Airway assessment: If you’ve ever stepped foot in an operating room or an ER, you know that the first rule of anesthesia is “protect the airway.” But how do we know which patients will be a “straightforward tube” and which ones might keep us up at night? One of the most enduring tools in our […]
In 2025, average adults spend over 7 hours daily on screens, contributing to eye strain, sleep issues, anxiety, and reduced physical activity. Excessive screen time links to mental health challenges, especially among teens, where over 6 hours daily correlates with higher depression risks. How to reduce screen time? Reducing screen time improves focus, sleep, relationships,
As a surgeon and the founder of Surgide.com – The Surgical Guide, I often counsel patients on lifestyle interventions that support recovery, metabolic health, and long-term wellness. The ketogenic diet (keto) remains one of the most discussed nutritional strategies, especially for weight management, inflammation reduction, and energy stability—factors that directly impact surgical outcomes. In this
The Keto Diet: Guide to Benefits, Risks, and Practical Application Read Post »
Preparation and Consent Examination of stoma Begin by introducing yourself to the patient and confirming their identity. Wash your hands thoroughly. Explain, in simple and reassuring terms, that you will be examining their stoma to check that it is healthy and functioning well. Obtain verbal consent before proceeding. Position the patient comfortably, ideally reclined at
Surgical wounds are classified into four main categories, known as the Altemeier system, to help predict the risk of infection. This classification guides surgical teams in planning procedures, choosing prophylactic antibiotics, and managing patient care. Category 1: Clean Wounds (Class I) This is the lowest risk category, representing a procedure where the surgical site is
Surgical Wounds: A Guide to Classification (The Altemeier System) Read Post »
Principles of Vascular Anastomosis—requires precise technique and specific materials to ensure long-term patency and prevent complications. Below are the essential principles surgeons must adhere to. 1. Selection of Suture Material for Vascular Anastomosis The gold standard for vascular repair is Polypropylene. This material is preferred because it is a non-absorbable, monofilament suture. 2. Suture Sizing
While Whole Blood is an effective replacement fluid for acute, massive blood loss because it simultaneously provides volume expansion and restores oxygen-carrying capacity (via red blood cells), its use is now relatively uncommon in standard practice, particularly in the United States. Blood Transfusion The Shift to Component Therapy Current transfusion trends favor separating donated blood
Thrombolytic therapy, while effective for certain acute conditions (e.g., STEMI, acute ischemic stroke), carries significant risks of bleeding. Contraindications to thrombolytic therapy are categorized as Absolute, Relative, and Minor. Absolute Contraindications To Thrombolytic Therapy Thrombolytic agents must not be administered in the presence of the following conditions due to high risk of life-threatening hemorrhage: Condition
Hemolytic Transfusion Reactions (HTR) are serious complications resulting from the lysis of red blood cells (RBCs), leading to the release of free hemoglobin. This can cause hypotension, oliguria, hemoglobinuria, and potentially severe renal failure. Prompt and aggressive management is essential. 1. Immediate and Diagnostic Steps Step Action and Rationale Stop Transfusion The first and most
Management of Hemolytic Transfusion Reactions (HTR) Read Post »
