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
@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?
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
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.
@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.
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.
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🇩🇰
@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?
@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.
@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