Karan Pandher @karanpandher
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My name is Karan Pandher and I am an MS4 at Chicago Medical School at Rosalind Franklin University. I was born in Canada and raised in Northern California. I am very passionate about providing free open access to medical education in my specific interest of dermatology.
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anesthesia anesthesiology management clinical diagnosis treatment algorithm airway checklist medication adrenal agents cah causes comparison congenitaladrenalhyperplasia endocrinology equipment hyperthermia hypoxia
Introduction to several different airways an anesthesiologist can utilize or may encounter in practice, along with
Introduction to several different airways an anesthesiologist can utilize or may encounter in practice, along with their indications and contraindications. Pictures show each device, and in some cases, how they are placed within the patient's airway. #clinical #anesthesia #anesthesiology #equipment #airway References: Atanelov Z, Aina T, Rebstock SE. Nasopharyngeal Airway. [Updated 2020 Jul 20]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK513220/ Castro D, Freeman LA. Oropharyngeal Airway. [Updated 2020 Aug 1]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK470198/ McKenna P, Desai NM, Morley EJ. Cricothyrotomy (Cricothyroidotomy) [Updated 2020 Jul 13]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK537350/ Ahmed RA, Boyer TJ. Endotracheal Tube (ET) [Updated 2020 Jul 31]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK539747/ Simon LV, Torp KD. Laryngeal Mask Airway. [Updated 2020 Jul 31]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK482184/
Basic preoperative airway assessment conducted by anesthesiologists to assess intubation difficulty, along with the two commonly
Basic preoperative airway assessment conducted by anesthesiologists to assess intubation difficulty, along with the two commonly used methods to do so based on airway class. #clinical #management #anesthesia #anesthesiology #airway #intubation References: Lamberg, J. J. (2019, November 9). Mallampati Classification: Mallampati Classification. https://emedicine.medscape.com/article/2172419-overview.
Obstetric patients often pose challenges to anesthesiologists, as lab values and parameters vary from a non-pregnant
Obstetric patients often pose challenges to anesthesiologists, as lab values and parameters vary from a non-pregnant patient. Shown here are the characteristic anatomic and physiologic changes in pregnant patients that a provider must consider when interpreting patient data or clinical presentations, especially in an operative setting. #diagnosis #clinical #management #anesthesia #anesthesiology #physiology References: American Association of Nurse Anesthesia. (2017). Analgesia and Anesthesia for the Obstetric Patient. Park Ridge, Illinois. Soma-Pillay, P., Nelson-Piercy, C., Tolppanen, H., & Mebazaa, A. (2016). Physiological changes in pregnancy. Cardiovascular Journal of Africa, 27(2), 89–94. https://doi.org/10.5830/cvja-2016-021
List of some common medications used in the operative setting, with their counterparts that look alike
List of some common medications used in the operative setting, with their counterparts that look alike or sound alike. Much of the time, the actual effects of the two drugs are very different and it becomes very important to ensure the proper medication is being administered to the proper patient for the correct indications. #management #medication #anesthesia #anesthesiology #checklist
An important part of an anesthesiologist's job is obviously to ensure patient stability during a procedure,
An important part of an anesthesiologist's job is obviously to ensure patient stability during a procedure, but just as important is their interaction with the patient both before and after the procedure as well. Pictured is a general idea of what an anesthesiologist's responsibility is in pre-op, intra-op, and post-op, with relevant questions that need to be asked, as well as what considerations they need to have when dealing with a variety of patients. #checklist #anesthesia #anesthesiology #management #preoperative #intraoperative #postoperative
A quick infographic describing some of the common reversal agents used by anesthesiologists, their mechanism of
A quick infographic describing some of the common reversal agents used by anesthesiologists, their mechanism of action, dosing considerations, and adverse effects to be considered as well. #reversal #agents #management #anesthesia #anesthesiology #treatment #medications References: Pani, N., Dongare, P., & Mishra, R. (2015). Reversal agents in anaesthesia and critical care. Indian Journal of Anaesthesia, 59(10), 664. doi:10.4103/0019-5049.167484 Fassoulaki, A., Theodoraki, K., & Melemeni, A. (2010). Pharmacology of Sedation Agents and Reversal Agents. Digestion, 82(2), 80-83. doi:10.1159/000285351 Singh, D., Sivashanmugam, T., Kumar, H., Nag, K., Parthasarathy, S., & Shetti, A. (2013). Sugammadex: A revolutionary drug in neuromuscular pharmacology. Anesthesia: Essays and Researches, 7(3), 302. doi:10.4103/0259-1162.123211 Protamine. (n.d.). SpringerReference. doi:10.1007/springerreference_103990
Induction agents used in anesthesia play a key role in the eventual sedation of the patient,
Induction agents used in anesthesia play a key role in the eventual sedation of the patient, leading to less postoperative complications and smoother recovery. Listed in this infographic are popularly-used agents and their indications, with different reasons to consider each in practice. #clinical #management #anesthesiology #anesthesia #medication #induction References: Amidate (etomidate) dosing, indications, interactions, adverse effects, and more. (2020, May 14). https://reference.medscape.com/drug/amidate-etomidate-343098. Intravenous anesthetics. – Knowledge for medical students and physicians. (2020, June 5). https://www.amboss.com/us/knowledge/Intravenous_anesthetics. Williams LM, Boyd KL, Fitzgerald BM. Etomidate. [Updated 2020 Aug 10]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK535364/ RxList. (2017, April 26). Propofol (Diprivan): Side Effects, Dosages, Treatment, Interactions, Warnings. RxList. https://www.rxlist.com/consumer_propofol_diprivan/drugs-condition.htm.
Infographic depicting the main pearls of various types of congenital adrenal hyperplasia for the medical student.
Infographic depicting the main pearls of various types of congenital adrenal hyperplasia for the medical student. #CAH #algorithm #causes #pediatrics #CongenitalAdrenalHyperplasia #diagnosis #comparison #treatment #Peds #Endocrinology #Adrenal #pathophysiology
The management of hypoxia in a patient undergoing a procedure has a variety of etiologies, but
The management of hypoxia in a patient undergoing a procedure has a variety of etiologies, but can be dangerous if not properly dealt with. Timing can truly be of the essence in this instance, and as such, pictured is a simple flowchart to not only recognize the cause of hypoxia, but to also have a general treatment guidline. #diagnosis #algorithm #management #treatment #anesthesiology #anesthesia #hypoxia
Malignant Hyperthermia is a very rare, but life-threatening condition that can occur after using certain anesthetic
Malignant Hyperthermia is a very rare, but life-threatening condition that can occur after using certain anesthetic agents such as succinylcholine or other volatile anesthetic drugs. When it does occur, the anesthesiologist must recognize the condition and act quickly to stabilize the patient and save their life. This infographic is intended to help the viewer quickly diagnose this condition and recognize the general steps involved in management, though they may vary between different hospitals' protocols. #anesthesia #anesthesiology #malignant #hyperthermia #diagnosis #management #treatment #algorithm References: What evidence-based interventions are recommended to alleviate hyperthermia associated with Malignant Hyperthermia? (2018). Retrieved August 28, 2020, from https://www.mhaus.org/healthcare-professionals/mhaus-recommendations/what-evidence-based-interventions-are-recommended-to-alleviate-hyperthermia-associated-with-malignant-hyperthermia/ Schuster, F., Roewer, N., Schneiderbanger, D., & Johannsen, S. (2014). Management of malignant hyperthermia: Diagnosis and treatment. Therapeutics and Clinical Risk Management, 355-362. doi:10.2147/tcrm.s47632 Rosenberg, H., Pollock, N., Schiemann, A., Bulger, T., & Stowell, K. (2015). Malignant hyperthermia: A review. Orphanet Journal of Rare Diseases, 10(1). doi:10.1186/s13023-015-03101.
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