I nominate Coastie, from the SDN forums, a Pulitzer Prize for this find! The CRNA smiling without a care in the world while the patient's blood pressure reads 76/35 is ......well......uh.....(can anyone think of a word that encompasses the thoughts of shocking, hilarious, outrageous and disbelief all rolled in one?!)
CRNA Retires After 40 Years
What a joke.
ReplyDeleteShe was likely taking care of a child, the BP and HR would be expected.
Have you ever thought that it might be pediatric patient under anesthesia? BP in 70's not unreasonable
ReplyDeleteHow mean spirited. It shows us how terrible these crna-mda fights can get. Shame on all of us. Let's get a grip- anesthesiologists and CRNAs both give wonderful care to patients. The market will have its way with us, but let's not let it take us down to the level of denigrating the contributions of providers of either type who have spent a lifetime taking care of patients.
ReplyDeleteI signed my full name to this post- I have nothing to hide.
Typical narrative. This lady was led into an empty OR for the picture session in Knoxville TN. This picture was included with the article in the paper along with comments from some of the ologist she worked with. They all commented on the benefit of her contributions throughout the years.
ReplyDeleteIf we are going to try to get out of this pickle by claiming this is a peds case then.......
ReplyDeleteAge HR SBP
-----------------------------------
Neonate 140 65
12 Months 120 95
3 years 100 100
12 years 80 110
As you can clearly see from the table above (Morgan and Mikhail, 4th ed. pg 925), for a SBP shown on the monitor to be considered to be within normal limits, the corresponding heart rate of 90 is quite low. Since cardiac output is dependent on heart rate in neonates and infants (due to the low compliance of their ventricles), prolonged bradycardia can lead to profound reductions in cardiac output, asystole, and intraoperative death. God, I hope it's not a little one!!!
For the record- all four of the above posters are CRNA's
Medicicines- You're nasty-gram couched in anonymity points to just what's wrong with this country these days.I hope you're kinder to your patients.
ReplyDeleteCheers! Another CRNA
make that five
ReplyDeleteWhy was everyone focused on BP is the 70s, I'm more concerned about the diastolic being 35, but I'm only a med student...
ReplyDelete