Category: TIRBOs

TIRBO #6: The many varieties of subclavian line

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Reviewing the different approaches to placing central venous catheters in the subclavian vein.

TIRBO #5: Tracheoinnominate fistulas

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A quick review of tracheoinnominate fistulas: how they happen, what they look like, and most importantly, what you’ll need to do.

TIRBO #4: Hope

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Why an assumption in your training should be to call for assistance, but expect it will never arrive. Plan to manage problems yourself. Let help surprise you—otherwise hope becomes your plan.

TIRBO #3: Weaning vs Titration

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When do interventions need to be “weaned”? Stop using this word when you don’t mean it! Titrate, target to effect, but only wean when there is a physiologic dependence.

TIRBO #2: Procedural handedness

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When should you place a line or perform other procedures using your left (or non-dominant) hand? Brandon reflects on a few situations.