Top Tweets for #edRA
via @freerussiaorg
๐ด Video
"๐ซ Non esiste una Russia unita! ๐ซ Sappiamo tutti che questa 'vittoria' non รจ reale, ma truccata. Sappiamo tutti che #Edra non ha la maggioranza.
1/
๐ฎ๐น ๐ณ๐ด Ambassadรธr Andrea Cavallari mรธtte i dag Niccolรฒ Mazzei og Franca Altieri fra #Edra, et av de mest spennende navnene innen moderne italiensk #mรธbeldesign. De er i #Oslo for รฅ delta pรฅ Designfestivalen pรฅ #Skรธyen, Oslos spennende designdistrikt.
ๆฌ็บใจใชใขใฎ
ใคใฟใชใขใฎๅฎถๅ
ทใกใผใซใผ #Edra ใจ
#ในใฟใธใชใซใณใใผใ ใฎๅฑ็คบใ
ใใ๏ฟฝ๏ฟฝ๏ฟฝๆฅฝใใใฃใโฆ๏ผ
ๆงใ
ใชใใถใคใณใฎๆค
ๅญใฎๅบงใๆฏในใ
ในใฟใธใชใซใณใใผใใฎ
ใใญใฅใกใณใฟใชใผๆ ็ปใ่ฆณใพใใ๐ฌโจ
ๆ้ใฏๆๆฅใพใงใจใฎใใจใชใฎใง
ใๆ้ๅใใฐใใฒ๐ฑ
#OsakaArtDesign2026
๐ฏ ๐๐๐๐๐๐๐๐๐ โ๐๐๐๐๐๐๐๐ ๐๐ ๐ ๐๐๐๐๐๐๐ โ ๐๐ ๐๐๐๐๐ (๐๐๐๐๐๐๐/๐๐๐๐)- ๐๐ญ๐ซ๐ฎ๐๐ญ๐ฎ๐ซ๐๐ ๐๐ง๐ฌ๐ฐ๐๐ซ ๐๐ฅ๐ฎ๐๐ฉ๐ซ๐ข๐ง๐ญ๐
#RegionalAnesthesia #EDRA #ApproachToAPatient #PerioperativeMedicine #OrthopedicAnesthesia #HighRiskPatient #MultimodalAnalgesia #ERAS #VivaPrep #AnesthesiaEducation
#TipOfTheDay #MyRATips
๐๐ข๐ฉ ๐จ๐ ๐ญ๐ก๐ ๐๐๐ฒ :
How to answer ๐๐๐๐๐๐๐ ๐๐๐๐ ๐๐๐๐๐๐๏ฟฝ๏ฟฝ๏ฟฝ๏ฟฝ๐ questions:
Managing IHD โค๏ธ | DM ๐ฌ | Thyroid ๐ฆ | CKD ๐ฉบ | Frailty ๐ด | Anticoagulants ๐ | Difficult airway ๐ฎโ๐จ patients for hip ๐ฆด | knee ๐ฆต | shoulder ๐ช | trauma ๐ surgery requires a ๐๐๐๐๐๐๐ ๐๐๐๐๐๐๐ โ ๐๐๐๐๐ ๐๐๐๐๐๐๐๐๐๐๐๐๐ ๐๐๐๐๐๐๐๐.
๐ ๐. ๐๐๐๐ ๐๐๐๐ ๐๐๐๐๐๐๐
๐ฏ ๐๐จ๐ซ๐ ๐
๐จ๐๐ฎ๐ฌ:
๐น Age & functional reserve
๐น Comorbidities & organ status
๐น Airway + spine challenges
๐น Surgical blood loss risk
๐น Medication profile
๐น Frailty / rehabilitation potential
๐ ๐. ๐๐๐๐๐๐๐๐๐๐ ๐๐๐๐๐๐๐
โ
๐๐จ๐ง๐ญ๐ข๐ง๐ฎ๐:
๐น Beta blockers
๐น Statins
๐น Thyroid meds
๐น Antianginals
โ ๏ธ ๐๐ฉ๐ญ๐ข๐ฆ๐ข๐ณ๐ / ๐๐จ๐ฅ๐:
๐น Diabetic drugs
๐น Anticoagulants (ASRA guided)
๐น Antiplatelets
๐น Selected antihypertensives
๐ก๏ธ ๐๐ฎ๐ฅ๐: Balance thrombosis vs bleeding risk
๐ ๐. ๐๐๐๐๐ ๐๐๐
๐๐๐ ๐๐๐๐๐๐๐
๐๐จ๐๐ฅ๐ฌ:
๐น Anxiety reduction ๐
๐น Better sleep ๐ค
๐น Preemptive analgesia ๐
๐น Stress suppression ๐
๐ ๐. ๐๐ ๐๐๐๐๐๐๐ ๐๐๐๐๐ = First Physiologic Intervention
๐ฏ ๐๐๐ง๐๐๐ข๐ญ๐ฌ:
๐น Rapid pain relief
๐น Blunts stress response
๐น Stabilizes hemodynamics
๐น Prevents sugar surge
๐น Reduces immune suppression
๐น Builds patient trust
๐น Facilitates positioning
๐ก ๐๐๐ง๐ญ๐ซ๐: Analgesia First, Surgery Next.
๐ฏ ๐. ๐๐๐๐๐๐๐๐๐๐ ๐๐๐๐๐
๐น Continuum of care
๐น Easier neuraxial positioning
๐น Reduced opioid need
๐น Better intraoperative stability
๐น Reduced central sensitization
โก ๐. ๐๐๐๐๐๐๐๐๐๐๐๐๐๐ ๐๐๐๐๐๐๐๐๐
๐๐ก๏ฟฝ๏ฟฝ๏ฟฝ๐จ๐ฌ๐ ๐ฐ๐ข๐ฌ๐๐ฅ๐ฒ:
๐ข RA | ๐ต GA | ๐ฃ GA + RA
๐น Hemodynamic preservation
๐น Cerebral perfusion maintenance
๐น Blood loss management
๐น Temperature & glucose control
๐น Multimodal analgesia
๐ฉน ๐. ๐๐๐๐๐๐๐๐๐๐๐๐๐ ๐๐๐๐๐๐๐
๐๐ฅ๐จ๐๐ค ๐ ๐จ๐๐ฅ๐ฌ:
๐น Dermatomes
๐น Osteotomes
๐๐๐๐ ๐ฉ๐ซ๐ข๐จ๐ซ๐ข๐ญ๐ข๐๐ฌ:
๐น Early mobilization ๐ถ
๐น DVT prophylaxis ๐ก๏ธ
๐น PONV prevention ๐คข
๐น Rehab enhancement ๐ช
๐น Opioid minimization
๐ง ๐. ๐๐ = ๐๐๐๐๐๐๐, ๐๐๐ ๐๐๐๐๐๐๐๐๐
๐๐ ๐ฌ๐ฎ๐ฉ๐ฉ๐จ๐ซ๐ญ๐ฌ:
๐น Arrival stabilization
๐น Preemptive analgesia
๐น Intraoperative physiology
๐น Postoperative recovery
๐ง ๐. ๐๐๐ ๐ญ๐จ ๐๐๐๐๐๐๐ ๐๐๐๐๐๐๐๐๐
Always:
๐น Be sequential
๐น Be patient-centric
๐น Use headings
๐น Mention safety
๐น Justify decisions
๐น Include guidelines
๐ก๏ธ ๐๐จ๐ฐ๐๐ซ ๐๐๐ฒ๐ฐ๐จ๐ซ๐๐ฌ: ASRA โข ERAS โข MMA โข DVT โข PONV โข Early Mobilization โข PROSPECT Guidelines.
โ๏ธ ๐๐. ๐
๐๐ ๐๐๐๐๐๐๐ ๐๐๐๐
Use:
๐น Flowcharts
๐น Bullet points
๐น Tables
๐น Mnemonics
๐น Structured headings
๐ฅ ๐
๐๐๐๐ ๐๐๐๐๏ฟฝ๏ฟฝ๐๐๐๐
๐ ๐๐จ๐ฅ๐๐๐ง ๐
๐จ๐ซ๐ฆ๐ฎ๐ฅ๐:
Follow the Patient Journey
Admission โ Optimization โ Planning โ OT โ Recovery โ Discharge
๐ค ๐
๐จ๐ซ ๐๐ข๐ฏ๐, ๐๐ฉ๐๐๐ค ๐ฅ๐ข๐ค๐:
Clinician + Academician + Regional Anesthetist
๐ ๐๐จ๐ฉ๐ฉ๐๐ซโ๐ฌ ๐
๐จ๐ซ๐ฆ๐ฎ๐ฅ๐:
Knowledge + Structure + Clinical Judgment + Presentation = High Score
๐
A great answer is not about ๐๐๐๐๐๐๐ more, it is about ๐๐๐๐๐๐๐ the examiner smoothly through the patientโs journey.
๐ ๐๐๐๐๐-๐๐๐๐๐ ๐๐๐๐๐: ๐๐จ๐งโ๐ญ ๐๐ฎ๐ฌ๐ญ ๐๐๐ง๐๐ ๐ ๐๐ญ - ๐๐จ๐ง๐ญ๐๐ข๐ง, ๐๐ข๐ฌ๐๐ฅ๐จ๐ฌ๐, ๐๐๐๐ซ๐ง
#WrongSidedBlock #NeverEvent #RegionalAnesthesia #PatientSafety #StopBeforeYouBlock #HumanFactors #EDRA #SafetyFirst #ThinkBeforeYouBlock
#GrayZonesInRA #GrayAreasInRA
๐๐๐๐ ๐๐๐๐๐ ๐ข๐ง ๐๐:
1๏ธโฃ ๐ฏ ๐๐ก๐ฒ ๐๐ญ๐ฌ ๐ ๐๐๐๐ ๐๐๐๐?
โ ๏ธ The event = black & white (wrong side โ error)
๐ง The response = decision-making under uncertainty
โ๏ธ Proceed vs postpone surgery?
๐ Can you safely perform the correct-side block (dose limits)?
๐ซ Risk of LAST after cumulative dosing?
๐ Switch to GA or modify technique?
๐ Patient-specific factors (age, comorbidities, block type)
๐ No single guideline gives a fixed answer โ requires clinical judgment
2๏ธโฃโก ๐๐๐๐๐๐๐๐๏ฟฝ๏ฟฝ๏ฟฝ๏ฟฝ ๐๐๐๐๐๐๐๐: โ๐๐ญ๐จ๐ฉ ๐ญ๐ก๐ ๐๐ก๐๐ข๐งโ
๐ Stop further injection immediately if wrong side/site is recognized during the block.
๐ฃ Call for senior help and inform the surgical, anesthesia, & nursing team.
๐งพ Document exactly what was injected: drug, dose, concentration, volume, time, side, block type, & patient status.
๐๏ธ Monitor closely for LAST, excessive bilateral block effects, respiratory compromise, motor weakness, or evolving neurological symptoms.
๐ซ Do not proceed casually with the correct-sided block; reassess cumulative LA dose, urgency of surgery, patient risk, & alternative anaesthetic plan.
3๏ธโฃ ๐ง ๐๐๐๐๐๐๐๐ ๐๐๐๐๐๐๐๐: ๐๐ซ๐จ๐๐๐๐, ๐๐จ๐๐ข๐๐ฒ, ๐จ๐ซ ๐๐๐๐ง๐๐จ๐ง
โ๏ธ Recalculate the remaining safe LA dose before any further block.
๐ Modify the plan if needed: lower dose, different technique, catheter strategy, GA, local infiltration, or surgical postponement.
๐งช Treat it as a safety event, not just a technical error.
๐ซ Ensure lipid rescue and resuscitation equipment are immediately available if further LA is considered.
4๏ธโฃ ๐ฌ ๐๐๐๐๐๐๐๐๐๐: ๐๐จ๐ง๐๐ฌ๐ญ, ๐๐๐ซ๐ฅ๐ฒ, ๐๐จ๐ฆ๐ฉ๐๐ฌ๐ฌ๐ข๐จ๐ง๐๐ญ๐
๐ค Inform the patient once clinically safe.
๐ฃ๏ธ Explain clearly: what happened, what was given, expected effects, monitoring plan, and impact on surgery.
๐ Offer apology without blame-shifting.
๐ Escalate according to institutional duty of candour / incident reporting pathways.
5๏ธโฃ ๐งฉ ๐๐๐๐๐๐: ๐๐ก๐ ๐๐ฌ๐ฎ๐๐ฅ ๐๐ซ๐๐ฉ๐ฌ
๐ Wrong-sided nerve block is rare but serious and is classified as a โ๐๐๐๐๐ ๐๐๐๐๐โ.
๐ Published estimates range from ๐.๐๐ ๐ญ๐จ ๐.๐๐ per 10,000 blocks.
๐ It may increase risk of nerve injury, LA toxicity, & even wrong-site surgery.
๐ Distraction during block performance
โฑ๏ธ Time pressure and list changes
๐ Patient repositioning
๐ฅ More than one block
๐๏ธ Surgical mark absent, hidden, or not rechecked
๐ง โChecklist done earlierโ illusion
๐ Poor team culture where people hesitate to speak up
6๏ธโฃ ๐ก๏ธ ๐๐๐๐๐๐๐๐๐๐: ๐๐๐ค๐ ๐ญ๐ก๐ ๐๐๐ฌ๐ญ ๐๐ก๐๐๐ค ๐ญ๐ก๐ ๐๐๐๐ฅ ๐๐ก๐๐๐ค
๐ Stop Before You Block must occur immediately before every new needle insertion, not at consent, not at WHO sign-in, not five minutes earlier.
๐ Visualize the surgical arrow/site mark immediately before needle insertion.
๐ฃ๏ธ Ask the conscious patient to confirm the operative side; if unconscious, recheck consent & operative documentation.
๐ Repeat the check if the patient is repositioned or if more than one block is performed.
๐งโ๐คโ๐ง Use a two-person stop moment.
๐งช Consider โ๐๐๐๐ ๐๐๐
๐๐๐ ๐๐๐๐๐": touch the intended side with an empty syringe & confirm aloud with the team.
๐ฏ ๐๐๐ ๐๐๐๐๐๐๐๐๐
๐ Wrong side? Stop the block. Right response? Stop the harm.
๐๏ธ The mark must be seen - not assumed.
๐ง The checklist is not the safety step; the behaviour is.
โ๏ธ After a wrong-sided block, the next injection is a new risk decision.
๐ฅ Stop Before You Block is not a slogan - it is the last ๐๐๐๐๐๐๐๐๐ ๐๐๐๐๐ before harm.
๐ Wrong-sided block is a โNEVER eventโโฆ but what you do next is a โ๐๐๐๐ ๐๐๐๐ ๐๐๐๐ข๐ฌ๐ข๐จ๐ง.โ
ไผๆฅญใฎใฏใผใฏใใญใผ่ชๅๅใๆฏๆดใใEdraใใทใชใผใบAใฉใฆใณใใง3,000ไธใใซใฎ่ณ้่ชฟ้ใๅฎๆฝ
#Edra
#ใฏใผใฏใใญใผ
#ใชใใฌใผใทใงใณใใผใฟ
https://t.co/Y1LUsoK1lo
๐ง C Fibres in Regional Anesthesia: Blockade, Vulnerability, and Misconceptions
#RegionalAnaesthesia #Cfibres #DifferentialBlockade #LocalAnaesthetics #Neurotoxicity #PainPhysiology #AnesthesiaEducation #EDRA #FRCA #RAPM #LASusceptibility #UltrasoundGuidedBlocks #AnatomyMeetsAnaesthesia #KnowBeforeYouBlock
#TipOfTheDay #MyRATips
Tip of the Day:
๐งฌ Structural Reality
๐ธ C fibres are unmyelinated and therefore do not possess internodal distances
๐ธ Their response to local anaesthetics (LAs) cannot be explained using mechanisms applicable to myelinated fibres
โก Why C Fibres Appear to Block Early
๐ธ C fibres are often described as relatively resistant to LA-induced conduction block
๐ธ Yet, they may appear blocked earlier during differential blockade
๐ธ This is not due to higher intrinsic LA sensitivity, but because of:
๐ธ small axonal diameter
๐ธ continuous (non-saltatory) conduction
๐ธ high tonic firing rates
๐ธ use-dependent sodium channel blockade
๐ธ These factors allow conduction failure with fewer blocked channels
๐ Sequence of Differential Blockade
๐ธ Differential blockade depends on fiber diameter, firing frequency, and sodium channel kinetics, not myelination alone
๐ธ The classical order of susceptibility is:
B โ A-ฮด โ C โ A-ฮณ โ A-ฮฒ โ A-ฮฑ
๐ธ B fibres (preganglionic autonomic) block first
๐ธ Followed by A-ฮด and C fibres (pain and temperature)
๐ธ Then A-ฮณ and A-ฮฒ fibres (muscle tone and touch)
๐ธ A-ฮฑ fibres (motor) are blocked last
โ ๏ธ Blockade Susceptibility โ Damage Susceptibility
๐ธ Susceptibility to LA-induced conduction blockade and susceptibility to LA-induced neural damage are two fundamentally different concepts
๐ธ Fibres that block early are not necessarily more sensitive to LA toxicity
๐ธ Conversely, fibres relatively resistant to blockade (e.g., C fibres) may be more vulnerable to cytotoxic injury
โ ๏ธ Why C Fibres Are More Vulnerable to LA Damage
๐ธ unmyelinated structure
๐ธ high surface-areaโtoโvolume ratio
๐ธ lack of myelin insulation
๐ธ prolonged or high-concentration LA exposure
๐ฏ Clinical Take-Home
๐ธ Early analgesia from C-fiber block โ higher anesthetic sensitivity
๐ธ Block characteristics must not be equated with neurotoxic susceptibility
๐ง Mnemonic to Lock It In
"High Pressure Load on BACK"
๐ธ ๐ซ Hypoxia โ B fibres
๐ธ ๐งฑ Pressure โ A fibres
๐ธ ๐ Local anaesthetic toxicity โ C fibres
๐ HypoxiaโB | PressureโA | LAโC
La trajectรฒria de Neus Catalร ja es pot consultar en una "Llamborda Digital", grร cies a la Sala Neus Catalร , Edra i el regidor de Memรฒria Democrร tica, Jordi Arnaiz.
#SalaNeusCatala #Comunicacio #Edra #LlambordaDigital #MemoriaDemocratica #RubiCity
๐ฑLa trajectรฒria de Neus Catalร ja es pot consultar en una "Llamborda Digital"
โก๏ธLa llamborda fa un recorregut pels episodis mรฉs significatius de la seva vida #rubicity
https://t.co/iUJVBqJwEo
Llamborda Digital Neus Catalร
Projecte conjunt de la Sala Neus Catala i EdRa, amb el suport institucional del servei de Memรฒria Democrร tica de #Rubicity
#SalaNeusCatala #LlambordaDigital #Edra #MemoriaDemocratica
Ahir dimarts, edRa, la Sala Neus Catalร i el servei de Memรฒria Democrร tica presenten la 'llamborda digital' de Neus Catalร
#Actualitat #SalaNeusCatala #edRa #AjRubi #MemoriaDemocratica #RubiCity
Avui, hem viscut un matรญ ple de creativitat i consciรจncia feminista!
La Noa, estudiant d' EDRA, i la Rosa han treballat colze a colze per explorar quรจ รฉs el feminisme per a ljoves. โOnades que entrellacen veus i generacionsโ
#SalaNeusCatala #Comunicacio #EDRA
Compartim imatges de lโactivitat conjunta realitzada avui a la Biblioteca Mestre Martรญ Tauler entre els instituts rubinencs, #edRA i la Sala Neus Catalร , junts per erradicar el 25N; รฉs el testimoni del treball conjunt i del compromรญs colยทlectiu.
#SalaNeusCatalร #Comunicacio
๐ฃ Els instituts de #rubicity, l'escola d'art i disseny edRa i la @SalaNeusCatala s'han unit per erradicar el 25N. Aquรญ teniu els detalls i els protagonistes d'aquest projecte โคต๏ธโคต๏ธ
https://t.co/xpygOTzS3d
Dilluns 24 al matรญ, alumnes de lโEscola dโArt i Disseny edRa participaran a la #BibliotecaMestreMartรญTauler en el Mural Erradiquem el 25N ๐
๐๐โโ๏ธ Vine a la Biblioteca de 9 a 11!
๐ Participa del mural i fes sentir la teva veu.
#SalaNeusCatalร #Comunicacio #EDRA #25N
Lโalumnat de 2n de Grau Superior de Disseny rep lโencร rrec de crear la Llamborda Digital Neus Catalร .
La Marta Ribas, presidenta de Sala Neus Catalร , va compartir el llegat de la lluitadora i supervivent.
#SalaNeusCatalร #Comunicacio #Edra #MemoriaDemocratica
เนเธเธญเนเธเนเธเธเนเธญเธเธ เธตเธกเธเธฑเธเธฎเธตเนเธฃเนเธเธเธซเธฅเนเธญเธเนเธฒ เธซเธฅเนเธญเธกเธฒเธเธเธตเธ
#PEEMWASU
#RoV #Edra
@GarenaRoVTH
The ESRA-DRA journey came to an end with success in the final exam in Oslo! ๐
Grateful to my family for their love & to my mentors @DrTuhinM for his educational channel Block ONN @KartikBSonawane for his 10point book and Dr Manoj Karmakar for isspstv
#EDRA #RegionalAnesthesia
๐ง "Click. Learn. Block Like a Pro!"
#RegionalAnesthesia #SciaticBlock #SacralPlexus #EDRA #UltrasoundBlocks
#MyVideos
Get my 10-video Sciatic Nerve Block Series in one clickable PDF ๐ฅ
From Spinal Nerve Roots โก๏ธ Popliteal Precision, it's all covered:
๐ Spinal & Sacral Plexus Anatomy
๐ Sciatic Course & Injection Landmarks
๐ Parasacral | Gluteal | Popliteal Approaches
๐ Ideal LA Deposition
๐ Complications & Safety Pearls
๐ Download the clickable index:
๐ https://t.co/iqpTh6iygd
Tonight we celebrate the excellence of Italian design and craftsmanship, thanks to #edra, an example of how cutting-edge technology and timeless elegance can perfectly blend together. #Italiandesign means comfort, beauty and performance in a truly unique way ๐ฎ๐น
เฎตเฎฟเฎเฎพเฎฐเฎฃเฏเฎเฏเฎเฏ เฎชเฎฏเฎจเฏเฎคเฏ เฎเฎฐเฏเฎตเฎฐเฏเฎฎเฏ เฎคเฎฒเฏเฎฎเฎฑเฏเฎตเฏ!
#EDra
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