Ron Barbosa MD FACS
Nonuniversity level 1 trauma/critical care/general surgeon. ECMO service. PGY-26. Father of 4. Surgical instrument threads. History enthusiast. Opinions own.
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🧵regarding the useful technique of 'straightening the wire' during central line placement when the plastic guide is no longer within reach. If you do a lot of central lines (or a...
🧵for the new residents and students on the meaning of 'French' and 'Gauge'. We've covered this on here in the past, but a lot of new people are starting on surgical rotations, so...
🧵regarding some of the more novel *non-urologic* uses of Foley catheters. It's been almost 2 years since I originally posted this, so many may not have seen this one (and I'll be...
🧵regarding the technique of 2-handed knot tying: This one is for students and 1st-year residents. 2-handed tying is becoming a lost art in surgery, but I believe it is important t...
Upgrading a prior 🧵regarding polypropylene ('Prolene') suture: the workhorse suture of vascular surgery, though it also has other applications. As usual, we'll go over some of th...
🧵regarding the 'oiling' of surgical sutures, which was once a common practice but one that is quite rare today. Here I will explain the purpose of 'oiling' a braided suture, some...
🧵regarding the packing of cavities for hemostasis during surgery: Here I will discuss why using a precise technique for packing for hemostasis is important, what happens when you...
🧵regarding several ways in which you can inadvertently damage the tissues when approximating them with sutures. These are particularly important to recognize when the tissue is th...
🧵regarding 'the crimp' and other technical pointers having to do with securing surgical drains with suture. We'll go over my preferred method, other methods like the Roman sandal,...
Short 🧵regarding the use of 'slip' knots to keep the tissues approximated when they are under tension, so that they stay in the right position when throwing the rest of your knots....
🧵regarding some technical points about passing drains or chest tubes through the body wall. Aside from the normal techniques, we will show what to do with the less common 'troca...
🧵regarding some of the instruments used for debridement of the soft tissues. For those familiar with my threads, we will also introduce 2 new instruments: the curette and the rong...