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613codyrex t1_iuqtmgp wrote

Reply to comment by [deleted] in Jury awards $21m to family of patient after simple leg surgery left him in a vegetative state by TheFullerTron

Yeah no.

CRNAs are not MDs and there’s nothing short of CRNAs going through the same exact process MDs go through to change that.

You call the studies unbiased but they probably are.

CNRAs are being brought into to undercut MDs salaries full stop.

Most people won’t want a nurse putting them under if they’re made aware.

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fitnessCTanesthesia t1_iur67o1 wrote

Just mention AAs and see how the CRNA narratives change. The worst crnas are the ones who think they are as good or better than physicians because they don’t know what they don’t know. They think subbing nursing degree and 2 years of CRNA school makes them equivalent, even call themselves “Doctors” in a clinical setting when they have a PhD. Makes me gag.

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chiefkief6969 t1_iuqwzcx wrote

Full stop? I’d say some of it has to do with the fact that there are far too many surgeries for only anesthesiologists to be in the OR. It’s not like any of them are struggling to find work because CRNAs are taking their jobs. What should the alternative be? Overworking anesthesiologists to the point where they make even more mistakes? Most people don’t have time to wait for an anesthesiologist to be able to do the surgery. And if they do that time is now allocated solely to them instead of the possibility of 4 operations happening at once. Can you imagine the backlog if each anesthesiologist had to do 4 individual procedures? People would die waiting when they could have had just as safe a procedure with a CRNA.

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Nice_Category t1_iur6a43 wrote

Not MDs, but CRNA school is a PhD equivalent now. They are typically very well trained and know what they're doing. I'd be fine having a CRNA watching over me during surgery.

I also work in surgery and very closely with anesthesia and the surgeon. Just like anything, there are certain surgeons, anesthesiologists, and CRNAs I wouldn't want on my surgical team. But I wouldn't disqualify a CRNA because of their title. They are highly trained.

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Lacy-Elk-Undies t1_iutgohs wrote

FNP here, so take this with a grain of salt. When I looked at CRNA programs myself, they had very strict prerequisites. Most required at least 2 years of ICU experience, 3.9 or higher undergrad GPA, multiple recommendations, and rounds of interviews. The programs itself had about a quarter of the number of students than an FNP program, and had higher GPA standards to pass. So saying it’s a nursing degree with one extra year is discounting a lot of the background (which is less than an MD, but that is kind of the point of that degree).

One thing I thought was interesting was how one of the articles said that two CRNAs had administered blood pressure meds. When did the second one come in the OR? Was that before or after the 12 min break? Was there an attempt to reach the anesthesiologist and that’s why the second CRNA was there? Also, does supervising mean actively monitoring? I know I’m other specialties, supervising means that they physician may review the notes and treatment plan later, but there isn’t usually active participation on the spot.

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Nice_Category t1_iutkiqc wrote

So I do surgical neurophysiology/neuromonitoring for brain and spine procedures and nearly all of my cases are with CRNAs. Typically, the anesthesiologist will come in with the patient (along with the CRNA) and assist with getting the patient to sleep and intubated, then positioned onto the operating table. After that they leave and go assist with other cases or do whatever it is they do, leaving the CRNA in the OR to administer the case. 99% of cases have no issues, and the anesthesiologist may pop his head in a few times throughout the case to see if the CRNA needs anything. Another CRNA may stop by to give a break. Then, at wake up after the case is finished, you might see the anesthesiologist, but maybe not. That's a typical case.

If ANYTHING goes wrong, they call the anesthesiologist immediately while trying to correct the issue. This could be something like an irregular BP, suspected issues with a leak in the airway, IV or art line issues, or something as serious as pulmonary edima during extubation.

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