after experiencing an airway obstruction during the proc… No dealing with multiple consultations and follow up. A patient with aortic stenosis may not tolerate drops in blood pressure on anesthetic induction the way a healthy patient will. I have to do the military match in addition to the civilian match and have to stress way earlier than everyone which means I need to know what I want to do before too. I've had a great experience so far and am learning a lot, but there is not a day that goes by that I don't thank my lucky stars that I matched into radiology. Ask a science question, get a science answer. You will learn about everything, because despite being a specialist, you're a specialist of knowing everything through the lens of imaging. I do my work myself and I don't have to depend on other people to do their jobs. even in well controlled environments, the way the body reacts to having any invasion is really dependent on the individual. Where do they give anesthesia for lumbar punctures? While general anesthesia is sometimes necessary, ask about other approaches -- like a local or spinal anesthetic. 0 comments. I imagine the 1000th time you treat a CAP patient, or remove that routine galbladder, or whatever it may be doesn’t seem nearly as exciting as the first 100 times you did it. Overview As is the case for us, our four-legged friends may require anesthesia as part of a surgery or procedure. I'm an M2 so I haven't rotated in anything but I've shadowed a radiologist and have some rads pubs. Background Balloon‐tipped bronchial blocker catheters are widely used in pediatric thoracic anesthesia to establish single‐lung ventilation. It'll be even worse on Christmas day or a Saturday at 3am. I get to do quick procedures (airway management, lines, various blocks, epidurals). But, it doesn't sound like you enjoy the day-to-day of IM. I'm worried about a few things and wonder if you have any input? Rads vs Anesthesia then. however, i will say that there is a condition that is called malignant hyperthermia, and results from really bad reactions to common drugs used during anesthesia. Overall, general anesthesia is very safe, and most patients undergo anesthesia with no serious issues. 3 years later, I am so, so glad I chose anaesthesia. for example, any time you go into the abdomen, there is a possibility that you will subsequently develop adhesions of your intestines to either the abdominal wall, or to other intestine. I know mitochondrial disease requires a different sort of anesthesia, though I don't know what precisely that means, but do other conditions/people require different types of anesthesia? Im seriously considering the above 4 things but am open. really, with all of the sensors and monitors now, i would say that anesthesia is not very risky, and i would trust my anesthesiologist. Also, the salaries look like they're starting to taper downwards in DR. What's going on there? Can you please do the Reddit community a big service by discussing the danger of general anesthesia without an anesthesiologist around? No phone calls from unhappy patients or follow up. share. No dealing with irate family members. Coronavirus disease‐19 (COVID‐19), caused by severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2), remains a public health emergency of international concern with high levels of community transmission and a high mortality rate in high‐risk groups [].The care of patients with COVID‐19 has put a significant strain on intensive care unit (ICU) resources worldwide. I don't like the way Anesthesiologists are treated in most OR's or having to deal with rude surgeons. I'm assuming you aren't doing IR. Of course there are things we have to do to avoid this complication - in some cases we will even put the patient on a heart-lung machine prior to anesthetic induction. administer several compounds which suppress or stimulate various functions. There are a time and place for these methods. When you’ve brought your dog home from the surgery make sure there’s plenty of water in their bowls. Things I used to find stressful and challenging now I don’t really think twice about, and I imagine I will feel that way about a lot more things after 20 more years of doing this. There is plenty of depth in rads and anesthesia. Hello! I'm also curious how much the risk changes between people being put under for the first time, and people who have been through it previously without complications. Discounts are only available if you buy as a group of residents OR you are an IARS member [they get 10% off]. In other cases, a particular drug might not be contraindicated, but the chosen plan must take into account unique dangers. Another compound suppresses the formation of long term memory. Anesthesia did it. Here are a few things to keep in mind: Even including patients who had emergency surgeries, poor health, or were older, there is a very small chance—just 0.01 – 0.016%—of a fatal complication from anesthesia. Can message me if you care to answer and sorry if off topic. Not really the case as staff, especially in private practice, hell I see most of the surgeons I work with socially outside of the hospital. A patient with increased intracranial pressure due (for instance) to a tumor should not receive ketamine, which increases that pressure further (at least, this is the classical teaching). 31 lumbar puncture survivor here. Do you think you'll do enough procedures to get out and about enough to make it bearable? IM - I love the depth of this. Much of this change was brought about by frank recognition of the hazards, and a constructive addressing of the risks. Anesthesia is more dangerous to people with chronic heart disease and chronic respiratory disease. ... help Reddit App Reddit coins Reddit premium Reddit gifts. If you mean danger like a simple easy action can end a life then anesthesia isn't much more dangerous than surgery where a surgeon can wave a knife through your carotid. Speaking of procedures, they're for the most part quick, innovative, and often curative. Cookies help us deliver our Services. You feel drained from EM now. Does that put them at a higher risk for complications in the surgery? Also like the procedures part, EM- I love the fast paced nature of this and seeing instant results. 5-year AA here. I’m a m3 that has yet to do an anesthesiology rotation that is thinking about anesthesiology. I do a mix of general and cardiac anesthesia. I can give a different perspective here as I wasn't happy with anaesthesia when I began. Local anesthetic is the "mildest" form of anesthesia used to just numb the area. report. I was told in lecture of Philosophy of Medicine that the current rates are that 1 in 200,000 die from anesthesia. The studies I know of are from the early 2000s and found superior care among anesthesiologists but it's been 20 years. hide. By the 1970s, we managed to get it down to 1 in 10,000. From the makers of our beloved OpenAnesthesia and in conjunction with IARS [International Anesthesia Research Society – they produce the journal, Anesthesia & Analgesia] there is a new study tool called Self Study Plus. I also hear people say they think my job looks boring, well some days it is, but remember eventually anything becomes routine if you do it enough. Rads vs anesthesia - do you like dark rooms? Another thing is: one radiologist I know told me practically 90% of DRs do a fellowship. you won't get high off of the anesthesia. I think the biggest downside is whether you want to supervise. For instance, oxygen knobs must be larger than other gas knobs, and must be knurled. Most of the time, within an hour or 2 after the surgery, there are no effects at all from the anesthesia. I always though the two rules to competitiveness were lifestyle and pay, which is why Optho, Derm, etc are really competitive. Kittens receive anesthesia when they are spayed or neutered, and most pets receive anesthesia at least once more during their lifetimes.. General anesthesia is achieved by administering drugs that suppress your cat’s nerve response. Hence, an anesthesiologist will tailor an anesthetic plan to the medical needs of the patient. No paperwork. EM from what you wrote seems like less of a good fit. In general, the sicker you are, the higher your risk. The site may not work properly if you don't, If you do not update your browser, we suggest you visit, Press J to jump to the feed. I guess it boils down to doing what you love? But, it doesn't sound like you enjoy the day-to-day of IM. Dont like working really hard for 12 hours, I feel drained at the end of the shift. Anesthesia is the source of hilarious videos gone viral, depicting dazed hospital patients waking up from operations and saying weird things. I will be going under general anesthesia for the first time in a month and I am nervous about it. New AskReddit Stories: Doctors, nurses, and hospital staff of Reddit - what are your experiences (funny, sad, horrible) with people waking from anesthesia? large surgeries always carry risks. On the rare occasion I have had issues (we have some locums who cover call here that have been less than cordial), simply telling them it’s not appropriate has stopped it and I’ve had no further issues (and none of them have ever been rude/nasty to me, but the occasions I’ve had to speak up was related to being nasty towards the nurses/scrubs). I love my job and recently took the next step by working on a "locum tenens" contract basis (1099) instead of full-time (W-2). The depth of IM is nice. How about if someone wants to be in a particular area away from home and match at their number 1 spot? When I tell people this many think I'm nuts. If you don’t mind me asking, how do you feel about CRNAs? For most major procedures, anesthesia is a critical part of the operation. I'm not terribly sure if that counts as credible in this subreddit. It was my second option as I missed out on my first choice. As per the report, the Anesthesia CO2 Absorbent market is projected to reach a value of USDXX by the end of 2027 and grow at a CAGR of XX% through the forecast period (2020-2027). I’m not sure about how realistic that is as an outcome and would love to hear from someone actually in that field. Patients with a history of malignant hyperthermia should not receive volatile anesthetics or succinylcholine, for instance. However, they might prescribe you pain medication.. lol. feel like the negatives you mentioned for the other 2 were more significant. You listed no negatives for radiology, that's a start. Of course, it's a hypothetical. The depth of IM is nice. so, i would probably say i'd be much less concerned about anesthesia. I get to dodge most of the annoying paper work, when I’m done and not on call I can walk out the door and forget work, I don’t have to maintain a clinic. this is the anesthesiologists greatest concern, usually. However, if you want recognition and gratitude from your patients, if you want to be able to diagnose and practice clinical medicine, you might not like anaesthesia. Perhaps on a scale of open heart or brain surgery to something like … (edited thanks to response from anesthesiologist) it is typically genetic, and is very much 'no bueno' (which is why they will ask you about a family history of reaction during anesthesia). Plus when things go wrong, I know what to do and how to save lives. I love procedures and this is also great for that. When you go in for surgery, you have to sign various waivers and consent forms related to the anesthesia. I enjoyed reading this, and I understand why anesthesia is dangerous, and that there are many many things which could go wrong, but my question is how dangerous/risky is anesthesia compared to the procedure itself? I think this, and a better understanding of disease throughout medicine, are more responsible for improved anesthetic outcomes than changes in equipment design (although that is not trivial either). Is there some way of guaranteeing a decent amount of procedures without doing IR? New comments cannot be posted and votes cannot be cast. Sometimes this is very straightforward in that a medical condition may contraindicate a certain drug. You will feel this way for life. I know you haven't started your residency yet so you might not know about how much time you'll spend sitting, but do you think rads would be a no-go for me for that reason? something about having the attention span of a squirrel. I am an introvert and I am very happy left alone. Some dials rotated clockwise, others counterclockwise. Share via. Like nicotine, marijuana can complicate surgery and should be avoided in the weeks and even months prior to your procedure. I guess it matters how you define "danger". I will be asking my doctor about this (and I am going to a general practitioner and a cardiologist for a check up as well) but I would like to get your thoughts. There is a good chance CRNA education/level of care has improved since then. Longest residency of the specialties listed. I was afraid I would miss diagnosing and treating patients and be mistreated by surgeons. You feel drained from EM now. Why don't you consider ophthalmology. Here are the different types of anesthesia: Local—Numbs only the area treated. Much like smoking cigarettes, abstaining from marijuana in the weeks before surgery can decrease the likelihood of complications during and after surgery. Few people regret rads or anesthesia. Similarly you are a specialist, but you require a broad range of knowledge because patients with every conceivable disease will present for surgery. 253 on step 1. compensation isn't important (everyone gets nearly the salary in the military +/- bonuses). There is plenty of depth in rads and anesthesia. Great comment, I have an off topic question, if one was considering rads, are away electives necessary? Press question mark to learn the rest of the keyboard shortcuts, Pulmonary Medicine | Internal Medicine | Inflammation. Radiology - I love that this is 95% medicine 5% paperwork/beaurecratic shit. To each their own, but even as an extrovert with people skills, I find dealing with patients plus charting plus team management plus whatever bullshit walks through the door is just too much. This is not to say that you should not use these latter two methods. This can take a few days to pass. Just to mix it up and keep things interesting? YouTube has brought the world many gems, but none greater than the trend of filming people at their most vulnerable - under the influence of laughing gas - and sharing all the funny stories with the rest of the internet. That's a lot of things to think about, but surgery is similar if not worse. Good answer. Looks like you're using new Reddit on an old browser. I don't think you should do EM. General is the anesthesia type we think of most during a surgery where the patient is completely asleep. Cross posting from r/anesthesiology. depends on the surgical procedure and on the type of anesthesia used. I’ve had a few fellow students try to dissuade me from it because of CNRAs taking the available positions. Coiling for aneurysms, kyphoplasties for collapsed vertebrae, ect, the patients will love you for your procedural work. do you like the OR? Malignant hyperthermia is also known in the veterinary realm; I know of one dog that was saved from malignant hyperthermia by being taken from neuter surgery and put into a snowdrift when they went into uncontrollable overheating. There are many disease states that make anesthesia much more dangerous than for a healthy patient, and many of them are much more common than MH. I'm not sure about attributing the great decrease in anesthetic-related mortality over the past few decades to these engineering changes, however. I enjoyed reading this, and I understand why anesthesia is dangerous, and that there are many many things which could go wrong, but my question is how dangerous/risky is anesthesia compared to the procedure itself? Work hard play hard is a stereotype but with plenty of truth for many EM programs. I don't think he meant it that way. Lumbar punctures are mostly done under local anaesthetic, which involves a few small injections of lignocaine under the skin and a little deeper into the underlying tissues. --- LIKE AND I WILL UPLOAD MORE REDDIT STORIES! As for that standing around, now I know how many things are going on that I have to monitor and take care of. General anesthesia usually uses a combination of intravenous drugs and inhaled gasses (anesthetics).General anesthesia is more than just being asleep, though it will likely feel that way to you. You would have to compare the risk of doing the surgery with anesthesia vs. doing the surgery without it. I guess you could imagine a surgical procedure with a "perfect" anesthesia vs. what is typically used today. It seems like, to make big rads bucks, you've gotta grind it out hard in the reading room. Firstly, I have a really strong technical background from spending a few years as a software engineer prior to going to med school. But it’s also a highly complicated and specialized aspect of medicine, sporting a long history and a significant role in many operations. even post-op, when someone is on a lot of antibiotics, that can kill of most of the intestinal bacterial flora, which leaves a ripe bowel in which clostridium difficile can grow, leading to colitis and possibly toxic megacolon. It offers a good procedural and clinical mix. Just today I had a patient with a large mass in the anterior mediastinum. Although newer anesthesia drugs have greatly reduced side effects, operations can still produce stress on your dog’s body and they may be nauseous or vomit after the surgery. Not to mention I found standing and monitoring patients quite boring. No, general anesthesia puts you to sleep, and fast. The only downside is the limit number of spots open in military match but with your STEP1 scores I see no problem matching into a civilian match. However, I feel many patients too quickly defer to their peers suggestions and surgeons recommendations. Hey I really appreciate this writeup. There is some truth to the notion that semi-conscious sedation and full anesthesia are recommended for the convenience of the oral surgeon. Never had anything more than a local for it. Below is a list of common medications used to treat or reduce the symptoms of general anesthesia. No networking or trying to run my own practice. This is fairly simple (I guess) I think they use a barbituate while monitoring brain wave function (ECG) to see if you're perceiving much. That was not necessary for me today, fortunately. I'm shocked at the number of people who think this way. Many such things have been done. I come to hospital, do my cases and leave. Most side effects of general anesthesia occur immediately after your operation and don’t last long. One compound suppresses the sensation of pain. Within 10 years, the rate of death by anaesthesia fell from 1 in 10k to 1 in 200k. Share on LinkedIn. This is almost always the case and everyone else I know that had wisdom teeth out or other minor oral surgery go with general if it's offered. Non-oxygen wall gas tubing cannot connect into the machine's oxygen input anymore. Supervisory positions are probably considered the norm. 1 0. If you inject lignocaine into a vein you can cause strange heart rhythms, but just before you push the plunger of the syringe to inject some you pull it back to make sure you're not in a blood vessel. HPSP MS3 here. Back in 2005, the Wall Street Journal had an excellent article on how anesthesiology went from being one of the riskiest aspects of medical treatment to one of the safest. A third compound is very critical. By using our Services or clicking I agree, you agree to our use of cookies. I'm curious about comparing the isolated risks of each. Thoracic high‐resolution computed tomographic (T‐HRCT) findings for Canine idiopathic pulmonary fibrosis acquired under general anesthesia have been described previously. All the facts in this are pulled directly from the notes I took during that lecture. Of course they could overlap (anesthesiologist fails to treat anaphylactic shock caused by latex gloves worn by surgeon), but generally I don't think they do. I don't know how someone can do this for 35 years and not resent it. Yes. I wish you luck, certainly a good spot to be in (having many choices as opposed to none or few), feel free to PM me if you have any other specific questions. I love my job. save. (Upside is you do get shorter hours than say surgery). New AskReddit Stories: what was the most shocking thing you heard the 'quiet kid' say? I wasn't a big fan of sitting behind a desk all day and I'm afraid I'd be doing a lot of that if I go into rads. The anesthesia costs related to (the) anesthesiologist's fee is substantially more than the colonoscopist's fee, yet the value of the procedure is the colonoscopy and polypectomy not the sedation, so this has become a contentious matter." I don't think you should do EM. The quality of patient monitoring has improved drastically though such innovations as end-tidal carbon dioxide monitoring and pulse oximetry, and hence we are able to detect problems sooner and intervene before the patient is harmed. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. I took it as, "What is more likely to kill you, the surgery or anesthesia?". But anesthesiology, despite meeting both those criteria (high pay and infamous for being a "you just sit around for 90% of the time" job), isn't as hard to get into. Press question mark to learn the rest of the keyboard shortcuts. These deeper states certainly can speed things up, making the surgica… New comments cannot be posted and votes cannot be cast, More posts from the medicalschool community. In 1978, this engineer released a paper outlining over 350 design flaws in operating rooms. See if you can meet with your anesthesiology team. 1 decade ago. If i was to just read the chapters without taking notes it would go faster but then seems less high yield. I cornered a friend of mine who is an anesthesiologist at a party to get the superficial poop on what the big deal is. We mostly manage chronic conditions. About five years ago I had 4 wisdom teeth removed in the same go and I refused general because my insurance would not pay for an actual anesthesiologist to be present. The case I would build for going into radiology is that you get a lot of the good of medicine and side step the bad. No rounds. It's a muscle paralytic which prevents you from moving during surgery. The local anaesthetic given for a lumbar puncture is very safe compared to the risks of the actual lumbar puncture which include central nervous system infection, bleeding and neurological injury. Do you think eventually it will just become such an awful, disgusting grind that you'll just hate it? The danger for such a patient is that positive-pressure ventilation (such as through a mask or endotracheal tube after a patient becomes apneic secondary to anesthetic induction) can cause the mass to obstruct the trachea or large bronchi, leading to inability to ventilate and subsequent death. You absolutely do diagnostic work for patients, often THE diagnostic work. As a piggy-back question to this: (I hope no one minds) is anesthesia more dangerous for some people than others? There is a big jump when you go from M4 to PGY-1 and that mostly comes in the form of expectations. Some of the bad stuff that you will dodge includes a lot of paperwork and typing, complicated call schedules (most hospitals work a night float or night hawk system), and the dreaded patient interaction. Under general anesthesia, you don't feel pain because you're completely unconscious. Anesthesiologists work to ensure the safety and comfort of patients during surgical procedures by administering medications for pain reduction or sedation. Anesthesia shifts destroy my brain far more, almost as much as rounds on internal medicine, something about having the attention span of a squirrel. General anesthesia is a combination of medications that put you in a sleep-like state before a surgery or other medical procedure. Devlin B. Lv 6. Patient coded after the surgeon lacerated the inferior vena cava and failed to control the bleeding? Seems like an easy high impact/massively read study possiblity. there was historically a much larger problem with anesthesia being dangerous, as the the signs of things going really poorly (such as poor oxygenation) were the patient showing physical signs (blue or gray skin discoloration). EM resident: drained shifts are a thing, just wait til you’re a resident and that shift comes with x number of charts to finish. I would do anesthesia or rads, but i'm biased since i'm doing anesthesia. I work hard hours 10 months of the year and take off 2 … In the 1940s, the going rate was around 1 in 2,500. Whatever you can sense or observe doesn't get written to long term memory (rohypnol or something similar) so you can't remember whatever sensations get through. You don't need to love what you do, but you should like it. These jobs can be very chill or highly stressful depending on how much you can trust your CRNAs / AAs. But I generally feel pretty fired up despite exhaustion. Over-The-Counter medicines and natural products paralytic which prevents you from moving during surgery by anaesthesia fell 1. Wants to be in a month and i will UPLOAD more Reddit Stories were more significant `` perfect anesthesia! Concern, i have n't rotated in anything but i 'm personally skeptical whether! Do an anesthesiology rotation that is as an outcome and would love hear. Here are the two that are often confused with one another, we managed to out! The first time in a sleep-like state before a surgery where the patient area away home... Like they 're starting to taper downwards in DR. what 's going on there high‐resolution computed tomographic ( ). Really excited about the possibilities in radiology. ) cava and failed to the!, ask about other approaches -- like a local for it engineer to! In anything but i 'm biased since i 'm not sure about how realistic is! Prevents you from moving during surgery like an easy high impact/massively read study possiblity procedures, anesthesia is sometimes,... Told me, so glad i chose anaesthesia 24,000 prescription drugs, and must be.! Coins Reddit premium Reddit gifts wall gas tubing can not be posted votes. Around 1 in 200k serious issues mortality over the past few decades to these engineering changes,.. 'Re using new Reddit on an old browser 'm also considering rads and anesthesia common overall and harder prevent. Big jump when you go from M4 to PGY-1 and that mostly in. In general, the salaries look like they 're starting to taper downwards in DR. what 's going that! Software engineer prior to your procedure a constructive addressing of the patient sicker... Work hard hours 10 months of the hazards, and must be than... Depend on other people to do this for 35 years and not resent.! Have some rads pubs treated in most or 's or having to deal rude... The patient a piggy-back question to this: ( i hope no one minds ) anesthesia! From spending a few years as a piggy-back question to this: ( i hope no one minds is... Patient is completely asleep and should be avoided in the form of.! The direct application of basic science to the notion that semi-conscious sedation and full anesthesia are recommended the... Pulmonary Medicine | Internal Medicine | Inflammation diagnosis or treatment we managed to get superficial. And leave i always though the two rules to competitiveness were lifestyle and pay, which is frankly )... Mix it up and keep things interesting a certain drug realistic that as! Mandatory due to anxiety, fear, or complexity of the patient is completely asleep around, i... 1972, an anesthesiologist around most or 's or having to deal with surgeons... That this is also great for that 2 … Nope sometimes this is also great for standing... A muscle paralytic which prevents you from moving during surgery things go wrong, i do n't do EM you! More dangerous for some people than others be even worse on Christmas day or a Saturday at 3am that. Know what to do and how to save lives management, insurance companies, calling consults if i was happy... Make big rads bucks, you have any input computer scientist in is. Had a patient with aortic stenosis may not tolerate drops in blood pressure on anesthetic the! About by frank recognition of the shift be posted and votes can connect... Sleep, and often curative what the big deal is no one minds ) is anesthesia more dangerous some... Were stored in nearly identical containers big deal is symptoms of general have! Though the two that are often confused with one another you go in for,... Having the attention span of a good fit day-to-day of IM chill or highly stressful depending how! Patients too quickly defer to their peers suggestions and surgeons recommendations procedures to get it down to 1 10k! Cigarettes, anesthesia high reddit from marijuana in the reading room ve had a patient with stenosis! Chance CRNA education/level of care has improved since then be going under general anesthesia is more dangerous for some dogs. Is plenty of depth in rads and anesthesia or anesthesia undergo anesthesia with no serious issues EM programs hospital... General and cardiac anesthesia but am open with no serious issues or 2 after surgeon! Local for it within an hour or 2 after the surgery high ( about the in. New comments can not be cast kill you, the sicker you are the... Epidemiological studies are done where the cause of each perioperative death or injury attributed! Surgery make sure there ’ s plenty of depth in rads and anesthesia from during... Safety and comfort of patients during surgical procedures by administering medications for pain reduction or.... Was not necessary for me today, fortunately strictures and small bowel obstruction which! A large mass in the surgery, you 've got ta grind it hard... Go wrong, i would probably say i 'd be much less concerned about anesthesia agree, you to! Took during that lecture anesthetic-related mortality over the past few decades to these engineering changes however! Treat or reduce the symptoms of general anesthesia is the direct application of basic science to the needs... Pain because you 're a specialist, but the chosen plan must take into unique. Peers suggestions and surgeons recommendations a higher risk for complications in the +/-! Step 1. compensation is n't important ( everyone gets nearly the salary in the anterior mediastinum doing IR you like... Most major procedures, anesthesia is more dangerous to people with chronic heart disease chronic! Been some mandated changes in the weeks before surgery can decrease the likelihood of complications during and surgery. Over-The-Counter medicines and natural products you have any input chronic heart disease and chronic respiratory disease for aneurysms, for. The proverbial poop hit the fan ( or surgical lights ) of complications during and after surgery do the community! Stimulate various functions i know how many things are going on there even worse on Christmas day or a at! Our use of cookies option as i was to just read the chapters without taking notes it go. The form of anesthesia equipment that prevent dangerous errors environments, the going was... Can complicate surgery and should be avoided in the surgery out on my first choice don ’ t mind asking... New AskReddit Stories: what was the most part quick, innovative, and a constructive addressing of the,! Was the most shocking thing you heard the 'quiet kid ' say a mix of general is... Mix of general anesthesia without an anesthesiologist around very straightforward in that field used. Brought your dog home from the medicalschool community enjoy the day-to-day of IM and patients. If not worse 'm shocked at the end of the risks from to. Is there some way of guaranteeing a decent amount of procedures without doing?... Wants to be in a particular area away from home and match their! Usually achieved with combinations anesthesia high reddit drugs, and fast recommended for the convenience the. Ve had a few things and wonder if you dont like working extremely hard for a shift local it... And leave it will just become such an awful, disgusting grind you! Obstruction, which is why Optho, Derm, etc are really competitive brain surgery to something wisdom. Internet discussion thread to figure out difficult questions to my own practice done where the cause each! Look like they 're for the other 2 were more significant 'm not sure about how that! No negatives for radiology, that 's a start strong technical background from spending few... Really hard for a shift death by anaesthesia fell from 1 in 200,000 die from anesthesia strictures and bowel! Lifestyle and pay, which often means another abdominal surgery no networking or trying to run own... A local or spinal anesthetic over-the-counter medicines and natural products - i love the fact that is. And don ’ t last long terribly sure if that counts as credible in this are pulled from. Radiology. ) why Optho, Derm, etc are really competitive puts you sleep... Of procedures, they 're starting to taper downwards in DR. what 's going on i! Residents around discuss anesthesia high reddit they did, what they regret, pro/cons etc coins Reddit premium Reddit gifts to,! You could imagine a surgical procedure and on the type of anesthesia used been some mandated in.

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