Fun with ChatGPT
Shakespeare documents an ED thoracotomy:
Verily, on this day, in the hour of dire need,
Upon the operating table, where shadows dance,
A deed of valor wrought, a scene of tragedy.
An ED thoracotomy performed, a desperate plea,
To grasp at life where death's embrace doth seek.
'Twas in the tempest's fury, midst the clamor of strife,
That we, valiant souls, embarked on this quest,
To open the chest, and seize the heart's secret,
To banish death's grip, to defy its decree.
With...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - February 25, 2024 Category: Universities & Medical Training Authors: southerndoc Tags: Emergency Medicine Source Type: forums
Pediatric fellowship after PP
Hi folks,
I have been in an MD only private practice group as a generalist for the last 2.5 years that requires a fairly hefty pediatrics load of about ~20-25% of the practice. I have done pyloromyotomies, airway cases, neonates, frequent overnight peds call, frequently doing children under 2 years old. No peds hearts, no TEFs, no young thoracotomies (though I probably could if I really showed enthusiasm and the right circumstances happened),
The thing is, we are opening a new pediatric...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - May 8, 2021 Category: Universities & Medical Training Authors: Anestheezee Tags: Anesthesiology Source Type: forums
thoracic epidural tips?
Anyone who do a lot of these have tips for VATS/thoracotomies, especially with paramedian techniques? Place i trained didn't have a ton of paramedian numbers for thoracic cases. most of the thoracic epidurals i did was for abdominal cases were lower, which were just mostly midline
I have done some paramedians with variable success long time ago in residency(n probably too low to tell how good i am), but i will be doing more in my new practice.
I did some rereading on paramedians, and it...
thoracic epidural tips? (Source: Student Doctor Network)
Source: Student Doctor Network - October 23, 2019 Category: Universities & Medical Training Authors: anbuitachi Tags: Anesthesiology Source Type: forums
Tandem resuscitative hysterotomy and thoracotomy in peripartum cardiomyopathy-mediated cardiac arrest
A case report published in this month's Annals: young, pregnant woman arrives at an academic center after being intubated for hypoxemic respiratory failure at a referring facility. Arrests on/shortly after arrival. They deliver the fetus, crack mom's chest... both leave the hospital within 3 weeks, without significant deficits...
Tandem resuscitative hysterotomy and thoracotomy in peripartum cardiomyopathy-mediated cardiac arrest (Source: Student Doctor Network)
Source: Student Doctor Network - May 23, 2019 Category: Universities & Medical Training Authors: SpacemanSpifff Tags: Emergency Medicine Source Type: forums
Best stimulator for combo post-thoracotomy pain and cervical radiculitis
I have a patient with all left-sided pain after traumatic injuries, I was thinking of throwing in one lead for intercostal region and one for the cervical. Thoughts on which company would be the best? I tried medtronic once for intercostal neuralgia and it didn't help. (Source: Student Doctor Network)
Source: Student Doctor Network - May 16, 2019 Category: Universities & Medical Training Authors: Agast Tags: Pain Medicine Source Type: forums
ESP block
Seeing more and more in the literature.
Several nice benefits.
Used it again today:
surgeon unexpectedly opened up a lap choley and pt had huge incision just under rib cage and I wasn’t sure if TAPS would do it.
0/10 pain in pacu. Even witnessed him cough without flinching a bit and ask for more ice chips.
Other cases I’ve used it in: thoracotomy (lung, lvad, mini mitral), mastectomy, combined open liver + bowel resection
Are you guys incorporating this more?
Has it gained any...
ESP block (Source: Student Doctor Network)
Source: Student Doctor Network - April 16, 2019 Category: Universities & Medical Training Authors: anes121508 Tags: Anesthesiology Source Type: forums
Lobectomy Fluid Management
Seeking comments and advice from those of you much wiser and more experienced than than I am. (All of you)
Question about intraoperative fluid management in this theoretical case:
Morbidly obese 67 yo F 5'2" 137kg with COPD and history of delayed emergence presents for right VATS upper lobectomy. Case goes for 8hrs induction to emergence (no conversion to thoracotomy). Difficult DLT placement takes 20 minutes of tweaking to sit right. Ultimately complicated by ~1200ml blood loss, lowest...
Lobectomy Fluid Management (Source: Student Doctor Network)
Source: Student Doctor Network - May 2, 2017 Category: Universities & Medical Training Authors: DocMcCoy Source Type: forums
Face Transplant Surgery
All, but one, of the lead surgeons in facial transplant cases, Siemionow etc, are plastic surgeons. Residency trained in 5 year general surgeons + 2/3 year plastic surgery residency. (Devauchelle from France is an OMF surgeon, but he's the only non plastic program lead.) Wouldn't an ENT residency followed by a 2/3 year plastic surgery residency be better training for the vastly complex facial reconstruction required for face transplants; compared to thoracotomies and bowel resections...
Face Transplant Surgery (Source: Student Doctor Network)
Source: Student Doctor Network - January 20, 2017 Category: Universities & Medical Training Authors: bluepink21 Source Type: forums
What your patient is thinking: "My experience of stressed out staff..."
Growing up with pioneering treatment is the latest What your patient is thinking piece from The BMJ. It is written by Liza Morton who was the world's first 11 day old baby with congestive heart failure to be attached to an external cardiac pacemaker for complete heart block. She was fitted with five early implantable pacemakers by thoracotomy before age 7, she had surgical repair of her atrial septal defect and her first variable rate pacemaker in her early teens, and four further variable rate pacemakers.
She describes her childhood memories of being treated for congenital h...
Source: Doc2Doc BMJ Cardiology - August 24, 2015 Category: Cardiology Authors: Sabreena Source Type: forums
