Luke Janik, MD

@_Anesthesiology apsf.org/article/the-ef…

Visual Abstract in #Anesthesiology - Neurodevelopmental Outcomes after Multiple General Anesthetic Exposures before 5 Years of Age 🖌️ ow.ly/40f050UV2bx

Over 100 episodes of the #APSFPodcast! Join @ABechtelMD and @lsjanik in discussing thermal injuries and the LAST case of the day. Special thanks to @Nihon_Kohden! apsf.org/podcast/101-th… ~ #medicalpodcast #anesthesia #nursing #physicians #nurses #CAA #CRNA

Which do you prefer MAC or GETA for ERCP? Check out this Pro-Con Debate in this month's A&A Pro-Con Debate: Monitored Anesthesia Care Versus General Endotracheal Anesthesia for Endoscopic Retrograde Cholangiopancreatography @iars360 buff.ly/3afHzFj

@emilysharpe @ruthi_landau @IARS_Journals @AllisonLeeNYC It’s short until it’s not 🙃

@lsjanik @ruthi_landau @IARS_Journals @AllisonLeeNYC I agree we don’t want unnecessary conversion to GA in our pregnant 🤰🏽 patients. But cerclage is a short procedure and is perfect for something shorter acting. #OBAnes

Intrathecal 2-Chloroprocaine 3% vs Hyperbaric Bupivacaine 0.75% for Cervical Cerclage: RCT in @IARS_Journals No difference in motor block resolution but sensory block and PACU discharge shorter in chloroprocaine #OBAnes @AllisonLeeNYC @ruthi_landau buff.ly/3y1B4MP

@ruthi_landau @emilysharpe @IARS_Journals @AllisonLeeNYC Consequences of a spinal that wears off too early can be significant (convert to GA? supplement w IV sedation? Stop and place epidural? — all bad options). IMHO, in this patient population, the benefits do not outweigh risk.

@emilysharpe @IARS_Journals @AllisonLeeNYC In some circumstances, short duration of action & swift recovery are key

@DrSchepel Not uncommon to have congenital hypoplasia or absence of the radial artery in Down’s patients. pubmed.ncbi.nlm.nih.gov/2945516/

@ewhitakermd @LaCampo4 @JinaSinskeyMD @PediAnesthesia @AmerAcadPeds Curious, what needle type/size are you using for the spinal?

@LaCampo4 @JinaSinskeyMD @PediAnesthesia @AmerAcadPeds bupivacaine 0.5% plain, 1 mg/kg to max 5mg (1 mL)

What is your anesthetic plan for a neonatal inguinal hernia repair? Here are some tips from Dr. Nina Hardcastle @PediAnesthesia @AmerAcadPeds #SPA2021 #PedsAnes #PedsCards #PedsCardsAnes @ewhitakermd

Typo... does the risk outweigh the benefit?

@sbgreenb1 curious what the @apsf thinks. Are lidocaine infusions really that beneficial? Does the risk of toxicity and/or drug error?

Ready for your commute home? Listen in to the #APSFPodcast as @ABechtelMD discusses the effect of #anesthesia on children’s development with @lsjanik! apsf.org/podcast/28-ane…

@ABechtelMD is doing a great job with the @APSForg podcast. Thanks for having me on!

In our new #APSFPodcast, host @ABechtelMD discusses the effects of general anesthesia on the pediatric patient with Luke Janik, MD, a pediatric anesthesiologist at Northshore University Health System. @lsjanik apsf.org/podcast/27-ane… ~ #PedsAnes #pediatrics #surgery

@laxswamy @MyNameIsMena @AshvinPande @MDaware @emily_fri @PulmCrit @haithamahmedmd @QaaliHussein1 @bryanboling An Anesthesiologist's Perspective of Radial Artery Catheterization on @cardiacinterv citoday.com/articles/2017-…

Ok fine. Any tips on radial arterial line insertion? Personally I use US in the ICU, but would love to hear your teaching points. Esp for non US for those future cardiologists. @MyNameIsMena @AshvinPande @MDaware @emily_fri @PulmCrit @haithamahmedmd @QaaliHussein1 @bryanboling

Does #anesthesia affect the developing brain? In the October 2020 Jade Anniversary edition of the #APSFNewsletter, @lsjanik of the @UChicagoMed, revisits this issue with updates from findings of the PANDA, MASK, and GAS studies. #patientsafety apsf.org/article/the-ef…

Had a blast being interviewed by @zbdeutch for the @ASALifeline monitor discussing all things #PediatricAnesthesia ! pubs.asahq.org/monitor/articl…

@sbgreenb1 👏 👏 @ASALifeline @APSForg @marydahlen

Glad to see ASA president recognize the APSF for its 35 years of accomplishments in today’s keynote lecture -thank you Dr. Peterson

Disagreements Persist Over Safety of Dental Anesthesia, @Ritaagarwal6 & Dr Coté discuss continuation of single model delivery in dental care (oral surgeon provides dental care AND #anesthesia) despite changes due to #CalebsLaw #PedsAnes anesthesiologynews.com/Policy-and-Man…

Honored to be included in the @APSForg 35th anniversary Jade issue! apsf.org/article/the-ef… via @APSForg

@rjvanstone @amit_pawa Infra is tough if target >4cm deep. Supra will work but be careful-Obese pts w small lung volumes & OSA may have marginal O2 sats postop w phrenic palsy (50%chance) - can make discharge home from Amb center dicey. Ax + MC avoids these issues

Help RA twitter gurus. Regarding brachial plexus blocks for awake hand/wrist surgery in the obese patient (BMI >40), your most reliable BP block is:

@AmyPearsonMD @JanBoublikMDPhD @emilysharpe I’m a big fan of regional, but not much to debate, IT morphine is king. So many new fascial blocks. Imagine if it was reversed, and neuraxial was the new technique. People would be losing their minds about this amazing “new block” called a spinal/epidural 😆

@JanBoublikMDPhD @emilysharpe What on earth is the mechanism of ESP for abdominal procedures? Other than volume spilling into the paravertebral space or intravenous.... I got nothing. 🧐🧐🧐

Intrathecal morphine is superior to TAP and QLB blocks for #cesareandelivery #OBAnes