Anesthesia Wise Guys

Vape Lungs, TEE Insertion Problems, Benzos for Seizures, Trach if necessary

Sep 4, 2025
Discover the hidden dangers of vaping as Mawi and Shelly share alarming experiences with respiratory issues in young patients. They delve into the complexities of TEE insertions, emphasizing teamwork and communication in the face of procedural challenges. With a blend of humor, they recount bizarre medical tales, highlighting the unpredictability of emergencies. The hosts also reflect on an unusual pediatric case and the importance of thorough diagnosis, all while keeping the mood light with personal anecdotes and engaging discussions.
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ANECDOTE

Cardiologist Struggles With Basic TEE Placement

  • Shelly describes frequent situations where cardiologists struggle to place TEE probes and sometimes ask anesthesia for help.
  • She warns repeated dependency should lead to refusing and escalating to credentialing or remediation.
ADVICE

Escalate Repeated Procedural Failures

  • If a clinician repeatedly needs help with basic procedural steps, initiate remediation or credentialing processes.
  • Call backup colleagues or require the proceduralist to get support rather than cover their recurring deficits yourself.
INSIGHT

How ClearSight Noninvasive BP Works

  • Shelly and Maui explain ClearSight-like devices measure finger arterial pulse via an inflatable cuff and optical sensor to estimate pressures.
  • They note accuracy is good versus arterial lines but can be confounded by valve disease or peripheral vascular issues.
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