Discover and read the best of Twitter Threads about #anesthesia

Most recents (8)

Hi 👋🏽- I have #COVID19.

Isolated at 🏠 away from my healthy & unexposed family.

Seeking ways to help as a research subject (take my serum!) & hope to be back on front lines soon w/my #ICU & #anesthesia colleagues as an🤞🏽immune #COVIDー19 fighter.

Oh & anosmia= 100% REAL. 1/
My #covid19 symptom timeline were:
Day 1: myalgia
Day 2: chills, coughing, malaise
Day 3: coughing continues, exhausted, intermittent nausea, myalgias
Day 4:myalgia, cough, nausea, decreased taste, fatigue
Day 5: myalgia, cough, malaise, ANOSMIA

Symptoms come & go in 🌊 2/
Anosmia. The strangest & most fascinating symptom of all. Discovered it when the brand new diffuser wasn’t working despite dumping several drops of strong scented oil in. Then a friend asked “so is that anosmia thing real?” Then it hit me. 3/
Read 11 tweets
1/ I'm my department's disaster preparedness officer. Have had a hectic few days with #COVID19 planning, but the following thought occurred to me - Why you want an anesthesiologist or anesthesia provider on your disaster preparedness team:
2/ We contingency plan every day. This is our normal state of being. What happens if x, then y, then z? How about 1, 2, & 3?
3/ We start with the worst case scenario and work backwards. How do I know that all my patients *don't* have #COVID19? What if there is no oxygen? What if we run out of hospital beds?
Read 9 tweets
Engaging and inspiring grand rounds from @EMARIANOMD today @HSSAnesthesia about biggest threats to #anesthesiology —concerns and solutions- classic Ed. Too much good info to share so excuse the string 1/8
Loss of identity.
-anesthesia is safe. We have enabled remarkable surgeries to happen and make it look easy
-we are sometimes invisible. We have a “ambivalence toward recognition”
-loss of identity ➡️ #burnout 2/8
SOLUTION to loss of identity
- We need to consider our brand
- #anesthesiology can lead in #PrecisionMedicine
- Take a “victory lap” and talk to families after #anesthesia
- Know when to take the mask off. Lead committees, contribute to the hospital, community impact 3/8
Read 9 tweets
It’s easy to say, “just read the damn label”, but #anesthesia professionals *do* read the #lookalikevials, conscientiously! There will still be that 1 in 1000s time when it’s missed, and it’s not just the sole anesthesia professional to blame.

A #HumanFactors thread.

1/
Anesthesia professionals are conscientious to a fault. This is why they are starting to demand that manufacturers and institutions set them up for success instead of disaster when it comes to #medicationsafety.

@ismp1 @FDA_Drug_Info @PIPSQC @PLAN4ZERO

2/
The drug on the left, phenylephrine 10 mg/ml is given in 0.1 mg doses. If a patient got the whole vial at once, that would be a 100-fold overdose! People have died from this.

3/
Read 9 tweets
2/ PRVC = Continuous Mandatory Ventilation, Pressure Limited, Time Cycled with Adaptive Targeting.

SETTINGS: Tidal volume, Insp Time, Fio2, PEEP, RR

Breath to Breath feedback of exhaled TV, compared to target with adjustment of subsequent insp pressure to lead to steady TV
3/ ALSO KNOWN AS #AKA...

PRVC - Marquet Servo i
Autoflow - Drager
Adaptive Pressure Ventilation - Hamilton Galileo
Volume Control + - Puritan Bennett
Volume Targeted Pressure Control, Pressure Controlled Volume Guaranteed - Engstrom
Read 7 tweets
It began with the forging of the Great Rings.

Three were given to the Elves, immortal, wisest, fairest of all beings.
Seven to the Dwarf Lords, great miners and craftsmen of the mountain halls.
And Nine rings were gifted to the race of Men who, above all else, desire power.
Read 4 tweets
Every summer my heart is heavy with memories of a time when I even came close to leaving #medicine-when career & motherhood collided and I didn’t ask for help.

I want to share that story in case it helps even 1 person.(Thread) #medtwitter #meded #womeninmedicine #TipsForNewDocs
I share this now because July is full of #tipsfornewdocs but August comes & we all get swallowed up in the hustle & bustle of heavy clinical loads- when orientation ends and the real work begins.
I had just finished #pediatric residency and started #anesthesia residency with a 6 month old baby. Orientation was over & we were deployed to do our first cases in the OR without an attending always in the room with us.
Read 19 tweets
I listen to ~90 #Podcasts on a (semi) regular basis. Let me give you a rundown of ALL of them and why you should listen to some amazing #FOAMed, especially for all the new #EmergencyMedicine interns. #FOAMed #MedEd #medtwitter
First of all, you need a good podcast app. I absolutely love Downcast. Great app, gives you more control over playback, downloading, and allows you to categorize your podcasts into playlists (picture 2). This is where you get to customize your #FOAMed experience! #medtwitter
In no particular order,

- Anesthesia and Critical Care Reviews and Commentary (ACCRAC). Great insight into Crit Care from an anesthesia perspective. Coming from EM, this is great to listen to- much different from my day-to-day! #FOAMed #FOAMcc #CriticalCare
Read 88 tweets

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