Nausea/Motion sickness with laparoscopic surgery
Anyone has trouble with motion sickness when performing laparoscopic surgery? Any advice? (Source: Student Doctor Network)
Source: Student Doctor Network - February 28, 2024 Category: Universities & Medical Training Authors: PhillipJFry Tags: Surgery and Surgical Subspecialties Source Type: forums
Re: Effectiveness of conservative management versus laparoscopic cholecystectomy in adults with uncomplicated symptomatic gallstone disease (C-GALL trial): pragmatic, multicentre randomised controlled …
(Source: BMJ Comments)
Source: BMJ Comments - February 13, 2024 Category: General Medicine Source Type: forums
Conservative management versus laparoscopic cholecystectomy in adults with uncomplicated symptomatic gallstone disease and the risk of cholangiocarcinoma
(Source: BMJ Comments)
Source: BMJ Comments - December 14, 2023 Category: General Medicine Source Type: forums
Re: Effectiveness of conservative management versus laparoscopic cholecystectomy i
(Source: BMJ Comments)
Source: BMJ Comments - December 11, 2023 Category: General Medicine Source Type: forums
What operations requires strict NPO?
I see surgeons order in NPO strict or NPO with meds and ice before surgeries, but there doesn’t seem to any obvious reason why they pick between the two. Some surgeons order NPO strict for laparoscopic cholecystectomy and others will be okay with ice and meds for the same procedure. I’m sure there are surgeries and risk factors that require strict NPO (bariatric, gastroparesis,etc), but is there any resources I can review to determine how this is figured out? Thanks in advance! (Source: Student Doctor Network)
Source: Student Doctor Network - February 19, 2023 Category: Universities & Medical Training Authors: Doctadudeman Tags: Surgery and Surgical Subspecialties Source Type: forums
I got offered a job straight out of residency in a Big OB/GYN hospital, should I accept?
CA3 here… so I got recruited to a big OB/GYN center starting in a couple of months. i did like 4 months there as a part of my training and I made a good impresion with the head of anesthesia, but I can’t help but be nervous about my first real job out there. I posted this elsewhere and the feedback I got is that I should just do OB/GYN straight out of residency as my other skills will probably be neglected. This hospital It’s main focus is ob but also has an oncology and laparoscopic surgery...
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Source: Student Doctor Network - September 28, 2022 Category: Universities & Medical Training Authors: Sleeplessbordernights Tags: Anesthesiology Source Type: forums
Formula 1: Albon reintubated after Lap Appy
Never thought F1 would intersect with anesthesia. Official statement from Williams:
"Further to Alex Albon’s diagnosis of appendicitis on the morning of Saturday 10 September, he was admitted to San Gerardo hospital for treatment. He underwent a successful laparoscopic surgery on Saturday lunchtime.
Following surgery, Alex suffered with unexpected post-operative anaesthetic complications which led to respiratory failure, a known but uncommon complication. He was re-intubated and...
Click to expand...
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Source: Student Doctor Network - September 13, 2022 Category: Universities & Medical Training Authors: banister Tags: Anesthesiology Source Type: forums
OB/GYN Jobs
Locum - Physician - OB/GYN Pittsfield, MA
Start: ASAP (credentialing is about 6 weeks) - 6 months
Dates: Flexible
Shifts: FT, 40 hours/week M-F
Call optional
Clinic work M-F
Level 3 Trauma
Will not be supervising anyone
Required to cover ER when on call
Will perform emergent laparoscopy, DNC
Must be able to complete circumcisions
Will cover deliveries and clinic
Min shifts per month/week? 2-3 per month
Avg of 2 deliveries per day...
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Source: Student Doctor Network - November 26, 2021 Category: Universities & Medical Training Authors: amani1 Tags: Ob/Gyn Source Type: forums
Do you sweep the tongue in DL?
Second year anesthesia resident here, currently in a two month long off site ob rotation. Tbh after two months with only spinals and epidurals my DL skills are a lil rusty, I guess it’s bad form but I never sweep the tongue. This week they started making gyn laparoscopic surgeries, so I started intubating again. My mentor here insists I sweep the tongue this Weird way, twisting the Laryngoscope. Im trying but somehow this made it more difficult, any advice? (Source: Student Doctor Network)
Source: Student Doctor Network - September 5, 2021 Category: Universities & Medical Training Authors: Sleeplessbordernights Tags: Anesthesiology Source Type: forums
Physician assistants are surgical residents. Shameful.
Surgery - Professional Training Programs - Postgraduate Physician Assistant Program Overview - Montefiore Medical Center - New York City
Montefiore Medical Center has a proven reputation for managing even the most delicate and complex surgeries with overwhelmingly positive outcomes.
www.montefiore.org
MIMIS is a center of excellence to instruct surgeons, surgical residents (physician and PAs) in established laparoscopic techniques and to develop new techniques and instrumentation. For the PA and physician residents there are dry lab sessions avail...
Source: Student Doctor Network - May 16, 2021 Category: Universities & Medical Training Authors: wamcp Tags: Surgery and Surgical Subspecialties Source Type: forums
Case of Appendix Surgery Complication
XXXXXXXX XX, 2020
Dear Dr. XXXXXXX:
On July 17, 2015, Patient A presented to an emergency department with a two-day history of abdominal pain. You were consulted by an emergency department physician. A CT scan was performed and interpreted as acute appendicitis. On July 18, 2015, you performed a laparoscopic appendectomy on Patient A, with the goal being surgical removal of Patient A’s appendix. Your operative report indicates that you removed Patient A’s appendix. The surgical...
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Source: Student Doctor Network - April 3, 2021 Category: Universities & Medical Training Authors: msnbc2020 Tags: Surgery and Surgical Subspecialties Source Type: forums
Intraop analgesia
I have seen and heard so many ways to treat analgesia during surgery. I understand that it often depends on the type of surgery and the patient, but I often hear the same few strategies and I was curious what everyone else does? Lets say for your typical Laparoscopic assisted Total hysterectomy
1) Induction (fentanyl, lido, prop, and Roc/Sux) --> Fentanyl bolus before incision (unless surgeon is fast and cuts right after induction) and then just intermittent fentanyl boluses (25-50 mcg)...
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Source: Student Doctor Network - January 1, 2021 Category: Universities & Medical Training Authors: Mike1228 Tags: Anesthesiology Source Type: forums
Positive stress test for non cardiac surgery
Haven’t posted in a while and this topic likely discussed in the past but thought this would be a good case for discussion.
85. male. Is a physician. Dm , hld has colon ca without mets. Laparoscopic sigmoid resection. Ct scan shows calcium aorta and coronaries amd has history of nstemi and a normal tte 5 years ago. No other workup. New Stress test done with 3.8 Met on stress test and hr of 115 and no symptoms. Echo has anterior and septal wall motion abnormalities.
patient wants no heart...
Positive stress test for non cardiac surgery (Source: Student Doctor Network)
Source: Student Doctor Network - October 25, 2020 Category: Universities & Medical Training Authors: anes121508 Tags: Anesthesiology Source Type: forums
SCIP guidelines
Have a handful of GYN surgeons who outright refuse all antibiotics for diagnostic laparoscopies, ectopic pregnancies ; just iodine over the belly and go. Digging around in the pelvis, mobilizing and cutting tissues for hour or two without antibiotics seems bizarre to me. Any laparoscopic surgeries by gen surg include preincision antibiotics as per SCIP. Where is the line if we feel it is clearly indicated and the surgeon outright refuses other then to proceed and document their refusal...
SCIP guidelines (Source: Student Doctor Network)
Source: Student Doctor Network - September 22, 2020 Category: Universities & Medical Training Authors: TheLoneWolf Tags: Anesthesiology Source Type: forums
case - options for pain control
40 yo F morbid obesity (BMI 50 w/ OSA requiring CPAP) presents for bariatric surgery - laparoscopic. H/o Chiari malformation, h/o hydrocephalus w/ ventricular-thoracic shunt and lumbar-peritoneal-shunt s/p multiple revisions for failure and optic nerve fenestration for blindness, chronic neck/headaches on Norco 10-325, gabapentin 300 once daily, flexeril, fibromyalgia.
Thoughts on pre-intra-post operative pain control options? Neuraxial? Multimodal?
How would you manage her preop opioid use? (Source: Student Doctor Network)
Source: Student Doctor Network - July 28, 2020 Category: Universities & Medical Training Authors: mtu620 Tags: Anesthesiology Source Type: forums
