fescudero90
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fescudero90.bsky.social
fescudero90
@fescudero90.bsky.social
MD, anesthesiologist interested in airway management. Opinions my own
Reposted by fescudero90
The clarity is absolutely spectacular…..The Pillars of Creation by the James Webb Space Telescope 💫😲💫✨💫💙💫
January 1, 2025 at 10:55 PM
Reposted by fescudero90
So the kid in BC with H5N1 was very sick to the point of needing ECMO. While the majority of human cases have not been severe, this virus has the potential to be as bad as other H5N1s.

At population scale, even infrequently, this is millions of people.

www.nejm.org/doi/full/10....
Critical Illness in an Adolescent with Influenza A(H5N1) Virus Infection | NEJM
Influenza A(H5N1) viruses are an emerging zoonotic threat and have spread widely throughout birds in North America. Recently, influenza A(H5N1) infection led to serious illness in a teenager in Canada.
www.nejm.org
January 1, 2025 at 4:41 PM
Reposted by fescudero90
Rather surprising news and an actual gamechanger for our practice.

Tranexamic acid in liver cancer cases makes no difference re blood loss/transfusion, but leads to more *non-thrombotic* complications.

Pendulum for TA is swinging back after HALT & HeLiX.

jamanetwork.com/journals/jam...
Tranexamic Acid in Patients Undergoing Liver Resection
This randomized clinical trial assesses the effect of tranexamic acid vs placebo on the need for blood transfusion among patients undergoing cancer-related liver resection.
jamanetwork.com
December 16, 2024 at 8:26 AM
Reposted by fescudero90
So..we all do thoracic epidurals !!
Would you rather have a carefully considered and delivered thoracic spinal puncture performed by an experienced anaesthetist with a 27g needle OR a 16g thoracic epidural placed by a trainee??…just a thought 🧐
December 16, 2024 at 7:13 PM
Reposted by fescudero90
Dear proceduralists: when I ask you “how much longer?” I’m (usually) not rushing you, I just (usually) want to re-dose a timed medication properly. Usually.
December 17, 2024 at 2:59 PM
Reposted by fescudero90
I use “management of”:
Safety
Pain
Consciousness
Paralysis
Amnesia.
December 4, 2024 at 2:52 AM