Brachial plexus is sub-divided from proximal to distal into: Roots, Trunks, Divisions, Cords, Branches. This can be easily remembered with a mnemonic: Randy Travis Drinks…
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Anesthesia
Local Anesthetics Mnemonic
All Local anesthetics contain suffix “-caine”. Local Anesthetics (LA) can be classified as: Esters and Amides. Esters vs Amides A mnemonic device is that the…
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Priming, Precurarization and Self taming
Priming Administration of a small sub-paralyzing dose of non-depolarizing muscular blocking agent (usually 10% of the intubating dose) is given 2-4 minutes before administering a…
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Concentration effect, Second gas effect and Diffusion hypoxia
Concentration effect The higher the concentration of an inhaled anesthetic, the faster the alveolar concentration approaches the inhaled concentration. This is referred to as concentration…
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Mapleson Breathing Circuit Made Easy
Anatomy of Mapleson Breathing Circuit Basically, a mapleson breathing circuit consists of following parts: 1. Face mask (towards patient end) 2. Reservoir bag (towards operator…
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Early vs Delayed Norepinephrine Use in Septic Shock
Norepinephrine has numerous effects in sepsis including veno-constriction (increasing preload), arterial constriction (increasing systemic vascular resistance), positive inotropy, improved cardiac output, and improved renal perfusion.…
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Septic Shock Fluid Resuscitation
Endpoints of resuscitation MAP: > or = 65 mmHg Urine output: > 0.5 ml/kg/hr; despite ↓RBF (Renal Blood Flow) it can be normal due to…
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Is there no role of Early Goal Directed Therapy (EGDT) in Sepsis and Septic shock?
International Surviving Sepsis Campaign has recommended Early Goal Directed Therapy for the management of severe sepsis and septic shock. Recently, three large multicenter studies –…
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