krautdumpling.bsky.social
@krautdumpling.bsky.social
Reposted by krautdumpling.bsky.social
New episode 🎧 Does desflurane need electricity? Why does lower blood-gas solubility = faster onset? Episode 44 breaks down volatile anaesthetics with the concepts that matter for the FRCA Primary.
Listen: gasgasgas.uk/introduction-to-volatile-anaesthetic-agents/
#FOAMed #Anaesthesia #FRCA #ansky
Listen: gasgasgas.uk/introduction-to-volatile-anaesthetic-agents/
#FOAMed #Anaesthesia #FRCA #ansky
Ep.44 –Introduction To Volatile Anaesthetic Agents For The FRCA Primary
Volatile anaesthetic agents remain fundamental to modern anaesthetic practice, yet their behaviour is governed by complex physicochemical principles that can
gasgasgas.uk
October 18, 2025 at 7:43 AM
New episode 🎧 Does desflurane need electricity? Why does lower blood-gas solubility = faster onset? Episode 44 breaks down volatile anaesthetics with the concepts that matter for the FRCA Primary.
Listen: gasgasgas.uk/introduction-to-volatile-anaesthetic-agents/
#FOAMed #Anaesthesia #FRCA #ansky
Listen: gasgasgas.uk/introduction-to-volatile-anaesthetic-agents/
#FOAMed #Anaesthesia #FRCA #ansky
Reposted by krautdumpling.bsky.social
Friendly reminder:
During an intra-arrest #POCUS, the finding of RV dilation alone is generally insufficient to conclude the presence of a pulmonary embolism & justify the administration of thrombolytics. After a few min of CPR, RV tends to dilate due to
During an intra-arrest #POCUS, the finding of RV dilation alone is generally insufficient to conclude the presence of a pulmonary embolism & justify the administration of thrombolytics. After a few min of CPR, RV tends to dilate due to
October 1, 2025 at 1:06 AM
Friendly reminder:
During an intra-arrest #POCUS, the finding of RV dilation alone is generally insufficient to conclude the presence of a pulmonary embolism & justify the administration of thrombolytics. After a few min of CPR, RV tends to dilate due to
During an intra-arrest #POCUS, the finding of RV dilation alone is generally insufficient to conclude the presence of a pulmonary embolism & justify the administration of thrombolytics. After a few min of CPR, RV tends to dilate due to
Reposted by krautdumpling.bsky.social
Our latest episode of @bilih.bsky.social #BILIH #BlockItLikeItsHot is out!
This time @jeffgadsden.bsky.social does at least 3 accents, plus we take you on a journey of discovery with Nerve catheters!
Full episode here www.blockitlikeitshot.com/s3-e16-cant-...
#RAsky #AnSky
This time @jeffgadsden.bsky.social does at least 3 accents, plus we take you on a journey of discovery with Nerve catheters!
Full episode here www.blockitlikeitshot.com/s3-e16-cant-...
#RAsky #AnSky
October 7, 2025 at 12:04 PM
Our latest episode of @bilih.bsky.social #BILIH #BlockItLikeItsHot is out!
This time @jeffgadsden.bsky.social does at least 3 accents, plus we take you on a journey of discovery with Nerve catheters!
Full episode here www.blockitlikeitshot.com/s3-e16-cant-...
#RAsky #AnSky
This time @jeffgadsden.bsky.social does at least 3 accents, plus we take you on a journey of discovery with Nerve catheters!
Full episode here www.blockitlikeitshot.com/s3-e16-cant-...
#RAsky #AnSky
Reposted by krautdumpling.bsky.social
Neuraxial anesthesia and pain management for cesarean delivery - American Journal of Obstetrics & Gynecology www.ajog.org/article/S000...
Neuraxial anesthesia and pain management for cesarean delivery
Optimal neuraxial anesthesia for cesarean delivery requires a thorough understanding
of patient, obstetrical, surgical, and anesthesia-related factors which can impact
pain during and after cesarean d...
www.ajog.org
September 21, 2025 at 11:49 AM
Neuraxial anesthesia and pain management for cesarean delivery - American Journal of Obstetrics & Gynecology www.ajog.org/article/S000...
Reposted by krautdumpling.bsky.social
The application of cricoid force remains controversial in modern practice. A new review by Sotiriou et al. critically assesses the anatomic, physiologic, and contemporary clinical evidence of cricoid force application: ow.ly/Mkx350WY3Zy
September 19, 2025 at 7:58 PM
The application of cricoid force remains controversial in modern practice. A new review by Sotiriou et al. critically assesses the anatomic, physiologic, and contemporary clinical evidence of cricoid force application: ow.ly/Mkx350WY3Zy
Reposted by krautdumpling.bsky.social
Kinder gehören nach Hause!
Öffnet dieser Grundsatz Tür und Tor für Rosinenpickerei und Küchentisch-Chirurgie?
Öffnet dieser Grundsatz Tür und Tor für Rosinenpickerei und Küchentisch-Chirurgie?
September 15, 2025 at 11:02 AM
Kinder gehören nach Hause!
Öffnet dieser Grundsatz Tür und Tor für Rosinenpickerei und Küchentisch-Chirurgie?
Öffnet dieser Grundsatz Tür und Tor für Rosinenpickerei und Küchentisch-Chirurgie?
Reposted by krautdumpling.bsky.social
I have always been guided by the Bouvet study. I use propofol 2 mg/kg and remi 5 mcg/kg together on induction as my base. between 45-60 s after induction you see the HR drop, reflecting sympatholysis and you go.
associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/...
associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/...
Optimal remifentanil dosage for providing excellent intubating conditions when co‐administered with a single standard dose of propofol
This dose–response study aimed to determine the dose of remifentanil combined with propofol 2.5 mg.kg−1 which provided excellent intubation conditions in 95% of patients. Ninety premedicated female A...
associationofanaesthetists-publications.onlinelibrary.wiley.com
September 7, 2025 at 4:25 PM
I have always been guided by the Bouvet study. I use propofol 2 mg/kg and remi 5 mcg/kg together on induction as my base. between 45-60 s after induction you see the HR drop, reflecting sympatholysis and you go.
associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/...
associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/...
Reposted by krautdumpling.bsky.social
Well it is very easy, when you see the cords and gently advance the tube, you see if there is any resistance at all, which there hardly never is above 5 mcg/kg of remi on top of propofol. The new meta-analysis from Anaesthesia supports this as well. I´ve done bariatrics with VL no NMB for 10+ years
September 7, 2025 at 9:15 AM
Well it is very easy, when you see the cords and gently advance the tube, you see if there is any resistance at all, which there hardly never is above 5 mcg/kg of remi on top of propofol. The new meta-analysis from Anaesthesia supports this as well. I´ve done bariatrics with VL no NMB for 10+ years
Reposted by krautdumpling.bsky.social
McConnell sign in PE - quantified with free-wall strain. (Doesn’t always work out this way) #echofirst
September 4, 2025 at 12:13 PM
McConnell sign in PE - quantified with free-wall strain. (Doesn’t always work out this way) #echofirst
Reposted by krautdumpling.bsky.social
In patients with heparin-induced thrombocytopenia, pathogenic antibodies were found to be monoclonal, which challenges previous views of HIT as a polyclonal disorder and suggests new avenues for diagnosis and treatment. Full study results: nej.md/4pkaYAq
#MedSky #CardioSky
#MedSky #CardioSky
September 3, 2025 at 10:00 PM
In patients with heparin-induced thrombocytopenia, pathogenic antibodies were found to be monoclonal, which challenges previous views of HIT as a polyclonal disorder and suggests new avenues for diagnosis and treatment. Full study results: nej.md/4pkaYAq
#MedSky #CardioSky
#MedSky #CardioSky
Reposted by krautdumpling.bsky.social
Right ventricle and venous system: bridging physiology and clinical practice. A narrative review
CCR Journal Watch - tracking the critical care literature daily
https://criticalcarereviews.com/latest-evidence/journal-watch
CCR Journal Watch - tracking the critical care literature daily
https://criticalcarereviews.com/latest-evidence/journal-watch
September 2, 2025 at 6:04 PM
Right ventricle and venous system: bridging physiology and clinical practice. A narrative review
CCR Journal Watch - tracking the critical care literature daily
https://criticalcarereviews.com/latest-evidence/journal-watch
CCR Journal Watch - tracking the critical care literature daily
https://criticalcarereviews.com/latest-evidence/journal-watch
Reposted by krautdumpling.bsky.social
EMCrit 407 - Massive Hemorrhage Protocol 2.0 with @petrosoniak.
We cover:
-Mass Trans at Rural Hospitals
-Debate 1:1:1
-Easier admin of TXA
-Lab based vs. ratioed resus
[#FOAMed for Now]
emcrit.org/407
We cover:
-Mass Trans at Rural Hospitals
-Debate 1:1:1
-Easier admin of TXA
-Lab based vs. ratioed resus
[#FOAMed for Now]
emcrit.org/407
August 30, 2025 at 9:04 PM
EMCrit 407 - Massive Hemorrhage Protocol 2.0 with @petrosoniak.
We cover:
-Mass Trans at Rural Hospitals
-Debate 1:1:1
-Easier admin of TXA
-Lab based vs. ratioed resus
[#FOAMed for Now]
emcrit.org/407
We cover:
-Mass Trans at Rural Hospitals
-Debate 1:1:1
-Easier admin of TXA
-Lab based vs. ratioed resus
[#FOAMed for Now]
emcrit.org/407
Reposted by krautdumpling.bsky.social
In a new study, Rössler et al. investigate whether intraoperative hypotension, perioperative average blood pressure, or blood pressure variability are associated with postoperative delirium. Read the article: ow.ly/SmbZ50WMnZU
September 2, 2025 at 1:22 PM
In a new study, Rössler et al. investigate whether intraoperative hypotension, perioperative average blood pressure, or blood pressure variability are associated with postoperative delirium. Read the article: ow.ly/SmbZ50WMnZU
Reposted by krautdumpling.bsky.social
Combined videolaryngoscopy and flexible bronchoscopy for difficult tracheal intubation in children: a retrospective observational cohort study
#AnSky #PedsAnSky #AirwaySky #MedSky
doi.org/10.1111/anae...
#AnSky #PedsAnSky #AirwaySky #MedSky
doi.org/10.1111/anae...
August 26, 2025 at 8:06 AM
Combined videolaryngoscopy and flexible bronchoscopy for difficult tracheal intubation in children: a retrospective observational cohort study
#AnSky #PedsAnSky #AirwaySky #MedSky
doi.org/10.1111/anae...
#AnSky #PedsAnSky #AirwaySky #MedSky
doi.org/10.1111/anae...
Reposted by krautdumpling.bsky.social
PILLOW ? - YES PLEASE
baby, infant, toddler, child, teenager, adult
baby, infant, toddler, child, teenager, adult
June 8, 2025 at 12:05 AM
PILLOW ? - YES PLEASE
baby, infant, toddler, child, teenager, adult
baby, infant, toddler, child, teenager, adult
Reposted by krautdumpling.bsky.social
Partial pressure of oxygen, hyperoxemia and hyperoxia in the intensive care or anesthesia setting
CCR Journal Watch - tracking the critical care literature daily
https://criticalcarereviews.com/latest-evidence/journal-watch
CCR Journal Watch - tracking the critical care literature daily
https://criticalcarereviews.com/latest-evidence/journal-watch
August 9, 2025 at 8:14 PM
Partial pressure of oxygen, hyperoxemia and hyperoxia in the intensive care or anesthesia setting
CCR Journal Watch - tracking the critical care literature daily
https://criticalcarereviews.com/latest-evidence/journal-watch
CCR Journal Watch - tracking the critical care literature daily
https://criticalcarereviews.com/latest-evidence/journal-watch
Reposted by krautdumpling.bsky.social
Second is central sleep apnea, a breathing disturbance that is strongly correlated to mortality in heart failure. Surely treating it and reducing its severity must reduce mortality? If anything, quite the opposite it turns out! www.nejm.org/doi/full/10....
Adaptive Servo-Ventilation for Central Sleep Apnea in Systolic Heart Failure | NEJM
Central sleep apnea is associated with poor prognosis and death in patients with heart
failure. Adaptive servo-ventilation is a therapy that uses a noninvasive ventilator
to treat central sleep apn...
www.nejm.org
August 8, 2025 at 9:01 PM
Second is central sleep apnea, a breathing disturbance that is strongly correlated to mortality in heart failure. Surely treating it and reducing its severity must reduce mortality? If anything, quite the opposite it turns out! www.nejm.org/doi/full/10....
Reposted by krautdumpling.bsky.social
Reposted by krautdumpling.bsky.social
Let's talk about therapeutic vs prophylactic cricoid force.
If gastric contents (or other materials) are actually detected around the larynx or when real-time regurgitation and/or aspiration occurs, should we use 'therapeutic' cricoid force?
#AnSky #AirwaySky #MedSky
doi.org/10.1111/anae...
If gastric contents (or other materials) are actually detected around the larynx or when real-time regurgitation and/or aspiration occurs, should we use 'therapeutic' cricoid force?
#AnSky #AirwaySky #MedSky
doi.org/10.1111/anae...
July 22, 2025 at 10:03 AM
Let's talk about therapeutic vs prophylactic cricoid force.
If gastric contents (or other materials) are actually detected around the larynx or when real-time regurgitation and/or aspiration occurs, should we use 'therapeutic' cricoid force?
#AnSky #AirwaySky #MedSky
doi.org/10.1111/anae...
If gastric contents (or other materials) are actually detected around the larynx or when real-time regurgitation and/or aspiration occurs, should we use 'therapeutic' cricoid force?
#AnSky #AirwaySky #MedSky
doi.org/10.1111/anae...
Reposted by krautdumpling.bsky.social
Clarity in Hemodynamics and End-Organ Perfusion: Pulsatility, Patient Phenotype, and the Pressure Field as a Novel Approach
CCR Journal Watch - tracking the critical care literature daily
https://criticalcarereviews.com/latest-evidence/journal-watch
CCR Journal Watch - tracking the critical care literature daily
https://criticalcarereviews.com/latest-evidence/journal-watch
July 7, 2025 at 9:49 PM
Clarity in Hemodynamics and End-Organ Perfusion: Pulsatility, Patient Phenotype, and the Pressure Field as a Novel Approach
CCR Journal Watch - tracking the critical care literature daily
https://criticalcarereviews.com/latest-evidence/journal-watch
CCR Journal Watch - tracking the critical care literature daily
https://criticalcarereviews.com/latest-evidence/journal-watch
Reposted by krautdumpling.bsky.social
Does the use of intraoperative ketamine affect the incidence of postoperative delirium?
Does the dose matter?
Compared with patients not receiving ketamine, a low dose (≤ 0.35 mg.kg-1) was associated with lower risks of postoperative delirium.
#AnSky #PainSky #MedSky
doi.org/10.1111/anae...
Does the dose matter?
Compared with patients not receiving ketamine, a low dose (≤ 0.35 mg.kg-1) was associated with lower risks of postoperative delirium.
#AnSky #PainSky #MedSky
doi.org/10.1111/anae...
July 7, 2025 at 8:06 AM
Does the use of intraoperative ketamine affect the incidence of postoperative delirium?
Does the dose matter?
Compared with patients not receiving ketamine, a low dose (≤ 0.35 mg.kg-1) was associated with lower risks of postoperative delirium.
#AnSky #PainSky #MedSky
doi.org/10.1111/anae...
Does the dose matter?
Compared with patients not receiving ketamine, a low dose (≤ 0.35 mg.kg-1) was associated with lower risks of postoperative delirium.
#AnSky #PainSky #MedSky
doi.org/10.1111/anae...
Reposted by krautdumpling.bsky.social
Today's Paper of the Day is:
Sepsis management of the acute care surgery patient: What you need to know
https://criticalcarereviews.com/latest-evidence/paper-of-the-day
Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2025
Sepsis management of the acute care surgery patient: What you need to know
https://criticalcarereviews.com/latest-evidence/paper-of-the-day
Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2025
July 8, 2025 at 8:20 AM
Today's Paper of the Day is:
Sepsis management of the acute care surgery patient: What you need to know
https://criticalcarereviews.com/latest-evidence/paper-of-the-day
Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2025
Sepsis management of the acute care surgery patient: What you need to know
https://criticalcarereviews.com/latest-evidence/paper-of-the-day
Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2025
Reposted by krautdumpling.bsky.social
GLP-1 RAs slow gastric emptying and may increase aspiration risk
No studies have assessed the efficacy of pre-op erythromycin as a prokinetic.
This case reports evaluates erythromycin efficacy with gastric ultrasound!
#AnSky @drnavsidhu.bsky.social
doi.org/10.1002/anr3...
No studies have assessed the efficacy of pre-op erythromycin as a prokinetic.
This case reports evaluates erythromycin efficacy with gastric ultrasound!
#AnSky @drnavsidhu.bsky.social
doi.org/10.1002/anr3...
June 25, 2025 at 7:41 AM
GLP-1 RAs slow gastric emptying and may increase aspiration risk
No studies have assessed the efficacy of pre-op erythromycin as a prokinetic.
This case reports evaluates erythromycin efficacy with gastric ultrasound!
#AnSky @drnavsidhu.bsky.social
doi.org/10.1002/anr3...
No studies have assessed the efficacy of pre-op erythromycin as a prokinetic.
This case reports evaluates erythromycin efficacy with gastric ultrasound!
#AnSky @drnavsidhu.bsky.social
doi.org/10.1002/anr3...
Reposted by krautdumpling.bsky.social
If you induce someone w/ etomidate & rocuronium alone, unless you get another sedative on board SUPER fast the etomidate wears off and the patient will be intubated without sedation
Inhumane, ? causes PTSD
Use ketamine
During the K shortage I used a combo of roc/etomidate/midaz/fentanyl
#EMIMCC
Inhumane, ? causes PTSD
Use ketamine
During the K shortage I used a combo of roc/etomidate/midaz/fentanyl
#EMIMCC
June 17, 2025 at 2:09 AM
If you induce someone w/ etomidate & rocuronium alone, unless you get another sedative on board SUPER fast the etomidate wears off and the patient will be intubated without sedation
Inhumane, ? causes PTSD
Use ketamine
During the K shortage I used a combo of roc/etomidate/midaz/fentanyl
#EMIMCC
Inhumane, ? causes PTSD
Use ketamine
During the K shortage I used a combo of roc/etomidate/midaz/fentanyl
#EMIMCC
Reposted by krautdumpling.bsky.social
Mag, the queen of PEC treatment.
June 17, 2025 at 3:58 AM
Mag, the queen of PEC treatment.