Ropiketofol

Banner für ein Museum mit dem Text: Rechts abbiegen und Geschichte erleben

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Was taught using a 4 for everything, now converted to 3 as a standard because of mechanics. Haven't seen any official "Difficult Airway"-Algorithms using the Vortex-approach, it is however my personal mental framework for challenging airway scenarios. It just somehow clicked for me...

Nee, eigentlich nicht...

Surgery is also bad for the patient. With thyroid cancer you don't have any pain, yet you go to surgery, are in pain AND have a scar on your neck. Is that regression? Is that bad for the patient? Of course not, but you have to explain it. Same with regional anesthesia, explain and talk to patients.

wir ein Kinderzimmer.

Ansonsten ein paar Grundsätze, an die wir uns gehalten haben (vielleicht etwas prägnant ausgedrückt):
- Ein Kind unter 1 kann man nicht verwöhnen
- Eltern müssen auf sich aufpassen, um auf die Kinder aufpassen zu können
- Lieber schreien lassen als ein Schütteltrauma

Zuerst BabyBay, dann Doppelmatratze + Kindermatratze auf dem Boden, dann Doppelmatratze und 2 Kindermatratzen auf dem Boden. Immer eigenes Bett/Zimmer angeboten, auf Wunsch von K1 dann ausprobiert (am Anfang mit regelmässigem nächtlichem Besuch). K2 wollte nicht ohne K1 im Bett sein und zack hatten

Deep learning vs LLM, big difference

OP picture with a red checkmark next to patient education, parentheses around clinical guidelines and decision support and everything else crossed out.

with a reliable source once you receive an answer... It's truly shocking how many people use it for things it's not built for and trust it blindly. Don't be like that... /

It will never tell you "I don't know" or "I'm not sure", it will find a way to answer, even if that means inventing references or completely ignoring certain aspects of a topic. Only use it for things you can and will check afterwards. Search for "drug for the heart that starts with L" and check 3/n

LLMs are great for things related to their basis: language stuff. Use it to rewrite an email more professionally, to generate a suggestion for a lecture you need to prepare or formulate a cohesive text from certain keywords. THEN CHECK IT! Don't research stuff with it. It's a people pleaser 2/n

AI is basically just a catch-all term for different tools/programs. Deep learning used to interpret ECG is different from LLM and it should be treated differently. A LLM is not a search engine and it can't count letters, calculate stuff or just generally "think". It's predictive text on steroids 1/n

Bitte Antwortet mir auf dieses Statement im Ton eines möglichst unhinged Bluesky-Nutzers:

Brot ist gut.

For me 5 years, 20 kg and ASA 1 or 2.
More important for me is whether the surgeon is competent to do the procedure on a child and the hospital is capable of looking after them post op.

But the overall experience (and probably even outcome) for a child in hospital is better in specialised centers. Of course, depending on travel time, waiting lists and case load of non-specialist-hospitals, this assessment changes considerably, I'm just standing on my little privileged island. 2/2

Listening to specialised peds anesthetists or pediatricians or peds-psychologists, there is A LOT of things that can and should be optimised outside of just the technical handling of anesthesia. So from the POV of anesthesia-risk I agree with a cut-off of 2-3 years of age. 1/2

In den meisten EU-Mitgliedstaaten ist Ropivacain für die intrathekale Anwendung offiziell zugelassen - insbesondere in der Konzentration 5 mg/ml.

And this in German:

As of the most recent data, ropivacain is not licensed for intrathecal use in most European countries.

I'll quote your source back at you then 😉
This is ChatGPTs answer in english

For example:
Germany (direct link to Bfarm.de is not working), Austria (aspregister.basg.gv.at/document/ser...), Switzerland (compendium.ch/product/1169...), Netherlands (www.geneesmiddeleninformatiebank.nl/smpc/h27204_...)

It's licensed in most european countries though...

I see what you did there...

Gave Fentanyl, announced after a minute I'd give Propofol to put her under. Young woman goes: "Not yet, this is f**ng great!"

Fascinating! If I were to bring a patient with SGA in situ, I'd have to argue with the PACU-nurses forever! Very rarely done, patients extubated/exSGAed in the OR, transported on monitors and a close eye and then handed to a about 1:3 PACU-team with a nurse-patient ratio of usually 1:3 or less.

So every PACU-patient has a facemask or nasal cannula with CO2-detection? Expensive for a small benefit (my opinion from working in small hospitals with limited patients in PACU).

Also Phenylephrine for c-sections, either bolus or infusion...

I have Ephedrine drawn up, formally as an emergency drug because it's protocol, but mainly because I'm pretty sure I will get to use it over the course of a day for at least one patient so it's not wasteful. Also Atropine. I believe it may have saved several spinals from asystoly (who knows, though)

Elon Musk hat an seiner Grok-KI schrauben lassen, damit sie mehr zu seinen politischen Überzeugungen passt und was soll man sagen: Es ist ein voller Erfolg. (Screenshots: @gedsperber.bsky.social auf Facebook).

Spinal catheter, isobaric Bupivacaine + Fentanyl, no sedation

This should not be a debate. There is no alternative to untucked.

I do agree with the idea though. I think we should lower the threshold for awake intubation. In selected patients and well executed it's not traumatizing and allows for skill retention. Additional benefit: transcric LA may prepare you a little bit for NeckRescue/eFONA