Sreekar
@sreekar.bsky.social
Anesthesiologist. MBBS(Medical College Kolkata),MD(BP Koirala Institute of Health Sciences,Dharan). Currently working as Senior Resident at AIIMS Delhi trauma centre (JPNATC).
Reposted by Sreekar
“While distinct phenomena, HID and burnout are intimately related, HID, among other factors, represents a significant and preventable source of occupational stress,” write Drs. Barry Swerdlow, Matthew Klopman, and Julie Mani.
Explore HID-related burnout.
doi.org/10.1097/01.A...
Explore HID-related burnout.
doi.org/10.1097/01.A...
November 13, 2025 at 9:11 PM
“While distinct phenomena, HID and burnout are intimately related, HID, among other factors, represents a significant and preventable source of occupational stress,” write Drs. Barry Swerdlow, Matthew Klopman, and Julie Mani.
Explore HID-related burnout.
doi.org/10.1097/01.A...
Explore HID-related burnout.
doi.org/10.1097/01.A...
Reposted by Sreekar
Artificial intelligence-assisted tracheal intubation in humans: a prospective observational study of diagnostic accuracy
#AnSky #MedSky #AI
doi.org/10.1111/anae...
#AnSky #MedSky #AI
doi.org/10.1111/anae...
November 18, 2025 at 11:02 AM
Artificial intelligence-assisted tracheal intubation in humans: a prospective observational study of diagnostic accuracy
#AnSky #MedSky #AI
doi.org/10.1111/anae...
#AnSky #MedSky #AI
doi.org/10.1111/anae...
Reposted by Sreekar
#POCUS is vital tech for LMICs! 🌍
But we need better training, not just short courses
Let's back local trainers & tele-mentoring💪
Let's chat about how we make this stick!
#GlobalHealth #ultrasoundtraining
👇Join the discussion with other educators
tinyurl.com/38jkx9nu
But we need better training, not just short courses
Let's back local trainers & tele-mentoring💪
Let's chat about how we make this stick!
#GlobalHealth #ultrasoundtraining
👇Join the discussion with other educators
tinyurl.com/38jkx9nu
November 13, 2025 at 1:11 AM
#POCUS is vital tech for LMICs! 🌍
But we need better training, not just short courses
Let's back local trainers & tele-mentoring💪
Let's chat about how we make this stick!
#GlobalHealth #ultrasoundtraining
👇Join the discussion with other educators
tinyurl.com/38jkx9nu
But we need better training, not just short courses
Let's back local trainers & tele-mentoring💪
Let's chat about how we make this stick!
#GlobalHealth #ultrasoundtraining
👇Join the discussion with other educators
tinyurl.com/38jkx9nu
I had made a thread on the issues I faced in Kolkata/West Bengal compared to my current workplace(AIIMS Delhi,Trauma Centre). One might ask what is the problem with a Boyles' apparatus. By itself it is not problematic but in the Indian context it is emblematic of a culture where Anaesthesiology+
November 9, 2025 at 12:14 PM
I had made a thread on the issues I faced in Kolkata/West Bengal compared to my current workplace(AIIMS Delhi,Trauma Centre). One might ask what is the problem with a Boyles' apparatus. By itself it is not problematic but in the Indian context it is emblematic of a culture where Anaesthesiology+
Reposted by Sreekar
ICYMI
I wasn’t quite happy with the existing translations of the Mithras Liturgy, so I made my own.
I also made a audio recording of it, in case anyone wants to try meditating with it.
See further here... let me know what you think!
robindouglas.org/2025/10/29/t...
I wasn’t quite happy with the existing translations of the Mithras Liturgy, so I made my own.
I also made a audio recording of it, in case anyone wants to try meditating with it.
See further here... let me know what you think!
robindouglas.org/2025/10/29/t...
The Mithras Liturgy – A new translation
I wasn’t quite happy with the existing translations of the Mithras Liturgy, so I made my own. The text can be found here. Here is an audio recording of it.
robindouglas.org
October 29, 2025 at 7:12 AM
ICYMI
I wasn’t quite happy with the existing translations of the Mithras Liturgy, so I made my own.
I also made a audio recording of it, in case anyone wants to try meditating with it.
See further here... let me know what you think!
robindouglas.org/2025/10/29/t...
I wasn’t quite happy with the existing translations of the Mithras Liturgy, so I made my own.
I also made a audio recording of it, in case anyone wants to try meditating with it.
See further here... let me know what you think!
robindouglas.org/2025/10/29/t...
It's a bit delayed,but I have finally joined SRship in one of the best institutes in the country(AIIMS Delhi) and am now settling down here.
October 29, 2025 at 9:25 PM
It's a bit delayed,but I have finally joined SRship in one of the best institutes in the country(AIIMS Delhi) and am now settling down here.
Reposted by Sreekar
Not exactly a debate thing but I used thiopentone for the first time a few days ago. I came to appreciate the wakeup properties of propofol compared to thiopentone...the patients looked pretty buzzed/drowsy on thio.
Early start to the weekend #MedSKyDebate as I am travelling North to find some sunshine from winter!!
“What is the funniest or strangest thing a patient has ever said to you?”
Be mindful of breaching privacy.
Have fun and thanks to @drrobbieerskine.bsky.social 😎
“What is the funniest or strangest thing a patient has ever said to you?”
Be mindful of breaching privacy.
Have fun and thanks to @drrobbieerskine.bsky.social 😎
a close up of a woman 's face with the hashtag schitts creek
ALT: a close up of a woman 's face with the hashtag schitts creek
media.tenor.com
July 18, 2025 at 2:47 PM
Not exactly a debate thing but I used thiopentone for the first time a few days ago. I came to appreciate the wakeup properties of propofol compared to thiopentone...the patients looked pretty buzzed/drowsy on thio.
Reposted by Sreekar
Hip fractures concern elderly patients with physical and cognitive comorbidities. Mortality is high, 13% die within one month, 25% die within one year after the injury. International guidelines suggest that adequate pain management requires operative management even with a poor life expectancy.
July 10, 2025 at 3:48 AM
Hip fractures concern elderly patients with physical and cognitive comorbidities. Mortality is high, 13% die within one month, 25% die within one year after the injury. International guidelines suggest that adequate pain management requires operative management even with a poor life expectancy.
Reposted by Sreekar
People used to bite into lemons (also relatively modern) like they were candy. Can you imagine expecting a lemon's tartness & getting an orange's sweetness?
July 6, 2025 at 6:33 AM
People used to bite into lemons (also relatively modern) like they were candy. Can you imagine expecting a lemon's tartness & getting an orange's sweetness?
Reposted by Sreekar
It just hit me why in fairy tales that they appear oranges are such magical things,m. They only become widely cultivated in Islamic areas starting in the 900s, they only reach Europe in the 1500s.
They are for the medieval person this wildly exotic thing, not crafted by god but by man, such that
They are for the medieval person this wildly exotic thing, not crafted by god but by man, such that
July 6, 2025 at 6:33 AM
It just hit me why in fairy tales that they appear oranges are such magical things,m. They only become widely cultivated in Islamic areas starting in the 900s, they only reach Europe in the 1500s.
They are for the medieval person this wildly exotic thing, not crafted by god but by man, such that
They are for the medieval person this wildly exotic thing, not crafted by god but by man, such that
Reposted by Sreekar
I can't remember where I saw it (Twitter probably lbut it basically went:
"I am currently away.
If you need to contact me in an emergency, please consider how appropriate it is to use email to contact an anaesthetist in an emergency."
"I am currently away.
If you need to contact me in an emergency, please consider how appropriate it is to use email to contact an anaesthetist in an emergency."
Looking for models of sabbatical-focused out-of-office email autoreplies that strike the right balance between "leave me alone" and "fuck you."
On a related note, I am now on sabbatical.
On a related note, I am now on sabbatical.
July 3, 2025 at 8:07 PM
I can't remember where I saw it (Twitter probably lbut it basically went:
"I am currently away.
If you need to contact me in an emergency, please consider how appropriate it is to use email to contact an anaesthetist in an emergency."
"I am currently away.
If you need to contact me in an emergency, please consider how appropriate it is to use email to contact an anaesthetist in an emergency."
Reposted by Sreekar
Open access: “A grammar of Khowar” by Elena Bashir (June ’25) uclpress.co.uk/book/a-gramm...
A Grammar of Khowar
This book is the first full-length English-language grammar of Khowar, one of the Far Northwestern Indo-Aryan languages. It reflects more than 30 years of field research by the author, and attempts to...
uclpress.co.uk
July 1, 2025 at 5:03 AM
Open access: “A grammar of Khowar” by Elena Bashir (June ’25) uclpress.co.uk/book/a-gramm...
Reposted by Sreekar
I start with 2% Sevo and build up every two breaths by 2% to max 8%. If you have N2O you could (not should) use it to make things smoother.
DONT rush it.
Keep talking & reassuring
DONT rush it.
Keep talking & reassuring
June 29, 2025 at 6:21 PM
I start with 2% Sevo and build up every two breaths by 2% to max 8%. If you have N2O you could (not should) use it to make things smoother.
DONT rush it.
Keep talking & reassuring
DONT rush it.
Keep talking & reassuring
@maffygirl.medsky.social @bobfunn.bsky.social How do you teach residents fiber-optic intubations(not necessarily awake)? I've done quite a few in dental cases but find it hard to teach to the residents under me.
June 29, 2025 at 9:49 AM
@maffygirl.medsky.social @bobfunn.bsky.social How do you teach residents fiber-optic intubations(not necessarily awake)? I've done quite a few in dental cases but find it hard to teach to the residents under me.
Reposted by Sreekar
VL is now my default
We have McGraths
When I have a trainee with me, I do like to emphasise positioning though - I think it is easier to become a bit 'lazy' with proper positioning when using VL
We have McGraths
When I have a trainee with me, I do like to emphasise positioning though - I think it is easier to become a bit 'lazy' with proper positioning when using VL
June 28, 2025 at 8:17 AM
VL is now my default
We have McGraths
When I have a trainee with me, I do like to emphasise positioning though - I think it is easier to become a bit 'lazy' with proper positioning when using VL
We have McGraths
When I have a trainee with me, I do like to emphasise positioning though - I think it is easier to become a bit 'lazy' with proper positioning when using VL
I know you're right, but in a place where people celebrate getting a Boyle's without a vaporizer and vent I cannot hope for a VL. It's so nice though(having used it at my old place)
I am determined to get AnSky and MedSky resuscitated.
Nothing better than our old favourite, the VL vs DL debate.
Thanks to @sethina.bsky.social for the idea.
Comes on guys let’s all have our say.
Oh I am right though 😂
Nothing better than our old favourite, the VL vs DL debate.
Thanks to @sethina.bsky.social for the idea.
Comes on guys let’s all have our say.
Oh I am right though 😂
Ok @sethina.bsky.social and @chrimesy.com let’s get this Easter party going!!
I only use VL for intubation, every single time now.
I am not sticking my face near anyone’s mouth.
It’s better for engagement and DL is dead IMO.
Even the dreadful McGrath is better than DL.
I only use VL for intubation, every single time now.
I am not sticking my face near anyone’s mouth.
It’s better for engagement and DL is dead IMO.
Even the dreadful McGrath is better than DL.
June 27, 2025 at 11:50 PM
I know you're right, but in a place where people celebrate getting a Boyle's without a vaporizer and vent I cannot hope for a VL. It's so nice though(having used it at my old place)
Reposted by Sreekar
Today is the day we talk about every anaesthetists favourite white liquid that is not milk. Propofol and the change it brought to anaesthesia for children. #openaccess #ansky #pedsanes onlinelibrary.wiley.com/doi/10.1111/...
Propofol: A Medication That Changed Pediatric Anesthesia Practice
The introduction of propofol changed our understanding of pediatric anesthesia pharmacology, research approaches for intravenous drug study, and led to infusion pump development for the maintenance p...
onlinelibrary.wiley.com
June 27, 2025 at 1:31 PM
Today is the day we talk about every anaesthetists favourite white liquid that is not milk. Propofol and the change it brought to anaesthesia for children. #openaccess #ansky #pedsanes onlinelibrary.wiley.com/doi/10.1111/...
Reposted by Sreekar
I’m a very sparing user of the ‘up front’ CVC. Unless there’s a a compelling reason I insert them prn if problems arise. No one needs an urgent CVC.
As for CVP, trends more useful than absolute value (which I suppose partly undermines my reasoning to only insert once probs arise!).
As for CVP, trends more useful than absolute value (which I suppose partly undermines my reasoning to only insert once probs arise!).
June 27, 2025 at 10:33 AM
I’m a very sparing user of the ‘up front’ CVC. Unless there’s a a compelling reason I insert them prn if problems arise. No one needs an urgent CVC.
As for CVP, trends more useful than absolute value (which I suppose partly undermines my reasoning to only insert once probs arise!).
As for CVP, trends more useful than absolute value (which I suppose partly undermines my reasoning to only insert once probs arise!).
My counterpoint is I'm in an institution where it's heavily used now(unlike where I did my residency from and had never seen it)
Cheeky Midweek #AnSkyMedSkyDebate from @bobfunn.bsky.social
We should remove all N2O pipelines from hospitals and replace with portable cylinders.
#AnSky #MedSky
We should remove all N2O pipelines from hospitals and replace with portable cylinders.
#AnSky #MedSky
a man wearing glasses and a striped shirt says " get rid of it "
ALT: a man wearing glasses and a striped shirt says " get rid of it "
media.tenor.com
June 25, 2025 at 1:01 PM
My counterpoint is I'm in an institution where it's heavily used now(unlike where I did my residency from and had never seen it)
Reposted by Sreekar
Same procedure, other side ACL.same patient
15 years apart
Whitacre>sprotte
Midline>paramedian
Bupi/fent > Chloroprocaine
FNB>FTB+cuties
Bupi>Levobupi
US>US with Nv Stim
😳
15 years apart
Whitacre>sprotte
Midline>paramedian
Bupi/fent > Chloroprocaine
FNB>FTB+cuties
Bupi>Levobupi
US>US with Nv Stim
😳
April 30, 2025 at 2:58 PM
Same procedure, other side ACL.same patient
15 years apart
Whitacre>sprotte
Midline>paramedian
Bupi/fent > Chloroprocaine
FNB>FTB+cuties
Bupi>Levobupi
US>US with Nv Stim
😳
15 years apart
Whitacre>sprotte
Midline>paramedian
Bupi/fent > Chloroprocaine
FNB>FTB+cuties
Bupi>Levobupi
US>US with Nv Stim
😳
Reposted by Sreekar
Most literature reviews miss the point.
Not because they’re sloppy.
But because they treat the literature like a box to tick.
In my latest Respect the Marble Post, I carve out a 6-step process to writing a meaningful lit review:
catherineeunicedevries.substack.com/p/most-liter...
🧵
Not because they’re sloppy.
But because they treat the literature like a box to tick.
In my latest Respect the Marble Post, I carve out a 6-step process to writing a meaningful lit review:
catherineeunicedevries.substack.com/p/most-liter...
🧵
Most Literature Reviews Miss the Point. Don’t Let Yours
Critically Engaging Past Work to Confidently Shape Your Own
catherineeunicedevries.substack.com
June 24, 2025 at 6:01 AM
Most literature reviews miss the point.
Not because they’re sloppy.
But because they treat the literature like a box to tick.
In my latest Respect the Marble Post, I carve out a 6-step process to writing a meaningful lit review:
catherineeunicedevries.substack.com/p/most-liter...
🧵
Not because they’re sloppy.
But because they treat the literature like a box to tick.
In my latest Respect the Marble Post, I carve out a 6-step process to writing a meaningful lit review:
catherineeunicedevries.substack.com/p/most-liter...
🧵
Reposted by Sreekar
I think a rational approach is to calculate the volume of hypertonic therapy needed to raise the [Na] by 3 mM using the Androgue-Madias equation
if the volume seems unreasonably high, round down (use judgement)
maybe not perfect but better than current norms of practice (esp for elevated ICP tx)
if the volume seems unreasonably high, round down (use judgement)
maybe not perfect but better than current norms of practice (esp for elevated ICP tx)
June 24, 2025 at 12:27 PM
I think a rational approach is to calculate the volume of hypertonic therapy needed to raise the [Na] by 3 mM using the Androgue-Madias equation
if the volume seems unreasonably high, round down (use judgement)
maybe not perfect but better than current norms of practice (esp for elevated ICP tx)
if the volume seems unreasonably high, round down (use judgement)
maybe not perfect but better than current norms of practice (esp for elevated ICP tx)