Dori,
We had some difficulties returning the monkey tonight, but he seemed
alright by the time I left at 6:15AM. When he was initially returned at
4:30AM, he had been breathing on his own for about 20 minutes - very
steady. He moved a significant amount so we decided to return him.
Shortly after getting into his cage, his breaths became shallow and his
movements became less regular. I verified that chest expansion was
occurring, but it still looked kinda rough.

We got him back to the surgery room, reintubated with
the 3.5mm, and monitored the breathing. His breaths were still regular,
but the CO2 was high. I hooked him back up to the respirator and the CO2
was outrageously high; kept the RR at around 25 until the CO2 came down to
the mid thirties. I then removed him from the respirator where he
breathed on his own for 20+ minutes until his movement became so
pronounced that he wormed his way out of the tube. So we then returned
him, where he was much more active (trying to get up; not quite getting
there) and his breaths were deep and regular.

A few other things worth noting: 1) when I reintubated, I noticed a
significant amount of blood in the throat. Whether this is from the
original intubation (which went very smoothly), removing the tube, or
perhaps it collected from blood from the gums/teeth when the retractor was
placed yesterday morning. 2) there was some edema towards the end of the
experiment, but it wasn't too bad so I don't think it was a contributing
factor. 3) he got a lot of norcuron, which was probably the source of the
trouble, but the IV was dry and not infiltrated. 4) I gave him
physostigmine - we need to start having this already drawn up.

Oops! Please disregard this post. Damned email program. Pine
sucks. Leaving the To: field blank defaulted to this newsgroup for some
stupid reason.

On Fri, 7 Oct 2005, MZ wrote:
snip

"MZ" wrote in message
...
Dori,
We had some difficulties returning the monkey tonight, but he seemed
alright by the time I left at 6:15AM. When he was initially returned at
4:30AM, he had been breathing on his own for about 20 minutes - very
steady. He moved a significant amount so we decided to return him.
Shortly after getting into his cage, his breaths became shallow and his
movements became less regular. I verified that chest expansion was
occurring, but it still looked kinda rough.

We got him back to the surgery room, reintubated with
the 3.5mm, and monitored the breathing. His breaths were still regular,
but the CO2 was high. I hooked him back up to the respirator and the CO2
was outrageously high; kept the RR at around 25 until the CO2 came down to
the mid thirties. I then removed him from the respirator where he
breathed on his own for 20+ minutes until his movement became so
pronounced that he wormed his way out of the tube. So we then returned
him, where he was much more active (trying to get up; not quite getting
there) and his breaths were deep and regular.

A few other things worth noting: 1) when I reintubated, I noticed a
significant amount of blood in the throat. Whether this is from the
original intubation (which went very smoothly), removing the tube, or
perhaps it collected from blood from the gums/teeth when the retractor was
placed yesterday morning. 2) there was some edema towards the end of the
experiment, but it wasn't too bad so I don't think it was a contributing
factor. 3) he got a lot of norcuron, which was probably the source of the
trouble, but the IV was dry and not infiltrated. 4) I gave him
physostigmine - we need to start having this already drawn up.


Thanks mark, This really makes me appreciate my job!
I could not imagine having a life in my hands outside the possibility of an
accident.
You da man!

Chad

"Chad Wahls" wrote in message
...

"MZ" wrote in message
...
Dori,
We had some difficulties returning the monkey tonight, but he seemed
alright by the time I left at 6:15AM. When he was initially returned at
4:30AM, he had been breathing on his own for about 20 minutes - very
steady. He moved a significant amount so we decided to return him.
Shortly after getting into his cage, his breaths became shallow and his
movements became less regular. I verified that chest expansion was
occurring, but it still looked kinda rough.

We got him back to the surgery room, reintubated with
the 3.5mm, and monitored the breathing. His breaths were still regular,
but the CO2 was high. I hooked him back up to the respirator and the CO2
was outrageously high; kept the RR at around 25 until the CO2 came down
to
the mid thirties. I then removed him from the respirator where he
breathed on his own for 20+ minutes until his movement became so
pronounced that he wormed his way out of the tube. So we then returned
him, where he was much more active (trying to get up; not quite getting
there) and his breaths were deep and regular.

A few other things worth noting: 1) when I reintubated, I noticed a
significant amount of blood in the throat. Whether this is from the
original intubation (which went very smoothly), removing the tube, or
perhaps it collected from blood from the gums/teeth when the retractor
was
placed yesterday morning. 2) there was some edema towards the end of the
experiment, but it wasn't too bad so I don't think it was a contributing
factor. 3) he got a lot of norcuron, which was probably the source of
the
trouble, but the IV was dry and not infiltrated. 4) I gave him
physostigmine - we need to start having this already drawn up.


Thanks mark, This really makes me appreciate my job!
I could not imagine having a life in my hands outside the possibility of
an accident.
You da man!

Chad


sounds like he tortures monkeys for a living to me..heh..
which could be fun if your the Josef Mengele type I guess, is the monkeys
name Bob Wald by chance? I hope so..

Holy crap! That was like falling asleep on the couch while watching TV and
then waking up at some random time in the middle of the night and it takes
you a few seconds to register what it is that's currently playing on the TV.
Is it an infomercial or a Planet of the Apes rerun? LOL

What the hell is it that you do for a living nowadays, Mark?

Tony


--
2001 Nissan Maxima SE Anniversary Edition
Clarion DRZ9255 Head Unit, Phoenix Gold ZX475ti, ZX450 and Xenon X1200.1
Amplifiers, Dynaudio System 360 Tri-Amped In Front and Focal 130HCs For Rear
Fill, Image Dynamics IDMAX10 D4 v.3 Sub

2001 Chevy S10 ZR2
Pioneer DEH-P9600MP Head Unit, Phoenix Gold Ti500.4 Amp, Focal 165HC
Speakers & Image Dynamics ID8 D4 v.3 Sub

Holy crap! That was like falling asleep on the couch while watching TV
and
then waking up at some random time in the middle of the night and it takes
you a few seconds to register what it is that's currently playing on the
TV.
Is it an infomercial or a Planet of the Apes rerun? LOL

Sometimes you're lucky and you get to see Tony Robbins playing the head ape.

What the hell is it that you do for a living nowadays, Mark?

Dark1 already told you. I'm a licensed torturer.

"Dark1 already told you. I'm a licensed torturer."

****! What the hell happened to monkeys 1 through 1032?

Tony



--
2001 Nissan Maxima SE Anniversary Edition
Clarion DRZ9255 Head Unit, Phoenix Gold ZX475ti, ZX450 and Xenon X1200.1
Amplifiers, Dynaudio System 360 Tri-Amped In Front and Focal 130HCs For Rear
Fill, Image Dynamics IDMAX10 D4 v.3 Sub

2001 Chevy S10 ZR2
Pioneer DEH-P9600MP Head Unit, Phoenix Gold Ti500.4 Amp, Focal 165HC
Speakers & Image Dynamics ID8 D4 v.3 Sub

"Dark1 already told you. I'm a licensed torturer."

****! What the hell happened to monkeys 1 through 1032?

Three years worth of breakfasts for monkey 1033.