Thursday, October 13, 2011

Reflections #1

Reflections- encouraged by my s!h mentor

OG cases today
lap BSO for CA ovary: done with supreme LMA. NGT inserted first then LMA guided in. Sat very well, peak pressures 26 on trendeleburg

Elective LSCS: 2ml+10mcg fentanyl in average sized lady.

28 year old who refused RA, had pre-existing back pain
issues of consent
GA: RSI. used propofol: no evidence of harm?equivocal?
desaturated : kept abutting the edge of the arytenoids.bougie.
could have tried harder to see VC- obscured by cricoid pressure.

reacted coz didn't use nitrous or opioids before baby out: sevo turned up to MAC 1.5

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