Guillaume Martel

Measles are FAR worse than the vaccine.

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

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

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.

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

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

#HPBsky
#surgsky
#ansky
#liversky
#medsky

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

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…

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

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.

🚨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...