Jordan Holloway, MD (she/her)
@jholloway_MD
CA3 @OSU_ANESRes & @waynemedicine alum🩺 || Future CT (@OSU_ANESRes) & aspiring CritCare Anesthesiologist interested in MedEd🫀|| Tweets≠medical advice||🏳️🌈
ID:1550924816332591104
23-07-2022 19:24:31
1,0K Tweet
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S/p Mini-MOCA and t-minus 56 days until end of residency with the best CA3 crew around.💪🏼 Not that anyone is counting. Ohio State Anesthesiology Residency Program
#TBDRITL #MedTwitter #Anesthesiology
One of the best articles on paramedian or should I say 'paraspinous spinal'anaesthetic in recent times.
Hats off to C. Poots and Ki Jinn Chin
Must read for anyone who does spinals routinely..
bjaed.org/article/S2058-…
From NYSORA’s YouTube: Paramedian technique for L5-S1 #spinal #nysoravideos #anesthesia
#BoardThings :
While BIS can be used to monitor anesthetic depth, some meds cause artificial changes due to abnormal EEG signatures:
- N2O/ketamine can artificially ⬆️ BIS
- Precedex can artificially ⬇️ BIS
More: m.youtube.com/watch?v=K2dMqs…
#MedTwitter #MedEd #FOAMEd #Anesthesiology
So - Part two in Right Lateral Decubitus position.
Remember- Last meal was 14 hours previously. What do you see now?
#BILIH #POGUS Jeff Gadsden Block It Like It’s Hot Podcast
#BoardThings : Nitrous oxide should be avoided in MTHFR deficiency because it inhibits methionine synthase ➡️ further increases levels of homocysteine ➡️ increased risk of thrombotic and adverse coronary events.
#MedTwitter #MedEd #FOAMEd #Anesthesiology #Anesthesia
DID YOU APPLY #Anesthesiology in #Match2024 ?
Please fill out our survey. Help us help the Class of 2025 make informed decisions about their applications. Mentors, please distribute widely -->
redcap.bswhealth.org/surveys/?s=NPF…
#TILT : Dural puncture can cause CSF volume loss ➡️ cerebral venodilation ➡️ rare cerebral venous sinus thrombosis, particularly in the setting of thrombophilia (eg labor + Factor V Leiden, APLS, etc)
More: bjanaesthesia.org/article/S0007-…
#MedTwitter #Anesthesiology #OBAnes #FOAMed
#BoardThings : ICU side effects of burn care
- Silver sulfadiazine: Can cause leukopenia and/or methemoglobinemia
- Neomycin: Can be oto/nephrotoxic
- Mafenide acetate: Painful, carbonic anhydrase inhibitor➡️hyperchloremic metabolic acidosis
#MedTwitter #MedEd #CritCare #FOAMEd
Pulm. velocity accel time (PVAT) estimates the severity of PA pressure elevation when TR jets are difficult to analyze. PVAT = time from flow onset to peak velocity. PWD at the PV in this PSAX #TTE shows a PVAT ~ 150 ms (normal is > 130 ms). #echofirst #medtwitter
#BoardThings - periop stimuli intensity ranked:
1. intubation
2. skin incision
3. tetanic stim
4. laryngoscopy
5. trap squeeze
6. voice
1MAC=anesthetic concentration that prevents purposeful movement on skin incision in 50% of patients
#Anesthesiology #MedEd #FOAMEd #MedTwitter
#BoardThings : Incredible table from ICU OnePager differentiating serotonin syndrome vs neuroleptic malignant syndrome vs malignant hyperthermia
#MedEd #FOAMEd #Anesthesiology
Original image: onepagericu.com/hyperthermic_t…
Sometimes it can be difficult to determine if a pericardial effusion is causing tamponade... patient has a HR of 110 and a SBP of 85/50. Is this tamponade? (see next for poll) #medtwitter #echofirst #CardioTwitter #pocus #foamed