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 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...
🧵of 🧵: we've already covered most commonly used sutures. Today, we cover barbed sutures. The use of barbs wasn't even invented by humans - they are present in many plant and an...
🧵regarding the Combat Application Tourniquet: its parts, how it's applied, some history of tourniquets; and an experiment to see if my mother (75 years old) is strong enough to t...
🧵regarding the 'suture ligature' or 'stick tie', or whatever you call it in your part of the world. Here, I'll use my long-suffering chickens to show 3 different methods for doing...
🧵regarding the CUT and COAG modes of the device commonly referred to as a 'Bovie' or 'diathermy'. Both of these are misnomers, but you know what I mean. We will go over what CUT an...
Before we get to that: It's customary to hit the button just *before* the Bovie tip hits the tissue (L picture). We usually *don't* put the Bovie tip on the tissue and then hit th...
🧵 demonstrating a few basic errors that can be made when working with a Bovie. Note: I won't try to cover all of the science of surgical energy devices, as Twitter threads do have...
Short 🧵(for people going into critical care) regarding when a tracheostomy tube is the same 'size' as its endotracheal tube counterpart, and when it is not. Warning: minutiae fol...
@rdrummond @EzraTeitelbaum @LFischer224103 @mj_pucci @EricKnauerMD @amber_shada Of course, there is always differential ability in an operation; there are lots of very good NBA pla...
🧵regarding the terminology of some common suture needle types. This is a revised version of a 🧵I did several months ago (I’ve been on vacation 😎, and it’ll be a bit untiI I have...
🧵of 🧵 We've covered most of the commonly used sutures...now it's time for Nylon. Most of us associate Nylon with skin closure, and that is what it's used for most of the time, but...
🧵for students and interns on some technical pointers regarding the clamping and ligating of tissues during surgical cases. (1/ ) https://t.co/JrrFjOiBmB