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Dr.Kartik Sonawane Verified account @KartikBSonawane
๐ŸŽฏ ๐Œ๐€๐’๐“๐„๐‘๐ˆ๐๐† โ€œ๐€๐๐๐‘๐Ž๐€๐‚๐‡ ๐“๐Ž ๐€ ๐๐€๐“๐ˆ๐„๐๐“ โ€ ๐ˆ๐ ๐„๐—๐€๐Œ๐’ (๐–๐‘๐ˆ๐“๐“๐„๐/๐•๐ˆ๐•๐€)- ๐’๐ญ๐ซ๐ฎ๐œ๐ญ๐ฎ๐ซ๐ž๐ ๐€๐ง๐ฌ๐ฐ๐ž๐ซ ๐๐ฅ๐ฎ๐ž๐ฉ๐ซ๐ข๐ง๐ญ๐Ÿ“ #RegionalAnesthesia #EDRA #ApproachToAPatient #PerioperativeMedicine #OrthopedicAnesthesia #HighRiskPatient #MultimodalAnalgesia #ERAS #VivaPrep #AnesthesiaEducation #TipOfTheDay #MyRATips ๐“๐ข๐ฉ ๐จ๐Ÿ ๐ญ๐ก๐ž ๐ƒ๐š๐ฒ : How to answer ๐‚๐Ž๐Œ๐๐‹๐„๐— ๐‚๐€๐’๐„ ๐’๐‚๐„๐๐€๐‘๐ˆ๐Ž questions: Managing IHD โค๏ธ | DM ๐Ÿฌ | Thyroid ๐Ÿฆ‹ | CKD ๐Ÿฉบ | Frailty ๐Ÿ‘ด | Anticoagulants ๐Ÿ’‰ | Difficult airway ๐Ÿ˜ฎโ€๐Ÿ’จ patients for hip ๐Ÿฆด | knee ๐Ÿฆต | shoulder ๐Ÿ’ช | trauma ๐Ÿš‘ surgery requires a ๐๐€๐“๐ˆ๐„๐๐“ ๐‰๐Ž๐”๐‘๐๐„๐˜ โ€“ ๐๐€๐’๐„๐ƒ ๐๐„๐‘๐ˆ๐Ž๐๐„๐‘๐€๐“๐ˆ๐•๐„ ๐’๐“๐‘๐€๐“๐„๐†๐˜. ๐Ÿ” ๐Ÿ. ๐Š๐๐Ž๐– ๐˜๐Ž๐”๐‘ ๐๐€๐“๐ˆ๐„๐๐“ ๐ŸŽฏ ๐‚๐จ๐ซ๐ž ๐…๐จ๐œ๐ฎ๐ฌ: ๐Ÿ”น Age & functional reserve ๐Ÿ”น Comorbidities & organ status ๐Ÿ”น Airway + spine challenges ๐Ÿ”น Surgical blood loss risk ๐Ÿ”น Medication profile ๐Ÿ”น Frailty / rehabilitation potential ๐Ÿ’Š ๐Ÿ. ๐Œ๐„๐ƒ๐ˆ๐‚๐€๐“๐ˆ๐Ž๐ ๐Œ๐€๐’๐“๐„๐‘๐˜ โœ… ๐‚๐จ๐ง๐ญ๐ข๐ง๐ฎ๐ž: ๐Ÿ”น Beta blockers ๐Ÿ”น Statins ๐Ÿ”น Thyroid meds ๐Ÿ”น Antianginals โš ๏ธ ๐Ž๐ฉ๐ญ๐ข๐ฆ๐ข๐ณ๐ž / ๐‡๐จ๐ฅ๐: ๐Ÿ”น Diabetic drugs ๐Ÿ”น Anticoagulants (ASRA guided) ๐Ÿ”น Antiplatelets ๐Ÿ”น Selected antihypertensives ๐Ÿ›ก๏ธ ๐‘๐ฎ๐ฅ๐ž: Balance thrombosis vs bleeding risk ๐ŸŒ™ ๐Ÿ‘. ๐๐ˆ๐†๐‡๐“ ๐๐„๐…๐Ž๐‘๐„ ๐’๐”๐‘๐†๐„๐‘๐˜ ๐†๐จ๐š๐ฅ๐ฌ: ๐Ÿ”น Anxiety reduction ๐Ÿ˜Œ ๐Ÿ”น Better sleep ๐Ÿ’ค ๐Ÿ”น Preemptive analgesia ๐Ÿ’Š ๐Ÿ”น Stress suppression ๐Ÿ“‰ ๐Ÿš‘ ๐Ÿ’. ๐Ž๐ ๐€๐‘๐‘๐ˆ๐•๐€๐‹ ๐๐‹๐Ž๐‚๐Š = First Physiologic Intervention ๐ŸŽฏ ๐๐ž๐ง๐ž๐Ÿ๐ข๐ญ๐ฌ: ๐Ÿ”น Rapid pain relief ๐Ÿ”น Blunts stress response ๐Ÿ”น Stabilizes hemodynamics ๐Ÿ”น Prevents sugar surge ๐Ÿ”น Reduces immune suppression ๐Ÿ”น Builds patient trust ๐Ÿ”น Facilitates positioning ๐Ÿ’ก ๐Œ๐š๐ง๐ญ๐ซ๐š: Analgesia First, Surgery Next. ๐ŸŽฏ ๐Ÿ“. ๐๐‘๐„๐„๐Œ๐๐“๐ˆ๐•๐„ ๐๐‹๐Ž๐‚๐Š ๐Ÿ”น Continuum of care ๐Ÿ”น Easier neuraxial positioning ๐Ÿ”น Reduced opioid need ๐Ÿ”น Better intraoperative stability ๐Ÿ”น Reduced central sensitization โšก ๐Ÿ”. ๐ˆ๐๐“๐‘๐€๐Ž๐๐„๐‘๐€๐“๐ˆ๐•๐„ ๐๐‘๐„๐‚๐ˆ๐’๐ˆ๐Ž๐ ๐‚๐ก๐จ๐จ๐ฌ๐ž ๐ฐ๐ข๐ฌ๐ž๐ฅ๐ฒ: ๐ŸŸข RA | ๐Ÿ”ต GA | ๐ŸŸฃ GA + RA ๐Ÿ”น Hemodynamic preservation ๐Ÿ”น Cerebral perfusion maintenance ๐Ÿ”น Blood loss management ๐Ÿ”น Temperature & glucose control ๐Ÿ”น Multimodal analgesia ๐Ÿฉน ๐Ÿ•. ๐๐Ž๐’๐“๐Ž๐๐„๐‘๐€๐“๐ˆ๐•๐„ ๐’๐”๐‚๐‚๐„๐’๐’ ๐๐ฅ๐จ๐œ๐ค ๐ ๐จ๐š๐ฅ๐ฌ: ๐Ÿ”น Dermatomes ๐Ÿ”น Osteotomes ๐„๐‘๐€๐’ ๐ฉ๐ซ๐ข๐จ๐ซ๐ข๐ญ๐ข๐ž๐ฌ: ๐Ÿ”น Early mobilization ๐Ÿšถ ๐Ÿ”น DVT prophylaxis ๐Ÿ›ก๏ธ ๐Ÿ”น PONV prevention ๐Ÿคข ๐Ÿ”น Rehab enhancement ๐Ÿ’ช ๐Ÿ”น Opioid minimization ๐Ÿง  ๐Ÿ–. ๐‘๐€ = ๐‰๐Ž๐”๐‘๐๐„๐˜, ๐๐Ž๐“ ๐๐‘๐Ž๐‚๐„๐ƒ๐”๐‘๐„ ๐‘๐€ ๐ฌ๐ฎ๐ฉ๐ฉ๐จ๐ซ๐ญ๐ฌ: ๐Ÿ”น Arrival stabilization ๐Ÿ”น Preemptive analgesia ๐Ÿ”น Intraoperative physiology ๐Ÿ”น Postoperative recovery ๐Ÿง  ๐Ÿ—. ๐‡๐Ž๐– ๐ญ๐จ ๐ˆ๐Œ๐๐‘๐„๐’๐’ ๐„๐—๐€๐Œ๐ˆ๐๐„๐‘๐’ Always: ๐Ÿ”น Be sequential ๐Ÿ”น Be patient-centric ๐Ÿ”น Use headings ๐Ÿ”น Mention safety ๐Ÿ”น Justify decisions ๐Ÿ”น Include guidelines ๐Ÿ›ก๏ธ ๐๐จ๐ฐ๐ž๐ซ ๐Š๐ž๐ฒ๐ฐ๐จ๐ซ๐๐ฌ: ASRA โ€ข ERAS โ€ข MMA โ€ข DVT โ€ข PONV โ€ข Early Mobilization โ€ข PROSPECT Guidelines. โœ๏ธ ๐Ÿ๐ŸŽ. ๐…๐Ž๐‘ ๐–๐‘๐ˆ๐“๐“๐„๐ ๐„๐—๐€๐Œ Use: ๐Ÿ”น Flowcharts ๐Ÿ”น Bullet points ๐Ÿ”น Tables ๐Ÿ”น Mnemonics ๐Ÿ”น Structured headings ๐Ÿ”ฅ ๐…๐ˆ๐๐€๐‹ ๐“๐€๐Š๐„๐€๐–๐€๐˜๐’ ๐Ÿ† ๐†๐จ๐ฅ๐๐ž๐ง ๐…๐จ๐ซ๐ฆ๐ฎ๐ฅ๐š: Follow the Patient Journey Admission โž Optimization โž Planning โž OT โž Recovery โž Discharge ๐ŸŽค ๐…๐จ๐ซ ๐•๐ข๐ฏ๐š, ๐’๐ฉ๐ž๐š๐ค ๐ฅ๐ข๐ค๐ž: Clinician + Academician + Regional Anesthetist ๐Ÿš€ ๐“๐จ๐ฉ๐ฉ๐ž๐ซโ€™๐ฌ ๐…๐จ๐ซ๐ฆ๐ฎ๐ฅ๐š: Knowledge + Structure + Clinical Judgment + Presentation = High Score ๐Ÿ… A great answer is not about ๐–๐‘๐ˆ๐“๐ˆ๐๐† more, it is about ๐†๐”๐ˆ๐ƒ๐ˆ๐๐† the examiner smoothly through the patientโ€™s journey.
KartikBSonawane's tweet photo. ๐ŸŽฏ ๐Œ๐€๐’๐“๐„๐‘๐ˆ๐๐† โ€œ๐€๐๐๐‘๐Ž๐€๐‚๐‡ ๐“๐Ž ๐€ ๐๐€๐“๐ˆ๐„๐๐“ โ€ ๐ˆ๐ ๐„๐—๐€๐Œ๐’ (๐–๐‘๐ˆ๐“๐“๐„๐/๐•๐ˆ๐•๐€)- ๐’๐ญ๐ซ๐ฎ๐œ๐ญ๐ฎ๐ซ๐ž๐ ๐€๐ง๐ฌ๐ฐ๐ž๐ซ ๐๐ฅ๐ฎ๐ž๐ฉ๐ซ๐ข๐ง๐ญ๐Ÿ“ #RegionalAnesthesia #EDRA #ApproachToAPatient #PerioperativeMedicine #OrthopedicAnesthesia #HighRiskPatient #MultimodalAnalgesia #ERAS #VivaPrep #AnesthesiaEducation #TipOfTheDay #MyRATips ๐“๐ข๐ฉ ๐จ๐Ÿ ๐ญ๐ก๐ž ๐ƒ๐š๐ฒ : How to answer ๐‚๐Ž๐Œ๐๐‹๐„๐— ๐‚๐€๐’๐„ ๐’๐‚๐„๐๐€๐‘๐ˆ๐Ž questions: Managing IHD โค๏ธ | DM ๐Ÿฌ | Thyroid ๐Ÿฆ‹ | CKD ๐Ÿฉบ | Frailty ๐Ÿ‘ด | Anticoagulants ๐Ÿ’‰ | Difficult airway ๐Ÿ˜ฎโ€๐Ÿ’จ patients for hip ๐Ÿฆด | knee ๐Ÿฆต | shoulder ๐Ÿ’ช | trauma ๐Ÿš‘ surgery requires a ๐๐€๐“๐ˆ๐„๐๐“ ๐‰๐Ž๐”๐‘๐๐„๐˜ โ€“ ๐๐€๐’๐„๐ƒ ๐๐„๐‘๐ˆ๐Ž๐๐„๐‘๐€๐“๐ˆ๐•๐„ ๐’๐“๐‘๐€๐“๐„๐†๐˜. ๐Ÿ” ๐Ÿ. ๐Š๐๐Ž๐– ๐˜๐Ž๐”๐‘ ๐๐€๐“๐ˆ๐„๐๐“ ๐ŸŽฏ ๐‚๐จ๐ซ๐ž ๐…๐จ๐œ๐ฎ๐ฌ: ๐Ÿ”น Age & functional reserve ๐Ÿ”น Comorbidities & organ status ๐Ÿ”น Airway + spine challenges ๐Ÿ”น Surgical blood loss risk ๐Ÿ”น Medication profile ๐Ÿ”น Frailty / rehabilitation potential ๐Ÿ’Š ๐Ÿ. ๐Œ๐„๐ƒ๐ˆ๐‚๐€๐“๐ˆ๐Ž๐ ๐Œ๐€๐’๐“๐„๐‘๐˜ โœ… ๐‚๐จ๐ง๐ญ๐ข๐ง๐ฎ๐ž: ๐Ÿ”น Beta blockers ๐Ÿ”น Statins ๐Ÿ”น Thyroid meds ๐Ÿ”น Antianginals โš ๏ธ ๐Ž๐ฉ๐ญ๐ข๐ฆ๐ข๐ณ๐ž / ๐‡๐จ๐ฅ๐: ๐Ÿ”น Diabetic drugs ๐Ÿ”น Anticoagulants (ASRA guided) ๐Ÿ”น Antiplatelets ๐Ÿ”น Selected antihypertensives ๐Ÿ›ก๏ธ ๐‘๐ฎ๐ฅ๐ž: Balance thrombosis vs bleeding risk ๐ŸŒ™ ๐Ÿ‘. ๐๐ˆ๐†๐‡๐“ ๐๐„๐…๐Ž๐‘๐„ ๐’๐”๐‘๐†๐„๐‘๐˜ ๐†๐จ๐š๐ฅ๐ฌ: ๐Ÿ”น Anxiety reduction ๐Ÿ˜Œ ๐Ÿ”น Better sleep ๐Ÿ’ค ๐Ÿ”น Preemptive analgesia ๐Ÿ’Š ๐Ÿ”น Stress suppression ๐Ÿ“‰ ๐Ÿš‘ ๐Ÿ’. ๐Ž๐ ๐€๐‘๐‘๐ˆ๐•๐€๐‹ ๐๐‹๐Ž๐‚๐Š = First Physiologic Intervention ๐ŸŽฏ ๐๐ž๐ง๐ž๐Ÿ๐ข๐ญ๐ฌ: ๐Ÿ”น Rapid pain relief ๐Ÿ”น Blunts stress response ๐Ÿ”น Stabilizes hemodynamics ๐Ÿ”น Prevents sugar surge ๐Ÿ”น Reduces immune suppression ๐Ÿ”น Builds patient trust ๐Ÿ”น Facilitates positioning ๐Ÿ’ก ๐Œ๐š๐ง๐ญ๐ซ๐š: Analgesia First, Surgery Next. ๐ŸŽฏ ๐Ÿ“. ๐๐‘๐„๐„๐Œ๐๐“๐ˆ๐•๐„ ๐๐‹๐Ž๐‚๐Š ๐Ÿ”น Continuum of care ๐Ÿ”น Easier neuraxial positioning ๐Ÿ”น Reduced opioid need ๐Ÿ”น Better intraoperative stability ๐Ÿ”น Reduced central sensitization โšก ๐Ÿ”. ๐ˆ๐๐“๐‘๐€๐Ž๐๐„๐‘๐€๐“๐ˆ๐•๐„ ๐๐‘๐„๐‚๐ˆ๐’๐ˆ๐Ž๐ ๐‚๐ก๐จ๐จ๐ฌ๐ž ๐ฐ๐ข๐ฌ๐ž๐ฅ๐ฒ: ๐ŸŸข RA | ๐Ÿ”ต GA | ๐ŸŸฃ GA + RA ๐Ÿ”น Hemodynamic preservation ๐Ÿ”น Cerebral perfusion maintenance ๐Ÿ”น Blood loss management ๐Ÿ”น Temperature & glucose control ๐Ÿ”น Multimodal analgesia ๐Ÿฉน ๐Ÿ•. ๐๐Ž๐’๐“๐Ž๐๐„๐‘๐€๐“๐ˆ๐•๐„ ๐’๐”๐‚๐‚๐„๐’๐’ ๐๐ฅ๐จ๐œ๐ค ๐ ๐จ๐š๐ฅ๐ฌ: ๐Ÿ”น Dermatomes ๐Ÿ”น Osteotomes ๐„๐‘๐€๐’ ๐ฉ๐ซ๐ข๐จ๐ซ๐ข๐ญ๐ข๐ž๐ฌ: ๐Ÿ”น Early mobilization ๐Ÿšถ ๐Ÿ”น DVT prophylaxis ๐Ÿ›ก๏ธ ๐Ÿ”น PONV prevention ๐Ÿคข ๐Ÿ”น Rehab enhancement ๐Ÿ’ช ๐Ÿ”น Opioid minimization ๐Ÿง  ๐Ÿ–. ๐‘๐€ = ๐‰๐Ž๐”๐‘๐๐„๐˜, ๐๐Ž๐“ ๐๐‘๐Ž๐‚๐„๐ƒ๐”๐‘๐„ ๐‘๐€ ๐ฌ๐ฎ๐ฉ๐ฉ๐จ๐ซ๐ญ๐ฌ: ๐Ÿ”น Arrival stabilization ๐Ÿ”น Preemptive analgesia ๐Ÿ”น Intraoperative physiology ๐Ÿ”น Postoperative recovery ๐Ÿง  ๐Ÿ—. ๐‡๐Ž๐– ๐ญ๐จ ๐ˆ๐Œ๐๐‘๐„๐’๐’ ๐„๐—๐€๐Œ๐ˆ๐๐„๐‘๐’ Always: ๐Ÿ”น Be sequential ๐Ÿ”น Be patient-centric ๐Ÿ”น Use headings ๐Ÿ”น Mention safety ๐Ÿ”น Justify decisions ๐Ÿ”น Include guidelines ๐Ÿ›ก๏ธ ๐๐จ๐ฐ๐ž๐ซ ๐Š๐ž๐ฒ๐ฐ๐จ๐ซ๐๐ฌ: ASRA โ€ข ERAS โ€ข MMA โ€ข DVT โ€ข PONV โ€ข Early Mobilization โ€ข PROSPECT Guidelines. โœ๏ธ ๐Ÿ๐ŸŽ. ๐…๐Ž๐‘ ๐–๐‘๐ˆ๐“๐“๐„๐ ๐„๐—๐€๐Œ Use: ๐Ÿ”น Flowcharts ๐Ÿ”น Bullet points ๐Ÿ”น Tables ๐Ÿ”น Mnemonics ๐Ÿ”น Structured headings ๐Ÿ”ฅ ๐…๐ˆ๐๐€๐‹ ๐“๐€๐Š๐„๐€๐–๐€๐˜๐’ ๐Ÿ† ๐†๐จ๐ฅ๐๐ž๐ง ๐…๐จ๐ซ๐ฆ๐ฎ๐ฅ๐š: Follow the Patient Journey Admission โž Optimization โž Planning โž OT โž Recovery โž Discharge ๐ŸŽค ๐…๐จ๐ซ ๐•๐ข๐ฏ๐š, ๐’๐ฉ๐ž๐š๐ค ๐ฅ๐ข๐ค๐ž: Clinician + Academician + Regional Anesthetist ๐Ÿš€ ๐“๐จ๐ฉ๐ฉ๐ž๐ซโ€™๐ฌ ๐…๐จ๐ซ๐ฆ๐ฎ๐ฅ๐š: Knowledge + Structure + Clinical Judgment + Presentation = High Score ๐Ÿ… A great answer is not about ๐–๐‘๐ˆ๐“๐ˆ๐๐† more, it is about ๐†๐”๐ˆ๐ƒ๐ˆ๐๐† the examiner smoothly through the patientโ€™s journey.
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