Guillaume Martel
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chamogui.bsky.social
Guillaume Martel
@chamogui.bsky.social
170 followers 100 following 6 posts
HPB surgeon / clinical trialist @OttawaHospital @uOttawaMed by way of @chumontreal and @McGillMed ⛷⚽️🏒🏃🏻‍♂️🇨🇦🌎
#HPBsky #Surgsky #Medsky
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Reposted by Guillaume Martel
propofolmonkey.medsky.social
Measles are FAR worse than the vaccine.
cojo21.bsky.social Abominable Snow Doc @cojo21.bsky.social · Mar 12
I like this info graphic:
Effects per 10,000 people who get measles Effects per 10,000 people who get the M.M.R. vaccine 500 children get pneumonia; most common cause of death 2,000 hospitalized 1,000 child ear infections with potential permanent hearing loss • - 3 fever-related seizures? *— 0.4 cases of abnormal blood clotting - 0.035 allergic reactions® 10 childhood cases of encephalitis? 10 to 30 child deaths from respiratory or neurological complications Potentially serious complications shown in red
March 12, 2025 at 3:11 PM
Reposted by Guillaume Martel
halletjulie.bsky.social
Decision to transfuse🩸in surgery impacts outcomes

Point-of-care Hgb often used but is it accurate?
🕵️‍♂️Prospective study by @chamogui.bsky.social

🧪1735 samples
Wide variation in p-o-c Hgb ➡️ large difference vs lab
⚠️Risk of transfusion errors - lowest with HemoCue 6%

tinyurl.com/2mh7dwu4
January 10, 2025 at 11:56 PM
Reposted by Guillaume Martel
halletjulie.bsky.social
Many new #HPBSky faces now ok @bsky.app - welcome @chamogui.bsky.social @ksoreide.bsky.social @saneyapandrowala.bsky.social !!

Continuing to grow the HPB starter pack 👉🏻 go.bsky.app/KyNk7sx
Check it out!
#MedSky #SurgSky
December 10, 2024 at 6:40 PM
Reposted by Guillaume Martel
marcbesselink.bsky.social
Does the impact of pancreatic fistula (POPF) differ between minimally invasive (MIPD) vs open (OPD) #Whipple?

In pts with POPF after MIPD:
⬆️ sec complications ⚠️
⬆️ hemorrhage 🩸
⬆️ hospital stay 🏥
⬆️ reoperations 🔪

@carobruna.bsky.social @abuhilal.bsky.social
▶️ jamanetwork.com/journals/jamas…
December 4, 2024 at 9:40 PM
chamogui.bsky.social
🚨Happy to share the PRICE-2 trial results in liver resection at higher risk bleeding 🚨

Hypovolemic phlebotomy vs usual care (n=446)

⬇️ 7.6 🆚 16.1% 🩸 RBC transfusion

✅ NNT 11

⬇️ blood loss

⬆️ surgical conditions

No increased major complications

www.thelancet.com/journals/lan...
Hypovolaemic phlebotomy in patients undergoing hepatic resection at higher risk of blood loss (PRICE-2): a randomised controlled trial
In patients undergoing liver resection, hypovolaemic phlebotomy reduced perioperative red blood cell transfusion and improved operative conditions, with no statistically significant increase in the incidence of complications compared with usual care. Hypovolaemic phlebotomy should be considered for routine use in patients undergoing liver resection at higher risk of bleeding.
www.thelancet.com
December 10, 2024 at 12:32 PM