anup ghimire

Critical Care Physician, Nepal Mediciti Hospital

[Bashu Dev Parajuli @bashu_parajuli]

Department of Anesthesiology in association with OACCN group is organizing one day Labor Analgesia Workshop on 17 Ashoj, 2083 Saturday.
“Every pregnant patient has the universal human right to pain relief during childbirth upon request” - WFSA

[M Velia Antonini @FOAMecmo]

Left ventricular unloading in #ECPR
🔎 > 3.2K pts from ELSO Registry, 2020-2023
⚖️ 621 pairs (LV unloading +/-) matched
🚧 LV unloading associated with higher complications
🫀not associated with improved survival/functional outcomes in context of #ECMO assisted CPR regardless of unloading device, etiology of CA, presenting rhythm, demographic or centre characteristics
#FOAMcc @Crit_Care
🔓https://t.co/hWWRkV8Q6u

[M Velia Antonini @FOAMecmo]

🫁🫀Position statements aimed to improve definition & management of RV injury in adults with respiratory failure receiving VV #ECMO support: the Protecting Right Ventricle network @prorvnet Delphi study published #FOAMcc on September issue of @yourICM
🔓 https://t.co/GukiKfw7RT

[Ramanathan KR @KrKrramanathan]

ECMO as a bridge vs destination therapy.... the path ahead.
Pros and Cons @LancetRespirMed
https://t.co/tVf8lMEMqi
https://t.co/lZhcc0za7K
@ELSOOrg @FOAMecmo @ryanryling @kshekar01

[Ramanathan KR @KrKrramanathan]

ELSO Position Statement on blood transfusion.
Common transfusion triggers may not apply to all ECMO patients. @GraemeMacLaren @DrGilesPeek @eugenefanbw @caraagerstrand @EuroELSO @APELSOorg @swaac_elso @ElsoLatam

[Paul Young @DogICUma]

It happened. Just before midnight last night NZ time, patient 22000 was enrolled into the @MegaROXtrial at Nepal Mediciti Hospital. In the 7 hours since then, another 18 patients have been enrolled. Incredible effort from a great global team.

[Ramanathan KR @KrKrramanathan]

Who said Age is just a number!!!
Bayesian analysis >27k VV ECMO patients (ELSO registry)
increasing age a/w poorer outcomes
Association emerges as early as 30 years.
https://t.co/l7i03Gp3qW
@GraemeMacLaren @FOAMecmo @shanfernands @yourICM @ELSOOrg

[M Velia Antonini @FOAMecmo]

Switching from VV to VPA #ECMO in patients with severe respiratory failure experiencing refractory hypoxemia: decreasing recirculation & improving systemic DO2?? @asaiojournal
🖇️ https://t.co/3UDSrlv1KD
In this experience:
🫁 PaO2 increased with reduced EBF
💉 decreased need for deep sedation
🫀lower requirement for inotropic support
📉 low frequency of associated complications
📈 survival to discharge 54%, but longer runs compared to previously reported.

[Ramanathan KR @KrKrramanathan]

A great study to be a part of:
-upregulation of type I IFN-stimulated genes (ISGs) predominant early signature of COVID progression from mild to critical
-spikes early and then rapidly recedes
-opens up avenues for novel assays for COVID-19 patient monitoring and stratification

[ELSO @ELSOOrg]

Novel LV unloading strategies on peripheral VA #ECMO support: LAVA & PAVA #ECLS effective in LV unloading, with trend favouring outcomes & improved probability of survival in this small cohort. PA cannulation appeared quick/inexpensive.
@asaiojournal
🔓 https://t.co/KuOHY6GL8v

[Ramanathan KR @KrKrramanathan]

Saving lives and making a difference!
>200000 patients on ECMO
>100000 survivors
Amazing feat to compile this data in a Registry and capture the evidence.
@ELSOOrg @FOAMecmo @AparnaHoskote @stead_christine @GraemeMacLaren @JoeTonnaMD @RyanPBarbaro @drpetaalexander

[Bashu Dev Parajuli @bashu_parajuli]

Throw back of 2023 World Anaesthesia Day Celebration by organizing Blood Donation Program, TRSS Gold medal award distribution, Announcememnt of SAN Research Grant winners and others.😀😀

[ठूलाघरे साँरु मिजा @SantoshAKA]

मौसमलाई च्यालेन्ज दिदै । झोल म:म: र बियर अनि साथीभाइ ।

[GoodBugs @anishghimire]

How can a poor afford 1 - 2 lakh deposit?

[Ujjwal Basnet @Ujjwal_Bsnt]

यो समाचार को headline पठेर येस्तो लाग्यो कि सलह किरा ले हामी अब नेपाल छिर्दैनोउ भनेर यी news media लाई फ्याक्स गरे कि viber मा message पठाये !!!

[Apurb @ApurbSharma]

Existing theories and New insights on action of Inhaled Anesthetics by @bijay_rmj @Ku_shalpradhan @ankitrimal #OnlineClass #GreaterParticipation from three different countries and #LOL in the first ever Mediciti Anesthesia Alumni Meet June 2020 #AnesJC

[Albert Chan @gaseousXchange]

Latest statistics reveal that 1,716 healthcare workers have been confirmed with #covid19 (3.8% of confirmed cases in China). We developed this infographic to hopefully promulgate principles for airway management during this current epidemic. #COVID2019 #nCoV2019 #FOAMed #airway

[Early physiotherapy ICU @fisioprecoce]

Use of Gametherapy in the ICU increases the levels of motor activity. https://t.co/i07ftN9Wfi @Cristianofisio1 @Marquesprmf #everyBODYmoves

[Abhisesh Shrestha @abhisesh]

Continued discussion on chronic pain management #Nepal #painmanagement