Ropiketofol
@roleandfollow.bsky.social
Part-time dad, part-time Anaesthesia, pre-hospital emergency medicine; interested novice in med-ed and human factors topics
Was taught using a 4 for everything, now converted to 3 as a standard because of mechanics. Haven't seen any official "Difficult Airway"-Algorithms using the Vortex-approach, it is however my personal mental framework for challenging airway scenarios. It just somehow clicked for me...
August 29, 2025 at 2:33 PM
Was taught using a 4 for everything, now converted to 3 as a standard because of mechanics. Haven't seen any official "Difficult Airway"-Algorithms using the Vortex-approach, it is however my personal mental framework for challenging airway scenarios. It just somehow clicked for me...
Nee, eigentlich nicht...
August 24, 2025 at 7:04 PM
Nee, eigentlich nicht...
Surgery is also bad for the patient. With thyroid cancer you don't have any pain, yet you go to surgery, are in pain AND have a scar on your neck. Is that regression? Is that bad for the patient? Of course not, but you have to explain it. Same with regional anesthesia, explain and talk to patients.
August 23, 2025 at 9:12 AM
Surgery is also bad for the patient. With thyroid cancer you don't have any pain, yet you go to surgery, are in pain AND have a scar on your neck. Is that regression? Is that bad for the patient? Of course not, but you have to explain it. Same with regional anesthesia, explain and talk to patients.
wir ein Kinderzimmer.
Ansonsten ein paar Grundsätze, an die wir uns gehalten haben (vielleicht etwas prägnant ausgedrückt):
- Ein Kind unter 1 kann man nicht verwöhnen
- Eltern müssen auf sich aufpassen, um auf die Kinder aufpassen zu können
- Lieber schreien lassen als ein Schütteltrauma
Ansonsten ein paar Grundsätze, an die wir uns gehalten haben (vielleicht etwas prägnant ausgedrückt):
- Ein Kind unter 1 kann man nicht verwöhnen
- Eltern müssen auf sich aufpassen, um auf die Kinder aufpassen zu können
- Lieber schreien lassen als ein Schütteltrauma
August 17, 2025 at 1:27 AM
wir ein Kinderzimmer.
Ansonsten ein paar Grundsätze, an die wir uns gehalten haben (vielleicht etwas prägnant ausgedrückt):
- Ein Kind unter 1 kann man nicht verwöhnen
- Eltern müssen auf sich aufpassen, um auf die Kinder aufpassen zu können
- Lieber schreien lassen als ein Schütteltrauma
Ansonsten ein paar Grundsätze, an die wir uns gehalten haben (vielleicht etwas prägnant ausgedrückt):
- Ein Kind unter 1 kann man nicht verwöhnen
- Eltern müssen auf sich aufpassen, um auf die Kinder aufpassen zu können
- Lieber schreien lassen als ein Schütteltrauma
Zuerst BabyBay, dann Doppelmatratze + Kindermatratze auf dem Boden, dann Doppelmatratze und 2 Kindermatratzen auf dem Boden. Immer eigenes Bett/Zimmer angeboten, auf Wunsch von K1 dann ausprobiert (am Anfang mit regelmässigem nächtlichem Besuch). K2 wollte nicht ohne K1 im Bett sein und zack hatten
August 17, 2025 at 1:24 AM
Zuerst BabyBay, dann Doppelmatratze + Kindermatratze auf dem Boden, dann Doppelmatratze und 2 Kindermatratzen auf dem Boden. Immer eigenes Bett/Zimmer angeboten, auf Wunsch von K1 dann ausprobiert (am Anfang mit regelmässigem nächtlichem Besuch). K2 wollte nicht ohne K1 im Bett sein und zack hatten
Deep learning vs LLM, big difference
August 9, 2025 at 3:07 PM
Deep learning vs LLM, big difference
with a reliable source once you receive an answer... It's truly shocking how many people use it for things it's not built for and trust it blindly. Don't be like that... /
August 8, 2025 at 10:06 PM
with a reliable source once you receive an answer... It's truly shocking how many people use it for things it's not built for and trust it blindly. Don't be like that... /
It will never tell you "I don't know" or "I'm not sure", it will find a way to answer, even if that means inventing references or completely ignoring certain aspects of a topic. Only use it for things you can and will check afterwards. Search for "drug for the heart that starts with L" and check 3/n
August 8, 2025 at 10:03 PM
It will never tell you "I don't know" or "I'm not sure", it will find a way to answer, even if that means inventing references or completely ignoring certain aspects of a topic. Only use it for things you can and will check afterwards. Search for "drug for the heart that starts with L" and check 3/n
LLMs are great for things related to their basis: language stuff. Use it to rewrite an email more professionally, to generate a suggestion for a lecture you need to prepare or formulate a cohesive text from certain keywords. THEN CHECK IT! Don't research stuff with it. It's a people pleaser 2/n
August 8, 2025 at 10:01 PM
LLMs are great for things related to their basis: language stuff. Use it to rewrite an email more professionally, to generate a suggestion for a lecture you need to prepare or formulate a cohesive text from certain keywords. THEN CHECK IT! Don't research stuff with it. It's a people pleaser 2/n
AI is basically just a catch-all term for different tools/programs. Deep learning used to interpret ECG is different from LLM and it should be treated differently. A LLM is not a search engine and it can't count letters, calculate stuff or just generally "think". It's predictive text on steroids 1/n
August 8, 2025 at 9:57 PM
AI is basically just a catch-all term for different tools/programs. Deep learning used to interpret ECG is different from LLM and it should be treated differently. A LLM is not a search engine and it can't count letters, calculate stuff or just generally "think". It's predictive text on steroids 1/n
Reposted by Ropiketofol
For me 5 years, 20 kg and ASA 1 or 2.
More important for me is whether the surgeon is competent to do the procedure on a child and the hospital is capable of looking after them post op.
More important for me is whether the surgeon is competent to do the procedure on a child and the hospital is capable of looking after them post op.
July 30, 2025 at 2:16 PM
For me 5 years, 20 kg and ASA 1 or 2.
More important for me is whether the surgeon is competent to do the procedure on a child and the hospital is capable of looking after them post op.
More important for me is whether the surgeon is competent to do the procedure on a child and the hospital is capable of looking after them post op.
But the overall experience (and probably even outcome) for a child in hospital is better in specialised centers. Of course, depending on travel time, waiting lists and case load of non-specialist-hospitals, this assessment changes considerably, I'm just standing on my little privileged island. 2/2
July 30, 2025 at 8:39 AM
But the overall experience (and probably even outcome) for a child in hospital is better in specialised centers. Of course, depending on travel time, waiting lists and case load of non-specialist-hospitals, this assessment changes considerably, I'm just standing on my little privileged island. 2/2
Listening to specialised peds anesthetists or pediatricians or peds-psychologists, there is A LOT of things that can and should be optimised outside of just the technical handling of anesthesia. So from the POV of anesthesia-risk I agree with a cut-off of 2-3 years of age. 1/2
July 30, 2025 at 8:39 AM
Listening to specialised peds anesthetists or pediatricians or peds-psychologists, there is A LOT of things that can and should be optimised outside of just the technical handling of anesthesia. So from the POV of anesthesia-risk I agree with a cut-off of 2-3 years of age. 1/2
And this in German:
July 24, 2025 at 8:11 AM
And this in German:
I'll quote your source back at you then 😉
This is ChatGPTs answer in english
This is ChatGPTs answer in english
July 24, 2025 at 8:10 AM
I'll quote your source back at you then 😉
This is ChatGPTs answer in english
This is ChatGPTs answer in english
For example:
Germany (direct link to Bfarm.de is not working), Austria (aspregister.basg.gv.at/document/ser...), Switzerland (compendium.ch/product/1169...), Netherlands (www.geneesmiddeleninformatiebank.nl/smpc/h27204_...)
Germany (direct link to Bfarm.de is not working), Austria (aspregister.basg.gv.at/document/ser...), Switzerland (compendium.ch/product/1169...), Netherlands (www.geneesmiddeleninformatiebank.nl/smpc/h27204_...)
July 24, 2025 at 7:54 AM
For example:
Germany (direct link to Bfarm.de is not working), Austria (aspregister.basg.gv.at/document/ser...), Switzerland (compendium.ch/product/1169...), Netherlands (www.geneesmiddeleninformatiebank.nl/smpc/h27204_...)
Germany (direct link to Bfarm.de is not working), Austria (aspregister.basg.gv.at/document/ser...), Switzerland (compendium.ch/product/1169...), Netherlands (www.geneesmiddeleninformatiebank.nl/smpc/h27204_...)
It's licensed in most european countries though...
July 24, 2025 at 7:22 AM
It's licensed in most european countries though...
I see what you did there...
July 18, 2025 at 8:45 PM
I see what you did there...
Gave Fentanyl, announced after a minute I'd give Propofol to put her under. Young woman goes: "Not yet, this is f**ng great!"
July 18, 2025 at 9:44 AM
Gave Fentanyl, announced after a minute I'd give Propofol to put her under. Young woman goes: "Not yet, this is f**ng great!"
Fascinating! If I were to bring a patient with SGA in situ, I'd have to argue with the PACU-nurses forever! Very rarely done, patients extubated/exSGAed in the OR, transported on monitors and a close eye and then handed to a about 1:3 PACU-team with a nurse-patient ratio of usually 1:3 or less.
July 16, 2025 at 9:22 PM
Fascinating! If I were to bring a patient with SGA in situ, I'd have to argue with the PACU-nurses forever! Very rarely done, patients extubated/exSGAed in the OR, transported on monitors and a close eye and then handed to a about 1:3 PACU-team with a nurse-patient ratio of usually 1:3 or less.
So every PACU-patient has a facemask or nasal cannula with CO2-detection? Expensive for a small benefit (my opinion from working in small hospitals with limited patients in PACU).
July 16, 2025 at 9:29 AM
So every PACU-patient has a facemask or nasal cannula with CO2-detection? Expensive for a small benefit (my opinion from working in small hospitals with limited patients in PACU).
Also Phenylephrine for c-sections, either bolus or infusion...
July 12, 2025 at 1:08 PM
Also Phenylephrine for c-sections, either bolus or infusion...