Author | Lightnews

Guillaume Martel

@chamogui.bsky.social

170 followers 100 following 6 posts

HPB surgeon / clinical trialist @OttawaHospital @uOttawaMed by way of @chumontreal and @McGillMed ⛷⚽️🏒🏃🏻‍♂️🇨🇦🌎 #HPBsky #Surgsky #Medsky

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Reposted by Guillaume Martel

Walter Crittenden, MD 🩺 @propofolmonkey.medsky.social · Mar 12

Measles are FAR worse than the vaccine.

Abominable Snow Doc @cojo21.bsky.social · Mar 12

I like this info graphic:

Effects per 10,000 people who get measles
Effects per 10,000 people who get the M.M.R. vaccine
500 children get pneumonia; most common cause of death
2,000
hospitalized
1,000
child ear infections with potential permanent hearing loss
• - 3 fever-related seizures?
*— 0.4 cases of abnormal blood clotting
- 0.035 allergic reactions®
10
childhood cases of
encephalitis?
10 to 30
child deaths from respiratory or neurological complications
Potentially serious complications shown
in red

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Reposted by Guillaume Martel

Julie Hallet, MD MSc @halletjulie.bsky.social · Jan 10

Decision to transfuse🩸in surgery impacts outcomes

Point-of-care Hgb often used but is it accurate?
🕵️‍♂️Prospective study by @chamogui.bsky.social

🧪1735 samples
Wide variation in p-o-c Hgb ➡️ large difference vs lab
⚠️Risk of transfusion errors - lowest with HemoCue 6%

tinyurl.com/2mh7dwu4

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Guillaume Martel @chamogui.bsky.social · Dec 19

Agree that unlikely to change much in the OR. Drain vs no drain -> I probably would not decide on that basis; high risk remains high risk

Guillaume Martel @chamogui.bsky.social · Dec 12

Thank you!

We did! Both CVP and PPV were down but more so with phlebotomy, with same volumes of iv fluids. PPV seems to be a better predictor than CVP.

We are running more analyses and plan to present these data in the new year.

Guillaume Martel @chamogui.bsky.social · Dec 12

Here’s a link for the PDF that is not firewalled:

authors.elsevier.com/a/1kEp38nByr...

authors.elsevier.com

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Guillaume Martel @chamogui.bsky.social · Dec 10

#HPBsky
#surgsky
#ansky
#liversky
#medsky

Reposted by Guillaume Martel

Julie Hallet, MD MSc @halletjulie.bsky.social · Dec 10

Many new #HPBSky faces now ok @bsky.app - welcome @chamogui.bsky.social @ksoreide.bsky.social @saneyapandrowala.bsky.social !!

Continuing to grow the HPB starter pack 👉🏻 go.bsky.app/KyNk7sx
Check it out!
#MedSky #SurgSky

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Reposted by Guillaume Martel

Marc Besselink @marcbesselink.bsky.social · Dec 4

Does the impact of pancreatic fistula (POPF) differ between minimally invasive (MIPD) vs open (OPD) #Whipple?

In pts with POPF after MIPD:
⬆️ sec complications ⚠️
⬆️ hemorrhage 🩸
⬆️ hospital stay 🏥
⬆️ reoperations 🔪

@carobruna.bsky.social @abuhilal.bsky.social
▶️ jamanetwork.com/journals/jamas…

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Guillaume Martel @chamogui.bsky.social · Dec 10

@halletjulie.bsky.social @eahpba.bsky.social @ihpba.bsky.social @asahq.bsky.social

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Guillaume Martel @chamogui.bsky.social · Dec 10

🚨Happy to share the PRICE-2 trial results in liver resection at higher risk bleeding 🚨

Hypovolemic phlebotomy vs usual care (n=446)

⬇️ 7.6 🆚 16.1% 🩸 RBC transfusion

✅ NNT 11

⬇️ blood loss

⬆️ surgical conditions

No increased major complications

www.thelancet.com/journals/lan...

Hypovolaemic phlebotomy in patients undergoing hepatic resection at higher risk of blood loss (PRICE-2): a randomised controlled trial

In patients undergoing liver resection, hypovolaemic phlebotomy reduced perioperative red blood cell transfusion and improved operative conditions, with no statistically significant increase in the incidence of complications compared with usual care. Hypovolaemic phlebotomy should be considered for routine use in patients undergoing liver resection at higher risk of bleeding.

www.thelancet.com

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