Top Tweets for #Awakesurgery
పవన్ కళ్యాణ్ 'OG' సినిమా చూపిస్తూ మహిళకు బ్రెయిన్ సర్జరీ
#BreakingNews #MedicalMiracle #BrainSurgery #Neurosurgery #HealthcareInnovation #PawanKalyan #OGMovie #MedicalScience #Healthcare #TeluguCinema #HospitalNews #AwakeSurgery #IndiaNews #TrendingNow #ViralNews #AndhraPradesh #Doctors #InspiringStory
@PawanKalyan @JanaSenaParty @MoHFW_INDIA @mygovindia
https://t.co/4ZmHgsQxz0
Great time presenting our #awakesurgery work @UTMBNeurosurg @UTMBPresident, translating Duffau's #brainmapping work to #Houston #Texas. Innovative discussions on #LGG #IDHmutant #gliomas & what we can do as #neurosurgeons to improve care for patients.
https://t.co/BZJiMOiPNL
Big thanks to @bethlandman and @nypost for featuring me in their “awake” plastic surgery story! Sometimes going “awake” can be a game-changer for smaller procedures. For the bigger stuff, it’s best to stick with general anesthesia. ✨ #AwakeSurgery #PlasticSurgery #MiniTummyTuck
#OnlineFirst: Indirect cognitive mapping in glioma surgery in patients not eligible for awake craniotomy – how I do it
Check out the #OpenAccess Acta Neurochirurgica Article at: https://t.co/6GhigpZXVD
#glioma #awakesurgery #neurosurgery #actaneuro
UNC Neurosurgery performed its first awake spine surgery in October — led by Dr. @CheeragU, Director of Minimally Invasive Spine Surgery, with Dr. Sam Blacker, Director of Neuroanesthesia. A patient-centered milestone in precision, safety, and innovation.
#UNCHealth #AwakeSurgery
Very proud of this work from our @KingsNeuro team. Improving our intraoperative strategies with preoperative nTMS and Tractography integration. #awakesurgery #IONM #TMS #tractography
A nTMS-tractography study: Functional cortical mapping and structural subcortical anatomy predicts intra-operative speech arrest @ClinicalNeuroph
🔗https://t.co/kIUnfgORUc
👉Navigated TMS-FAT- AF tri-location predicts intraoperative speech arrest
🛌😴"From Calm to Coma: Navigating the Sedation Spectrum in RA" 💉💤
#Sedation #Sleep #Anesthesia #MedicalEducation #MedTwitter #SleepVsSedation #SedationContinuum
#AwakeSurgery #ConsciousSedation #SmartSedation
#AnesthesiaAwareness #MinimalToGeneral #FromSleepToGA #SedationinRA #ProceduralSedation
#TipoftheDay #MyRATips
Tip of the Day:
Sedation isn’t sleep, and anesthesia isn’t silence.
Let’s decode the difference.
🎯Indications for Sedation in RA
🔹To relieve anxiety or fear of procedures
🔹Awkward or painful patient positioning
🔹During long/uncomfortable surgeries under RA
🔹If the block is partial/not fully effective
🔹For restless/ non-cooperative/psychiatric patients
🧩When to Use What?
💧Sedative alone: Block fully effective, just need comfort. → Midazolam, Dexmedetomidine
💥Sedative + Analgesic: Painful procedure or incomplete block. → Midazolam + Fentanyl/Ketamine
⏳Prolonged RA Surgery: Dexmedetomidine infusion for cooperative, calm sedation
🧠Mnemonic: R-A-M-S — Understanding Sedation Depth
🔹R – Responsive (Minimal Sedation)
🔹A – Arousable (Moderate/Conscious Sedation)
🔹M – Motor response only to pain (Deep Sedation)
🔹S – Silent/Unresponsive (General Anesthesia)
🧬 Where Lorazepam and Haloperidol Fit In
🔸Lorazepam: Ideal for anxious patients, alcohol withdrawal, or night-before premedication
🔸Haloperidol: Best for delirium, agitation, post-op restlessness, or PONV
🧘Alternatives to Sedation
🎧Music therapy (via headphones)
🧘♂️Relaxation techniques: Guided breathing, counting, muscle relaxation
🎮Virtual Reality (VR) distraction (pediatric and needle-phobic adults)
📱Phone or tablet entertainment
🩺Hypnosis or visualization (highly motivated or trained patients)
💬Clear explanation and empathetic communication
📚Patient education: Reduces anxiety, boosts cooperation
😟Patient Concerns About Sedation
⚠️Side Effects: Drowsiness, nausea, vomiting, or apnea
⚠️Loss of Control: Fear of unconsciousness or “not knowing”
⚠️Cognitive Impairment: Especially in elderly or neuro-sensitive patients
⚠️Substance Use History: May trigger concerns of relapse or misuse
🛠️ Situational Tricks for Smart Sedation
🤝Refuses sedation: Offer control (music, environment), use dexmedetomidine sos
🦴Painful fracture positioning: Low-dose Ketamine, add Fentanyl if severe
🤯Delirium/agitation: Use Haloperidol instead of BZD
👵Elderly patients: Minimize drug load, avoid BZD unless needed. Best options: Dexmedetomidine, Low-dose Midazolam
🕐Long procedure under RA: Initiate Dexmedetomidine
🧨Incomplete block: Combine with local infiltration + opioids or Ketamine.
✅ Final Tips & Tricks
⏬ Start low, go slow
🧠 Explain everything — sedation starts with trust
🎯 Target response, not unconsciousness
🩺 Always be ready to manage airway—even if you don’t expect to
💡 Monitor smarter: Capnography + pulse oximetry for combos
🧪 Test sedation depth before procedures start—avoid surprises
🧠Remember:
🎯Not all sleep is peaceful, some is pharmacologically planned.
🎯In the spectrum between anxiety and apnea lies the sweet spot of sedation.
🎯The right dose can soothe a mind - or silence a system. Choose wisely.
Precision Sculpt®️ awake lipo 360 at its finest. The patient’s face is covered but she’s chatting away with me. She’s really such a sweet person. Turn it up, listen, and judge for yourself. #awakesurgery #awakelipo #lipo360
Dr. Amit Pawa’s @amit_pawa lecture on "How I Do It: Awake Major Breast Surgery" was a huge success! Standing room only, with attendees snapping pics of key slides. Incredible turnout! #ESRA2024 #BreastSurgery #AwakeSurgery
Awake flexible ureterosocopy…
Sometimes, when anesthesia poses great life risks and no way leaving kidney stone untreated we go without anesthesia. Especially in females
In dialog with the patient on the video
#awakesurgery
Please be aware of urinary bladder when undertaking #awakeSurgery Had to deal with one during #AwakeShoulderSurgery for the first time yesterday @ESRA_Society @ESRA_trainees
John Nicholas, 28, from Chicago, needed a transplant due to deteriorating kidneys. His childhood friend, Pat Wise, became his donor.
Ref https://t.co/PhrYSVw2Ra
Discover more at:
https://t.co/IBkrIuiYcZ https://t.co/uRETJKLGck
#AwakeSurgery #ritaatronicsinnovations
The next ASET Spring Seminar presenter Natalie Sherry, PsyD, MBA, ABPP-CN will be presenting on "Language Mapping for Awake Craniotomy." @UPMC #brainmapping #neuropsychology #awakesurgery
Another smooth awake day case shoulder replacement. Particularly applicable in higher risk patients but why not become the norm?? @NorthumbriaOrth @NorthumbriaNHS #shoulderreplacement #daycase #awakesurgery
ಎಚ್ಚರವಿದ್ದ ಸ್ಥಿತಿಯಲ್ಲಿಯೇ ಬ್ರೈನ್ ಸರ್ಜರಿ ಮಾಡಿಸ್ಕೊಂಡ ವಿಶ್ವದ ಅತ್ಯಂತ ಕಿರಿಯ ರೋಗಿ
#brainsurgery #braintumorsurvivor #aiims #awakesurgery #youngestpatient #healthcare
https://t.co/g4Eye8iebB
Feliz de haber vuelto a ver a viejos amigos y haber conocido a otros
en un hermoso país como Perú.
Ciencia, amistad y buena comida. Enhorabuena por un gran congreso!!
#Neurosurgery #navigatedultrasound #awakesurgery
@NeurocienciesVH @vall
Another successful block list with our trainee getting 15 blocks. Teamwork makes the dream work 🤣 #awakesurgery
Girl power !! Amazing presentation by @SofiaAnastasi18 @laura_e_bateman in European Rhinologic Society Meeting.
Both presented on Awake surgery pathways
#Girlpower #ERS2023 #rhinology #awakesurgery
@UKWENTs
تخيل إجراء عملية جراحية وانت في كامل وعيك! 😱
Transform your life with Dr. Gruber's Awake Surgery. Numb, calm, and pain-free cosmetic procedures.
#osn #osntv #TLC #AwakeSurgery
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