🔥The 9th Round of Easy Loan, Earn $40 Reward is in progress❗️ ⏰ Promotion Period: January 15th - Feburary 15th, 2025 👉 Register now and check more details at gate.io/campaigns/358

Which block for hip elective replacement ? This new network Meta in anesthesiology finds that periarticular infiltration alone provides the most consistent improvements in post-op rest pain, analgesic consumption, and functional recovery after THA. journals.lww.com/anesthesiology…

#CardioNuggets SGLT2 inhibitors aren’t usually started if eGFR is below 20. Why? ⛔️ Low GFR → less glucose in proximal tubule → ↓ efficacy ⚠️ Still, in heart failure, they may help by: 💧 Reducing fluid overload 🛡️ Protecting the kidneys 🏥 Lowering hospitalizations We’re

#CardioNuggets Choosing the right cardiac monitor? 📍Holter (24–48h): For frequent symptoms (e.g. daily palpitations), QTc analysis, AF rate control. 📍Wearable monitor (e.g. Zio, 14d): For intermittent symptoms (e.g. weekly), paroxysmal AF, ectopy. 📍ILR (up to 3 yrs): For

Sugammadex anaphylaxis is uncommon but potentially life-threatening. In a new review, Savic et al. review the literature and discuss the risks and benefits of sugammadex and neostigmine for reversal of neuromuscular blockade: ow.ly/4qxe50W7hjK

When a patient presents with mottling among their constellation of signs, symptoms, and labs, there is a look that team members give each other that we've all seen. It's not a positive look. Here is some data reinforcing our intuition. 🎩 tip to the authors.

🫁 What happened to ARDS? 20 years ago ARDS was everywhere. Now we rarely see it. We didn't cure it. We just stopped causing it. Here’s how IV fluids quietly created (and solved) an epidemic of iatrogenic lung injury 🧵

A milestone for pain relief! 🚨 Meet Suzetrigine, a peripherally acting NaV1.8 inhibitor just FDA approved for moderate to severe pain—and it’s not an opioid or NSAID. 👇apsf.org/article/suzetr… #Suzetrigine #Anesthesia #PainManagement #OpioidFree #NonOpioid #FDAApproved

🚨 Heart failure (HF) decongestion ≠ simple fluid removal. Let’s explore the fascinating electrolyte changes happening behind the scenes and how they interact with diuretic therapy. 🫀💧⚡ Here follows a thread.🧵 Full review by Frederik H. Verbrugge and me: onlinelibrary.wiley.com/doi/10.1002/ej…

NO ASSOCIATION BETWEEN PREPROCEDURAL FASTING AND WITNESSED PULMONARY ASPIRATION A SYSTEMATIC REVIEW AND META-ANALYSIS I want to bring to everyone's attention the publication of an article we have been working on for some time. Ever been annoyed by having cases cancelled because

🧵1/ Hypovolaemia is the most overdiagnosed concept in medicine. We say it reflexively — especially in sepsis. But here’s the uncomfortable truth: We can’t measure blood volume. We infer it. Often wrongly. Let’s unpack why that matters. 👇 #MedTwitter #FOAMed

Managing cardiogenic shock requires prompt identification and support of the ailing heart. Typical sepsis-type application of vasopressors worsens outcomes. Here's a better strategy. I'd add hemodynamic monitoring using a PAC. 🎩 tip to the authors. eddyjoemd.com/foamed

Is this the end of rivaroxaban for acute VTE? Lana Castellucci presenting the COBBRA trial - 1st RCT comparing apixaban to riva over 3 months. 56% reduction in bleeding risk with apixaban. A safer Rx with the same efficacy. #ISTH2025

Ed Mariano, MD, MAS, FASA, FASRA 🇺🇸🇵🇭 Jon Bailey MD MSc FRCPC EDRA 🇨🇦🧗🏄‍♂️ Canadian Anesthesiologists' Society CAS Regional & Acute Pain Section Peter Rose 🩺 Hari (హరి 🇮🇳) Kalagara Tim Jen MD MHSc FRCPC Dr Tural Alekberli MD MSc Steve Coppens Patrick Wong Dr Amit Pawa💉🎙️ Garrett Barry Exactly! 1. For acute pain, use Pregabalin only when indicated- hyperalgesia, AcNeuP etc. 2. Pregabalin is far superior to Gabapentin- see below 3. Also Important to rule out relative CIs and “start low/ go slow” see this Algorithm from pubmed.ncbi.nlm.nih.gov/22059207/ Ping Dr Prit Anand Singh

🚨SGLT2 inhibitors: more than glycemic control. New insights into their cardioprotective and anticancer potential in diabetic patients. 🔍Discover emerging hypotheses in a new editorial in #EHJPharmacotherapy ow.ly/6min50WiZLO EHJ-CVP Editor-in-Chief Felice Gragnano Mattia Galli

"Morning coffee consumption is linked to lower all-cause and cardiovascular mortality, suggesting timing may influence coffee's health benefits."academic.oup.com/eurheartj/arti… Samir C. Grover, M.D.

Management of oesophageal and oropharyngeal dysphagia: 🆕 guidance from UEG and ESNM - a must read overview 📌🌟🔢 1️⃣ Causes 2️⃣ Evaluation 3️⃣ Mx of oesophageal dysphagia 4️⃣ Mx of oropharyngeal dysphagia 📸: UEGJ my_UEG ESNM.eu onlinelibrary.wiley.com/doi/10.1002/ue…

“The liver detoxes you. You don’t detox the liver.”

Low-fibre diet is associated with high-risk coronary plaque features academic.oup.com/cardiovascres/…

1/n This is nonsense, the Covid death rates globally = a mirror image of where people weren’t getting vaccinated. Look at the next two attached figures

1/ Shock is complex. But our tools are often simplistic. This paper proposes a new model: 🩸 Four circulatory interfaces that must stay coupled to maintain perfusion. Uncouple any one — and shock worsens. #Shock #MedX #FOAMcc Here’s the framework. 🔗 doi.org/10.3390/jpm150…