Abro hilo 🧵del que hasta hoy, ha sido el mejor viaje de mi vida; comí el mejor jamón Serrano de mi vida 🇪🇸me vacuné 3ra dosis en Paris , LE PEDÍ A MI NOVIA SER MI ESPOSA🇫🇷 (y dijo que si), tome la cerveza más deliciosa del mundo🇩🇪, comí la comida tradicional Munich (súper rica)
We are recruiting into "The I hate TRAMADOL Club". Read ahead and consider if you are willing to join!
It has two Mechanism of actions,
-reuptake inhibition of serotonergic and norepinephrine systems (predominant)
-mu opioid receptor agonism
Drugs it can potentially interact with and result in a Subacute/Chronic, mild to severe Serotinergic crisis:
-SNRIs/ SSRIs, too obvious
-Antipsychotics
-Anticonvulsant
-TCAs
-Triptans
-Parkinsonism drugs
-MAO inhibitors
-Cold and cough medication with Dextromethorphan!!
It's a good drug when you know the patient profile. But in the hands of an Over-the-counter drug dispensing uncle, it's a catastrophe awaited!
What's likeable about this drug:
-Provides moderate analgesic affects
-Anti shivering in the postoperative period, 50mg slow IV
-A good adjust to Peripheral and Neuraxial blockade
-Suitable for intraarticular administration for analgesia
-Time dependent bactericidal activity, against S. Aureus, E. Coli, P. Aeruginosa !!
So, to be more coherent, it's a "I hate TRAMADOL in the hands of unknown" club. Join us!
#analgesia
#opiods
A common mistake in hip MSK ultrasound:
Confusing psoas and iliacus.
Thick tendon + small medial muscle → Psoas
Large muscle + thin deep tendon → Iliacus
Anatomy precision = diagnostic precision.
#MSKUltrasound#HipUltrasound#Mskfreak
🎯 A Simple Block, A Big Difference
Modified PECS II block improves anterior shoulder analgesia in RA-only arthroscopy: pain 56%→7%, sedation 56%→7%, complete RA 44%→93%. A simple addition to enhance patient comfort.
🔗 https://t.co/lP87pYZB3r
#RAPM
Physician use of AI nearly doubled in a year.
Today we launched OpenAI for Healthcare, a HIPAA-ready way for healthcare organizations to deliver more consistent, high-quality care to patients.
Now live at AdventHealth, Baylor Scott & White, UCSF, Cedars-Sinai, HCA, Memorial Sloan Kettering, and many more. https://t.co/V7jZEtNBcV