Garrett Barry
garrettsbarry.bsky.social
Garrett Barry
@garrettsbarry.bsky.social
Anesthesiologist 🇨🇦
Regional anesthesia and acute pain 💉
Haha this is even harder than @ropivacaine.bsky.social’s RA rotation quiz!
March 14, 2025 at 11:20 PM
Reposted by Garrett Barry
I’m starting to warm up to this Tegaderm idea 💡☺️
December 1, 2024 at 3:39 PM
Reposted by Garrett Barry
There are two microG analogues:
- Underwater
- Parabolic flight

Each have challenges…

🧵 1/5

@Garrettsbarry.bsky.social
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@brettelmore.bsky.social
@lloydturbitt.bsky.social
@ropivacaine.bsky.social
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December 1, 2024 at 7:08 PM
Reposted by Garrett Barry
November 21, 2024 at 3:58 PM
I love the idea of those big US screens above the patient stretchers. Great for teaching 👌
November 21, 2024 at 5:15 PM
Reposted by Garrett Barry
My colleague Michael Jew has brought cryo to our shop. Main use has been intercostals for rib fractures, and it has been a game changer! I'm sure this will spread. See the bottom of the listed page for a short synopsis of his innovation project:

search.app?link=https%3...
Funding for New Clinical Innovation Projects Deadline June 28 | PHC Med Staff
Providence staff and clinicians have received funding for four new projects that will help detect cardiac arrest, improve pain management, reduce readmissions after heart failure, and improve clinicia...
search.app
November 19, 2024 at 7:01 AM
Ideal to have 1 block room nurse : 2 patient ratio, as well as an anesthetic assistant per anesthetist performing blocks.

Personally I like Sonosite. We have the XPort, but newer PX looks great. How does Mindray compare?

Growth mindset, innovation, good snacks, shenanigans (when appropriate)
November 19, 2024 at 6:30 AM
These rules are very wise
November 19, 2024 at 6:27 AM
Reposted by Garrett Barry
4/ I ❤️ regional for both my remote&rural and my big hospital stuff but also follow rule 4 (see pic) - sorry if that’s heresy in this group 😱
November 18, 2024 at 9:50 AM
Maybe just a question in general but what’s the status of Cryoneurolysis? Who’s doing this in their practice?

Eg:
Geniculate nerves for TKA
Suprascapular n for shoulder
Amputation pain
Intercostal nerves for thoracic surgery
November 19, 2024 at 12:43 AM
Agreed. So many random accounts floating around, who knows how many were actual people.

I deleted the X app because it became too filled with garbage and click baity threads. Waste of time.
November 19, 2024 at 12:28 AM
One use I am exploring is uploading a large number of studies on a particular topic and asking it questions and mining the outcome data. Also trying it to quickly assess risk of bias domains.

Uncertain on reliability
November 17, 2024 at 11:18 PM
Reposted by Garrett Barry
Or do the new style of “ESP”! Go one layer deeper. Puncture the thoracolumbar fascia, enter 2mm into the costotransverse space.

Is it a “ESP 2.0” or an old fashioned ITP?

🤷🏻‍♂️ but I bet it works better.

pubmed.ncbi.nlm.nih.gov/35021139/
The pathway of injectate spread during thoracic intertransverse process (ITP) block: Micro-computed tomography findings and anatomical evaluations - PubMed
The space posterior to the superior costotransverse ligament, the target area for ITP blocks, has potential anatomical pathways to the thoracic paravertebral space. The costotransverse foramen and the...
pubmed.ncbi.nlm.nih.gov
November 17, 2024 at 9:56 PM