alok srivastava

So, while there are almost no studies evaluating the impact of gowns during spinals, 78% concluded they aren’t important. Meanwhile, there are zero studies evaluating the impact of of headwear during spinals but 81% concluded they ARE important. This doesn’t feel like science.

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.