Kevin
@sezelasugarboy.bsky.social
410 followers 30 following 66 posts
Anaesthetist ( Anesthesiologist). Regional anaesthetics and anaesthesia for trauma and colorectal resection. 6 children , 3 cats ,a dog and 18 chickens. I love the rural life. Astronomy and travel and peloton
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sezelasugarboy.bsky.social
Also max tax is so much lower so you want to work. Basic rate is 12 %. We totally over taxed here which always stagnates the economy
sezelasugarboy.bsky.social
Ah it has been measured. The consensus is 0.15 parts per trillion.
So sevo in atmosphere is
0.000 000 000 000 15%
sezelasugarboy.bsky.social
Not in a million years does sevo account for 0.1% of world greenhouse emissions. Can you quote a paper where it is measured to be that in the atmosphere. Sound like a paracetamol Trump science story
Even 0.00001% I would besurprisedat.
sezelasugarboy.bsky.social
Steals my theatre cap daily
sezelasugarboy.bsky.social
Meticulously placed local infiltration before closure . Pity one arm was not this. Saves time and very effective for first night. Most patients go home the next day here . PCA not used rather 2 doses of tapentadol max
sezelasugarboy.bsky.social
Mainly people dying with Covid but not from it. It’s over.
sezelasugarboy.bsky.social
Use it a lot on trauma lists in conjunction with tci propofol especially in children or the frail.
Nitrous oxide is remi without the hypotension
sezelasugarboy.bsky.social
Nitrous oxide made for these cases
sezelasugarboy.bsky.social
Huh did one 2 weeks ago 83 frail. Art line and big cannula & his preinduction. 20 mg propofol wth nitrous oxide and sevoflurane max 2%. Fentanyl 100 Atracurium and tube. Fem n block
Eventually Psv pro 1% sevoflurane 60% nitrous. Did well and in recovery for 2 hours then ward
sezelasugarboy.bsky.social
A block I just battle with 🥵. Never seems that clear. On retire and return I do colorectal resections ga with or without spinal or in some cases epidurals. My other day is full trauma list. Often upper & lower limb blocks
sezelasugarboy.bsky.social
Tbh Budapest is an amazingly loverly city with the Danube flowing through it. Worth a visit.
sezelasugarboy.bsky.social
Totally stable . Dome 3000 such anaesthetics
sezelasugarboy.bsky.social
THR now tapentadol 100 premed. Tic proposal with nitrous oxide60% fentanyl 300 , ketamine 30 mg ..ga
sezelasugarboy.bsky.social
Not sure how Budapest got there😂
sezelasugarboy.bsky.social
Our yard a few days ago
sezelasugarboy.bsky.social
Can’t get hold of it!!
sezelasugarboy.bsky.social
Probably particularcare with proxy nation and very gentle bagging . Probably only need a 5-6 gentle puffs over a minute or so
sezelasugarboy.bsky.social
So out of date. Absolutely nothing wrong with gentle face mask ventilation during an RSI. No rush to intubate so yes atracurium fine
sezelasugarboy.bsky.social
Note my cunning airway ( a 50 ml syringe. Crushed upon awakening.
sezelasugarboy.bsky.social
Used here too by me years ago. My vet friend let me intubate then isoflurane. Not an awake intubation!