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Chris Prabhakar

@chrisprabhakar.bsky.social
434 followers 319 following 10 posts

Hi, I'm a Canadian Anesthesiologist. Interests in Regional Anesthesia, Perioperative Medicine, Resident and Fellow Education. Looking forward to the discussion!

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Reposted by Chris Prabhakar
𝐑𝐚𝐥𝐩𝐡 𝐌𝐨𝐡𝐭𝐲 𝐌𝐃 𝐌𝐏𝐇 @rmohty.bsky.social · 19/12/2024
Happy Holidays from one of the incredible sonographers who created this masterpiece ☃️❄️🌲🎄
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Julia Haber, MD @drjuliahaber.bsky.social · 15/11/2024
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Ali Christy, MD, PhD @oligoclonalband.medsky.social · 17/12/2024
Elizabeth Garrett Anderson (1836-1917), 1st female dean of a British med school, and 1st female mayor in Britain, pretended to be rich during med school (in Paris, 1870) so admin would think she'd be able to sue if they suddenly said women couldn't be doctors 1/10
An oil painting of Elizabeth Garrett Anderson in the 1860s
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Robbie Erskine @drrobbieerskine.bsky.social · 16/12/2024
Here’s one of my essentials for a Femoral Triangle Block…and it never gets stolen by anyone else !!!
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Katie Wiskar @katiewiskar.bsky.social · 16/12/2024
1/ Time for another #POCUS pitfalls thread: the infamous IVC 🤩 I have MANY thoughts on the IVC 💭 When I first started teaching POCUS, I actually disliked the IVC because it was often poorly done or incorrectly interpreted ❌ I have now come to love the IVC, BUT you have to do it right! #emimcc
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Jon Bailey 🇨🇦🏄‍♂️🌊 @son-of-caine.bsky.social · 13/12/2024
VATS procedures: TEA, PVB, ESP, and SAPB ⬇️ CPSP at 2-3 and 6 months vs control No differences TEA, PVB, and ESP but SAPB less reduction of CPSP pubmed.ncbi.nlm.nih.gov/39240480/ @garrettsbarry.bsky.social @chrisprabhakar.bsky.social @ropivacaine.bsky.social @dr-amit-pawa.bsky.social
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Reposted by Chris Prabhakar
Anaesthesia @anaesjournal.bsky.social · 13/12/2024
This is a heatmap of topics identified in 6 research prioritisation studies relevant to regional anaesthesia. Important themes were on the role of RA in: • ⬇️ chronic postsurgical pain • improving postop recovery • benefit in specific patient groups #RASky #AnSky #MedSky buff.ly/49zVeBD
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Reposted by Chris Prabhakar
Amit Pawa @dr-amit-pawa.bsky.social · 12/12/2024
When I teach Axillary Brachial plexus blocks I often talk about the relatively common variation where the musculocutaneous nerve has “Late take off”. Here is a post-block example where you see median, ulnar, radial, MCN & MABCN #RAsky #AnSky #POCUSky
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Reposted by Chris Prabhakar
Robbie Erskine @drrobbieerskine.bsky.social · 10/12/2024
Anaesthetists: Is it just me or does everyone think is a little strange that anaesthetists have to take significant amount of time snapping open glass ampoules, needling vials etc and drawing up the contents, risk/time/tasks. Maybe more drugs should be readily available in prefilled syringes??
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Journal of Clinical Anesthesia @j-clin-anesth.bsky.social · 10/12/2024
In this new randomized trial of 126 patients having laparoscopic cholecystectomy, intravenous lidocaine provided a non-inferior quality of recovery compared to erector spinae plane block. Either approach was superior to placebo. #RegionalAnesthesia #AnSky 🔗 doi.org/10.1016/j.jclinane.2024.111528
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Amit Pawa @dr-amit-pawa.bsky.social · 10/12/2024
For Laparoscopic Abdominal surgery- are you performing blocks? If so which? This study in RAPM compared TAP to Lateral QLB and noted a difference in dermatomal loss of sensation, but not analgesia. I’d love to see an arm with Anterior QLB. Thoughts? #RAsky #AnSky rapm.bmj.com/content/rapm...
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doctimcook.bsky.social @doctimcook.bsky.social · 04/12/2024
Delighted that Ben Dallyn from @RUHBath won the 1st prize for oral presentation @dasairway He presented A MANIKIN STUDY OF STYLETS & BOUGIES (static & dynamic)….. 1/4
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Jon Bailey 🇨🇦🏄‍♂️🌊 @son-of-caine.bsky.social · 04/12/2024
Finally a case I can talk about in detail... my own! I got a ACL reconstruction with patellar bone-tendon-bone graft, microfractures, and intraarticular hydrogel. Single shot adductor and superolateral geniculate blocks. Worked great and lasted 16 hours! www.youtube.com/watch?v=DGv0...
youtube.com
Ultrasound Guided Genicular Blocks (2024 update!)
YouTube video by Regional Anesthesiology and Acute Pain Medicine
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Greg Bryson @glbryson.bsky.social · 28/11/2024
IV lidocaine given intraop and for 6-12h postop failed to influence gut motility, analgesia, quality of recovery, or time to discharge following laparoscopic colectomy.
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Amit Pawa @dr-amit-pawa.bsky.social · 04/12/2024
That feeling when you see “unzippering” like this! #SIFI #IYKYK #RAsky #AnSky with patient consent
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doctimcook.bsky.social @doctimcook.bsky.social · 03/12/2024
t’s interesting how people define anaesthesia I ask every new resident what anaesthesia is. When they offer me a triad of -Unconsciousness -Muscle relaxation -Analgesia I give them 1 out of 3 Why is that? Am I right?
media.tenor.com
a close up of a man 's face with a jacket that says ' a ' on it
ALT: a close up of a man 's face with a jacket that says ' a ' on it
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Katie Wiskar @katiewiskar.bsky.social · 03/12/2024
1/ I love love LOVE scanning the heart 😍, but when it comes to bang for your buck for ultrasound novices, lung ultrasound is such a winner 🏆 It's time for another #POCUS basics #skeetorial 🧵 Let's talk about common pitfalls in #LungUltrasound and how to correct these ✔️ #emimcc
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Vishal Uppal @ropivacaine.bsky.social · 02/12/2024
Engage and learn from the top-tier faculty at the #ASRASpring25 #ASRA50! 🌟 Here’s a glimpse of who you can expect: @emarianomd.bsky.social @dr-rajgupta.bsky.social @son-of-caine.bsky.social @maggieholtzmd.bsky.social @drstugrant.bsky.social @siva6face.bsky.social @chrisprabhakar.bsky.social & more..
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Jon Bailey 🇨🇦🏄‍♂️🌊 @son-of-caine.bsky.social · 01/12/2024
There are two microG analogues: - Underwater - Parabolic flight Each have challenges… 🧵 1/5 @Garrettsbarry.bsky.social @Chrisprabhakar.bsky.social @brettelmore.bsky.social @lloydturbitt.bsky.social @ropivacaine.bsky.social @danwerry.bsky.social @andrewjarvey.bsky.social
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Siva Arumugam @siva6face.bsky.social · 28/11/2024
Save the date 🗓️- largest #regionalanesthesia meeting #ASRASPRING25 #ASRA50 #RAsky #Ansky ⭐️ Lectures ⭐️ Workshops #POCUS ⭐️ Networking @emarianomd.bsky.social @ropivacaine.bsky.social @dr-rajgupta.bsky.social @jeffgadsden.bsky.social @dr-amit-pawa.bsky.social @rosiehogg.bsky.social
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Jane Philpott @janephilpott.bsky.social · 28/11/2024
Tomorrow is my last day as dean Queen's Health Sciences & CEO SEAMO. As a parting gift, I'm donating honoraria I've received this year & using the seed funds to launch the Jane Philpott Primary Care Fund to support research & innovation in primary health care. healthsci.queensu.ca/stories/feat...
healthsci.queensu.ca
Introducing the Jane Philpott Primary Care Fund
They say all endings are really new beginnings. As the Queen’s community prepares to say farewell to Jane Philpott, she is leaving a parting gift that will have a lasting impact long after her time at...
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Jon Bailey 🇨🇦🏄‍♂️🌊 @son-of-caine.bsky.social · 20/11/2024
We used this meat model in our simulated microgravity study! Summary: Nerve blocks can feasibly be performed while floating in microgravity! doi.org/10.1016/j.bj... @maggieholtzmd.bsky.social @amepearson.bsky.social @chrisprabhakar.bsky.social @brettelmore.bsky.social @lloydturbitt.bsky.social
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Jon Bailey 🇨🇦🏄‍♂️🌊 @son-of-caine.bsky.social · 22/11/2024
Only 5 programs (33%) mandated simulation-based UGRA in their curriculum in Canada. Inconsistent inclusion and modalities of simulation for UGRA in general. doi.org/10.1007/s126... @garrettsbarry.bsky.social @chrisprabhakar.bsky.social @lloydturbitt.bsky.social @ropivacaine.bsky.social
doi.org
Simulation-based ultrasound-guided regional anesthesia education: a national survey of Canadian anesthesiology residency training programs - Canadian Journal of Anesthesia/Journal canadien d'anesthési...
Purpose Simulation-based education in ultrasound-guided regional anesthesia (UGRA) improves knowledge, skills, and patient outcomes. Nevertheless, it is not known how simulation-based UGRA education i...
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Jon Bailey 🇨🇦🏄‍♂️🌊 @son-of-caine.bsky.social · 23/11/2024
Randomness: Taught my 9yo daughter how to place a nerve block catheter last night using a ballistics gel model. @Garrettsbarry.bsky.social @Chrisprabhakar.bsky.social @ropivacaine.bsky.social
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Amit Pawa @dr-amit-pawa.bsky.social · 18/11/2024
I recently attended the @rauk.bsky.social -Belgian Association of Regional Anaesthesia meeting in Bruges At that meeting I took part in a Pro-Con Debate about whether we need Journals to find evidence against Prof Marc Van De Velde This was fun - here is my take! #AnSky youtu.be/9k4j5tfg7os?...
youtu.be
Do We Still Need Journals to Find Evidence
YouTube video by Dr Amit Pawa
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Jon Bailey 🇨🇦🏄‍♂️🌊 @son-of-caine.bsky.social · 18/11/2024
Dye injected into meat models had a high rate of sensitivity (95%) and specificity (85%) when determining the accuracy of a simulated block. How would you use this? doi.org/10.1097/sih.... @Drnavbahal.bsky.social @Maggieholtzmd.bsky.social @Amepearson.bsky.social @Chrisprabhakar.bsky.social
doi.org
Discriminative Ability of Dye Injected Into a Meat Model to ... : Simulation in Healthcare
of this study was to establish the discriminative ability of dye injected into a meat model to determine whether injectate is properly placed in the perineural (PN) space, thus providing an additional...
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Amit Pawa @dr-amit-pawa.bsky.social · 17/11/2024
As we continue with Plan A Blocks, it’s time for the most controversial of all! The Erector Spinae Plane Block! Love it or Loathe it, it’s popular! Chest wall Analgesia & Abdominal Analgesia I made two videos, one was more popular than the other #RASky #AnSky youtu.be/HWei4RNv6OA?...
youtu.be
Erector Spine Plane (ESP) block - Live Demo
YouTube video by Dr Amit Pawa
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Dr Paul Mackey @auscandoc.bsky.social · 17/11/2024
www.cbc.ca/news/canada/first-person… “I'm a rural emergency room doctor — and I feel the need to publicly apologize. “ My friend and colleague Dr Giles speaks truly for us all. #RuralHealthCare
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