IPOMS is an educational collaborative for all healthcare professionals interested in expanding Perioperative Medicine in Ireland. Retweet ≠Endorsement
Ireland
Joined September 2020
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Irish Perioperative Medicine Society (IPOMS) retweeted
Adolescent idiopathic scoliosis affects 0.5–5.2% of 10–18 yr olds and can lead to cardiopulmonary issues, chronic back pain and psychosocial impact if untreated 🧍♀️🫁🧠
Surgery is usually considered once Cobb angle >40°. 📏🩻 Read more: bjaed.org/article/S2058-5349…
The scariest thing about MINS (Myocardial Injury after Noncardiac Surgery) isn't the mortality rate: it's the silence 🤫
>90% of patients have no chest pain
Consider screening high-risk patients with postop troponin (HScTn). Don't always ignore MINS
#periopmed
#MedTwitter
We monitor patients closely in theatre (millisecond-level data), then send to ward for checks every 4 - 6 hours
Thats a massive data blind spot 📉
Future of periop safety isn't more ICU beds; it's continuous wearable monitoring. "Failure to Rescue" should be a thing of the past
The hardest part of periop medicine isn't deciding what to hold preop
It is the "resume" plan at discharge 📝
Restarting SGLT2s, ACEis & anticoagulants in patients recovering from AKI or ileus is an art form
"Copy/Paste" discharge summary is a readmission waiting to happen 😮
Irish Perioperative Medicine Society (IPOMS) retweeted
Superficial vein thrombosis (SuVT) is characterized by thrombus in the superficial veins, typically in the lower or upper extremities.
This Review summarizes the diagnosis and treatment of SuVT.
ja.ma/48sgg6u
Irish Perioperative Medicine Society (IPOMS) retweeted
#Preoperative GLP-1 RA use is associated with fewer perioperative #respiratorycomplications in people living with type 2 #diabetesmellitus
bjanaesthesia.org/article/S0…
Irish Perioperative Medicine Society (IPOMS) retweeted
How can we use #ArtificialIntelligence to improve patient preoperative optimization?
✅ Predict post-op anemia 🩸
✅ Opioid dependence 💊
✅ Diabetes complications ✖️
✅ Mortality risks ☠️
@IARS_journals highlights #AI in this narrative review: buff.ly/mr685M5
Irish Perioperative Medicine Society (IPOMS) retweeted
Should you recommend YouTube videos for inhaler instruction?
Researchers compared 96 videos to the National Asthma Council Australia (@asthmacouncilau) recommendations for use of metered-dose inhalers. Read more: jwat.ch/3MhPPI1
#asthma #MedTwitter
The most effective tool in the perioperative physician’s kit isn’t the stethoscope or the ultrasound...
It’s the phone call to the surgeon to discuss the physiological trade-offs 📞🤝
Shared decision making > Guidelines in a vacuum
#periopmed
#medtwitter
#surgery
If creatinine bumps, we panic about the kidneys 🚨
If troponin leaks, we call cardiology ❤️
But if the patient is delirious for days? We often shrug & say "It's just the hospital environment"
Delirium is brain failure.
Needs to be treated with urgency: like AKI or NSTEMI 🧠
We wouldn't let an athlete run a marathon without training. Why let patients undergo major abdominal surgery without prehab? 🏃♂️🏥
Treating frailty & anaemia preop yields higher ROI than almost any intra-op intervention
Surgery is the event. Preparation determines finish time 💪
"Keep MAP >65mmHg" is a safety net, not a physiological law 📉
For an 80year-old with chronic HTN, a MAP of 65 might effectively be shock
The future is Personalized Hemodynamics
We need to defend the patient's specific baseline, not just the population average 🎯
#periopmed
The new frontier in PeriopMed isn't a new gas or block - its navigating the GLP-1 agonist explosion 💊
Balancing metabolic benefits against gastric residual volume risks is the new "beta-blocker" debate
Are you team "hold for a week" or team "POCUS the antrum"? 🧐
#periopmed
It’s time to retire "Cleared for Surgery" from our vocabulary 🛑
We aren’t gatekeepers; we are risk managers. The goal isn't just surviving the operation, it's returning to baseline function after discharge
Shift the mindset: Don't just clear. Optimize. 📈
#PeriopMed #Surgery
🧡 Today is International Day for the Elimination of Violence against Women
In Perioperative Medicine, recognizing the signs of gender-based violence (GBV) is crucial. Trauma impacts surgical outcomes and recovery
We must provide compassionate, trauma-informed periop care
Is perineural or IV dexamethasone better for pain after shoulder surgery?
This SR & MA finds perineural administration modestly prolongs analgesia (~2 hours) for single-shot interscalene block & explores overall clinical importance
➡️tinyurl.com/periopmed
#periopmed
#RA
Irish Perioperative Medicine Society (IPOMS) retweeted
What is "enhanced care"?
Post-anaesthetic care unit (PACU) and overnight intensive recovery units.
What is the impact?
It builds surgical capacity and system resilience.
#anaesthesia #MedTwitter #ICU
doi.org/10.1111/anae.70057
Important points on Ultra processed foods and the impact on long term health
Key themes for @HSELive to embed into care pathways
#periopmed
Ultra-processed foods – what’s the impact?
In a new Lancet Series, experts warn a global rise in #UPFs presents a growing public health threat.
Read the evidence & policy recommendations ⬇️
hubs.li/Q03TLKK30
ALT Part of a Lancet Infographic summarising the findings from the Lancet Series on Ultra-Processed Foods and Human Health.
ALT Part of a Lancet Infographic summarising the findings from the Lancet Series on Ultra-Processed Foods and Human Health.
ALT Part of a Lancet Infographic summarising the findings from the Lancet Series on Ultra-Processed Foods and Human Health.
💨 Today is World COPD Day! 💙
"Short of Breath, Think COPD"
Chronic Obstructive Pulmonary Disease (COPD) is often underdiagnosed. If you experience persistent shortness of breath, cough or wheezing- talk to your doctor. Early diagnosis is 🔑 for better management
#ThinkCOPD