ioana costache
icostache.bsky.social
ioana costache
@icostache.bsky.social
Canadian Anesthesiologist. Regional Anesthesia.
Reposted by ioana costache
Here is the official statement from the American Meteorological Society on the "foundational flaws" of the Department of Energy’s recent attempt to deny the reality of #climate change.

www.ametsoc.org/ams/about-am...
The Practice and Assessment of Science: Five Foundational Flaws in the Department of Energy's 2025 Climate Report
Adopted by the Executive Committee of the AMS Council on 27 August 2025
www.ametsoc.org
August 28, 2025 at 4:16 PM
Reposted by ioana costache
This is going to be a big problem.

Not typically on pubmed (a free online database of medical literature) on Saturday nights but heard it was down and had to check for myself.
March 2, 2025 at 12:44 AM
So happy to see this account on here! One of my favorites from the other place, thought I had lost it in the change. Thank you @tairawhitidoc.bsky.social for all your amazing posts, have been enjoying them for a long time!
Ata mārie BlueSky. This is sunrise for Friday, 17 January, from Makorori Beach, Aotearoa/New Zealand.
January 17, 2025 at 1:09 PM
Reposted by ioana costache
Ukrainian soldier Taras Stolyar recently won Metallica's endorsement for playing Nothing Else Matters on the bandura, a traditional Ukrainian folk instrument.

Now have a look at who sings to him as he plays Shape of My Heart.
December 22, 2024 at 3:25 PM
Reposted by ioana costache
Have you seen this @icostache.bsky.social ?

Good work! The OG #MTP block 👌🏾👌🏾

#RAsky #AnSky #MedSky #POCUSky &

Paravertebral-by-Proxy
Possible alternative to paravertebral blocks?

➡️Intertransverse process blocks at the retro-superior costotransverse ligament space

This study evaluated local anesthetic spread using MRI and sensory block in healthy volunteers.

#RASky #AnSky #MedSky

🔗 doi.org/10.1016/j.jclinane.2024.111718
December 20, 2024 at 8:41 AM
Love the video! Now thinking do not need multiple injection for MTP, do get multilevel spread clinically (maybe not equivalent volume for volume as injection in PVS)
And by “old” you mean original, authentic, and rightful nomenclature 😃
Here is a live demonstration video i did of a paramedian sagittal oblique approach to
the Paravertebral space.

You can tell its a bit old as I still use the “MTP” nomenclature as described by @icostache.bsky.social

Enjoy #RAsky #AnSky

youtu.be/k-5Sw5J1Elo?...
Paramedian Sagittal Approach to Thoracic Paravertebral Block
YouTube video by Dr Amit Pawa
youtu.be
November 27, 2024 at 3:48 PM