by Blake
This is a near-peer teaching medical education resource intended to help prepare new clerkship students for their core Anesthesia rotation. For any questions, corrections, or suggestions please email: [email protected] By Blake Birnie UBC Anesthesiology R1
Language
🇺🇲
Publishing Since
8/9/2020
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1 available
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0 available
November 30, 2023
<p>VTDAT Approach </p> <p><br></p> <p>This should complement teachings you've likely already received on an ABCDE approach. </p> <p><br></p> <p>Three boxes: Anesthetic, Surgical, Patient </p> <p>Categories: Hypovolemic, Distributive, Cardiogenic, Obstructive, Mixed </p> <p><br></p> <p>Use history, physical, non-invasive and invasive monitors, investigations (ECG, blood work, ultrasound, etc) to rule in or rule out your differential. Trial treatments. Assess response to treatments. Don't anchor, reconsider differential diagnosis if not improving. </p> <p><br></p> <p>Have questions, comments, corrections, or concerns? Please reach out via email:</p> <p><a href="mailto:[email protected]">[email protected]</a></p> <p><br></p> <p>References: </p> <p>1. Emergency Manual. “Stanford Medicine Emergency Manual.” Accessed August 27, 2023. <a href="https://emergencymanual.stanford.edu/">https://emergencymanual.stanford.edu/</a>.</p> <p> All research, scriptwriting and recording done by Misa Gillis MSI4 and Blake Birnie, UBC Anesthesiology R3 </p>
November 29, 2023
<p>PDPH is a recognised complication of neuraxial anesthesia. </p> <p><br></p> <p>Around 4 minutes I misspoke and stated an 18G spinal needle - I meant epidural needle, I corrected myself the second time I stated it, sorry for the confusion! </p> <p><br></p> <p>Have questions, comments, corrections, or concerns? Please reach out via email:</p> <p><a href="mailto:[email protected]">[email protected]</a></p> <p><br></p> <p>References: </p> <p>1. Gobel, Hartmut. “7.2.1 Post-Dural Puncture Headache.” ICHD-3. Accessed September 16, 2023. <a href="https://ichd-3.org/7-headache-attributed-to-non-vascular-intracranial-disorder/7-2-headache-attributed-to-low-cerebrospinal-fluid-pressure/7-2-1-post-dural-puncture-headache/">https://ichd-3.org/7-headache-attributed-to-non-vascular-intracranial-disorder/7-2-headache-attributed-to-low-cerebrospinal-fluid-pressure/7-2-1-post-dural-puncture-headache/</a>.</p> <p>2. Plewa, Michael C., and Russell K. McAllister. “Postdural Puncture Headache.” In <em>StatPearls</em>. Treasure Island (FL): StatPearls Publishing, 2023. <a href="http://www.ncbi.nlm.nih.gov/books/NBK430925/">http://www.ncbi.nlm.nih.gov/books/NBK430925/</a>. </p> <p>3. Uppal, Vishal, Robin Russell, Rakesh Sondekoppam, Jessica Ansari, Zafeer Baber, Yian Chen, Kathryn DelPizzo, et al. “Consensus Practice Guidelines on Postdural Puncture Headache From a Multisociety, International Working Group: A Summary Report.” <em>JAMA Network Open</em> 6, no. 8 (August 15, 2023): e2325387–e2325387. <a href="https://doi.org/10.1001/jamanetworkopen.2023.25387">https://doi.org/10.1001/jamanetworkopen.2023.25387</a>.</p> <p>4. Zhang Q, Pang SY, Liu CW. Chronic headaches related to post-dural puncture headaches: a scoping review. Br J Anaesth. 2022 Nov;129(5):747-757. https://pubmed.ncbi.nlm.nih.gov/36085093/</p> <p><br></p> <p>All research, scriptwriting and recording were done by Misa Gillis UBC MSI4 and Blake Birnie UBC Anesthesiology R3 </p> <p><br></p>
November 19, 2023
<p>In this episode, we define multimodal analgesia and give a brief introduction to the many agents that can be utilised. Opioids are a mainstay of treating post-surgical pain and the goal of multimodal analgesia is not to avoid opioids (termed opioid-sparing analgesia) but to reduce the negative side effects while providing adequate post-surgical pain. </p> <p><br></p> <p>The medications listed are those that are typically used in British Columbia, Canada and may differ from your regional practice. For example, we mention IV acetaminophen briefly, this is difficult to obtain in Canada (at least in British Columbia where we practice) although I am aware that it is quite cheap and widely used in other areas of the world. </p> <p><br></p> <p>Apologies for the hissing - we had technical difficulties with the recording equipment. </p> <p><br></p> <p>Have questions, comments, corrections, or concerns? Please reach out via email:</p> <p><a href="mailto:[email protected]">[email protected]</a></p> <p><br></p> <p>References: </p> <p>1. Stone AB, Iban YC, Zhong H, et al. B318 Opioid sparing effects of intravenous and oral acetaminophen in hip fracture patients: a population-based study. <em>Reg Anesth Pain Med</em>. 2022;47(Suppl 1):A234-A235. </p> <p>doi:<a href="https://doi.org/10.1136/rapm-2022-ESRA.392">10.1136/rapm-2022-ESRA.392</a></p> <p>2. Rosenberger DC, Pogatzki-Zahn EM. Chronic post-surgical pain – update on incidence, risk factors and preventive treatment options. <em>BJA Education</em>. 2022;22(5):190-196. doi:<a href="https://doi.org/10.1016/j.bjae.2021.11.008">10.1016/j.bjae.2021.11.008</a></p> <p>3. Djaiani G, Silverton N, Fedorko L, et al. Dexmedetomidine versus Propofol Sedation Reduces Delirium after Cardiac Surgery: A Randomized Controlled Trial. <em>Anesthesiology</em>. 2016;124(2):362-368. doi:<a href="https://doi.org/10.1097/ALN.0000000000000951">10.1097/ALN.0000000000000951</a></p> <p>4. Gropper MA, Cohen NH, Eriksson LI, Fleisher LA, Leslie K, Wiener-Kronish JP. <em>Miller’s Anesthesia</em>. 9th ed. Elsevier Inc.; 2020.</p> <p>5. Butterworth JF, Mackey DC, Wasnick JD. <em>Morgan & Mikhail’s Clinical Anesthesiology</em>. 7th ed. McGraw Hill LCC.; 2022.</p> <p>6. O’Neill A, Lirk P. Multimodal Analgesia. <em>Anesthesiology Clinics</em>. 2022;40(3):455-468. doi:<a href="https://doi.org/10.1016/j.anclin.2022.04.002">10.1016/j.anclin.2022.04.002</a></p> <p>7. Dunn LK, Durieux ME. Perioperative Use of Intravenous Lidocaine. <em>Anesthesiology</em>. 2017;126(4):729-737. doi:<a href="https://doi.org/10.1097/ALN.0000000000001527">10.1097/ALN.0000000000001527</a></p> <p>8. Practice Guidelines for Acute Pain Management in the Perioperative Setting: An Updated Report by the American Society of Anesthesiologists Task Force on Acute Pain Management. <em>Anesthesiology</em>. 2012;116(2):248-273. doi:<a href="https://doi.org/10.1097/ALN.0b013e31823c1030">10.1097/ALN.0b013e31823c1030</a></p> <p> All research, scriptwriting and recording were done by Misa Gillis UBC MSI4 and Blake Birnie UBC Anesthesiology R3 </p>
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