rodrigo daly guris

@baby_blocks Unlike most of our "pretty" USG blocks, pudendals are more delayed gratification. The picture is often just fine but the outcome is [chef's kiss].

USG Pudendals are somewhat a leap of faith. I was trained to do them OOP. Most times you can see turbulence on injection, giving you some small confidence it will work. Sometimes you don’t know until the procedure starts, but what a powerhouse block! baby-blocks.com/block-detail/p…

@jon_bailey_anes @Ropivacaine @EMARIANOMD @jeffgadsden @amit_pawa @danwerry @MKwesiKwofie Along those lines (too punny?)... …-publications.onlinelibrary.wiley.com/doi/full/10.10…

Why the Costoclavicular is my go-to for BPB catheters! ✅place cath at BP where all 3 cords are together ✅cath under the BPB (between BP and A) ✅deep so catheter is secure pubmed.ncbi.nlm.nih.gov/33880729/ @Ropivacaine @EMARIANOMD @jeffgadsden @amit_pawa @danwerry @MKwesiKwofie

Thank you to all who attended @rosie_hogg’s and @elboghdadly’s Intro to perioperative POCUS event. We had a great time 😁

Dr. @DeepaKattail delivering a captivating lecture on pediatric chronic pain @WCMAnesthesia @MSK_Anesthesia. @SKAnesthesia @SKPainCentre @UofT @PedsPainMed @PainOntario @thisgirlblocks @baby_blocks #PedsPain #PedsAnes #itdoesnthavetohurt

@kchopraMD @DeepaKattail @HealthCanada3 @_Anesthesiology @CASUpdate @ON_Anesthesia @DrSCBrown @DrDrJTMaynes @PedsPainMed @PediAnesthesia @JohnHagenMD @_Walid_01 @CHoffmann_MD I agree with @DeepaKattail here. I also do not withhold ondansetron in these instances.

@DeepaKattail @HealthCanada3 @_Anesthesiology @CASUpdate @ON_Anesthesia @DrSCBrown @DrDrJTMaynes @PedsPainMed @PediAnesthesia @JohnHagenMD @_Walid_01 @CHoffmann_MD @theRodrigoDaly Any reason to check QT interval in low risk patients? Any concern using with zofran?

Intraop Methadone in Next-day Discharge Outpatient Surgery.IV methadone is a fantastic drug, unfortunately not available in Canada! 🇨🇦 Growing evidence of its efficacy will may change this @HealthCanada3 ? pubs.asahq.org/anesthesiology… #PedsPain #PedsAnes #anesthesia @_Anesthesiology

@danielrubinmd @pepsi

Can I use @pepsi points??

@NavBahal @DrSophieJackman @NMacdonaldBHT @PradShanmuga @RegionalAnaesUK @ESRA_Society @TahirAl14 @HSJptsafety

A year ago, anaesthetist @DrSophieJackman did an audit when she identified excellent #regionalanaesthesia care for rib fractures Fast forward and our #acutepain team have picked up a #HSJpatientsafety award! Thank you to the team - nurses, doctors, managers, ODPs and physios

On the hierarchy of interventions, training is only lowest because it was developed primarily for interaction with devices. For knowledge-based issues, training is actually extremely important (top of hierarchy). Quite a nuanced issue masked by a diagram. #HSJpatientsafety

@beckimarshRA @mersthram Some RA plans may be reasonable (arguably even preferred) before vascular access. For example, spinal followed by lower extremity IV in an infant.

@mersthram @beckimarshRA PRAN data also suggest greater risk in the awake child than the anaesthetised child. Food for thought.

@beckimarshRA @theRodrigoDaly 8/100.000 according to latest review of the literature and more common below the age of 3.I think also arterial puncture reported in awake axillary brachial plexus despite negative aspiration. Read Gupta 2021 RAPM

@mersthram @beckimarshRA Lack of IV access may not be an absolute CI to local injection, but a reasonable mitigation strategy for LAST must have been considered.

@mersthram @beckimarshRA My thoughts for a penny: If can do an awake USG block, should be able to obtain awake USG vascular access. If IV access were indeed impossible, I’d be even more worried about my ability to manage LAST.

@beckimarshRA @HouthoffKavita @Roseleafbarcafe Enjoy!! I’m sorry to have missed you at Congress! I accomplished maybe 30% of what I’d set out to do there…

😎After summer break our @RegionalAnaesUK free webinar series kindly sponsored by @SmarterScanning is resuming 💥Almost 4400 registered 🗓️Next one this Tue 19th Sept 💉ESP block @amit_pawa 🩻Rib fractures @Nadia_Hdz_MD ⏳Give yourself time to login ra-uk-webinars.talkingslideshd.com/home

@AnneryGarciaMa1 @SAMHQglobal @womenMDinanesth @ProfEllenO @CaoiDuffy Some of my favorite people all hanging out! ❤️

Enjoying lunch with these amazing women experts in #Airway management @SAMHQglobal #sammeeting2023 @womenMDinanesth @ProfEllenO @CaoiDuffy

@Hiro_Knzw_MD Hajimemashite, Hirofumi-san! 👋

Hi #MedTwitter, I'm Hirofumi Kanazawa from JAPAN🇯🇵, a current TY resident at The university of Texas at Tyler🌵, applying to #anesthesia in #Match2024! Passionate about Critical care, public health and Sushi🍣 Excited to connect with future colleagues and mentors! #FutureAnesRes

@DrPatrickRoss @WendyHassonMD @FirehouseCycles - let @DrPatrickRoss know when you’re hiring! 😂

@WendyHassonMD My leaving medicine fantasy is to open a bike shop / brew pub alongside a river trail. No fancy expensive bikes. No titanium or carbon, just steel. Starter bikes for kids. Cheap repairs and a beer while you wait. Bob Roll and Phil Liggett reruns on the TV. Grease under my nails.

Every time I go to the bakery, I daydream about being the woman behind the counter, wearing an oversized sweater & serving people warm cinnamon rolls and chai lattes instead of giving people terrible news about their children. #MedTwitter what’s your leaving medicine fantasy?

Not only do you BELONG, @traceywilsonmd, you are also an example for all those who also belong but have been made to doubt themselves. Congratulations!

Great talk and excellent advice from @BenjaminLukeFox on the challenges of physician leadership and personnel management #AC2023 ➡️ mainly self-taught so find good resources (eg Start with Why) ➡️ be the leader you want to have ➡️ make meetings interactive ➡️ set boundaries