Bad Chemistry: It Is not You; It Is Them.

  There are always some preceptors whom you don’t look eye to eye throughout your training. They give you lots of grieves and make your life miserable.  The purpose of their existence is a test to see if you can go through the program besides the didactic part. They make you question yourself and your…

Why Am I not Getting That Specialty Rotation????!!!!

  This is the topic I have always wanted to discuss. I feel that there is a great need to let you know my experience so that you can take your stress off. As a student, we all wanted to have the best clinical rotations where we can get all those speciality rotations such as…

NCE Preparation

  Now we are finally there to take the NCE Preparation. This is THE EXAM. How do you study to pass the exam? First of all, calm yourselves. Tell yourself that you have survived the past two years in school and you are still here. You know what that means? That means you can pass…

I can see the light at the end of tunnel!!!

  I can not believe how fast time flew. It was our last semester! I can see the light at the end of the tunnel finally. Wahoo!!! No more exams from school!!! You know what that means, my friend! Sleep in on weekend and do some fun stuff with family. No more cramming for exam except preparing…

Using LMA for Preoxygenation in Morbidly Obese Patients

  When you have a morbidly obese patient that you have to induce, even with 5 minutes preoxynation, the SpO2 can drop quickly after you induce with propofol and succinylcholine. The fasciculation makes patient desaturate even quicker. The proseal laryngeal mask can be used as a conduit prior to DL in morbidly obese patients to minimize…

Ditch the Needle – Teach the Knife!

“In life-threatening airway obstruction, … an emergency cricothyrotomy is much quicker, easier, safer and more effective than any needle-based technique. I can state with confidence that there is no place in emergency airway management for needle-based attempts to establish ventilation.” This is the statement from Dr. Larson, a professor at Stanford University. You may ask…

Apneic Diffusion Oxygenation (NODESAT): A Quick Recap

We all have taken care of morbidly obese patients with BMI greater than 50 and some sick frail ICU patients who has no FRC. We all have experienced the low pitch sound of pulse oximetry immediately after induction even with adequate pre oxygenation. What can do we do about that? How can we maximize pre…

Career Longevity!

I can’t believe that I am feeling this already — tired of working?!?! I just graduated last year and joined the workforce this January. Let me count out loud: January, February, March, April, May, June, July, August, September and October. ONLY TEN MONTHS SO FAR! What is wrong with me??? I talked to a classmate…

Welcome to Behind The Drapes!

This blog site has been long in the making for a while since I started anesthesia school. I read a few blogs sites before and during I was in school where they shared their experiences as nurse anesthesia students. It was great to learn how other fellow students went through as they were on this career…