Si un voyageur qui a rendu visite une fois à Montréal peut précisément identifier le lien commun entre l’infrastructure civile pourrie et le manque d’un service de soins de santé moderne et adéquat, c’est qu’il est existe une maladie grave et flagrante dans le leadership du QC.
Does anybody else get the sense that outside of OB and pediatric spines, intrathecal hydrophilic opioids are grossly underutilized?
@DrRobbieErskine@colinjmccartney@EMARIANOMD
[EEG/EMG/ECG] Halford et al.: "The purpose of this Call for Proposals is to collect and evaluate coding technology for biomedical waveform data."
doi.org/10.1016/j.clinph.202…
It’s fascinating that there’s someone out there giving a volatile anaesthetic (at any dose) alongside a dose of propofol that is FULLY adequate for TIVA.
90mcg/kg/min is a maintenance dose for most adults >50yrs, certainly.
140mcg/kg/min is excessive even for TIVA.
This is an industrial X-ray CT scan of a Luer activated valve—a tiny medical connector that costs just 75 cents but is remarkably complex. Let’s take a look at how it works… 🧵
Ephaptic Coupling - a concept you need to know for the mechanistic understanding of seizure propagation. Join us to hear the best speaker on this topic, Prof Durand!
Link: cmrccf.webex.com/cmrccf/j.ph…
Webinar number: 2430 813 2713
‼️Webinar password: epilepsy
In healthy unanesthetized volunteers, norepinephrine increased arterial pressure but decreased the cerebral blood flow. Cerebral blood flow was correlated with cardiac output, not arterial blood pressure. Read more: ow.ly/fEfL50QUKcB
It’s finding helpful notes like this in the remifentanil bin that remind me that hospital pharmacists* haven’t a $&@¥ing clue what we do in anaesthesiology.
*(the overwhelming majority)
I have no idea.
But what I *do* know is that so long as there are nurses counselling patients after breast cancer surgery, there will ALWAYS be this particularly tosh phenomenon in medicine.
What patients fear most about operations
‘Will I wake up?’
#NAP7 report answers this.
-who will
-who is at risk of not
-what are the numbers?
Eg cardiac arrest during all surgery
1:3000
Fit & well, elective surgery
Cardiac arrest <1:10,000
Death <130,000
Frail patients
Cardiac arrest 1:1200
Death 1:2000
#NAP7
‘where numbers tell stories’
rcoa.ac.uk/nap7-perioperativ…
@EpiDisorders#TestYourself
Which of the following factors has been reported to be an independent predictor of successful presurgical long-term video-EEG monitoring?
1. No requirement for ASM reduction
2. Hyperventilation
3. High baseline frequency
onlinelibrary.wiley.com/doi/…
Levetiracetam vs Lamotrigine as First-Line Antiseizure Medication in Female Patients With Idiopathic Generalized Epilepsy: a different effect in JME between the 2 ASM while no difference for JAE and EwGTCA @JAMANeuro jamanetwork.com/journals/jam…
Creating a @GreenerNHS.🟢
@MidYorkshireNHS have switched to the use of reusable tourniquets, meaning a reduction in both carbon emissions & costs.
🗣️"a move towards a reusable alternative with viable reprocessing options is a really positive move"
midyorks.nhs.uk/news/reusabl…