Discover and read the best of Twitter Threads about #Sedation
Most recents (6)
1/ Let’s review pediatric sedation with Dr. Amy Alayari (PGY3)!
Classify the following level of sedation: someone is in a controlled state of depressed consciousness during which airway is maintained. Patient can respond to questions and light touch (e.g. “open your eyes”)
Classify the following level of sedation: someone is in a controlled state of depressed consciousness during which airway is maintained. Patient can respond to questions and light touch (e.g. “open your eyes”)
2/ Think of sedation as a continuum, understand that a patient can go from mild to general anesthesia within seconds! Review the slide here for the answer to the question above 
3/ Always be prepared before giving sedation! That includes giving informed consent and making sure you have all materials in the SOAP-ME mnemonic ready
Here is the #PedsICU #BestOf2020 collection.
Jointly chosen by
@Dr_Hari_Krishna @sgdambrauskas and myself
Pubmed collection 40 articles: bit.ly/pedsicubestof2…
Infographic (clickable PDF) in English: bit.ly/bestof2020eng
Spanish: bit.ly/bestof2020esp
#PedsCICU #NeuroPICU
Jointly chosen by
@Dr_Hari_Krishna @sgdambrauskas and myself
Pubmed collection 40 articles: bit.ly/pedsicubestof2…
Infographic (clickable PDF) in English: bit.ly/bestof2020eng
Spanish: bit.ly/bestof2020esp
#PedsCICU #NeuroPICU
This will be a bilingual tweetorial in Spanish/English!
Infographics are available in both languages in Tweet #1
El hilo será en Español/Inglés. El resumen infográfico está disponible en los dos idiomas en el primer Tweet
Infographics are available in both languages in Tweet #1
El hilo será en Español/Inglés. El resumen infográfico está disponible en los dos idiomas en el primer Tweet
1/What are the outcomes that matter to children, to families and to #researchers/clinicians? @ericka_fink et al & @PostPICU_PALISI investigators identified COS using a delphi process. @CritCareMed bit.ly/381cfq8. Developmental and functional outcomes were important.
1.A primer on airway obstruction in #Sedation @pedsedation @PediAnesthesia @hyguruprep #MedTwitter
Lets focus on hypo-pharyngeal collapse & Laryngospasm
First lets review the Starling resistor model for airway obstruction (Butler JP et al. J Physiol. 2013 May 1;591(9):2233-4)
Lets focus on hypo-pharyngeal collapse & Laryngospasm
First lets review the Starling resistor model for airway obstruction (Butler JP et al. J Physiol. 2013 May 1;591(9):2233-4)
2. The nasal & tracheal structures support a collapsible segment-supraglottic area (CN IX, X & XII innervation).Sedatives inhibit tone of this segment with propensity to collapse more. The collapse can be exacerbated by diaphragmatic contraction (inspiratory negative pressure).
3.Supraglottic segment thus acts like a Starling resistor as its caliber is affected by pressures within the lumen. Loss of tone from sedation +negative pressure narrows the AP distance between the posterior pharynx & soft palate, epiglottis. @agstormorken @Pedisedationdoc
1/ #Sedation & #Delirium in #COVID19:
The cornerstone of best sedation practice in #COVID is not a specific drug. It’s about lightening whatever you use to allow the brain to take over again as captain of the body’s ship.
#medtwitter #tipsfornewdocs #medstudenttwitter #pulmcc
The cornerstone of best sedation practice in #COVID is not a specific drug. It’s about lightening whatever you use to allow the brain to take over again as captain of the body’s ship.
#medtwitter #tipsfornewdocs #medstudenttwitter #pulmcc
2/ Personally, & this is a share of my own weakness, it makes a huge difference when my patient is awake & not sedated. Awake patients immediately become humans with real lives beyond the ICU.
#meded #sccm
#meded #sccm
3/ The outer shell of patients changes in my mind’s eye when they are lying in a drug-induced coma - the person becomes disembodied. I am blind to the person, who doesn’t seem to be with her own body. I know this is a defect in my own abilities as a physician.
#tipsforolddocs
#tipsforolddocs
Citation counts come from OTHER RESEARCHERS. They are important, yes.
But, sharing #science on #SoMe=broad & instantaneous dissemination to those who focus their time AT THE BEDSIDE. Which may surprise some- but is MOST OF MEDICINE especially....#anesthesiology.(Thread) #AUA2019
But, sharing #science on #SoMe=broad & instantaneous dissemination to those who focus their time AT THE BEDSIDE. Which may surprise some- but is MOST OF MEDICINE especially....#anesthesiology.(Thread) #AUA2019
A metric like the “Kardashian Index” *MAY* be relevant in genome biology where the proportion of basic/translational science is significantly higher and no immediate bedside application for a general practitioner is there. (and I’m making an assumption here) #medtwitter #aua2019
When your #research is relevant primarily to other #scientists who are also writing research papers then citation counts do more wholly reflect the paper’s impact. But in clinical research, it’s different. Bedside clinicians are looking to the literature for guidance & new ideas.
🗣️And it is finally out!
👉Amazing shared forum from @OPENPediatrics about #PedsICU rehab and patient (family)-centered care
👉Please share/RT this paradigm shift lecture
#thrive #ICUrehab @McMasterU
@karen_choong from 🇨🇦
openpediatrics.org/assets/video/e…
👉Amazing shared forum from @OPENPediatrics about #PedsICU rehab and patient (family)-centered care
👉Please share/RT this paradigm shift lecture
#thrive #ICUrehab @McMasterU
@karen_choong from 🇨🇦
openpediatrics.org/assets/video/e…
🗣️Al final llegó!
👉Increíble foro compartido desde @OPENPediatrics sobre rehabilitación en #PedsICU y cuidados centrados en el niño y su familia
👉Comparte/RT esta charla sobre cambio paradigmas
#thrive #ICUrehab @McMasterU
@karen_choong from 🇨🇦
openpediatrics.org/assets/video/e…
👉Increíble foro compartido desde @OPENPediatrics sobre rehabilitación en #PedsICU y cuidados centrados en el niño y su familia
👉Comparte/RT esta charla sobre cambio paradigmas
#thrive #ICUrehab @McMasterU
@karen_choong from 🇨🇦
openpediatrics.org/assets/video/e…
Thread/Hilo (🇬🇧🇪🇸)
3/
Epidemiology has changed. New children population: SURVIVORS
La epidemiología cambió en #PedsICU : nuevos niños: SOBREVIVIENTES
MORTALITY Shift
Cambio el patrón de MORTALIDAD
👇
3/
Epidemiology has changed. New children population: SURVIVORS
La epidemiología cambió en #PedsICU : nuevos niños: SOBREVIVIENTES
MORTALITY Shift
Cambio el patrón de MORTALIDAD
👇
