Chris Prabhakar
@chrisprabhakar.bsky.social
Hi, I'm a Canadian Anesthesiologist.
Interests in Regional Anesthesia, Perioperative Medicine, Resident and Fellow Education. Looking forward to the discussion!
Interests in Regional Anesthesia, Perioperative Medicine, Resident and Fellow Education. Looking forward to the discussion!
Reposted by Chris Prabhakar
Happy Holidays from one of the incredible sonographers who created this masterpiece
☃️❄️🌲🎄
☃️❄️🌲🎄
December 19, 2024 at 6:04 PM
Happy Holidays from one of the incredible sonographers who created this masterpiece
☃️❄️🌲🎄
☃️❄️🌲🎄
Reposted by Chris Prabhakar
Reposted by Chris Prabhakar
Elizabeth Garrett Anderson (1836-1917), 1st female dean of a British med school, and 1st female mayor in Britain, pretended to be rich during med school (in Paris, 1870) so admin would think she'd be able to sue if they suddenly said women couldn't be doctors 1/10
December 17, 2024 at 11:10 PM
Elizabeth Garrett Anderson (1836-1917), 1st female dean of a British med school, and 1st female mayor in Britain, pretended to be rich during med school (in Paris, 1870) so admin would think she'd be able to sue if they suddenly said women couldn't be doctors 1/10
Reposted by Chris Prabhakar
Here’s one of my essentials for a Femoral Triangle Block…and it never gets stolen by anyone else !!!
December 16, 2024 at 11:34 AM
Here’s one of my essentials for a Femoral Triangle Block…and it never gets stolen by anyone else !!!
Reposted by Chris Prabhakar
1/
Time for another #POCUS pitfalls thread: the infamous IVC 🤩
I have MANY thoughts on the IVC 💭
When I first started teaching POCUS, I actually disliked the IVC because it was often poorly done or incorrectly interpreted ❌
I have now come to love the IVC, BUT you have to do it right!
#emimcc
Time for another #POCUS pitfalls thread: the infamous IVC 🤩
I have MANY thoughts on the IVC 💭
When I first started teaching POCUS, I actually disliked the IVC because it was often poorly done or incorrectly interpreted ❌
I have now come to love the IVC, BUT you have to do it right!
#emimcc
December 16, 2024 at 6:52 PM
Reposted by Chris Prabhakar
VATS procedures:
TEA, PVB, ESP, and SAPB ⬇️ CPSP at 2-3 and 6 months vs control
No differences TEA, PVB, and ESP but SAPB less reduction of CPSP
pubmed.ncbi.nlm.nih.gov/39240480/
@garrettsbarry.bsky.social
@chrisprabhakar.bsky.social
@ropivacaine.bsky.social
@dr-amit-pawa.bsky.social
TEA, PVB, ESP, and SAPB ⬇️ CPSP at 2-3 and 6 months vs control
No differences TEA, PVB, and ESP but SAPB less reduction of CPSP
pubmed.ncbi.nlm.nih.gov/39240480/
@garrettsbarry.bsky.social
@chrisprabhakar.bsky.social
@ropivacaine.bsky.social
@dr-amit-pawa.bsky.social
December 13, 2024 at 7:55 PM
VATS procedures:
TEA, PVB, ESP, and SAPB ⬇️ CPSP at 2-3 and 6 months vs control
No differences TEA, PVB, and ESP but SAPB less reduction of CPSP
pubmed.ncbi.nlm.nih.gov/39240480/
@garrettsbarry.bsky.social
@chrisprabhakar.bsky.social
@ropivacaine.bsky.social
@dr-amit-pawa.bsky.social
TEA, PVB, ESP, and SAPB ⬇️ CPSP at 2-3 and 6 months vs control
No differences TEA, PVB, and ESP but SAPB less reduction of CPSP
pubmed.ncbi.nlm.nih.gov/39240480/
@garrettsbarry.bsky.social
@chrisprabhakar.bsky.social
@ropivacaine.bsky.social
@dr-amit-pawa.bsky.social
Reposted by Chris Prabhakar
This is a heatmap of topics identified in 6 research prioritisation studies relevant to regional anaesthesia.
Important themes were on the role of RA in:
• ⬇️ chronic postsurgical pain
• improving postop recovery
• benefit in specific patient groups
#RASky #AnSky #MedSky
https://buff.ly/49zVeBD
Important themes were on the role of RA in:
• ⬇️ chronic postsurgical pain
• improving postop recovery
• benefit in specific patient groups
#RASky #AnSky #MedSky
https://buff.ly/49zVeBD
December 13, 2024 at 10:00 AM
This is a heatmap of topics identified in 6 research prioritisation studies relevant to regional anaesthesia.
Important themes were on the role of RA in:
• ⬇️ chronic postsurgical pain
• improving postop recovery
• benefit in specific patient groups
#RASky #AnSky #MedSky
https://buff.ly/49zVeBD
Important themes were on the role of RA in:
• ⬇️ chronic postsurgical pain
• improving postop recovery
• benefit in specific patient groups
#RASky #AnSky #MedSky
https://buff.ly/49zVeBD
Reposted by Chris Prabhakar
Reposted by Chris Prabhakar
Anaesthetists: Is it just me or does everyone think is a little strange that anaesthetists have to take significant amount of time snapping open glass ampoules, needling vials etc and drawing up the contents, risk/time/tasks. Maybe more drugs should be readily available in prefilled syringes??
December 10, 2024 at 9:41 AM
Anaesthetists: Is it just me or does everyone think is a little strange that anaesthetists have to take significant amount of time snapping open glass ampoules, needling vials etc and drawing up the contents, risk/time/tasks. Maybe more drugs should be readily available in prefilled syringes??
Reposted by Chris Prabhakar
In this new randomized trial of 126 patients having laparoscopic cholecystectomy, intravenous lidocaine provided a non-inferior quality of recovery compared to erector spinae plane block. Either approach was superior to placebo.
#RegionalAnesthesia #AnSky
🔗 doi.org/10.1016/j.jclinane.2024.111528
#RegionalAnesthesia #AnSky
🔗 doi.org/10.1016/j.jclinane.2024.111528
December 10, 2024 at 7:33 AM
In this new randomized trial of 126 patients having laparoscopic cholecystectomy, intravenous lidocaine provided a non-inferior quality of recovery compared to erector spinae plane block. Either approach was superior to placebo.
#RegionalAnesthesia #AnSky
🔗 doi.org/10.1016/j.jclinane.2024.111528
#RegionalAnesthesia #AnSky
🔗 doi.org/10.1016/j.jclinane.2024.111528
Reposted by Chris Prabhakar
For Laparoscopic Abdominal surgery- are you performing blocks? If so which?
This study in RAPM compared TAP to Lateral QLB and noted a difference in dermatomal loss of sensation, but not analgesia.
I’d love to see an arm with Anterior QLB.
Thoughts?
#RAsky #AnSky
rapm.bmj.com/content/rapm...
This study in RAPM compared TAP to Lateral QLB and noted a difference in dermatomal loss of sensation, but not analgesia.
I’d love to see an arm with Anterior QLB.
Thoughts?
#RAsky #AnSky
rapm.bmj.com/content/rapm...
December 10, 2024 at 7:29 AM
For Laparoscopic Abdominal surgery- are you performing blocks? If so which?
This study in RAPM compared TAP to Lateral QLB and noted a difference in dermatomal loss of sensation, but not analgesia.
I’d love to see an arm with Anterior QLB.
Thoughts?
#RAsky #AnSky
rapm.bmj.com/content/rapm...
This study in RAPM compared TAP to Lateral QLB and noted a difference in dermatomal loss of sensation, but not analgesia.
I’d love to see an arm with Anterior QLB.
Thoughts?
#RAsky #AnSky
rapm.bmj.com/content/rapm...
Reposted by Chris Prabhakar
Delighted that Ben Dallyn from @RUHBath won the 1st prize for oral presentation @dasairway
He presented A MANIKIN STUDY OF STYLETS & BOUGIES (static & dynamic)…..
1/4
He presented A MANIKIN STUDY OF STYLETS & BOUGIES (static & dynamic)…..
1/4
December 4, 2024 at 7:44 PM
Delighted that Ben Dallyn from @RUHBath won the 1st prize for oral presentation @dasairway
He presented A MANIKIN STUDY OF STYLETS & BOUGIES (static & dynamic)…..
1/4
He presented A MANIKIN STUDY OF STYLETS & BOUGIES (static & dynamic)…..
1/4
Reposted by Chris Prabhakar
Finally a case I can talk about in detail... my own!
I got a ACL reconstruction with patellar bone-tendon-bone graft, microfractures, and intraarticular hydrogel.
Single shot adductor and superolateral geniculate blocks.
Worked great and lasted 16 hours!
www.youtube.com/watch?v=DGv0...
I got a ACL reconstruction with patellar bone-tendon-bone graft, microfractures, and intraarticular hydrogel.
Single shot adductor and superolateral geniculate blocks.
Worked great and lasted 16 hours!
www.youtube.com/watch?v=DGv0...
Ultrasound Guided Genicular Blocks (2024 update!)
YouTube video by Regional Anesthesiology and Acute Pain Medicine
www.youtube.com
December 4, 2024 at 3:44 PM
Finally a case I can talk about in detail... my own!
I got a ACL reconstruction with patellar bone-tendon-bone graft, microfractures, and intraarticular hydrogel.
Single shot adductor and superolateral geniculate blocks.
Worked great and lasted 16 hours!
www.youtube.com/watch?v=DGv0...
I got a ACL reconstruction with patellar bone-tendon-bone graft, microfractures, and intraarticular hydrogel.
Single shot adductor and superolateral geniculate blocks.
Worked great and lasted 16 hours!
www.youtube.com/watch?v=DGv0...
Reposted by Chris Prabhakar
IV lidocaine given intraop and for 6-12h postop failed to influence gut motility, analgesia, quality of recovery, or time to discharge following laparoscopic colectomy.
RCT: Perioperative intravenous lidocaine infusion did not improve the return of gut function after elective minimally invasive colonic resection.
ja.ma/4eNDNi7
ja.ma/4eNDNi7
November 28, 2024 at 3:26 AM
IV lidocaine given intraop and for 6-12h postop failed to influence gut motility, analgesia, quality of recovery, or time to discharge following laparoscopic colectomy.
Reposted by Chris Prabhakar
t’s interesting how people define anaesthesia
I ask every new resident what anaesthesia is.
When they offer me a triad of
-Unconsciousness
-Muscle relaxation
-Analgesia
I give them 1 out of 3
Why is that?
Am I right?
I ask every new resident what anaesthesia is.
When they offer me a triad of
-Unconsciousness
-Muscle relaxation
-Analgesia
I give them 1 out of 3
Why is that?
Am I right?
a close up of a man 's face with a jacket that says ' a ' on it
ALT: a close up of a man 's face with a jacket that says ' a ' on it
media.tenor.com
December 3, 2024 at 2:03 PM
t’s interesting how people define anaesthesia
I ask every new resident what anaesthesia is.
When they offer me a triad of
-Unconsciousness
-Muscle relaxation
-Analgesia
I give them 1 out of 3
Why is that?
Am I right?
I ask every new resident what anaesthesia is.
When they offer me a triad of
-Unconsciousness
-Muscle relaxation
-Analgesia
I give them 1 out of 3
Why is that?
Am I right?
Reposted by Chris Prabhakar
1/
I love love LOVE scanning the heart 😍, but when it comes to bang for your buck for ultrasound novices, lung ultrasound is such a winner 🏆
It's time for another #POCUS basics #skeetorial 🧵
Let's talk about common pitfalls in #LungUltrasound and how to correct these ✔️
#emimcc
I love love LOVE scanning the heart 😍, but when it comes to bang for your buck for ultrasound novices, lung ultrasound is such a winner 🏆
It's time for another #POCUS basics #skeetorial 🧵
Let's talk about common pitfalls in #LungUltrasound and how to correct these ✔️
#emimcc
December 3, 2024 at 6:15 PM
1/
I love love LOVE scanning the heart 😍, but when it comes to bang for your buck for ultrasound novices, lung ultrasound is such a winner 🏆
It's time for another #POCUS basics #skeetorial 🧵
Let's talk about common pitfalls in #LungUltrasound and how to correct these ✔️
#emimcc
I love love LOVE scanning the heart 😍, but when it comes to bang for your buck for ultrasound novices, lung ultrasound is such a winner 🏆
It's time for another #POCUS basics #skeetorial 🧵
Let's talk about common pitfalls in #LungUltrasound and how to correct these ✔️
#emimcc
Reposted by Chris Prabhakar
Engage and learn from the top-tier faculty at the #ASRASpring25 #ASRA50! 🌟 Here’s a glimpse of who you can expect: @emarianomd.bsky.social @dr-rajgupta.bsky.social @son-of-caine.bsky.social @maggieholtzmd.bsky.social @drstugrant.bsky.social @siva6face.bsky.social @chrisprabhakar.bsky.social & more..
December 2, 2024 at 12:43 AM
Engage and learn from the top-tier faculty at the #ASRASpring25 #ASRA50! 🌟 Here’s a glimpse of who you can expect: @emarianomd.bsky.social @dr-rajgupta.bsky.social @son-of-caine.bsky.social @maggieholtzmd.bsky.social @drstugrant.bsky.social @siva6face.bsky.social @chrisprabhakar.bsky.social & more..
Reposted by Chris Prabhakar
There are two microG analogues:
- Underwater
- Parabolic flight
Each have challenges…
🧵 1/5
@Garrettsbarry.bsky.social
@Chrisprabhakar.bsky.social
@brettelmore.bsky.social
@lloydturbitt.bsky.social
@ropivacaine.bsky.social
@danwerry.bsky.social
@andrewjarvey.bsky.social
- Underwater
- Parabolic flight
Each have challenges…
🧵 1/5
@Garrettsbarry.bsky.social
@Chrisprabhakar.bsky.social
@brettelmore.bsky.social
@lloydturbitt.bsky.social
@ropivacaine.bsky.social
@danwerry.bsky.social
@andrewjarvey.bsky.social
December 1, 2024 at 7:08 PM
There are two microG analogues:
- Underwater
- Parabolic flight
Each have challenges…
🧵 1/5
@Garrettsbarry.bsky.social
@Chrisprabhakar.bsky.social
@brettelmore.bsky.social
@lloydturbitt.bsky.social
@ropivacaine.bsky.social
@danwerry.bsky.social
@andrewjarvey.bsky.social
- Underwater
- Parabolic flight
Each have challenges…
🧵 1/5
@Garrettsbarry.bsky.social
@Chrisprabhakar.bsky.social
@brettelmore.bsky.social
@lloydturbitt.bsky.social
@ropivacaine.bsky.social
@danwerry.bsky.social
@andrewjarvey.bsky.social
Reposted by Chris Prabhakar
Save the date 🗓️- largest #regionalanesthesia meeting #ASRASPRING25 #ASRA50 #RAsky #Ansky
⭐️ Lectures
⭐️ Workshops #POCUS
⭐️ Networking
@emarianomd.bsky.social @ropivacaine.bsky.social @dr-rajgupta.bsky.social @jeffgadsden.bsky.social @dr-amit-pawa.bsky.social @rosiehogg.bsky.social
⭐️ Lectures
⭐️ Workshops #POCUS
⭐️ Networking
@emarianomd.bsky.social @ropivacaine.bsky.social @dr-rajgupta.bsky.social @jeffgadsden.bsky.social @dr-amit-pawa.bsky.social @rosiehogg.bsky.social
November 28, 2024 at 1:52 AM
Save the date 🗓️- largest #regionalanesthesia meeting #ASRASPRING25 #ASRA50 #RAsky #Ansky
⭐️ Lectures
⭐️ Workshops #POCUS
⭐️ Networking
@emarianomd.bsky.social @ropivacaine.bsky.social @dr-rajgupta.bsky.social @jeffgadsden.bsky.social @dr-amit-pawa.bsky.social @rosiehogg.bsky.social
⭐️ Lectures
⭐️ Workshops #POCUS
⭐️ Networking
@emarianomd.bsky.social @ropivacaine.bsky.social @dr-rajgupta.bsky.social @jeffgadsden.bsky.social @dr-amit-pawa.bsky.social @rosiehogg.bsky.social
Reposted by Chris Prabhakar
Tomorrow is my last day as dean Queen's Health Sciences & CEO SEAMO. As a parting gift, I'm donating honoraria I've received this year & using the seed funds to launch the Jane Philpott Primary Care Fund to support research & innovation in primary health care. healthsci.queensu.ca/stories/feat...
Introducing the Jane Philpott Primary Care Fund
They say all endings are really new beginnings. As the Queen’s community prepares to say farewell to Jane Philpott, she is leaving a parting gift that will have a lasting impact long after her time at...
healthsci.queensu.ca
November 28, 2024 at 8:18 PM
Tomorrow is my last day as dean Queen's Health Sciences & CEO SEAMO. As a parting gift, I'm donating honoraria I've received this year & using the seed funds to launch the Jane Philpott Primary Care Fund to support research & innovation in primary health care. healthsci.queensu.ca/stories/feat...
Reposted by Chris Prabhakar
We used this meat model in our simulated microgravity study!
Summary:
Nerve blocks can feasibly be performed while floating in microgravity!
doi.org/10.1016/j.bj...
@maggieholtzmd.bsky.social
@amepearson.bsky.social
@chrisprabhakar.bsky.social
@brettelmore.bsky.social
@lloydturbitt.bsky.social
Summary:
Nerve blocks can feasibly be performed while floating in microgravity!
doi.org/10.1016/j.bj...
@maggieholtzmd.bsky.social
@amepearson.bsky.social
@chrisprabhakar.bsky.social
@brettelmore.bsky.social
@lloydturbitt.bsky.social
November 20, 2024 at 10:08 PM
We used this meat model in our simulated microgravity study!
Summary:
Nerve blocks can feasibly be performed while floating in microgravity!
doi.org/10.1016/j.bj...
@maggieholtzmd.bsky.social
@amepearson.bsky.social
@chrisprabhakar.bsky.social
@brettelmore.bsky.social
@lloydturbitt.bsky.social
Summary:
Nerve blocks can feasibly be performed while floating in microgravity!
doi.org/10.1016/j.bj...
@maggieholtzmd.bsky.social
@amepearson.bsky.social
@chrisprabhakar.bsky.social
@brettelmore.bsky.social
@lloydturbitt.bsky.social
Reposted by Chris Prabhakar
Only 5 programs (33%) mandated simulation-based UGRA in their curriculum in Canada.
Inconsistent inclusion and modalities of simulation for UGRA in general.
doi.org/10.1007/s126...
@garrettsbarry.bsky.social
@chrisprabhakar.bsky.social
@lloydturbitt.bsky.social
@ropivacaine.bsky.social
Inconsistent inclusion and modalities of simulation for UGRA in general.
doi.org/10.1007/s126...
@garrettsbarry.bsky.social
@chrisprabhakar.bsky.social
@lloydturbitt.bsky.social
@ropivacaine.bsky.social
Simulation-based ultrasound-guided regional anesthesia education: a national survey of Canadian anesthesiology residency training programs - Canadian Journal of Anesthesia/Journal canadien d'anesthési...
Purpose Simulation-based education in ultrasound-guided regional anesthesia (UGRA) improves knowledge, skills, and patient outcomes. Nevertheless, it is not known how simulation-based UGRA education i...
doi.org
November 22, 2024 at 1:05 PM
Only 5 programs (33%) mandated simulation-based UGRA in their curriculum in Canada.
Inconsistent inclusion and modalities of simulation for UGRA in general.
doi.org/10.1007/s126...
@garrettsbarry.bsky.social
@chrisprabhakar.bsky.social
@lloydturbitt.bsky.social
@ropivacaine.bsky.social
Inconsistent inclusion and modalities of simulation for UGRA in general.
doi.org/10.1007/s126...
@garrettsbarry.bsky.social
@chrisprabhakar.bsky.social
@lloydturbitt.bsky.social
@ropivacaine.bsky.social
Reposted by Chris Prabhakar
Randomness:
Taught my 9yo daughter how to place a nerve block catheter last night using a ballistics gel model.
@Garrettsbarry.bsky.social
@Chrisprabhakar.bsky.social
@ropivacaine.bsky.social
Taught my 9yo daughter how to place a nerve block catheter last night using a ballistics gel model.
@Garrettsbarry.bsky.social
@Chrisprabhakar.bsky.social
@ropivacaine.bsky.social
November 23, 2024 at 3:46 PM
Randomness:
Taught my 9yo daughter how to place a nerve block catheter last night using a ballistics gel model.
@Garrettsbarry.bsky.social
@Chrisprabhakar.bsky.social
@ropivacaine.bsky.social
Taught my 9yo daughter how to place a nerve block catheter last night using a ballistics gel model.
@Garrettsbarry.bsky.social
@Chrisprabhakar.bsky.social
@ropivacaine.bsky.social
Reposted by Chris Prabhakar
I recently attended the @rauk.bsky.social -Belgian Association of Regional Anaesthesia meeting in Bruges
At that meeting I took part in a Pro-Con Debate about whether we need Journals to find evidence against Prof Marc Van De Velde
This was fun - here is my take!
#AnSky
youtu.be/9k4j5tfg7os?...
At that meeting I took part in a Pro-Con Debate about whether we need Journals to find evidence against Prof Marc Van De Velde
This was fun - here is my take!
#AnSky
youtu.be/9k4j5tfg7os?...
Do We Still Need Journals to Find Evidence
YouTube video by Dr Amit Pawa
youtu.be
November 18, 2024 at 3:47 PM
I recently attended the @rauk.bsky.social -Belgian Association of Regional Anaesthesia meeting in Bruges
At that meeting I took part in a Pro-Con Debate about whether we need Journals to find evidence against Prof Marc Van De Velde
This was fun - here is my take!
#AnSky
youtu.be/9k4j5tfg7os?...
At that meeting I took part in a Pro-Con Debate about whether we need Journals to find evidence against Prof Marc Van De Velde
This was fun - here is my take!
#AnSky
youtu.be/9k4j5tfg7os?...