After some hemming and hawing on this, I think I agree. VL with Mac is a more versatile skill and helps teach DL. But if you want a single skill for someone who will probably never move beyond a basic skillset, and who can trust always having VL available, hyperangulated is probably easier.

either result would seem hard to rationally apply, from a Bayesian perspective

Agreed… this is some skinny love

Bad reason to place: patient is in shock
Good reason to place: shock is labile

buddy I am with you x.com/critconcepts...

I had two minds to write a letter to the editor on the obvious physiologic error, but ran out of motivation

Prophylaxis is growing on me. Nothing worse than withdrawal developing in someone admitted to the ICU for another reason

Because like all peripherals, they can fail

But like amio, I think many times, after a day or two the need has passed. Much of our RVR is transient

same as amio

hard to hurt anyone with a dose or two

Agree somewhat, but should acknowledge the dosing issue, as these folks were on a high dose range. Not sure if it’s generalizable to a low dose strategy.

My mind became a little more open when I rechristened this method as “asking someone to Google it for you,” which is more or less what I would have done otherwise, and I already understand the pros and cons of that well.

Subdissociative dosing at most for pain. Stay way out of a partial dissociation range

I am both

I guess it would make sense for the two systems to behave similarly, but I could just as easily see the opposite being true

But what of the venous side?