Ary Rodríguez

¿Acaso es Navidad? Nuevas guías Surviving Sepsis 2026, tanto adultos como niños. Lectura obligada para los profesionales de la salud 🔥🔥🔥🔥 Acceso gratuito. Referencia: sccm.org/survivingsepsi…

⚡️Tips to improve lift for resection⚡️ AGA update on lifting agents: doi.org/10.1016/j.cgh.… 1. SSLs: No injection if margins are visible or < 20 mm 2. 10-30 mm lesions: central injection 3. Dominant lesions: start from accessible region 4. >30: inject, cut, repeat Agents:Fig

JSES IllustCon 113 📌Omental Patch: How Should We Fix It? Key Points in Suture Design 📝Laparoscopic Omental Patch Repair 🖊MK7 #JSESイラストコンテスト　#JSES_illustration_contest

Surgical anatomy teaching using custom made models constructed by our @Uniandes @MediUniandes @FSFB_Salud med students! Gamification of surgical education! @TomVargheseJr @AmCollSurgeons @SWexner @pferrada1

¡Esto es increíble! Esta máquina es capaz de limpiar 100 millones de kg de residuos plásticos marinos y, hasta 2025, había recolectado unos 500.000 kg de plástico. El objetivo es eliminar el 90 % del plástico marino para 2040.

⚡🦠 𝗦𝗵𝗼𝗰𝗸 𝗦𝗲́𝗽𝘁𝗶𝗰𝗼 — 𝗠𝗮𝗻𝗲𝗷𝗼 𝗛𝗲𝗺𝗼𝗱𝗶𝗻𝗮́𝗺𝗶𝗰𝗼 ⬇️⬇️⬇️⬇️ 🚨 𝙁𝙖𝙨𝙚 𝙞𝙣𝙞𝙘𝙞𝙖𝙡 💧 Cristaloides balanceados hasta 30 ml/kg ⚡ 𝙉𝙤𝙧𝙚𝙥𝙞𝙣𝙚𝙛𝙧𝙞𝙣𝙖 𝙥𝙧𝙚𝙘𝙤𝙯 (incluso periférica) 🎯 Iniciar antes si shock profundo 🔄 𝙁𝙖𝙨𝙚 𝙙𝙚 𝙤𝙥𝙩𝙞𝙢𝙞𝙯𝙖𝙘𝙞𝙤́𝙣 💧 Fluidos guiados por 𝙧𝙚𝙨𝙥𝙪𝙚𝙨𝙩𝙖 🫀 Eco para perfusión / disfunción ⚡ NE → objetivo 𝙋𝘼𝙈 ≥𝟲𝟱 𝙢𝙢𝙃𝙜 💪 𝘿𝙤𝙗𝙪𝙩𝙖𝙢𝙞𝙣𝙖 si bajo gasto 🧨 𝙎𝙝𝙤𝙘𝙠 𝙧𝙚𝙛𝙧𝙖𝙘𝙩𝙖𝙧𝙞𝙤 ⚡ ↑ Norepinefrina ➕ 𝙑𝙖𝙨𝙤𝙥𝙧𝙚𝙨𝙞𝙣𝙖 ➕ 𝙃𝙞𝙙𝙧𝙤𝙘𝙤𝙧𝙩𝙞𝙨𝙤𝙣𝙖 ➕ 𝘼𝙣𝙜𝙞𝙤𝙩𝙚𝙣𝙨𝙞𝙣𝙖 𝙄𝙄 (si disponible) ⚖️ 𝘾𝙡𝙖𝙫𝙚 𝙘𝙡𝙞́𝙣𝙞𝙘𝙖 💡 No es solo “dar líquidos” → es 𝙧𝙚𝙖𝙣𝙞𝙢𝙖𝙘𝙞𝙤́𝙣 𝙜𝙪𝙞𝙖𝙙𝙖 𝙮 𝙙𝙞𝙣𝙖́𝙢𝙞𝙘𝙖 ‼️Si te sirve: ❤️ Me gusta | 🔁 Repost | ➕ Follow para más #MedED en #ClubCrit 😄🧠🫶 👇🏼👇🏼👇🏼👇🏼 📚📖#ClubCrit #ShockSeptico #CritCare #UCI #ICU #CriticalCare #Diagnóstico #icu #intensivecare #diagnosis #management #POCUS #VExUS #MedicinaBasadaEnEvidencia #Terapia #MedEd #Medicina #FOAMed #FOAMcc #CuidadoCrítico #MedX #EducaciónMédica #MedIntensiva #MedXCommunity #MedicinaCrítica #MedED #CritCare #ICUManagement #MustRead #LecturaRecomendada

Exercise timing and circadian regulation of metabolism in type 2 diabetes cell.com/trends/endocri…

Anaphylaxis and perioperative drug reactions ➡️ doi.org/10.1093/bjs/zn… 🚨 Perioperative anaphylaxis is a rare but life-threatening complication of anaesthesia, occurring in 1:3,000–1:20,000 anaesthetics with a mortality of ~4%, and is often hard to recognize in the operating theatre 💉 The most common triggers are antibiotics (~47%), neuromuscular blocking agents (~33%), chlorhexidine, dyes, and less commonly latex, with geographical variation in causes 🫀 Presentation is abrupt, typically with severe hypotension, bronchospasm, cardiovascular collapse, and few visible skin signs, making rapid diagnosis challenging ⚡ Adrenaline (epinephrine) is the first-line, life-saving treatment, alongside airway support, high-flow oxygen, and aggressive IV fluids—delays worsen outcomes 📋 Post-event allergy investigation, clear documentation, and multidisciplinary planning are essential to identify triggers and prevent recurrence in future surgeries Work by Panu Uusalo and Ronja Kuuskoski #SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos @SEIQuirurgica @iss_sic #MedicalTechniques @BJSAcademy @young_bjs @BJSOpen @evanscolorectal @robhinchliffe1 @bplwijn @MalinASund @nfmkok @TejedorPat @paulo_sutt @PVaughanShaw @JJEarnshaw @juliomayol @ksoreide #some4hpb #some4tpl @DPCG_official @pancreatitis_nl @PancreasClub #PancreasClub2023 #PancreaticCancer #Pancreatitis #HCC @PanCAN #PanCANawareness @EurPancClub @P_C_E_ @dice_europe #PancreaticCancer #cholangiocarcinoma #colorectalsurgery #StepUp4CRC @FightCRC @ACPGBI #ERAS @dice_europe #Crohn #proctology @Dukes_Club @ACPGBI_EduTrain @AECP_FAECP @PelvExGroup @escp_tweets @YouESCP #TeachMeColoproctology #Some4COLoprocto

In patients with unresectable locally advanced pancreatic cancer, sarcopenia development is a key prognostic indicator.📈 This study found that patients without clinical lymph node metastasis, smaller 6-month tumor size, and stable muscle mass benefit most from conversion surgery, showing significantly improved overall survival.👍 #SoMe4Surgery #SoMe4HPB #AGSurg @JSHBPS onlinelibrary.wiley.com/doi/10.1002/ag…

Editor’s Choice: Endoscopic eradication therapy with multifocal cryoballoon ablation for Barrett esophagus-related neoplasia Find the article at: doi.org/10.1055/a-2710… Charlotte N. Frederiks et al. @ESGE_news

Tiny crystals 💍. Big inflammation 🔥. Human biopsies ✅ Macrophage data ✅ Mouse model ✅ A mechanistic breakthrough for a poorly understood condition. @my_ueg @UEGJournal @JuliaMayerle @SimonSirtl 👏👏 📄 doi.org/10.1002/ueg2.7…

You're clipping a Mallory-Weiss tear. Where do you place the first clip? Most endoscopists start proximally — closest to the scope. Seems intuitive. But there's a better approach: place the first clip distally (furthest from the scope). Then work proximally. Why this matters: Starting distally gives you an unobstructed view for precise placement. If you start proximally, the first clip blocks your view of the distal end and makes subsequent clips harder to position. The result: a stable V- or Y-shaped closure pattern that provides secure hemostasis. This simple change in clip sequence — distal to proximal — turns a frustrating clip job into a clean, reproducible closure. From The EndoCollab Guide for GI Bleeding By @theendoscopist

Gastric NETs — Type I, II, or III? Classification drives management. Our latest mini-review covers the endoscopic features, WHO grading, and when eFTR gets the job done. endocollab.com/blogs/gi-endos…

A 33 Years old lady with long history of oral contracepative pills use. Developed abdominal pain. What is the diagnsosis ?

Cryoablation for dysplastic Barrett's: new data in Endoscopy. European study (n=107) shows 100% dysplasia eradication in short segments (C≤2, M≤5). Key concern: 13% stricture rate. High efficacy, but safety still matters. 🔗 doi.org/10.1055/a-2710…

Que es lesión renal aguda (AKI) enfermedad renal aguda (AKD) y enfermedad renal crónica (CKD) ? Es importante esta nomenclatura? Abro hilo 🧵

Infrarenal aortic neck section and endarterectomy 💥⤵️🔪! How to do it 🩸! @TomVargheseJr @AmCollSurgeons @pferrada1 @SWexner @CiruAndes2

American Society for Gastrointestinal Endoscopy consensus recommendations on the endoscopic management of eosinophilic esophagitis―part 2 sciencedirect.com/science/articl…

Quiz This 55-year old patient underwent retrograde double balloon enteorscopy for recurrent "lower" gastrointestinal bleeding (hematochezia) & was found to have this in the ileum, about 80 cm proximal from the ileocecal valve. What is your diagnosis? Reply below for the answer

The best gift before Eid when your colleague asks for the maximal length of the vessels. #donornephrectomy #multiplevessels #kidneytransplant Happy Eid for all