I got a big day tomorrow! First, 3 months old for a huge craniofacial advancement, those cases can bleed, and bleed fast, i hope kid got nothing else wrong with him. Hope, it is a full term boy with a funky looking head, and that's it. We can fix that. There are going to be two surgeons: a peds plastic guy and a peds neurosurgeon. Thank god, these guys are good and fast! From my, anesthesia, stand point, I will need a good access - a couple good IVs, It will be nice to get a 20g in the foot, will see..
Yes, these guys are fast. When I was just starting out I heard this from an old heart surgeon: "Not every fast surgeon is a good surgeon, but every slow surgeon is a bad one". Some may disagree, but there is some truth in it - hours under anesthesia is not good for you, unless you need it.
Then I got a couple of spine fusions. Those could be easy, or hard, depending on how big the fusion is, if it is just a couple levels, should not be a big deal, unless patient is sick or fat or both.
So I should be done by 7-8 at night. Not great, but can be worse.
If you are to have surgery soon please check out www.surgerytomorrow.com
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