🎁5 reasons to continue your patient's #buprenorphine perioperatively!🎁
1) Turns out bup is a great analgesic, and is actually unlikely to have a ceiling dose for analgesia. Abruptly stopping someone's basal analgesic + inflicting painful stimulus = poor postop pain control!
Ortho rounds last Wednesday- "angry/drug-seeking patient refusing PT" and had just "fired his RN for not caring about his pain."
A (somewhat verbose) patient interaction story + clinical pearls about opioid metabolism: 1/n ncbi.nlm.nih.gov/pmc/articles/P…
POD1 elective TKA-
Surgeon: How is everything going?
Patient (visibly tense, tearful, diaphoretic): Terrible!! This is the worst experience of my LIFE- I have been in so much pain and nobody cares enough to even try to help me!
2/n
Jan 2, 2020 • 19 tweets • 6 min read
Just read a uniquely eloquent perspective that should inform volume resuscitation, especially in septic patients.
Allow me to discuss some key points in my first #tweetorial.
doi: 10.1111/AAS.13533 onlinelibrary.wiley.com/doi/abs/10.111…
First, which of these most closely resembles what you currently feel is the ideal DOSE and RATE of initial crystalloid fluids in #septic shock?
