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anesthesiawiseguys's podcast

Bringing You Anesthesia In The Most Ridiculous Manner Possible. Anesthesia Wise Guys aims to host discussions, commentaries, and overall engaging topics bringing out some of the humor most anesthesia providers possess.
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Now displaying: Page 1
Dec 5, 2017

Kevin and Shelly have a discussion on how obesity affects how we care for patients. Anesthetic considerations including airway, IV access, ventilation and others are discussed. Enjoy this informal investigation into the aspects of considerations of obesity in anesthetic care.

1 Comments
  • almost five years ago
    Belcher
    Heard a story once about a large gentlemen coming in as a trauma after possible assault with borderline hypotension. intoxicated in some manner. stripped and flipped per usual with no findings other than head injury. when getting his fast exam, a fanny pack was found tucked under a LARGE roll of adipose tissue. it was filled with a large amount of cash, drugs, and smelled of a skunk. He was too intoxicated to notice the police taking custody of his well hidden fanny pack.

    In less interesting news, on my really large folks with difficult to get IVs, i've resorted to using the arrow art line to place basilic IVs under ultrasound guidance. They're usually a little deeper than I'd like for the standard IV catheter or even the longer IV caths. But once I hit it, I can get the wire in the vessel and really get a solid IV there. They tend to blow less and are more stable from what I've seen. I've even resorted to placing a small Peds IJ catheter in the basilic on a few very large patients. Almost like a mini PICC and saves the central line set up when unnecessary.

    Enjoying the podcast. Keep up the good work.

    - Your friendly neighborhood ER doc
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