iiinova — where your digital self keeps evolving

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 ☃️❄️🌲🎄

3213

Reposted by Chris Prabhakar

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

317245

Reposted by Chris Prabhakar

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 !!!

2143

Reposted by Chris Prabhakar

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

26230

Chris Prabhakar @chrisprabhakar.bsky.social · 13/12/2024

Interesting, Jon! If I read this correctly, ESP is no better than control. SAPB has the unenviable position of being likely worse than the control group! ICBs, PVBs, and TEAs for the win! The authors seem to go silent in the discussion and conclusions re: ESP, not sure why.

140

Reposted by Chris Prabhakar

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

164

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

087

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

1267

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??

10233

Reposted by Chris Prabhakar

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

064

Reposted by Chris Prabhakar

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...

483

Reposted by Chris Prabhakar

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

1124

Reposted by Chris Prabhakar

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

2184

Reposted by Chris Prabhakar

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.

262

Chris Prabhakar @chrisprabhakar.bsky.social · 04/12/2024

If only mine always unzippered like that! For me, it's more like expanding the deeper muscle, then the superficial one, then losing the plane entirely in various pockets of local!

230

Reposted by Chris Prabhakar

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

5315

Reposted by Chris Prabhakar

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

6112

Chris Prabhakar @chrisprabhakar.bsky.social · 04/12/2024

I thought anesthesia was simply the induction of a state of insensibility (to surgical stimulus). This would fit for all forms of anesthesia. While Wendell Holmes, in his letter to Morton, was describing ether general anesthesia, it fits nicely for local-regional as well.

100

Reposted by Chris Prabhakar

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

710842

Reposted by Chris Prabhakar

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...

2395

Chris Prabhakar @chrisprabhakar.bsky.social · 27/11/2024

I would agree. In fact, I think it may be more important for training colleagues or other practicing MDs who might not have as close supervision for as long, compared to our residents.

120

Chris Prabhakar @chrisprabhakar.bsky.social · 27/11/2024

Interesting survey, Jon! Do you think RA simulation should be mandated in the curriculum?

100

Reposted by Chris Prabhakar

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

2112

Reposted by Chris Prabhakar

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

3133

Chris Prabhakar @chrisprabhakar.bsky.social · 19/11/2024

My colleague Michael Jew has brought cryo to our shop. Main use has been intercostals for rib fractures, and it has been a game changer! I'm sure this will spread. See the bottom of the listed page for a short synopsis of his innovation project: search.app?link=https%3...

search.app

Funding for New Clinical Innovation Projects Deadline June 28 | PHC Med Staff

Providence staff and clinicians have received funding for four new projects that will help detect cardiac arrest, improve pain management, reduce readmissions after heart failure, and improve clinicia...

021

Reposted by Chris Prabhakar

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

032

Chris Prabhakar @chrisprabhakar.bsky.social · 17/11/2024

No worries! Actually this was the regional anesthesia observership we held at St. Paul’s Hospital on the Friday.

120

Reposted by Chris Prabhakar

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

53714

Chris Prabhakar @chrisprabhakar.bsky.social · 17/11/2024

We just trained 5 FPA docs from across rural BC in ESP blocks for rib fractures two days ago as part of the UBC FPA refresher. It's likely a great option for the MD who does occasion blocks in the ED or OR.

132

Reposted by Chris Prabhakar

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

051