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LUIGI S. BRANDI |
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INFORMATION
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GENERAL ANESTHESIA
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REGIONAL ANESTHESIA
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LOCAL ANESTHESIA
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LABOR ANALGESIA
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SURGERY and PAIN
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MALIGNANT HYPERTHERMIA
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ANESTHESIA and HERBS
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ANESTHESIA SIDE EFFECTS
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REFERENCED in:
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From ASA Newsletter Vol 66: January 2002
- Anesthesia is terribly simple but sometimes can be simply terrible
- If you can’t manage the surgeon, you have no business managing the anesthetic.
- There is a direct relationship between the number of tattoos and the propofol dose.
- There is an inverse relationship between the number of tattoos and the tolerance to regional anesthesia.
- There is an inverse relationship between a surgeon’s ability and the frequency that he/she asks for more muscle relaxant
- There is no vital organ in the body that cannot be reached with a two-inch needle.
- There is no condition that cannot be made worse by surgery (and/or anesthesia).
- Every patient is a “preop” — it’s just a matter of figuring out for what!
- The patient isn’t bleeding dopamine!
- Practice is the best of all instructors.
- Statistics will “prove” anything…....even the truth.
- Numbers are tools, not rules.
- Patients don’t die from their disease; they die from the physiologic consequences of their disease (Osler).
- Levophed, or leave them dead.
- If you can feel a pulse, don’t panic.
- Fibrillation is a sign of life.
- Be wary of patients whose risk exceeds their ejection fraction.
- Treat the patient, not the monitor.
- Never anesthetize a patient who isn’t there.
- The more effective the case, the more selective your evaluation.
- Chance of survival drops precipitously as the BUN exceeds the body weight.
- The more the ECG resembles the EEG, the sicker the heart.
- Regarding open-heart surgery: If not on bypass by the end of page 1, expect a long case. If not on bypass by the end of page 2, survival odds drop.
- Death can be deferred but not defeated.
- Never block pain that isn’t there.
- It is much easier to add (drugs) then to subtract (them).
- No block ever fails, some just have to be supplemented more than others.
- Fifteen minutes spent preoperatively with a patient is worth 15 mg of morphine as a premedicant.
- Experience is what you get when you don’t get what you want.
- Experience is what lets you recognize your mistake the second time you make it.
- Worry about the blood loss you hear
- You need more venous access when the surgeon is operating near a blood vessel you can name.
- When things go wrong, focus on the problem, not the blame.
- The poor surgeon needs good anesthesia, the good surgeon deserves it.
- Patients do not know or really do not care about your job description.
- Safety first, but patient comfort and good will immediately behind.
- Never promise a patient anything that is not in your power to provide
- A patient is not always right but is never wrong (perhaps uninformed, uneducated or ignorant, but not wrong).
- Watch carefully what you do.Function before beauty (or style).
- The lesser the indication, the greater the complication.
- The patient is the most important person in the operating room.
- Treat every patient as you would like to be treated.
- Always be mindful of the “person” in the patient.
TOP
© Copyright 2003-2008 Luigi Brandi. All rights reserved
Last Update 12-08-2008
on line since January. 22, 2003
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