Dr. Naveen Eipe, MD

#CovidandAfter -Work/Travel/Leisure #PPEkit! #COVID19 with #dogsoftwitter and #StayHome

No ice-hockey rinks available, so a nice morning run in Hyde Park with Prime minister @MarkJCarney, Diana and Suzanne.

Does combining IV #dexamethasone + #dexmedetomidine improve analgesia duration after #supraclavicular brachial plexus block? Watch this new video abstract where Professor Albrecht takes us through this triple-blind RCT. Read the article here: bjanaesthesia.org/article/S0007-…

Newer clinicians may not know this or appreciate how important this is : Acidosis, particularly with a pH <7.20 , significantly impairs the effectiveness of vasopressors by reducing vascular reactivity to catecholamines (norepinephrine, epinephrine) and decreasing cardiac contractility. This leads to refractory hypotension and worsened shock. The primary management focus is reversing the underlying cause of acidosis. Bicarbonate will temporize->but you need to get to the route problem. When someone is hypotensive-it’s often or commonly multifactorial. When addressing it - you must pull the appropriate levers. Address each individual contributor. Is the patient on calcium channel blocker, but also now septic ? Consider reversing it with CaCL. Blood pressure is mediated by the tank (volume), the pump (LVEF), heart rate, and vascular tone (peripheral resistance). The reason why zestoretic and entresto are so powerful at treating HTN is they attack 2 of the levers at the same time. You should optimize each lever in treating shock/hypotension. People with profound shock shouldn’t have a HR in the 50s. Treat ALL reversible causes that maybe contributing. Don’t just treat hypotension. It’s a vital sign… when vital signs are abnormal ask yourself why is it abnormal! There is a differential diagnosis. Each pressor pulls each level with different strength. Don’t engage in pharmacological warfare! Avoid dilt drips for afib when the patient is in shock on pressors. @HeartOTXHeartMD @MKIttlesonMD @DrMarthaGulati @kidney_boy Pay attention to the kidneys often they are smarter than you are. IF you notice hourly UOP trending down (less than 30cchr) please make sure the MAP is sufficient and the tank is adequate. Some practicing pearls from the front line.

Look the free update 6.5.43 was published today 😷 Airway Triage App The coffeelovers app for airway enthusiasts Cool new features 📌prehospital trauma airway 📌pacu airway rescue 📌one lung ventilation 📌SGA ventilation failure drill 📌new colour schemes 📌airway ultrasound 📌intubation position Available in the app stores #airwaytriage #airwaymanagement #anaesthesia

Socialism is the theory that if you abolish profit, bread will somehow bake itself out of moral superiority.

Punch family ❤️

Life isn't same for everyone, hang in there Punch..🐈🥺🙏❤️

やられても負けない オランママから やっぱりお兄さん ＃がんばれパンチ #パンチ ＃市川市動植物園 #Punchi #やっぱりパンチはお兄さん #オランママ

Thursday, March 5th: Punch, isolated and seeking shelter, sees adult females protecting their baby cubs. It’s in moments like these that he needs a real mother the most. Punch does his best inner work, showing absolute resilience and enduring his fear. Our little hero, if only he knew all the love we feel for him.

The level of loyalty we should learn from animals 🙌🏼

This thread is all about management of rib fractures. Keen to see what you think and any constructive comments welcome! It starts with an infographic and we'll break it down as we go along with linked resources

This picture won my heart ❤️ For me this is the picture of century.

Little Punch was waiting for his favorite hooman..🐒😊🧒

Behind every photo of Punch with his stuffed toy, there’s someone working quietly to ensure that little monkey is doing well. His name is Kosuke Shikano, and he’s one of his main caregivers. When Punch was abandoned by his mother the day after he was born, Shikano and the zoo team made the decision to raise him by hand. They knew that young primates need something to hold on to, so Shikano chose a stuffed toy from IKEA specifically for its long fur and easy grip. Raising a baby monkey isn’t just about feeding him. Shikano prepares every meal, monitors his growth, and gradually helps him socialize with the troop. Every interaction is done with care so that Punch learns without losing his confidence. Millions see Punch’s adorable photos, but behind them is Shikano, showing up every day, making sure that little monkey isn’t alone.

There is always a good reason to visit London 🇬🇧 Anaesthesia Updates RcoA 4-6 February Churchill House. #airway

Story: newyorker.com/magazine/2026/…

@doctimcook @DrNeilStone And amongst the many #Anesthesia contributions #SavingLives Pulse oximetry, capnography and Videolaryngoscopy must get honorable mentions? @AirwayMxAcademy @jducanto @Atul_Gawande @SaferSurgery @wfsaorg

@DrNeilStone Anaesthesia is probably in the running

Name one human invention that has saved more lives than vaccines

Doorsharshan to HBO. What a transformation! Watch

"Vat you Vanted" available on all platforms 🤣 use #vatyouvanted do your dance, bump this track threw tim hortons drive thru 🤣 #timhortons #tims #coffee #doubledouble Grab merch below scrappypatmerch.itemorder.com/shop/home/

Evolution of Denmark 🇩🇰