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Anesthesia

Emergency Medicine Surgical Skills

Bier Block

Epomedicine Jan 11, 2022 No Comments AnesthesiaOrthopedics

Named after: German Surgeon August Bier (first introduced the block in 1908) Definition: It is a peripheral intravenous local anesthetic block (IVRA; Intravenous Regional Anesthesia)…

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PGMEE, MBBS, MD/MS

Atropine Induced Paradoxical Bradycardia

Epomedicine Jan 5, 2022 No Comments AnesthesiaInternal medicinePediatricsPharmacology

Atropine induced paradoxical bradycardia is the sinus bradyarrhythmia following low-dose atropine resulting from the paradoxical slowing in the sinoatrial (SA) node discharge rate. Mechanism of…

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pulmonary embolism xray
PGMEE, MBBS, MD/MS

Perioperative Management of Venous thromboembolism (VTE)

Epomedicine Nov 3, 2021 No Comments AnesthesiaInternal medicineSurgery

Recommended duration of anticoagulant prophylaxis The recommendations are as follows: 1. Provoked DVT (with reversible surgical or nonsurgical provoking factor): 3 months 2. Unprovoked isolated distal DVT (has…

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PGMEE, MBBS, MD/MS

Preoperative Cardiac Evaluation in Non-cardiac Surgery : Mnemonic

Epomedicine Oct 2, 2021 No Comments AnesthesiaCardiovascular systemInternal medicine

Besides, for the emergency/urgent surgeries, one needs to evaluate 4 variables in the preoperative cardiac evaluation of the patient for the non-cardiac surgery. We have…

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PGMEE, MBBS, MD/MS

Oxygen Hemoglobin Dissociation Curve : Mnemonic

Epomedicine Aug 28, 2021 No Comments AnesthesiaPhysiologyRespiratory system

The oxygen hemoglobin dissociation curve is sigmoidal in shape because the binding of 1st oxygen molecule is difficult, however once bound, they facilitate the binding…

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opioid receptors
PGMEE, MBBS, MD/MS

Opioid Adverse Effects – Mnemonic

Epomedicine Apr 14, 2021 No Comments AnesthesiaGeneral conceptsPharmacology

Mnemonic: MORPHINES 1. Miosis Mechanism: Stimulation of Edinger-Westphal nucleus of Cranial nerve III 2. Orthostatic hypotension Mechanism: Vasodilation due to – Direct action decreasing tone…

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tourniquet
PGMEE, MBBS, MD/MS

Tourniquet Paralysis Syndrome

Epomedicine Feb 27, 2021 No Comments AnesthesiaMusculoskeletal systemOrthopedics

Synonym: Pressure paralysis Mechanism: Direct extrinsic pressure (displacement of ranvier node) or axonal hypoxia on the nerves beneath the tourniquet and are related to the…

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PGMEE, MBBS, MD/MS

Nerve fibers – Classification

Epomedicine Sep 7, 2020 3 Comments AnesthesiaNervous systemPhysiology

Nerve fibers can be classified as A, B and C and A type fibers can be further classified into alpha, beta, gamma and delta. The…

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