Discover and read the best of Twitter Threads about #Anesthesiology
Most recents (13)
The Cuban Medical System is one of the best in the world.
Medical attention is free for any Cuban citizen.
In fact, Cuba has a Higher life expectancy than the United States.
This is my final year of Medical School in Havana, Cuba and this is what I’ve learned
1/ 🧵
Medical attention is free for any Cuban citizen.
In fact, Cuba has a Higher life expectancy than the United States.
This is my final year of Medical School in Havana, Cuba and this is what I’ve learned
1/ 🧵
Medical supplies such as medications, IV catheters, syringes and ventilators are extremely scarce in Cuba due to the U.S. Embargo.
The U.S. dominates the Medical Field all over the world.
It owns more than 50% of all medication & material patents in the world.
2/
The U.S. dominates the Medical Field all over the world.
It owns more than 50% of all medication & material patents in the world.
2/
Due to the fact that most of the worlds medical supplies are owned or patented by the U.S.
Cuba is unable to purchase from any 3rd party seller or company that has at least 10% U.S patent integrated in their supplies.
That is basically no one in the world!!
3/
Cuba is unable to purchase from any 3rd party seller or company that has at least 10% U.S patent integrated in their supplies.
That is basically no one in the world!!
3/
Great Visiting Professor talk by @Dolores_McKeen (as part of our annual @OttAnesthesia Gary Johnson Research Day)! #PatientEngagement Dr. McKeen led a @LindAlliance partnership priority setting exercise to identify the top 10 research priorities in #anesthesiology A🧵
Bringing the patient voice into healthcare and research is so important...but how do we do it in a less patient/public facing specialty like #anesthesiology? Part of the answer is to co-produce a list of priorities (click to see the whole graphic)...@CAR_PSP
As a specialty, the onus is now on us to make research teams (inclusive of #PatientPartners) to tackle these priorities.
A (LONG) thread for patients with #mecfs #longcovid expecting surgery and the #surgeons #anesthesiologists #crnas and #pacunurses caring for them. I'll share my recent perioperative experience. This is neither comprehensive nor medical advice, but I hope it helps. (0)
1. Recovery was a bitch. I've had general anesthetics before, even in the same organ system. This was not the same body undergoing #anesthesia.
2. Set Expectations: Physicians
Expect long lists of meds, allergies, requests, and questions. Listen to and engage with your patient. They may educate you. Anticipate a potentially prolonged and complicated recovery. This is not a fast-track. Respectfully, don't be a Dick.
Expect long lists of meds, allergies, requests, and questions. Listen to and engage with your patient. They may educate you. Anticipate a potentially prolonged and complicated recovery. This is not a fast-track. Respectfully, don't be a Dick.
Thank you for joining me today to learn about how TEG6S can be utilized within #Anesthesiology. Let's recap on some of the topics that we learned such as specimen collection and transportation, test components, interpretations and more.
👇🏽Follow the #tweetorial below.
👇🏽Follow the #tweetorial below.
First, we reviewed concepts of hemostasis.
Imagine that you cut your hand on a sharp piece of glass, ouch😲
After vasoconstriction, endothelial injury leads to PLT adhesion & aggregation --> the PLT plug.
Release of tissue factor activates coagulation cascade -->fibrin clot
Imagine that you cut your hand on a sharp piece of glass, ouch😲
After vasoconstriction, endothelial injury leads to PLT adhesion & aggregation --> the PLT plug.
Release of tissue factor activates coagulation cascade -->fibrin clot
Although we learn these pathways as if they happen sequentially, they are really happening simultaneously. 🔄Platelets are activated by thrombin formation, thrombin formation is activated by platelets.
⁉️What are the traditional coag labs?
⁉️What are the traditional coag labs?
This gentle man is Sir William Osler.. He has frequently been described as the “Father of Modern Medicine” and one of the "greatest diagnosticians ever to wield a stethoscope". What did he hv to say about #India ? @sanjeevsanyal @vipintukur @naveenthacker @EricTopol @mvankerkhove
His fascination for #India, The land of #Vishnu had no bounds..!! At each & every intellectual commentary he mentions about his interest in the values #India was known for @ProfSomashekhar @iapindia @IndianMedicalAs @MoHFW_INDIA @VirusesImmunity
In one of his essays; “Of India, of "Vishnu-land," what can one say in a few minutes? To the Hindoos we owe a debt which we can at any rate acknowledge; and even in medicine, many of our traditions and practices may be traced to them”. @drharshvardhan @PMOIndia @BharadwajSpeaks
ATTN #CBD stakeholders: @US_FDA today holding scientific conf. on CBD/other #cannabinoids. I'll be live tweeting throughout. Not sure we'll get much insight on immediate path forward for consumer products but I'll share noteworthy observations. Agenda: bit.ly/3pHXU8V
I'll be paying particular attention to @DrAbernethyFDA's remarks at 9:05a (head of #FDA's #CBD Policy Working Group) and @DThrockmortonMD's keynote at 9:15a (one of Agency's principals for regulating R&D, manufacture & marketing of #cannabis & cannabis-derived #drug products).
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
Women in Anesthesiology Statement on Racism in America
Women in Anesthesiology is an independent anesthesiology organization consisting of women of every color. Injustice felt by one of us is felt by all of us.
Women in Anesthesiology is an independent anesthesiology organization consisting of women of every color. Injustice felt by one of us is felt by all of us.
We recognize that our specialty of anesthesiology is not immune to the inequalities experienced by the black community. We recognize that pregnant black women are less likely to receive a labor epidural or to receive the preferred anesthetic for cesarean delivery.
We recognize that black children are less likely to have a parent present at induction of anesthesia or to receive antianxiety medications before surgery. We recognize that black children and adults sometimes receive inferior pain management.
I put a photo thread together to describe the themes that emerged during a 34 hours-long stent in the hospital I just completed. 1/
Loneliness.
During my residency at @MGHMedicine I started a habit of taking a break by walking the halls late at night when on call. My hospital is noticeably more empty at night in the non-patient care areas. I enjoy the casual encounters that take place here. It was lonely. 2/
During my residency at @MGHMedicine I started a habit of taking a break by walking the halls late at night when on call. My hospital is noticeably more empty at night in the non-patient care areas. I enjoy the casual encounters that take place here. It was lonely. 2/
“I don’t know.”
The loneliness in the hallways reflects the isolation you feel as an attending managing #COVID19 pts. Past medschool, I’ve never spent so much time saying, “I don’t know.” We’re still learning about this disease. It feels like you’re in a black box at times. 3/
The loneliness in the hallways reflects the isolation you feel as an attending managing #COVID19 pts. Past medschool, I’ve never spent so much time saying, “I don’t know.” We’re still learning about this disease. It feels like you’re in a black box at times. 3/
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
-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
- 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
I was on panel of 3🚹&2🚺 introducing med students to #anesthesiology.All 🚹 said they liked the career bc they could modify their schedule (in some way) to be around for kids/spouse. Neither 🚺 (including me) mentioned this as a “pro.” Thoughts? @womenMDinanesth @RUBraveEnough
❤️these comments. Everything mentioned was what went through my head. I have certain flexibility in academics, but in other ways no flexibility (early mornings, surgeons, add ons, etc). I wouldn’t pitch anesthesia as a “lifestyle” specialty, although people do, but was happy..
To hear my male colleagues discussing the importance of their families to impressionable students. 🤞for this indicates a culture change?
Reviewing residency apps tonight. Fun to read letters of recommendation from my @Twitter friends like @emilysharpe.
However, just read this for a🚺applicant for #Anesthesiology from a Chair of Surgery:
However, just read this for a🚺applicant for #Anesthesiology from a Chair of Surgery:
"She and her fiance are in the couples match and I am interested in her fiance for her our dept."
🚺is AOA & had full scholarship to med school. Very little written about her besides reciting her CV (which is awesome).
😠😡😠😡🗯️😠😡😠😡
@womenMDinanesth
🚺is AOA & had full scholarship to med school. Very little written about her besides reciting her CV (which is awesome).
😠😡😠😡🗯️😠😡😠😡
@womenMDinanesth
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.
