Celebrating the 125th Anniversary of the First Successful Public Demonstration of Ether for Surgical Anesthesia on Saturday, October 16, 2021!!
Happy Ether Day!!!
Started writing a blog about problems in the new sepsis guidelines, but then realized that I *already* wrote this in 2017. And the problems remain nearly unchanged🤦♂️
So I present you with: Six myths [STILL] promoted by the new sepsis guidelines🤯
https://t.co/CvBP27GZVT
Acute admin of albumin intraop lowers plasma Ca lvl by chelation and left shift Hgb-O2 dissociation through Bohr effect, so think about potential tissue cellular effects #anesthesia#meded
Chest CT film from my very young, unvaccinated patient with severe covid, now requiring 100% oxygen.
EVERY patient on life support with covid in our hospital has yet to receive the vaccine.
I bet all of them thought they didn’t need it.
Get the vaccine!
#Coagulopathy management of an acute type A #AorticDissection in a patient 🚹 taking apixaban💊 with a ROTEM-directed coagulation treatment 🩸 ➕ appropriate surgical techniques 🪚 Check the management protocol here ⬇️⬇️⬇️⬇️⬇️ via https://t.co/bpRXqVHl8c
📍My god… the upgraded warning #B16172 variant (magenta) is surging so fast. Epidemiologists now estimate it is 60% faster than even #B117 UK/Kent variant, which is already 50% faster. If true, it could make it fastest transmission one to be found worldwide. Thread 🧵. #COVID19
For passive heat and moisture exchangers (HME) used in most ventilator circuits, it reduces aerolized medication by 35-90%. So if need to give albuterol give it before the HME. #anesthesia#medED
1 bag of platelet is either a pool of 5-6 single donor units, or an "apheresis" unit from single donor containing ~200-250 cc of plasma. Both of these will raise plt count by approx. 30 x 10^3/ul in an avg adult pt.
Another great interventional pain workshop hosted by @krishnabshahmd last night! @BCMAnesRes got hands-on experience with kyphoplasty and radiofrequency ablation procedures.
In patients with severe pulmonary HTN, be very careful about period of induction and apnea. I usually give paralytics on induction and take over ventilation ASAP to minimize hypercarbia. #anesthesiology#meded
Congratulations to @bcmhouston Anesthesiologist @SonalZambareMD and the entire team at @harrishealth Ben Taub Hospital’s Maternal Perinatal Addiction Treatment (MPAT) clinic for their award as 2020 Innovation of the Year.