Help with a physiology-clinical scenario question
First off - This was NOT my case.
I came on to relieve the call team and they were finishing up the case that I am about to describe - so the fine details are lacking.
As I understand it.....
a 19 y/o ruptured appendix some days before, IR drain not working...patient getting sicker and sicker...decision to OR for laparoscopic appy.
Patient has been tacchycardic, but good urine output and no hypotension. Induction is smooth with no hemodynamic compromise (so i am told...i'm not sure if...
Help with a physiology-clinical scenario question (Source: Student Doctor Network)
Source: Student Doctor Network - June 21, 2020 Category: Universities & Medical Training Authors: epidural man Tags: Anesthesiology Source Type: forums
TAP blocks inferior blocks?
Just recently started doing these blocks and I am getting convinced that they are not worth it. It was a learning curve for me but I think I am getting good and the last few I have done looked good. However the patients are still in PACU complaining of pain. I ask the nurses and they say that yeah, the patients sometimes still complain of pain from the gas from laparoscopy but I am getting disappointed each and every time. I know they only help with somatic and not visceral pain, but...
TAP blocks inferior blocks? (Source: Student Doctor Network)
Source: Student Doctor Network - August 13, 2019 Category: Universities & Medical Training Authors: chocomorsel Tags: Anesthesiology Source Type: forums
When did you take FLS (fundamentals of laparoscopic surgery)?
I’m trying to revamp the MIS and FLS curriculum at my program. I’m currently a PGY-3 getting ready to take FLS prior to PGY-4 year. Although sometimes the tasks seem silly or non-applicable, I actually think I’ve picked up a few really skills (intracorporeal suturing, mostly). Anyways, I think these tasks could be learned by someone even earlier in their training than PGY-3 year and I’m considering bumping FLS to a PGY-2 requirement. When do people at other programs take it? (Source: Student Doctor Network)
Source: Student Doctor Network - May 28, 2019 Category: Universities & Medical Training Authors: vanasme Tags: Surgery and Surgical Subspecialties Source Type: forums
Re: Laparoscopic cholecystectomy versus percutaneous catheter drainage for acute cholecystitis in high risk patients (CHOCOLATE): multicentre randomised clinical trial
(Source: BMJ Comments)
Source: BMJ Comments - December 26, 2018 Category: General Medicine Source Type: forums
Letter in Response to: Laparoscopic cholecystectomy versus percutaneous catheter drainage for acute cholecystitis In high risk patients (CHOCOLTATE): Multicenter randomised clinical trial by Loozen and colleagues.
(Source: BMJ Comments)
Source: BMJ Comments - December 10, 2018 Category: General Medicine Source Type: forums
Re: Laparoscopic cholecystectomy versus percutaneous catheter drainage for acute cholecystitis in high risk patients (CHOCOLATE): multicentre randomised clinical trial
(Source: BMJ Comments)
Source: BMJ Comments - October 19, 2018 Category: General Medicine Source Type: forums
Impact of laparoscopic surgery
(Source: BMJ Comments)
Source: BMJ Comments - February 14, 2018 Category: General Medicine Source Type: forums
Re: Management of patients after laparoscopic procedures
(Source: BMJ Comments)
Source: BMJ Comments - February 12, 2018 Category: General Medicine Source Type: forums
Treatment for periorbital edema
PACU resident. Have a patient who had laparoscopic hysterectomy and now has periorbital edema due to steep trendelenburg. Pain from that eye too. I've been taught how to prevent it but how does one actually treat this. Should I keep in PACU overnight and monitor? (Source: Student Doctor Network)
Source: Student Doctor Network - August 9, 2017 Category: Universities & Medical Training Authors: cognitus Source Type: forums
Is it ethical/legal to withhold information in clinical publications?
Say, you are reporting a cohort of patients who underwent a specific surgical procedure. There are many steps in the process that pretty much everyone in the field follows. You, however, was the first to do that surgery using laparoscopy. Apart from that, the rest is routine. However, in step,say 8, instead of infusing liquid X you used Y instead. There is no harm done using X except that the patients would probably have worse outcomes, but still better than conventional. People would not...
Is it ethical/legal to withhold information in clinical publications? (Source: Student Doctor Network)
Source: Student Doctor Network - April 2, 2017 Category: Universities & Medical Training Authors: wizzed101 Source Type: forums
Best suture kit/knot tying kit to buy for practice
I was in the OR today and embarrassed myself in front of an attending with my novice knot tying, ability as I feebly attempted to close up laparoscopic skin incisions. I am still in the beginning of my third year and have had minimal formal teaching regarding this skill; at my medical school, we are pretty much expected to learn this on our own.
I was wondering if anyone had a positive experience with a particular suture kit and or knot tying kit that would enable me to practice this skill...
Best suture kit/knot tying kit to buy for practice (Source: Student Doctor Network)
Source: Student Doctor Network - May 11, 2016 Category: Universities & Medical Training Authors: creamfreesh Source Type: forums
Feel in need of a laparoscopy.. advise needed?
Forum: Health
Posted By: Samwin
Post Time: 09-05-2016 at 14:55 (Source: The Student Room)
Source: The Student Room - May 9, 2016 Category: Universities & Medical Training Source Type: forums
Re: Safety and efficacy of hysteroscopic sterilization compared with laparoscopic sterilization: an observational cohort study
(Source: BMJ Comments)
Source: BMJ Comments - November 4, 2015 Category: Journals (General) Source Type: forums
