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El Dr Del Pueblo
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El Dr Del Pueblo
@RIRF18
Todo es pozole en esta birria // Anestesiología
mx Katılım Nisan 2011
414 Takip Edilen553 Takipçiler
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We are recruiting into "The I hate TRAMADOL Club". Read ahead and consider if you are willing to join!
It has two Mechanism of actions,
-reuptake inhibition of serotonergic and norepinephrine systems (predominant)
-mu opioid receptor agonism
Drugs it can potentially interact with and result in a Subacute/Chronic, mild to severe Serotinergic crisis:
-SNRIs/ SSRIs, too obvious
-Antipsychotics
-Anticonvulsant
-TCAs
-Triptans
-Parkinsonism drugs
-MAO inhibitors
-Cold and cough medication with Dextromethorphan!!
It's a good drug when you know the patient profile. But in the hands of an Over-the-counter drug dispensing uncle, it's a catastrophe awaited!
What's likeable about this drug:
-Provides moderate analgesic affects
-Anti shivering in the postoperative period, 50mg slow IV
-A good adjust to Peripheral and Neuraxial blockade
-Suitable for intraarticular administration for analgesia
-Time dependent bactericidal activity, against S. Aureus, E. Coli, P. Aeruginosa !!
So, to be more coherent, it's a "I hate TRAMADOL in the hands of unknown" club. Join us!
#analgesia
#opiods
Ashwin Rajenesh MD@ashwinrajenesh
@DavidJuurlink Tramadol has got to be the molecule with the most confusing and chimeric action and adverse effect profile.
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@drsthanus You don’t become an expert by reading about ultrasound
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A common mistake in hip MSK ultrasound:
Confusing psoas and iliacus.
Thick tendon + small medial muscle → Psoas
Large muscle + thin deep tendon → Iliacus
Anatomy precision = diagnostic precision.
#MSKUltrasound #HipUltrasound #Mskfreak
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Manejo perioperatorio de vasopresores en pacientes sometidos a cirugia no cardiaca.
Anesthesiology 2026; 144:670–82.
DOI: 10.1097/ALN.0000000000005820
#anesthesia #anestesia #surgery #cirugia #pressure #quirofano #perioperative #urgency #health #salud




Oaxaca de Juárez, Oaxaca 🇲🇽 Español
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🎯 A Simple Block, A Big Difference
Modified PECS II block improves anterior shoulder analgesia in RA-only arthroscopy: pain 56%→7%, sedation 56%→7%, complete RA 44%→93%. A simple addition to enhance patient comfort.
🔗 doi.org/10.1136/rapm-2…
#RAPM

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Proposal of a Route Map for Cervical Spinal
Ultrasonography: A Simple and Clear Learning Tool
for Beginners
FREE PDF
researchgate.net/publication/37…




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Physician use of AI nearly doubled in a year.
Today we launched OpenAI for Healthcare, a HIPAA-ready way for healthcare organizations to deliver more consistent, high-quality care to patients.
Now live at AdventHealth, Baylor Scott & White, UCSF, Cedars-Sinai, HCA, Memorial Sloan Kettering, and many more. openai.com/index/openai-f…
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