tag:blogger.com,1999:blog-8325605184495137942.post6069926211965791147..comments2023-10-21T19:31:13.136-06:00Comments on I used to be disgusted, now I try to be amused: Reqiem for a HeavyweightBleeding Hearthttp://www.blogger.com/profile/11654470738092202883noreply@blogger.comBlogger2125tag:blogger.com,1999:blog-8325605184495137942.post-68896172276101710682010-04-17T16:23:02.374-06:002010-04-17T16:23:02.374-06:00We put a patient in a barbiturate coma as a reside...We put a patient in a barbiturate coma as a resident using pentothal. The problem is that after a couple of days, pentothal which has a very long elimination half life and is very lipid soluble hangs around the patient will never wake up. <br /><br />One of our neurosurgeons liked to use methohexital in his awake seizure surgeries. It was not available in Canada at that time so we got some by special access. I gave some during a case and pharmacy hounded me for months to fill out numerous forms.<br /><br />So when your neurosurgeon wants a barbiturate coma, he can organize it himself.Bleeding Hearthttps://www.blogger.com/profile/11654470738092202883noreply@blogger.comtag:blogger.com,1999:blog-8325605184495137942.post-47276600772487142712010-04-17T09:30:49.656-06:002010-04-17T09:30:49.656-06:00The last time I had to use pentothal, it was becau...The last time I had to use pentothal, it was because a neurosurgeon demanded we place someone in barb coma after an aneurysm clipping. ? Pharmacy had a fit, and it took just short of an act of God. So before you trash it, see if you have anyone on surgery staff that thinks it has magic properties...<br />I use iso on inpatients commonly. I think the cardio team still uses pancuronium. I do too, on the eon lengthed surgery. What is almost funnier, is how a drug gets repped like crazy, shows up, and poof, disappears very quietly. Rapacuronium, I think. Hopefully some of the rep action will quit now. What a waste of time and money.burnttoastnoreply@blogger.com