I attended a 6-hour brain surgery today as an anaesthesia resident. As the neurosurgeons opened the skull with a saw and operated for 6 hours, the patient lost about 1 litre of blood (humans have only around 5 litres total). To maintain blood volume and pressure, we administered 4 units of packed red blood cells, 3 units of fresh frozen plasma, 4 units of Ringer’s lactate, 2 units of Plasmalyte, and 1 unit of hydroxyethyl starch. That’s about 6 litres of fluid in a 6-hour surgery. Anaesthesiologists are no less important than surgeons.

@TheKoshurDoc Why do anaesthesiologists feel the need to assert themselves this way? We get it You do important work

@aditya_gan3500 @TheKoshurDoc I agree somewhat sir, but nothing wrong with advertising urself imo sir Every other Surgeon, Physician, specialist does it all the time, In fact way more than Anaesthetists Be it Liver doc, Pulmo doc, Gen med, be it NeuroSx peeps, all have some self advert via several cases imo

@devastatingkill @TheKoshurDoc Nobody does it so aggressively

@aditya_gan3500 @TheKoshurDoc That part is something I agree with Self advert needs to be subtle, more subtle it is, ironically more impact it may deliver But an art which is already very subtle to it's core, might benefit more from aggressive highlights rather than subtle sparks imo