krautdumpling.bsky.social
krautdumpling.bsky.social
@krautdumpling.bsky.social
Reposted by krautdumpling.bsky.social
Scalpel-Finger-Bougie Cric

-Large, midline vertical incision
-Palpate cricothyroid membrane w/ finger of nondominant hand
-Scalpel through membrane, drag laterally, flip and drag laterally
-Scalpel out, finger in
-Bougie in guided by finger
-6-0 ETT over bougie

youtube.com/shorts/jB3vq...
#EMIMCC
Deliberate Practice: Cric #criticalcare #emergencymedicine #airway
YouTube video by EMSwami
youtube.com
December 22, 2025 at 2:32 PM
Reposted by krautdumpling.bsky.social
I had the pleasure of teaching lung #pocus at a “train the trainers” course, with the ever excellent @avkwong.bsky.social and Cian McDermott as faculty

Some reflections from the day:

(1/n)
February 27, 2025 at 9:45 AM
Reposted by krautdumpling.bsky.social
A quick #VEXUS thread 🧵-

3 reasons why the portal vein is the most useful single venous doppler waveform 🥇

(if you're only going to do ONE site to look for venous congestion, this is probably the most useful one!)

#emimcc
February 25, 2025 at 6:30 PM
Reposted by krautdumpling.bsky.social
An illustration demonstrating the direction of blood flow through the #heart. This was a modification of an older illustration, redrawn for my CMI portfolio submission.

#sciArt #medicalIllustration #medsky
December 11, 2025 at 3:53 PM
Reposted by krautdumpling.bsky.social
Pre-operative anaemia is an established risk factor for mortality after cardiac surgery.

To what extent is this risk mediated by complications related to red blood cell transfusion?

#AnSky #HemeSky #MedSky #anaemia

doi.org/10.1111/anae...
December 16, 2025 at 10:03 AM
Reposted by krautdumpling.bsky.social
Adding ketamine to #propofol #TIVA raises BIS values, shifting toward a peak-max pattern of phase–amplitude coupling (PAC). This reflects altered EEG dynamics, supporting PAC metrics in depth-of-anaesthesia monitoring #bjaopen

https://www.bjaopen.org/article/S2772-6096(25)00110-8/fulltext
December 10, 2025 at 8:00 AM
Reposted by krautdumpling.bsky.social
#Photoacoustic measurements of #propofol concentration in exhaled gas are feasible and accurate compared with #massspectrometry

https://www.bjanaesthesia.org/article/S0007-0912(25)00537-9/fulltext
December 4, 2025 at 11:00 PM
Reposted by krautdumpling.bsky.social
EMCrit 413 - Translating Recent Sepsis Papers to the Bedside with @PulmCrit (Farkas)
- Confounding Effects of Vasopressin
- Perfusion Index?
- Echo-Pressor-Echo
& so much more...
[#FOAMed for now]
emcrit.org/413
EMCrit 413 - Translating Recent Sepsis Papers to the Bedside with PulmCrit (Farkas)
Ok, new sepsis papers, but what should we actually do?
emcrit.org
November 30, 2025 at 12:22 AM
Reposted by krautdumpling.bsky.social
New episode 🎧 Does desflurane need electricity? Why does lower blood-gas solubility = faster onset? Episode 44 breaks down volatile anaesthetics with the concepts that matter for the FRCA Primary.

Listen: gasgasgas.uk/introduction-to-volatile-anaesthetic-agents/
#FOAMed #Anaesthesia #FRCA #ansky
Ep.44 –Introduction To Volatile Anaesthetic Agents For The FRCA Primary
Volatile anaesthetic agents remain fundamental to modern anaesthetic practice, yet their behaviour is governed by complex physicochemical principles that can
gasgasgas.uk
October 18, 2025 at 7:43 AM
Reposted by krautdumpling.bsky.social
Friendly reminder:

During an intra-arrest #POCUS, the finding of RV dilation alone is generally insufficient to conclude the presence of a pulmonary embolism & justify the administration of thrombolytics. After a few min of CPR, RV tends to dilate due to
October 1, 2025 at 1:06 AM
Reposted by krautdumpling.bsky.social
Our latest episode of @bilih.bsky.social #BILIH #BlockItLikeItsHot is out!

This time @jeffgadsden.bsky.social does at least 3 accents, plus we take you on a journey of discovery with Nerve catheters!

Full episode here www.blockitlikeitshot.com/s3-e16-cant-...

#RAsky #AnSky
October 7, 2025 at 12:04 PM
Reposted by krautdumpling.bsky.social
Neuraxial anesthesia and pain management for cesarean delivery - American Journal of Obstetrics & Gynecology www.ajog.org/article/S000...
Neuraxial anesthesia and pain management for cesarean delivery
Optimal neuraxial anesthesia for cesarean delivery requires a thorough understanding of patient, obstetrical, surgical, and anesthesia-related factors which can impact pain during and after cesarean d...
www.ajog.org
September 21, 2025 at 11:49 AM
Reposted by krautdumpling.bsky.social
The application of cricoid force remains controversial in modern practice. A new review by Sotiriou et al. critically assesses the anatomic, physiologic, and contemporary clinical evidence of cricoid force application: ow.ly/Mkx350WY3Zy
September 19, 2025 at 7:58 PM
Reposted by krautdumpling.bsky.social
Kinder gehören nach Hause!
Öffnet dieser Grundsatz Tür und Tor für Rosinenpickerei und Küchentisch-Chirurgie?
September 15, 2025 at 11:02 AM
Reposted by krautdumpling.bsky.social
I have always been guided by the Bouvet study. I use propofol 2 mg/kg and remi 5 mcg/kg together on induction as my base. between 45-60 s after induction you see the HR drop, reflecting sympatholysis and you go.
associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/...
Optimal remifentanil dosage for providing excellent intubating conditions when co‐administered with a single standard dose of propofol
This dose–response study aimed to determine the dose of remifentanil combined with propofol 2.5 mg.kg−1 which provided excellent intubation conditions in 95% of patients. Ninety premedicated female A...
associationofanaesthetists-publications.onlinelibrary.wiley.com
September 7, 2025 at 4:25 PM
Reposted by krautdumpling.bsky.social
Well it is very easy, when you see the cords and gently advance the tube, you see if there is any resistance at all, which there hardly never is above 5 mcg/kg of remi on top of propofol. The new meta-analysis from Anaesthesia supports this as well. I´ve done bariatrics with VL no NMB for 10+ years
September 7, 2025 at 9:15 AM
Reposted by krautdumpling.bsky.social
McConnell sign in PE - quantified with free-wall strain. (Doesn’t always work out this way) #echofirst
September 4, 2025 at 12:13 PM
Reposted by krautdumpling.bsky.social
In patients with heparin-induced thrombocytopenia, pathogenic antibodies were found to be monoclonal, which challenges previous views of HIT as a polyclonal disorder and suggests new avenues for diagnosis and treatment. Full study results: nej.md/4pkaYAq

#MedSky #CardioSky
September 3, 2025 at 10:00 PM
Reposted by krautdumpling.bsky.social
Right ventricle and venous system: bridging physiology and clinical practice. A narrative review

CCR Journal Watch - tracking the critical care literature daily
https://criticalcarereviews.com/latest-evidence/journal-watch
September 2, 2025 at 6:04 PM
Reposted by krautdumpling.bsky.social
EMCrit 407 - Massive Hemorrhage Protocol 2.0 with @petrosoniak.
We cover:
-Mass Trans at Rural Hospitals
-Debate 1:1:1
-Easier admin of TXA
-Lab based vs. ratioed resus
[#FOAMed for Now]
emcrit.org/407
August 30, 2025 at 9:04 PM
Reposted by krautdumpling.bsky.social
In a new study, Rössler et al. investigate whether intraoperative hypotension, perioperative average blood pressure, or blood pressure variability are associated with postoperative delirium. Read the article: ow.ly/SmbZ50WMnZU
September 2, 2025 at 1:22 PM
Reposted by krautdumpling.bsky.social
Combined videolaryngoscopy and flexible bronchoscopy for difficult tracheal intubation in children: a retrospective observational cohort study

#AnSky #PedsAnSky #AirwaySky #MedSky

doi.org/10.1111/anae...
August 26, 2025 at 8:06 AM
Reposted by krautdumpling.bsky.social
PILLOW ? - YES PLEASE
baby, infant, toddler, child, teenager, adult
June 8, 2025 at 12:05 AM
Reposted by krautdumpling.bsky.social
Partial pressure of oxygen, hyperoxemia and hyperoxia in the intensive care or anesthesia setting

CCR Journal Watch - tracking the critical care literature daily
https://criticalcarereviews.com/latest-evidence/journal-watch
August 9, 2025 at 8:14 PM