Indraneel Prabhu @IndyPrabhu
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My name is Indraneel Prabhu, or Indy for short, and I am an M4 at Touro University Nevada. I was born in India and raised in the Bay Area, CA. Throughout my time in medical school, I saw the value in free open-access education at all levels, and hope to provide quality content!
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Train of Four monitoring is commonly used by anesthesiologists to determine the adequacy of paralytic agents
Train of Four monitoring is commonly used by anesthesiologists to determine the adequacy of paralytic agents used prior to intubation and surgical incision. This infographic explains the use of it, and the theory behind why and how it works. #clinical #management #neuromuscular #stimulation #anesthesia #anesthesiology #trainoffour References: Neuromuscular Monitoring in Anesthesia. (2018). Retrieved September 23, 2020, from https://www.uptodate.com/contents/monitoring-neuromuscular-blockade
Explanation of the differences between depolarizing and nondepolarizing paralytic agents commonly used in anesthetic induction with
Explanation of the differences between depolarizing and nondepolarizing paralytic agents commonly used in anesthetic induction with an emphasis on mechanism of action and side effects. #pharmacology #mechanism #anesthesia #anesthesiology #medication #drugs References: Appiah-Ankam, J., & Hunter, J. M. (2004). Pharmacology of neuromuscular blocking drugs. Continuing Education in Anaesthesia Critical Care & Pain, 4(1), 2-7. doi:10.1093/bjaceaccp/mkh002 Nicotinic_antagonists [TUSOM: Pharmwiki]. (n.d.). Retrieved September 18, 2020, from http://tmedweb.tulane.edu/pharmwiki/doku.php/nicotinic_antagonists
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
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
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.
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/
As a follow up to a previously uploaded infographic delineating indications for the widely-used induction agents
As a follow up to a previously uploaded infographic delineating indications for the widely-used induction agents in anesthesia, this infographic delves into the adverse effects associated with each, which can influence a provider's decision on whether to use a given agent or not. #clinical #management #anesthesia #anesthesiology #sideeffects #treatment References: Common and Rare Side Effects for Propofol Intravenous. https://www.webmd.com/drugs/2/drug-3519/propofol-intravenous/details/list-sideeffects. Gyorfi, M. J. (2020, April 28). Halothane Toxicity. StatPearls [Internet]. https://www.ncbi.nlm.nih.gov/books/NBK545281/. RxList. (2017, April 26). Propofol (Diprivan): Side Effects, Dosages, Treatment, Interactions, Warnings. RxList. https://www.rxlist.com/consumer_propofol_diprivan/drugs-condition.htm. WebMD. Etomidate Intravenous : Uses, Side Effects, Interactions, Pictures, Warnings & Dosing. WebMD. https://www.webmd.com/drugs/2/drug-709/etomidate-intravenous/details. WebMD. Ketamine Intravenous : Uses, Side Effects, Interactions, Pictures, Warnings & Dosing. WebMD. https://www.webmd.com/drugs/2/drug-156554/ketamine-intravenous/details.
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.
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
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
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