@PulmCrit I’ve mostly abandoned any interest I ever had in the academic rat race in favor of clinical practice and resident teaching. It’s not worth the headache.
@OBsleepmerchant @BrighamOBAnes @kkjaermd What is valuable about this study is having better duration information allows you to better tailor your practice to patient and surgeon taken as a whole. Many here we can easily get away with 1.2ml heavy, or mepi/lido spinals.
@OBsleepmerchant @BrighamOBAnes @kkjaermd Depends on how fast your surgeons are. I can appreciate it won’t be enough for every L+D when duration is the main concern. Based on our MM data I don’t think we’ve had any failed spinals from that standpoint and we have 9000 deliverys/year with (too) high w section rate.
@axe1314 Honestly, we could do 5-6 hips among other cases/day on the trauma list, and I probably do 90% of them as GA simply to get them done as soon as possible in that 48h window. Usually respiratory disease is what pushes me toward neuraxial, and rarely titrated epi for bad cardiac.
@DrPayItBack Early on in Hades the runs can be pretty quick until you build / buff up. It was fun but I couldn’t compare it to Elden Ring nor Ragnarok. Hades is the kind of game you can play on a switch during a slow L+D call 😂
@UCAirCareDoc@DrPetDetective@AMPAdocs No. Never. Unnecessary. Co-administer pressors/fluid/blood as dictated by clinical scenario, Midazolam or ketamine + paralytic and go. Who’s ridiculous recommendation is this.
@IARS_Journals Teach both. They are different techniques and both are useful and complimentary. Now resources permitting, having a Mac blade VL like with a cmac or similar would be ideal.
🆕#OBAnes study @IARS_Journals@iars360
1⃣Failed spinal anesthesia - 4% for cesarean deliveries
2⃣Most important predictors: Previous cesarean, tubal ligation & lower BMI
🎯🔗https://t.co/uiwDbFUstL
🤗🙏 co-authors @heyanaesthesia@ammunro Milia Aidemouni & @dolores_mckeen
An Anesthesiologist colleague is running for CMPA Council. We are involved in many medicolegal issues, and it would be great to have someone from our specialty represent us. Please vote for Dr. Rolf Gronas.
https://t.co/8EiCPgW03V
@ON_Anesthesia@NYGH_News@UofTanesthesia
@kmcelroy@toxicologist12 Depends. Have had plenty of stat cases where patient ate “a cheese burger” or similar late night snack before getting stabbed in the throat or otherwise. It’s like Rule 34 of medicine: if it could happen, a patient has done it.