Neuroscience PhD @ Penn, MD @ Pittsburgh, and anesthesiology residency + fellowships @ BWH. Specializing in Critical Care + OB Anesthesia. Posts are my own view
My💔once again for HK when China announced that it would impose sweeping national-security laws on HK in response to last year’s prodemocracy protests.The “1country2systems” framework under which HK is governed is officially over.@realDonaldTrump please hear it out!#TrumpSavesHK
Besides all of the preparations that hospitals are already doing for #COVID19 , hospitals must stop performing elective procedures immediately in order to decrease the spread of coronavirus and the demand on our dewindling PPE stores! #FlattenTheCurve
Hospital & healthcare systems, PLEASE CONSIDER STOPPING ELECTIVE PROCEDURES until we can #FlattenTheCurve! 👇🏽
Each elective surgery you do:
1) Brings possible #Coronavirus to your facilities
2) Pulls from PPE stores
3) Taxes personnel who may be needed for #COVIDー19 response
But if Italy is in an impossible position, the obligation facing the United States is very clear: To arrest the crisis before the impossible becomes necessary.
Cancel everything. Now. https://t.co/MI1OmTMJBZ
What works in stopping the spread of Coronavirus:
1. Wash your hands for at least 20 seconds
2. Cough and sneeze into your elbow
3. Stay home if you're sick
What doesn't work:
1. Racism
As compared to Phenylephrine, Norepi effectively controlled maternal BP after spinal anesthesia for CD while reducing the incidence of bradycardia and reactive hypertension. This correlated to results published by Ngan Kee et al. in 2015.
https://t.co/uDZnZhbu6L
January 2020 Free Article: Reversal of Vasodilatory Shock: Current Perspectives on Conventional, Rescue, and Emerging Vasoactive Agents for the Treatment of Shock https://t.co/vpOrhq9QNV
Newly published report from UK regarding causes of peripartum maternal death; caring for pregnant women with CV disease continues to be an important challenge for us to address, especially as the age of pregnant patients increases in developed countries.
Variation in Inferior Vena Cava diameter in pts ventilated with peep > 5cm H2O and TV < 8 ml/ kg, is a poor predictor of fluid responsiveness, according to meta-analysis. #ICU
80 y/o w severe abdominal pain, one year after endoprosthesis stent of an abdominal aortic aneurysm. #POCUS provides an instant diagnosis of contained endoleak to the aneurysmal sac. #ultrasound#ED
Exposure to opioids in the initial postoperative phase is a risk factor for prolonged narcotic use. This article examined a simple and potentially high yield way to help reverse this trend: https://t.co/kOjguQ2J78
Official statement (including from AORN) which affirmed that available scientific evidence does not demonstrate any association between the type of hat and SSI rates. In fact, disposable bouffant hat is the least effective barrier to transmission. https://t.co/nNK2Dx2bno