Intubation

A bat wing on a x-ray refers to a pattern that shows bilateral perihilar shadowing or consolidation. This happens when pulmonary pressures are high normally and these shadows can be caused by pulmonary edema, pneumonia, inhalation injury or leukemia (Bell,2017). Kerley B lines on an X-ray are a horizontal line that is less than two centimeters long, normally are seen in the lower periphery and are parallel to other ones at the right angles of the pleura. Most frequently they are seen from the PA…

Identify 2 opportunities for policy development in your clinical area. Describe how these opportunities evolved over time and why they have the potential for policy development. Policy development is an integral part Two years ago the hospital limited the use of LPNs to the clinics. Over the last year, the institutions have been slowly adding LPN back to the units. The hospital’s RN turnover rate has been astronomical after one year. We hired 100 new graduates. Less than 10 % of them remained in…

One of the most fundamental skills of a pre-hospital EMS provider is management of the airway. Having the knowledge of the anatomy and physiology of the pediatric airway along with the various tools now at our disposal, have allowed the opportunity to have a much more successful rate of securing the pediatric airway. The one thing to remember is, “Kids are not small adults!” There are many differences from the anatomical and physiological perspective along with pathological conditions that…

In the Operating Room today, there seemed to be about a million different nurses and doctors working and running around. There is a group that pretty much ran pre-op and took care of the patients before surgery, then there was a group that took the patient to the surgery area and stayed with the patient throughout the surgery, and finally a group that the patient is passed off too following the surgery. I manly worked and shadowed the nurses and doctors that took the patient to the surgery and…

My ability to learn quickly and anticipate was useful during my spine rotation due to the complicated nature of the procedure and the re-positioning after intubation. Aside from having an arterial line set up in the room, I would often have the ultrasound machine in the room in case the anesthesiologist needed assistance in the place of the arterial line. I frequently insisted that the anesthesiologist put an A-line whenever I was in a room with an orthopedic spine surgeon even when the…

Respiratory distress syndrome (RDS) commonly known as hyaline membrane syndrome occurs in many premature births. As the gestational age for a baby decreases subsequently the likelihood of them having this condition will increase because their lungs are severely underdeveloped. The problems that stem from RDS include lack of surfactant, smaller alveolar surface span, elevated compliance of the small airways, and occasionally the ductus arteriosis might be a factor if it doesn’t close shortly…

total leucocyte count of 13,500 /cu.mm, other blood investigations, chest X- ray and ECG were within normal limits. General anesthesia with awake fiberoptic guided nasotracheal intubation was planned, as he had restricted mouth opening. Dexmedetomidine was chosen for procedural sedation during awake fiberoptic intubation. After premedication with 0.2 mg Glycopyrrolate, a loading dose of one mcg/kg dexmedetomidine was started as an infusion to be given over 20 minutes. The patient’s blood…

Also a failed intubation drill should be done. The regional anaesthesia is preferred, epidural, spinal in that order. Prophylactic Heparin in the form of low molecular weight heparin [LMWH] should be given post operatively in the dose of 1mg/kg body weight, for prevention…

SCP-2693-JOPHIEL is to be kept in a standard humanoid containment cell. They should be situated in a hospital-grade cot and connected to a physiological monitor, mechanical ventilator, specialized tracheal vacuum connecting to the temporary holding area for SCP-2693-SAMAEL2, EEG, and EKG at all times. SCP-2693-JOPHIEL is to be kept in a barbiturate-induced coma. Research has indicated unconsciousness reduces PERDITIO incidents likelihood by 56-73%.3 An anesthesiologist and EEG technician should…

use of quilting septal sutures, septal splints, nasal tubes such as Doyle splints, or nasopharyngeal airways sewn into place. Use of a decongestant nasal or a systemic decongestant postoperatively is also helpful following nasal surgery or nasal intubation. After nasal surgery, continuous positive airway pressure(CPAP) can be used with a full face mask instead of a nasal mask or nasal pillows. Although CPAP devices are highly successful, their use is limited by poor patient compliance. Severe…