Grant Lynde

Anesthesiologist, Patient Safety and Quality Advocate. Working to reduce maternal mortality and adverse events through data.

All opinions are my own.

[Grant Lynde @grantlynde]

@fuzzymittens It's upside down. 6a-2a. ;)

[George Conway ⚖️🇺🇸 @gtconway3d]

It’s not a difficult choice.

[Mamas A. Mamas @mmamas1973]

1. My viewpoint - cutting women down to size
➡️ https://t.co/qrDqPYBkXN
The tall poppy syndrome.
2500 years after the Roman Tyrant Tarquin the Proud, we are still cutting the heads off the metaphorical tallest poppies in our workplaces—but this time it is not the most influential and wisest men that are being cut down, but rather the most successful women
@AnastasiaSMihai @MinnowWalsh @ditchhaporia @WomenAs1 @AnkurKalraMD @doreen_rabi @Hragy @ShrillaB @aayshacader @jedicath

[AskAubry 🦋 🐆🦝 @ask_aubry]

Oh she's in for a surprise then.

[Harvard Business Review @HarvardBiz]

Leaders must communicate that it’s OK not to respond to things in real-time, that it’s OK to decline meeting requests, that it’s OK to turn off notifications, and that it’s OK to not be online all day. https://t.co/1wdOQxbpuo

[Paliparan @PaliparanDotCom]

The flight path took us over Croatia, Bosnia, Montenegro and Albania.. Podgorica on picture 2, Shkodër on picture 3 and Lake Ohrid on picture 4 were clearly visible.. I love this part of Europe and really feel I need to turn back here soon for a new visit..

[Grant Lynde @grantlynde]

@LimGrapes @PalliativeMedMD Spam nigiri? Thought that was a Hawaiian and Pilipino dish?

[Grant Lynde @grantlynde]

Omelette station in today’s #ATL @Delta skyclub. What a great surprise!

[Grant Lynde @grantlynde]

@midazzler @HCAhealthcare @CookChildrens Both y’all look wiped out. Take care of yourself!!!!

[Dr Luis Felipe Cabrera Vargas MD FACS @PipeCabreraV]

Becoming FACS is a great achievement for any surgeon's career and now seeing myself on the @AmCollSurgeons webpage as a vascular surgeon makes me see that all the way I have traveled has been worth it! Don't miss #ACSCC2024 this year! @pferrada1 @pturnermd @drdevirgilio @SWexner

[Anesthesiology Journals @_Anesthesiology]

In a prospective randomized study, researchers found no differences in postoperative neurocognitive disorder between older patients anesthetized with a propofol-based compared to a sevoflurane-based #anesthetic. Learn more: https://t.co/TwINnZ4iUR

[International Journal of Obstetric Anesthesia @IJOA_Journal]

Finland study: Twin deliveries!
For second twin, epidural analgesia associated with
🪢lower rate of emergency CS
🪢Lower neonatal mortality
🪢Higher rate of assisted vaginal delivery

Full paper:
https://t.co/f6trQFWq9C

#obanes #OpenAccess

[Michael Weiss @michaeldweiss]

Ukraine Doesn’t Need Armchair Generals https://t.co/t4IFCv1RRv

[Rick Wilson @TheRickWilson]

This is really pissing off the MAGAs…

[Steve Giordano @SteveNomadic]

On the leg between Guam (PGUM) and Kalaeloa (PHJR) we experienced a fault with one of our 2 AC packs. This left us a single point of failure away from de-pressurization, which would require a descent to an altitude where we could breathe without supplemental O2. Keep in mind, a lower altitude drastically increases fuel consumption.

Of course a single pack can maintain cabin pressure all the way up to the aircraft’s service ceiling, but if that pack fails, the aircraft cannot be pressurized.

The situation required that @OMD_SkyDog & I make a plan as to how to handle the potential loss of our remaining pack. This plan would be dynamic, as the action taken would depend where we were at the time of de-pressurization.

Past the ETP (Equal Time Point) turning back to GUM was not an option; and continuing to JRF at a low cabin altitude was ALSO not an option - as we’d be short on fuel. PKMJ was a bit too far south to be of use, but PWAK (Wake Island) and PMDY (Midway) were valid alternates that we could use for diversion and still land with the engines turning.

Even though we did have ETOPS planning info on our flight plan, we can’t always rely on it 100% because ferry flying creates some unique challenges due to the fact that we don’t operate the same aircraft all the time, and we have no operational history to set the burn bias. We need to be proactive in the cockpit so on the secondary FPL page of the MCDU, Bob and I played out a few scenarios at different points and compared fuel burns. We decided on a boundary where once crossed, the diversion alternate switched from WAK to MDY. In either case - we’d land with fuel, but it would be pretty minimal.

Passing 170W would be the most critical point. The options would be MDY or LIH from there and both would land with under 800 KG of fuel. Because that didn’t inspire much confidence, we took some additional measures and brought 2 POBs (portable O2 bottles) up to the flight deck. This way, we’d have both the crew O2 from the pressure demand bottle (about 30-40 mins estimated) plus the O2 from POBs available to remain a bit higher longer in the event of a depress. Staying higher meant saving fuel and having more options - always a good thing.

Anyway, the operational pack remained working, and we were able to get the aircraft to JRF before getting the bad pack back online for the next leg - so crisis averted, but the moral of the story is: you always need to have a plan! Especially when flying over remote areas of the planet..

[Dr. Nadia Alam (she/her) @DocSchmadia]

2023 headlines:
1 in 7 Ontarians have no family doctor
ERs have closed
no hospital beds because of lack of nurses
shortages of anesthetists & ORs

I’m really worried about where #ONhealth is and where it’s going.

It was bad before the pandemic. Now it’s 10 times worse.

#ONpoli

[Carlo Pancaro @CarloPancaro]

In a collaborative effort, we found no success using prophylactic or therapeutic Cosyntropin in the management of postpartum PDPH 🤷🏼‍♂️ @TuftsAnesthesia @UMichAnesthesia @ashrafhabib5 @bscottsegal @NiravShahA2 https://t.co/pBFIZHxI0w