Husband, Dogdad, Anaesthesiologist, Intensivist-in-training! Loves acute care, can’t stay in his own lane! Regional, POCUS and transplants. #Vegeterrorist…
@AriFilipMD@IM_Crit_ Yes yes yes. Have pulled back patients on ridulous doses (>5ug/kg/min of norepi and adrenaline) in CCB overdose. Hardest fight is getting them to put lots of vials into a small bag of diluent.
ICU (Central Venous/Arterial) Line Secrets - Part 1:
An ICU where the patients have no central lines & are not connected to ventilators is not a real ICU. This may be a controversial statement but in my humble opinion not far from truth
Brain health: A concern for anaesthesiologists and... : European Journal of Anaesthesiology and Intensive Care https://t.co/xv9x7NRvOC
Perioperative Brain Health should be a Mission of every anesthesiologists and intensivists, including the health of our own brain!
Congratulations to all our EM colleagues in Portugal which has officially recognised EM as a speciality.
Fabulous news for many amazing clinicians (and patients) in Portugal.
ICU Stories:
While walking around the ICU at the beginning of your night shift, you notice that the respiratory therapist increased the FiO2 from 90 to 100% in a mechanically ventilated patient. Bedside monitor shows O2 sat 90%. You decide to read a bit more about the patient:
@PulmCrit Then in my shop we will use ondansetron (or similar) and another agent and time it so that if ondansetron is given at 8hrly, the second agent (often metoclopramide) is given in the middle of the dosing interval.
Eg ondansetron 0800 1600 2400
Metoclop 1200 2000 0400
Very pleased to announce that ASOS-Paeds has been published in The Lancet. Well done and thank you to the ASOS-Paeds investigators.
https://t.co/rNlyXznh8X
🧵1st workshop: Paediatric EEG. Great to listen to Patrick Purdon and Choon Looi Bong. Utility of eeg monitoring in very young reinforced. Know you drug signatures and you will be able to recognize for the most part what drug is being delivered when assessing the DSA. #WCA2024
You've probably heard that Bicarbonate has to turn into CO2 to raise the pH. “Don’t give bicarb if you can’t increase ventilation.��
But how much CO2 is there in an amp of sodium bicarbonate?
A bicarb 🧵
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One advantage of anaesthetising in theatre rather than the anaesthetic bay, is that you keep it a team sport.
Surgeons can watch, send good vibes, help as required - just as we do for them.
I asked ChatGPT to come up with some mildly mocking terms to describe people who believe anaesthesia is possible to achieve in humans. The best three it offered were "Napwizards", "slumberquacks" and "numbologists".
I quite like those and might get my NHS name badge updated.