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Matteo Aldo Bonizzoni, MD Profile picture
Matteo Aldo Bonizzoni, MD
@MABonizzoni
👨🏼‍⚕️Medical Doctor @SanRaffaeleMI 💉Anesthesia and Intensive Care @SRanesthesiaICU 🚑Emergency technician @crocerossa 🏊‍♂️ Swimmer
May 25, 2023 • 7 tweets • 10 min read
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Second day of @Smart_Meeting_M

Professor @giovannilandoni talking about management of #anticoagulant in #perioperative patients 💉

✅You surely all know how to deal with #antithrombotic and #regionalanesthesia, here the guidelines:

pubmed.ncbi.nlm.nih.gov/34980845/

#FOAMed #FOAMcc Image 2/
💡Let's focus on perioperative #DOAC /#NOAC / #TSOAC

➡️Consider both #surgical blood loss risk and #patient characteristics.

⚠️Remember NOT to bridge with #LMWH or #UFH.

pubmed.ncbi.nlm.nih.gov/33895845/ Image
May 24, 2023 • 8 tweets • 9 min read
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🎬 Now on stage Professor @giovannilandoni talking about what we DON'T KNOW about #cardiocirculatory drugs

✅ #Norepineprhine is the most used vasoactive drug in the guidelines for:

🔹 #sepsis
🔹#cardiogenic shock❗(Scandinavian)

BUT...

@Smart_Meeting_M @SRAnesthesiaICU Image 2/
BUT... #Norepineprhine (base) does not exist❗

🚫 base is not soluble, unstable and unable to reach target receptors
💡 Let's make it a salt!
🤔 But which one?

⚠️ Available Norepineprhine salts has different #dilution
⚠️ Sometimes with misleading #labeling Image