Morten Lauritsen

tweeter nuanceret om sundhedsplatformen og af og til andre emner

[BJS @BJSurgery]

Preoperative high dose of dexamethasone in emergency laparotomy: #RCT
➡️https://t.co/mjARht6NGz

In this #RCT of 120 patients undergoing emergency laparotomy
🔥preoperative 1 mg/kg dexamethasone significantly ⬇️ inflammation and is associated with improved recovery and postoperative morbidity and mortality
The results of this trial provide the first evidence of a potential therapeutic benefit of high-dose intravenous dexamethasone in emergency laparotomy

Great work by Mirjana Cihoric, Henrik Kehlet, Morten L Lauritsen, Jakob Højlund, Katrine Kanstrup, Sofia Kärnsund, Nicolai B Foss

#SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos @SEIQuirurgica @iss_sic #MedicalTechniques @BJSAcademy @young_bjs @BJSOpen @des_winter @evanscolorectal @robhinchliffe1 @bplwijn @ksoreide @MalinASund @nfmkok @TejedorPat @paulo_sutt @PVaughanShaw @JJEarnshaw @juliomayol @asgbi @eurohernias @SEIQuirurgica @ESCP_tweets @YouESCP #SoMe4Trauma #emgensurg @WSESurgery @NELANews #EmLap @ASGBI_MA #some4peds #emergency #acutecare #ileus

[BJS @BJSurgery]

Is very high-dose dexamethasone necessary to achieve these beneficial outcomes?
➡️https://t.co/Mf9z8NIKKJ

The recent article by Cihoric et al. makes a substantial contribution to better understanding of the effects of high-dose dexamethasone (1 mg/kg) in emergency laparotomy surgery, specifically reporting significant reductions in inflammatory markers
The study’s secondary endpoints of decreased complications, lower 90-day mortality and improved functional outcomes are also promising
We advocate that managing the inflammatory response and protecting the microcirculation are key therapeutic targets, and corticosteroid therapy has demonstrated potential benefits in elective and emergency surgery.

Read the original paper https://t.co/mjARht6fR1

#SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos @SEIQuirurgica @iss_sic #MedicalTechniques @BJSAcademy @young_bjs @BJSOpen @des_winter @evanscolorectal @robhinchliffe1 @bplwijn @ksoreide @MalinASund @nfmkok @TejedorPat @paulo_sutt @PVaughanShaw @JJEarnshaw @juliomayol #SoMe4Trauma #emgensurg @WSESurgery #emergency #acutecare #ileus @NELANews #EmLap @ASGBI_MA

[Morten Lauritsen @Incontalvi]

@freitag_chr Ja - ligesom mange andre læger udskriver medicin.
Nå men - det var da ærgerligt det ikke var som du håbede

[Morten Lauritsen @Incontalvi]

@freitag_chr @larsgaardhoj Du kan gratis læse under billedet at det drejer sig om en praktiserende læge, der har udskrevet voldsomme mængder Ozempic.
Hvilken læge håbede du det var?

[IMCrit @IM_Crit_]

ICU pearls: This is the monthly reminder that “maximum dose pressors” is a stupid concept...🤐 I took care of a patient last night that needed up to 0.55 mcg/kg/min of norepinephrine for several hours & this morning she is almost off pressors. For many years, there was a “max” of

[KÍ @KI_Klaksvik]

KLAKSVÍK!

WE DID IT! 💙

[ERAS® Society @ErasSociety]

We are absolutely delighted to announce that Henrik Kehlet has won the very first @BJSAcademy Society Award. Recognised for his ground breaking #ERAS protocols which changed clinical practice in multiple fields of surgery and improved outcomes for patients around the world.

[Morten Lauritsen @Incontalvi]

@kimthedanish @BjergM Det er der også i følge overenskomsterne, omend det ofte overskrides grundet stort arbejdspres

[Morten Lauritsen @Incontalvi]

@Erik_Hamre @trsoe @BjergM Det var et ønske fra regionerne for nogle overenskomster siden, at registrere overlægers arbejdstid. Før dette blev det ikke registreret. Det var ikke et ønske fra overlægernes side.

[Morten Lauritsen @Incontalvi]

@Erik_Hamre @trsoe @BjergM Bare rolig - det gør overlæger også. Ellers kan vi ikke få det til at hænge sammen.

[Morten Lauritsen @Incontalvi]

@MirjanaCihoric @BangFoss @KehletHenrik I will fly with you anytime🚀🔝💪🏻

[Mirjana Cihoric @MirjanaCihoric]

@BangFoss @Crit_Care

[Morten Lauritsen @Incontalvi]

@docmartin22 Move to Denmark

[EMERGE Copenhagen @EMERGECph]

Preoperative #3: https://t.co/8mYEq4ZAi7 by @BangFoss, @Incontalvi et al. This paper provides new insight into preoperative patient selection and why comparing results between centers can be challenging. Very important paper.

[Michele Introna @MichiIntrona]

1/7 New paper online in the #JCMC! This time we publish some interesting data regarding the fluid status assessment in the acute high-risk abdominal surgery patient, by @MirjanaCihoric , @BangFoss @KehletHenrik @Incontalvi from @AmagerHvidovre🇩🇰

[Morten Lauritsen @Incontalvi]

@GretheOlivia @mkviborg @moderaterne_dk Hvor ser du politikere i regionsrådene tager ansvar?
Synes du fx der er taget et ansvar ift SP?
Ift ventelister og mangel på medarbejdere?
Ift manglende kvalitet i behandlingen?

[Morten Lauritsen @Incontalvi]

@GretheOlivia @mkviborg @moderaterne_dk Igen - det forholder sig ikke sådan, at en nedlæggelse af regionerne er lig med centralisering. Ved nedlæggelse kan man fx beslutte at lave faglige klynger med ansvar i stedet. Bare for at nævne et eksempel.

[Morten Lauritsen @Incontalvi]

@GretheOlivia @sorenFauli Man kunne jo fx forestille sig faglig ledelse i stedet for politisk i klynger med samme budgetansvar, som det indskudte led.

[Morten Lauritsen @Incontalvi]

@GretheOlivia @sorenFauli Det kommer jo an på hvordan man strukturerer det ift ledelse af sundhedsvæsenet

[Morten Lauritsen @Incontalvi]

@GretheOlivia @sorenFauli Det er ikke bedre hensyntagen til lokale problematikker at der fx er så stor kvalitetsforskel på behandlingen. Det er ofte i regionerne det modsatte