Official_jay chinda

welcome to my little world of ent & lifestyle... @IG_handle_official_jaychinda #Nurse jay chinda

[Dr Luis Felipe Cabrera Vargas MD FACS @PipeCabreraV]

Surgical tip: Keep in mind that if you are performing a vascular anastomosis using a PTFE graft but are not using PTFE suture—opting instead for polypropylene suture—you will inevitably encounter temporary bleeding at the needle-entry points. This occurs because the needle used with polypropylene suture is thicker, creating a micro-perforation in the PTFE graft; this results in temporary bleeding, which can be resolved by applying brief, manual compression with gauze! @SWexner @pferrada1 @juliomayol @BJSAcademy @CiruAndes2

[Andrew Bolis @AndrewBolis]

7 YouTube channels that will teach you more about AI than any university degree: ↓

[SensaMarket @sensa_market]

The Psychology of Money

[Official_jay chinda @Blaise1357]

@notes4medicine Educational

[Medicine Refresher @notes4medicine]

Sepsis and Septic Shock

[Derby Pancreaticobiliary & Robotic AWR Unit @DerbyPBunit]

𝗔𝗻𝘁𝗲𝗿𝗶𝗼𝗿 𝗚𝗮𝘀𝘁𝗿𝗼𝘀𝘁𝗼𝗺𝘆 𝗮𝗻𝗱 𝗥𝗲𝘁𝗿𝗶𝗲𝘃𝗮𝗹 𝗼𝗳 𝗜𝗺𝗽𝗮𝗰𝘁𝗲𝗱 𝗛𝗼𝘁 𝗔𝘅𝗶𝗼𝘀 𝗦𝘁𝗲𝗻𝘁
🔴Anterior gastrostomy just at level of palpable bulge and proximal to pylorus
➡️Correlated with Hot Axios position on CT
🔴3/0 PDS used as stay sutures to improve visibility
➡️Just anterior leaf of gastrostomy
➡️To falciform using slip knot
🔴Despite manoeuvres described difficult to visualise Hot Axios stent
🔴Ligaclips applied to mucosa where stent could be palpated
🔴Intraoperative XR screening used to orientate the stent in relation to ligaclips
🔴Hook diathermy used to divide stomach mucosa to the right of the ligaclips to identify the stent which proved to be unsuccesful
🔴Real time IOUS utilised
➡️Critical step
➡️Key in identifying location of Hot Axios stent
🔴Once identified the stent which buried beneath the mucosa was removed with careful traction
🔴Bleeding encountered upon stent retrieval
➡️Controlled with pressure, judicious use of diathermy and placement of Veriset
🔴Anterior gastrostomy sutured close in 2 layers with 3/0 PDS
🔴Postoperatively patient started on IV PPI and initiated on oral fluids and diet in stepwise manner

#FOAMed #GITwitter #EUS #HPB #SoMe4Surgery #surgery

[Jyoti @ai_with_jyoti]

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[Official_jay chinda @Blaise1357]

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[Aiden Tech @Aiden_Tech_Ai]

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[BehindTheKnife @BehindTheKnife]

HOW TO READ A CT SCAN - simple approach 👇🏼

https://t.co/tmwBgx1qVg

[Robert Smith @robertsmith_ai]

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[Official_jay chinda @Blaise1357]

@robertsmith_ai Send

[Official_jay chinda @Blaise1357]

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[Official_jay chinda @Blaise1357]

@HRRonald001 Intrested

[The Market Mind @Market_Mind_]

The Psychology of Money Explained

[NPHCDA @NphcdaNG]

Ebola Virus Disease in the FCT, Abuja: What You Need to Know About the Confirmed Case⤵️

#Ebola

[Official_jay chinda @Blaise1357]

#NewProfilePic

[CURIOSITY DOSE 🧠 @LEARNDAlLY]

The secret to better swimming: Technique that makes the difference.