Carlos Alberto Lanz Martínez
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carlosalanz.bsky.social
Carlos Alberto Lanz Martínez
@carlosalanz.bsky.social
21 followers 64 following 17 posts
Anestesiólogo venezolano
Bioética
#PedAnesSky #TIVASky
Posts Replies Media Videos
Reposted by Carlos Alberto Lanz Martínez
anesthesiology.bsky.social
The application of cricoid force remains controversial in modern practice. A new review by Sotiriou et al. critically assesses the anatomic, physiologic, and contemporary clinical evidence of cricoid force application: ow.ly/Mkx350WY3Zy
September 19, 2025 at 7:58 PM
carlosalanz.bsky.social
I was wondering why the neuromuscular monitor wasn't generating post tetanic count although enough time passed since the last dose of rocuronium. The surgeon put botulinum toxin in the thenar eminence. #monitoring #anaesthesia
Neuromuscular Transmission Monitor clamp in a hand with a hand and Round band-aid in the thenar prominence Neuromuscular Transmission Monitor TOF with 0 post tetanic count
September 1, 2025 at 3:58 PM
carlosalanz.bsky.social
A suplir con tecnología lo que no aprendiste en tu casa. De todas maneras, es una buena disposición
anesthesiology.bsky.social Anesthesiology Journals @anesthesiology.bsky.social · Aug 15
Emotional intelligence is essential for high-stakes interactions in the perioperative setting. In a new Focal Point article, Nanda et al. discuss how large language models can be used to enhance emotional intelligence training in anesthesiology: ow.ly/z5p750WEINS
Leveraging Large Language Models to Enhance Emotional... : Anesthesiology
rkloads can deplete the ability to sustain emotional intelligence during critical moments. Emotional intelligence can be strengthened with structured training. Large language models (LLMs), with their...
ow.ly
August 15, 2025 at 11:17 PM
carlosalanz.bsky.social
Excellent article @doctorhelgi.bsky.social I loved the idea of surgeons training in anaesthesia and anaesthetists in surgery, at least in their residencies.
bjsacademy.bsky.social BJS Academy @bjsacademy.bsky.social · Aug 1
🏆ARTICLE OF THE MONTH: The other side of the barrier by @doctorhelgi.bsky.social

How subtle cues, teamwork & understanding between anaesthetists & surgeons improve patient safety.

👉 www.bjsacademy.com/bjs-academy/...

#PatientSafety #Anaesthesia #Surgery #medsky #surgsky
August 15, 2025 at 7:35 PM
Reposted by Carlos Alberto Lanz Martínez
chrimesy.com
The PUMA guidelines for preventing unrecognised oesophageal intubation are also supported by @rcoanews.bsky.social @assocsas.bsky.social & many other organisations internationally across anaesthesia, ICU, EM & prehospital

Full list:
www.universalairway.org/puoi/support

@anaesjournal.bsky.social
August 14, 2025 at 7:11 PM
carlosalanz.bsky.social
Evaluation of Modified Fasting Protocols to Shorten Fasting Time Before Sedation in Children: A Prospective Randomized Noninferiority Trial - Cho - 2025 - Pediatric Anesthesia - Wiley Online Library onlinelibrary.wiley.com/doi/full/10.... #pedanessky
Evaluation of Modified Fasting Protocols to Shorten Fasting Time Before Sedation in Children: A Prospective Randomized Noninferiority Trial
Backgrounds Guidelines for fasting before procedural sedation aim to prevent pulmonary aspiration and are primarily targeted for deep sedation. Our study explored whether a shortened fasting protoco.....
onlinelibrary.wiley.com
August 12, 2025 at 8:03 PM
carlosalanz.bsky.social
Propofol: A Medication That Changed Pediatric Anesthesia Practice - Anderson - 2025 - Pediatric Anesthesia - Wiley Online Library onlinelibrary.wiley.com/doi/full/10.... #pedanessky #tivasky
Propofol: A Medication That Changed Pediatric Anesthesia Practice
The introduction of propofol changed our understanding of pediatric anesthesia pharmacology, research approaches for intravenous drug study, and led to infusion pump development for the maintenance p...
onlinelibrary.wiley.com
August 12, 2025 at 7:45 PM
Reposted by Carlos Alberto Lanz Martínez
jama.com
In older adults at risk of cognitive decline and #dementia, a structured lifestyle intervention yielded greater benefit than a lower-intensity self-guided intervention.

ja.ma/3H26JIw
Figure 3. Change From Baseline in Global Cognitive Function Composite Score (Primary Outcome) by Structured vs Self-Guided Lifestyle Interventions
August 10, 2025 at 2:00 PM
Reposted by Carlos Alberto Lanz Martínez
jama.com
📌 The SPIRIT 2025 statement updates the guidelines for randomized trial protocols to enhance their completeness, transparency, and consistency, benefiting stakeholders involved in clinical research.

ja.ma/4fzMVZS
Figure. SPIRIT 2025 Diagram of the Schedule of Enrollment, Interventions, and Assessments
August 10, 2025 at 4:00 PM
carlosalanz.bsky.social
In my country desflurane use ceased many years ago because of its cost.
anaesjournal.bsky.social Anaesthesia @anaesjournal.bsky.social · Aug 7
Check out these trends in greenhouse gas emissions from volatile anaesthetics in 41 countries over a ten year period!

Spoiler: reducing emissions below 0.5 kg of carbon dioxide equivalents per inhabitant is attainable!

#AnSky #MedSky #climate

doi.org/10.1111/anae...
August 7, 2025 at 10:20 AM
Reposted by Carlos Alberto Lanz Martínez
anaesjournal.bsky.social
Check out these trends in greenhouse gas emissions from volatile anaesthetics in 41 countries over a ten year period!

Spoiler: reducing emissions below 0.5 kg of carbon dioxide equivalents per inhabitant is attainable!

#AnSky #MedSky #climate

doi.org/10.1111/anae...
August 7, 2025 at 10:02 AM
Reposted by Carlos Alberto Lanz Martínez
iarsjournals.bsky.social
Dr. Steven B. Greenberg discusses "Office-Based Anesthesia: The Focus on Communication, Competency, Connectivity, and Collaboration" in this featured #editorial

journals.lww.com/anesthesia-a...
August 5, 2025 at 2:40 PM
Reposted by Carlos Alberto Lanz Martínez
jama.com
Lowering the colorectal cancer screening age to 45 is supported by similar adenoma detection rates between those aged 45 to 49 and those aged 50 to 54, with slightly lower prevalence in the younger group.

ja.ma/3UfbEIT
Screening Colonoscopy Yields Among Adults Aged 45 to 49 Years After Lowering the Colon Cancer Screening Age
August 5, 2025 at 3:45 PM
Reposted by Carlos Alberto Lanz Martínez
chrimesy.com
“‘Hyper-respecting´ patient autonomy may be used as a pretext for clinicians to avoid difficult situations or provide themselves with perceived protection from litigation by shifting responsibility for decision making to patients”

Free in @anaesjournal.bsky.social for a limited time. 🔓🔑⏳
The paradox of informed consent
Click on the article title to read more.
associationofanaesthetists-publications.onlinelibrary.wiley.com
August 2, 2025 at 7:36 PM
carlosalanz.bsky.social
Buena idea la de categorizar los riesgos y posibles complicaciones para el diálogo con el paciente
chrimesy.com Nicholas Chrimes @chrimesy.com · Aug 1
I’m simply floating an idea. Consenting for mechanisms of harm has always been the convention but we should examine why we do this & whether or not it contributes to autonomous decision making.

Perhaps we need to consent for consequences to the patient instead.
Table showing categories of harmful outcome (adverse experiences, psychological injury, physical injury, disability/death, need for additional interventions & need for additional care) with examples of specific harms for each.
August 2, 2025 at 11:31 AM
Reposted by Carlos Alberto Lanz Martínez
chrimesy.com
When engaging in the consent process should we be alerting patients to *mechanisms* of harm or to harmful *outcomes*?

‘The paradox of informed consent’

Free full text in @anaesjournal.bsky.social for a limited time.

associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/abs/10.1...
Informed decisions about whether to accept or refuse an intervention require appreciation of the harmful consequences impacting patient experience (e.g. pain, disability, additional interventions, death) or patient values (whether explicitly stated, e.g. blood transfusion in a Jehovah’s Witness, or inferred from societal expectations, e.g. obtaining permission to insert a suppository), which could arise from these choices. In contrast, complications that are physiological disturbances (acidosis, hypoxaemia, hypotension); pathological processes (haemorrhage, anaphylaxis, aspiration); or technical issues (endobronchial intubation, equipment failure, drug error) represent mechanisms of harm rather than consequences for the patient. The nature of these mechanisms may not be understood by patients and their implications for outcome are highly variable, sometimes unknown, potentially insignificant and not necessarily intuitive. A patient’s acceptance of a given mechanism for harm, the consequences of which may range from nothing to severe disability or death, may result in significant over- or underestimation of risk, undermining decision-making and compromising autonomy. Conversely, unless it impacts their experience or values, it seems implausible that a patient would accept a given overall risk of a specific complication contributed to by one mechanism of harm but not another. Disclosing mechanisms of harm may at best be unnecessary, and at worst represent an overload of baffling technical information that the Montgomery ruling specifies does not fulfil the doctor’s duty of disclosure
August 2, 2025 at 1:31 AM
carlosalanz.bsky.social
Puede ser leído en línea #bioethics #bioetica #informedconsent #law
August 1, 2025 at 5:12 PM
Reposted by Carlos Alberto Lanz Martínez
jcmcsome.bsky.social
📊 A meta-analysis of 36 studies (1,888 pts)

>> pulsed co-oximetry closely matches invasive hemoglobin measurements (MD: 0.13 g/dL, NS). Reliable, non-invasive, and continuous—supporting its perioperative use to guide perioperative transfusions

link.springer.com/article/10.1...
Non-invasive vs biological blood determination of haemoglobinemia for perioperative management: a systematic review with meta-analysis - Journal of Clinical Monitoring and Computing
Introduction Haemoglobin measurement is an essential parameter for quantifying anaemia and often used for guiding transfusion decisions. Conventional methods require blood sampling and are invasive. R...
link.springer.com
August 1, 2025 at 4:56 PM
Reposted by Carlos Alberto Lanz Martínez
rcoanews.bsky.social
In this podcast, recorded at #Anaesthesia2025, @anilhormis.bsky.social and @rosiehogg.bsky.social discuss Nociception Monitoring.

▶️What is nociception?
▶️What's the NOL monitor and how does it work?

Listen here for answers to all your nociception questions 👉 ow.ly/4IBx50WxgKR
Image shows sound waves and headphones, with the RCoA wording in the centre and the headphones arching over the letter A. Text reads: Anaesthesia on Air, with the RCoA logo in the top left.
July 31, 2025 at 3:44 PM
carlosalanz.bsky.social
I'm very happy because today I defended my thesis to obtain my Master's degree in Bioethics from the Central University of Venezuela. I wrote about informed consent in anesthesiology #masterdegree #ucv
July 31, 2025 at 12:19 AM
carlosalanz.bsky.social
Muy contento porque hoy defendí mi trabajo de grado para optar por el título de Magister en Bioética por la Universidad Central de Venezuela #ucv #bioetica
July 30, 2025 at 8:20 PM
Reposted by Carlos Alberto Lanz Martínez
wfsa.bsky.social
🆕 ATOTW 552 is out!
🖥️ Knobology in Regional Anaesthesia
Mastering ultrasound settings = better image quality + safer, more effective procedures. This tutorial breaks down key features that improve needle visibility & outcomes.
🔗 Read now: shorturl.at/Vfxgw
July 29, 2025 at 11:08 AM
Reposted by Carlos Alberto Lanz Martínez
chrimesy.com
3-step guide to mastering #HAVL from @cliffreid.bsky.social

1. Watch the video
m.youtube.com/watch?v=aYo7...

2. Read the stepwise guide
drive.google.com/file/d/14r_W...

3. Deliberate team practice

(rinse & repeat)
July 27, 2025 at 10:34 PM
carlosalanz.bsky.social
Excellent
ncglasses.bsky.social Nose Coloured Glasses @ncglasses.bsky.social · Jul 27
1/15 Both these articles are worth a read.

A brief commentary, if I may, on what I do wrt consent 🧵👇
July 27, 2025 at 6:48 PM
Reposted by Carlos Alberto Lanz Martínez
jama.com
The 2025 GOLD report updates inhaled pharmacotherapy guidelines for stable #COPD, prioritizing eosinophil levels to tailor treatment and reduce symptoms and exacerbations.

ja.ma/3Uk7nnL
Inhaled Pharmacotherapy for Stable COPD
July 27, 2025 at 1:00 PM