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Hand vs. Liquid Nitrogen and the Leidenfrost Effect
>> ^rychan:
yes, per mile a commercial airliner is safer, but that's a stupid statistic. Per mile being an astronaut is extraordinarily safe, but in actuality it's outrageously dangerous.
Say you're traveling from NYC to LA. You can either drive there, or you can fly there in one trip. Which is safer? Flying would be safer, because you have to physically cover the distance from point A to point B, and you said flying is safer according to distance.
A space shuttle "travels" many miles with respect to earth as it stays in orbit. Comparing the distance a shuttle "travels" to distance covered intentionally between two terrestrial locations is a stupid point to make.
I can tell you that water has a very low electrical conductivity, but you wouldn't want to get into a bathtub with a toaster -- and rightly so, because it turns out that the dissolved minerals in tap water raise its conductivity several orders of magnitude.
Guess what also tells you that getting into a bathtub with a toaster is dangerous because water with ions in it conducts? Science.
I really don't get the point that you're trying to make. Are you trying to say that the implementation of science is scary because statistics can be manipulated to show that cars are safer than planes or vice versa; or that a toaster in bathwater is bad? Or are you saying that applied science is scary because it cannot eliminate risk, only greatly reduce it? For example, your risk of dying from not performing the procedure would be far greater than the risk of dying from the anesthetics.
Breathing Xenon: like sulphur hexafluoride + nitrous oxide
Anesthetizing someone solely by displacing oxygen is fucking retarded, and will make them fucking retarded.
World's First Awake Cardiac Bypass & Valve Surgery
When I saw this, I mentioned to a friend, who's father is an Anesthesiologist, that his dad might be unemployed soon.
He then asked me who I thought administered the neck-to-groin anesthetic...
I won't mess with doctors again, promise
The History of Surgery - James Young Simpson and John Snow
I don't know; having a pub named after you wouldn't be so bad.
Both were *British doctors who pioneered the use of anesthetic *drugs.
The History of Surgery - James Young Simpson and John Snow
Tags for this video have been changed from 'BBC, surgery, anesthetics, chloroform, pain relief, medicine' to 'BBC, surgery, anesthetics, ether, chloroform, pain relief, medicine' - edited by kronosposeidon
David after the divorce: First the dentist, now this!
Sad how divorce proceedings effects closely resemble significant dental anesthetics.
David after dentist, high at age 7
I asked someone who's a professional at this sort of thing.
"For that type of reaction, it's gotta be a systemic drug: either inhaled or infusion. Since inhaled laughing gas isn't used that much anymore, I'd say it's an infusion of a benzodiazepine or propofol / general anesthetic."
There's your expert opinion.
David after dentist, high at age 7
I don't think they would likely give a kid ketamine for dental sort of work without an anesthesiologist around, particularly when they're much more likely to use local anesthetic for the actual procedure (and I really doubt they would have let him leave right afterward on ketamine). I also think he's too talkative for opiates and they certainly wouldn't use those for the actual anasthetic without an anesthesiologist, but might give him something mild afterwards like Vicodin or Percocet. My guess would be they gave him a benzodiazapine beforehand for anxiety, and to make his parents lives a lot easier when it came to actually getting him there. That's what they did for me when I was not much older than him.
Dunno though. Just a guess. (They're going to use whatever is the mildest, least risky, alternative)
oblio70 (Member Profile)
Made me look at my pharmacology book again.
Ketamine is employed mainly in children and young adults for short procedures. However, it is not widely used, because it increases cerebral blood flow and induces post-operative hallucinations ("nightmares"), particularly in adults.
I guess i "anecdoted" the "not widely used" into "not used anymore." Small, but important detail. Got my pharmacology exam coming up in a month and a half, so thanks!
In reply to this comment by oblio70:
^ Sorry Tymbrwulf, but you need to get your facts straight. Ketamine is, in fact, still used medically and frequently on children (it has been highly documented and has few contra-indications and you don't just abandon established and proven-safe medicines/procedures).
when you say "side effects", perhaps you are thinking about recreational uses.
True, that Ketamine is not the first anesthetic they would reach for, but it does have it's uses. Children sometimes have odd and inconsistant responses to anesthetics (developing brains and all), and as one loses efficacy, they start using a different drug (family).
For istance, morphine (opiate) has a limiting effect on my daughter now and just leaves her crazy-itchy. Lorazepam (benzodiazapene) has paradoxical results and leaves her frantically trying to climb out of her body. Ketamine is her current drug of choice (I am not being flippant here).
Medically speaking, you NEED many families of drugs to be still available.
David after dentist, high at age 7
^ Sorry Tymbrwulf, but you need to get your facts straight. Ketamine is, in fact, still used medically and frequently on children (it has been highly documented and has few contra-indications and you don't just abandon established and proven-safe medicines/procedures).
when you say "side effects", perhaps you are thinking about recreational uses.
True, that Ketamine is not the first anesthetic they would reach for, but it does have it's uses. Children sometimes have odd and inconsistant responses to anesthetics (developing brains and all), and as one loses efficacy, they start using a different drug (family).
For istance, morphine (opiate) has a limiting effect on my daughter now and just leaves her crazy-itchy. Lorazepam (benzodiazapene) has paradoxical results and leaves her frantically trying to climb out of her body. Ketamine is her current drug of choice (I am not being flippant here).
Medically speaking, you NEED many families of drugs to be still available.
Female circumcision in an Ethiopian village
We talked about female circumcision in one of my classes earlier this year... the teacher read part of a memoir from a girl raised in some African tribe who went through her circumcision at the age of five. Just listening to the story made me sick to my stomach.
- The practice is never done by a doctor. It's usually performed by a medicinewoman of sorts, who carries her dirty, rusted, bloody, dull razor blade with her from town to town. The "patient" is given no anesthetic. In the case of the little girl we read about, her mother put a gag in her mouth and tied it behind her head. Then she sat there and watched her daughter nearly die of blood loss. The girl slipped in and out of consciousness for three days.
Actually, I just found a site with some interesting statistics. It says that in Egypt, only 0.3% of these surgeries are done in hospitals. Nearly 80% are done in the home.
Path.org tells us "The highest maternal and infant mortality rates are in FGM-practicing regions. The actual number of girls who die as a result of FGM [female genital mutilation] is not known. However, in areas in the Sudan where antibiotics are not available, it is estimated that one-third of the girls undergoing FGM will die. Conservative estimates suggest that more than one million women in Centrafrican Republic (CAR), Egypt, and Eritrea, the only countries where such data is available, experienced adverse health effects from FGM. One quarter of women in CAR and 1/5 of women in Eritrea reported FGM-related complications. Where medical facilities are ill-equipped, emergencies arising from the practice cannot be treated. Thus, a child who develops uncontrolled bleeding or infection after FGM may die within hours."
It's disgusting, and as much as I value the religious or cultural beliefs of others, this should be outlawed. It's akin to torture, and women suffer life-long effects.
"Aikido Tactical handcuff techniques" - Interesting
lol, this kind of pain-inducing techniques are exactly what aikido has not been (re)designed for. If you want to induce pain, do Daito-ryu jujutsu.
Moreover, trying to execute a technique by primarily inducing pain will not work on anesthetized suspects, as can happen with the use of psychoactive substances like alcohol and some other drugs. Also, that he lets go of the arm/elbow to squeeze the wrist before cuffing the suspect shows he's got no idea of what he's actually doing. And as kagenin pointed out, his ikkyo are not followed through to the ground and the suspect stays on his knees which is the second worst position you can stop a technique at, the worst being of course with the suspect standing (like he also does on some of the techniques). Also, I've seen zero atemi which is always a bad sign.
Of course, inducing pain will work on most people but if you encounter someone with impaired senses or with above average joint suppleness, your technique will likely get you into trouble.
Drunk Kitty is Drunk
I'm pretty sure that is most commonly caused by an anesthetic for kitty surgeries or spaying/neutering.
Certanily makes the teh lulz, indeed.
eels: Novocaine for the Soul
Novocaine is a short duration local anesthetic. He would be better off with bupivacaine or tetracaine. They last longer, if numb is what you want. Of course, many choose the local anesthetic cocaine instead.
The Origins of Antiseptic Surgery - Lord Lister
A capable surgeon of the day could complete a lower extremity amputation in less than 2 minutes, preferably within 60 seconds. Interesting, in the American Civil War, inhalation ether was administered to a great number of these patients. Even in primitive conditions, the mortality related to the anesthetic was low. Ether does not depress respirations to a great extent and the patients were administered what was considered an "amnestic" dose, something schmawy and I have discussed. Some would call it amnesthesia instead of anesthesia. If a patient doesn't remember what happened, even if they were crazy with pain during the procedure, it is generally judged a success.