krautdumpling.bsky.social
krautdumpling.bsky.social
@krautdumpling.bsky.social
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/...
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
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
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
Reposted by krautdumpling.bsky.social
August 8, 2025 at 10:10 PM