Richard Roda

Father of 2, Husband, Thoracic Anesthetist, Engineer, Tweets are my own. Apparently wearing a Halloween costume to Tx COVID patients that don’t exist.

[Richard Roda @rdrbme]

@Lordpippin_ @leukdoc @eliasmakos The move to the US. No one is stopping you.

[Richard Roda @rdrbme]

@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.

[Richard Roda @rdrbme]

@darth__md @HofkampMichael @fuzzymittens @AirwayMxAcademy @doctimcook Yes actually.

[Richard Roda @rdrbme]

@DrSandman11 That’s right about when the TTA for penetrating chest injury occurs, right when you’re stomach is fullest on call.

[Richard Roda @rdrbme]

@OBsleepmerchant @hnixon147 At any point did they mention just going off to sleep with a GA?

[Richard Roda @rdrbme]

@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.

[Richard Roda @rdrbme]

@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.

[Richard Roda @rdrbme]

@bmacaulay2000 @JoshMRobert @Ron_George @Dolores_McKeen @OBsleepmerchant I can’t remember the last section I’ve done outside an accreta that lasted 90 min, including Class 3+ obesity! They laugh at us Dal grads here with our 1.6 ml of heavy for all approach haha

[Richard Roda @rdrbme]

@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.

[Richard Roda @rdrbme]

@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 😂

[Richard Roda @rdrbme]

@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.

[Richard Roda @rdrbme]

@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.

[Dr. Vishal Uppal MBBS, FRCA 🇨🇦🇮🇳🏴󠁧󠁢󠁳󠁣󠁴󠁿 @Ropivacaine]

🆕#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

[Richard Roda @rdrbme]

@Ropivacaine @IARS_Journals @iars360 @heyanaesthesia @ammunro @Dolores_McKeen @DalAnesthesia @MUNMed @NarouzeMD @noolslucas @CAS_OBSection @OBsleepmerchant @IWKHealth @PervezSultanMD @EMARIANOMD @KalagaraHari Interesting. The only “modifiable” risk factor is surgical duration which isn’t all that modifiable to begin with.

[Taylor Zhou @canibagthat]

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

[Richard Roda @rdrbme]

@bmacaulay2000 But why was ortho intubating the patient in the first place? 💪🏻💪🏻💪🏻

[Richard Roda @rdrbme]

@EdibleSeed @JeromeAdamsMD And the infant mortality rate has typically been pretty high through that arc of time until the past 50 years or so.

[Richard Roda @rdrbme]

@jon_bailey_anes @DalAnesthesia @CASUpdate @Ropivacaine @OBsleepmerchant @jdchisholm1 @drdrebernard @wongdiagnosis @DaveWatton @glauncel @ChrisPrabhakar @glbryson @dylanbould @jaymcv If there’s no plan it’s pointless imo. The money needs deliverables and to avoid a proportional increase in bureaucratic bloat.

[Richard Roda @rdrbme]

@chloroprocaine @UHN @UofTanesthesia @ON_Anesthesia @CASUpdate @UofTPGME That actually looks delicious

[Richard Roda @rdrbme]

@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.