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
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
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
4/
Twenty years of research in my life has been to wake patients up to mandate communication with patients & caregivers & bypass my own inadequacies & blindness as a human being. My wife wouldn’t fall into such a trap because she’s got a more sensitive ❤️ & 🧠, but I need it
5/fin
In other words, I need to practice with the elements of the #A2Fbundle (wake up, breath, walk, get family present, etc) to SURVIVE as a doctor just as much as my patients need the #A2Fbundle to SURVIVE their illness.
#medtwitter #tipsfornewdocs #medstudenttwitter #pulmcc
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