kimeamnue

[Ahmed Mohsen @drahmedmohsen85]

❓ مين الـ ONLY hypertensive patient اللي ESC recommends إننا ما ننزلش الـ Diastolic BP عنده أقل من 80 mmHg؟ 🤔

✅ Answer: Hypertension during pregnancy
📚2024 ESC Guidelines

📖 From my book:
Tips & Tricks in Cardiology – Volume IV
Interested to buy the book? 📚✨
Write tips

[Scholarship for PhD @ScholarshipfPhd]

WRITING A RESEARCH PROPOSAL

[Dr sthanu subramanian @drsthanus]

This infographic outlines antiarrhythmic drugs classified by the Vaughan-Williams system, integrating their mechanism of action with cardiac action potentials and ECG effects.

Key High-Yield Clinical Pearls.

*Drug of Choice for PSVT:

Adenosine is the preferred immediate treatment.

*Torsades de Pointes Treatment:

Managed acutely with IV Magnesium Sulfate.

*Post-Myocardial Infarction:

B-blockers or Amiodarone are prioritized to control ventricular rate and prevent lethal ventricular arrhythmias.

*Dangerous Combinations:

Avoid prescribing multiple QT-prolonging drugs together (e.g., Class IA or Class III agents), as this significantly elevates the risk of inducing Torsades de Pointes.

https://t.co/ZTFLsPzHbG

[さらりーまん麻酔科医 | Salaryman Anesthesiologist @saraanesthe]

“What Is Hypoxemia? 🍎 A Simple Analogy with Apples and a Fruit Shop”

Explains with simple analogies:
✅Why oxygen matters (ATP & life)
✅Causes of hypoxemia — from brain to heart
✅How to link symptoms with underlying physiology

👉 Read here:
https://t.co/ZVO7mascPJ

[さらりーまん麻酔科医 | Salaryman Anesthesiologist @saraanesthe]

✅Quick checklist for LAST (ASRA 2020):

🩺 Stop → Call → Oxygen → Seizure control → Lipid early
Benzodiazepine = first-line for seizures

Epi < 1 µg/kg (avoid vasopressin, β-blockers, CCBs)

✅Lipid therapy:
→ 20% 1.5 mL/kg bolus
→ 0.25 mL/kg/min infusion (> 15 min)

Observe ≥ 2 h (seizure) / 4–6 h (CV instability)

Full Article⤵️

https://t.co/uzE1Nzd1zY

[さらりーまん麻酔科医 | Salaryman Anesthesiologist @saraanesthe]

🫁 Routine O₂ after GA — helpful or harmful? ⚖️

✅Prevents common postop hypoxemia—residual anesthetics, pain, atelectasis.
✅O₂ is supportive, not curative—treat airway, pain control and mobilise.
✅High-flow O₂ can mask problems → titrate to SpO₂; need for high flow = 🔴 investigate.

👉 Link in the reply.
#Anesthesiology #Perioperativecare #MedEd

[さらりーまん麻酔科医 | Salaryman Anesthesiologist @saraanesthe]

☝️Quick example:
E-cylinder at 1000 psi → 1000×0.28 = 280 L. At 5 L/min → 280 ÷ 5 × 0.8 ≈ 45 minutes.

Full Article⬇️
https://t.co/a3c4djlwgm

[さらりーまん麻酔科医 | Salaryman Anesthesiologist @saraanesthe]

🫁 Upper Airway Obstruction = Inspiratory Stridor
Lower Airway Obstruction = Expiratory Wheeze

But… why? 🤔
It all comes down to turbulence 💨

1️⃣ Negative pressure during inspiration narrows the soft upper airway → Stridor
2️⃣ Positive pressure during expiration compresses bronchioles → Wheeze
3️⃣ Severe cases → both phases

👉 See the reply for the physics behind it!
#Anesthesiology #PerioperativeCare #MedEd

[さらりーまん麻酔科医 | Salaryman Anesthesiologist @saraanesthe]

🌬️ Take-Home Summary

✅ Preop optimization (continue inhalers + SABA right before induction)
✅ Prefer SGA > ETT (less airway stimulation)
✅ Avoid desflurane — choose sevo/isoflurane instead
✅ I:E 1:3–1:5 / Vt 4–6 mL/kg / low RR → prevent auto-PEEP
✅ During bronchospasm: “Deepen + β₂ inhalation + Epi/Mg”

👉Full Article
https://t.co/nH7TorchBF

[さらりーまん麻酔科医 | Salaryman Anesthesiologist @saraanesthe]

⚠️ When silence strikes in the OR—can you recognize laryngospasm?

✅ Stridor → paradoxical breathing → “silent chest” = total closure
✅ Rescue fast: CPAP → Propofol → Succinylcholine → Intubate
✅ Prevent: suction + deep or awake extubation

📝 Blog link in reply👇
#Anesthesiology #PerioperativeCare #MedEd

[Snyder & Wenner, P.C @SnyderWenner]

Anesthesia errors can lead to severe complications, including brain damage. We fight for justice in these preventable cases.

Contact us to learn how your situation may qualify for legal action. https://t.co/heLyNJ4EK7

#AnesthesiaError #SurgicalMalpractice #ArizonaLaw

[British Journal of Anaesthesia @BJAJournals]

Check out our new collection on airway management. All our papers on #airway since 2022 in one place! #perioperative #anaesthesia #anesthesia

https://t.co/KpGjetk4Av

[Dr sthanu subramanian @drsthanus]

This infographic outlines seven distinct regional anesthesia techniques for the upper limb, categorized by the level of the brachial plexus being targeted.

https://t.co/DjjG3BHwYF

[Dr sthanu subramanian @drsthanus]

*LMAs are used when a patient is unconscious or has no gag reflex.

*They can be used in emergencies, such as apnea, respiratory failure, or impending respiratory arrest

*Can also be used during anesthesia, especially when a face mask or endotracheal tube is difficult to use.

[Dr sthanu subramanian @drsthanus]

An algorithm for managing unanticipated failed intubation in a pregnant patient, outlining steps based on whether ventilation is adequate and the urgency of the situation.

https://t.co/prWg2jiXfx

[Dr sthanu subramanian @drsthanus]

Soda lime absorbents are used in breathing circuits, such as during anesthesia, to remove exhaled carbon dioxide (CO₂) and prevent CO₂ retention.

They need to be changed when exhausted (unable to neutralize CO₂) or desiccated (too dry).

https://t.co/DtSeAln2hL

[Dr sthanu subramanian @drsthanus]

The image provides a comprehensive overview of common anesthesia medications, categorized by their use in different phases of anesthesia management:

https://t.co/H1OCWdxgEL

[Dr sthanu subramanian @drsthanus]

Mechanisms of failed spinal anesthesia.

https://t.co/NqQv1uRkOu

[Dr sthanu subramanian @drsthanus]

Performing a low-pressure leak test (also known as a negative-pressure leak test) ensures the integrity of the anesthesia machine's low-pressure system, which includes components from the flowmeter tubes to the common gas outlet.

Importance of the Test

This test is considered highly sensitive, capable of detecting leaks as small as 30 mL/min. Identifying these leaks is critical because they can lead to hypoxia (low oxygen) or patient awareness during surgery due to insufficient anesthetic delivery.

https://t.co/ufkccPqook

[Dr sthanu subramanian @drsthanus]

Why the anesthetist is concerned about this diabetic patient awaiting surgery?