nicolaibangfoss.bsky.social
Anaesthesia. Research in perioperative medicine, haemodynamics. Denmark. Here for medical talk and the state of the world.
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The large cohort studies on elderly comparing NSAID versus opiates for arthrosis show better outcome on NSAID.
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This is also an interesting approach if we look at the supply side www.sciencedirect.com/science/arti...
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It is old school physiology to view lactate as a problem in hypoperfusion. Lactate is a substrate. pmc.ncbi.nlm.nih.gov/articles/PMC...
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No f..king way. It would be like attending the 1936 Olympics.
AnSky#
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70 artillery systems..... New record?
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Anyone using TCI to deliver anaesthesia does not understand the most basic principles of anesthesia 😁😂
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O honestly don't see why not. In Denmark it is slowly becoming how you do it, we don't see increased complications. There are obvious problems both with NMB and reversal agents, so equipoise should demonstrate better outcome with NMB
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Sorry but that is misguided, both in praxis and latest science. Reasons are simplicity, awareness and anaphylaxis avoidance. Remi has deep sympatholytic and therefore relaxant properties in the right dose. associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/...
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I guess it's really good for teaching. After VL getting the tube in just does not seem to be a big deal, the major issue is in bleeding/aspiration - how do you cope
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I normally stay above 5 mcg/kg Remi bolus unless I am very concerned about haemodynamics. Reduce propofol if the patient is frail
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Never really thought about it, I just point at the small screen. Your setup is probably better for teaching of more than one, but I honestly never felt I missed it
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Well I like The white Lotus, but apart from tv shows what do you mean?
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Hmm, never found it problematic - I always put it the VL on sideways and twist. That setup looks..... Well airways are just not a big deal after VL, but I guess people still need to invent😂
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Propofol and Remi - paralyzation is for those that do amnesia instead of anaesthesia 😁
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Oh by the way, I use NMB for less than 1% of intubations
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I use McGrath for everything, What's wrong with it?
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It would be like buying a flight to the Olympics in Berlin.....
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As I recall, the russian economy would implode below 65 USD a barrel!?
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Volatiles are such an expensive way of making the patients vomit....
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Nothing ever works in Belgium - with the exception of cycling
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Well that's what you are doing when you are identifying "fluid responsiveness" - you see the patient responds to preload, but you have no idea whether fluid will be beneficial....