Palmo Anest

For sale.. rm65.00 

posted by LT @ 10:44 PM 3 comments

Xircom PCMCIA Ethernet 10/100 for sale

No longer using this item, posting it for sale...

1. Item to sell : Xircom CreditCard Ethernet 10/100
2. Condition : Very good. Used less then 4 months
3. How old ? : More then a year.
4. Warranty ? : Check and test item b4 buy. Personal money back warranty if item not in perfect working condition within 5 days of goods sold.
5. How much ? : RM65.00
6. What is included in the price ? Ethernet card and connector.
7. Why are you selling ? : Not using it anymore, using a desktop now.

posted by LT @ 10:32 PM 0 comments

Is there a thing like Pitocin induced AEBA??

I have no idea...

This pt is a 28 y.o lady came in for ERPOC. k/c/o Br. Asthma since 15 y.o. on GP's PRN treamtment. Last attack 1 yr ago. Never been admitted for Br. Asthma.

Pre-op, pt's comfortable, lungs clear... To be safe, I decided for spinal anesthesia with IV Hydrocort 100mg prior to spinal. On further probbing, Pt told that she developed urticaria on last S&C done for molar pregnancy under GA-Hold mask.. She needed intubation in that insident.

Today, midway during the EROPC, pt c/o SOB and wheezing heard. BP, PR, SpO2 all normal. Lungs generalised ronchi++. I proceed with another stat dose of IV Hydrocort 100mg while my nurse prepair for ventolin neb.

Pt needs continous neb for about 30min before ronchi subside and she developed urticaria all over her body in recovery room. IV Piriton 10mg stat given.

My question would be what trigger the asthma attack?? Pt was 1st given IV Hydrocort 100mg, followed by 0.5% Heavy Marcaine 2.6ml intrathecally for SAB. IVD was Hartmann's solution. IV Pitocin 10 unit given mid procedure on surgeon's request.

So could it be Pitocin?? Anybody had similar xpi b4?? Pls comment. Thanx.

posted by LT @ 12:26 AM 1 comments

Moment of Terror
Someone wise once said Anaesthesist's work is hour of boredom with moments of TERROR...

I had my moment today...

A 11 y.o. girld with perforated appendisitis. Pt. went into Broncho spasm immediately post intubation. Can't ventilate at all.

To make matter worst, she's laryngoscopy grade III, so I actually intubated without visuallising the vocal cord...

Luckily pt. become better after deepen with Servoflurane and IV Hydrocort. Nebulised pt twice on the table.

Post op recovery was uneventful. Thank God.

posted by LT @ 12:58 AM 0 comments

McCoy Laryngoscope... This is the 'gadget' which safe my patient's life and my a** today!
Called to A&E at about 10:30am to help intubate a case of MVA with GCS 6/15. Went there found out it was Grade IV laryngoscopy view... Luckily do have a McCoy n a bugie with me.... Thank God! 

posted by LT @ 9:54 PM 0 comments