left_handed_anesthesiologist

03/09/2026

💉 SUGAMMADEX: 2–4–16 mg/kg — Can you remember what each dose means??
The 2/4/16 rule
One of the most useful reversal agents in modern anaesthesia 👇

🟢 2 mg/kg → Moderate block
🟠 4 mg/kg → Deep block
🔴 16 mg/kg → Immediate reversal

🧠 High-yield pearl:
Sugammadex encapsulates rocuronium & vecuronium — but it does NOT reverse atracurium or cisatracurium.

📌 Save this for your next anaesthesia revision.
👨‍⚕️ Send it to an anaesthesia resident who needs to remember the 2–4–16 rule!

📚 Based on Miller’s Anesthesia | Educational content

27/08/2026

EPIDURAL TEST DOSE 💉🧠 | Anesthesia Quick Revision

Before giving the full epidural dose, a properly performed test dose can help identify inadvertent intravascular or intrathecal catheter placement.

📌 Key points to remember: • Lidocaine + epinephrine test dose
• Adult volume: 3 mL
• Look for tachycardia → possible intravascular placement
• Rapid spinal block → possible intrathecal placement
• Always aspirate + administer incrementally
• Observe closely before proceeding with the full dose

⚠️ Important: A negative test dose does not completely exclude malposition. Clinical assessment, aspiration and incremental dosing remain essential.

📚 Based on principles discussed in Miller’s Anesthesia – Neuraxial Anesthesia

💾 SAVE this post for your next epidural case or anesthesia viva!
👥 SHARE with an anesthesiology resident/friend who needs this revision.

Decode Anesthesia — Let’s answer your anesthesia-related queries.

27/08/2026

A short infographic on epidural test dose💉🧠 |

Before giving the full epidural dose, a properly performed test dose can help identify inadvertent intravascular or intrathecal catheter placement.

📌 Key points to remember: • Lidocaine + epinephrine test dose
• Adult volume: 3 mL
• Look for tachycardia → possible intravascular placement
• Rapid spinal block → possible intrathecal placement
• Always aspirate + administer incrementally
• Observe closely before proceeding with the full dose

⚠️ Important: A negative test dose does not completely exclude malposition. Clinical assessment, aspiration and incremental dosing remain essential.

📚 Based on principles discussed in Miller’s Anesthesia – Neuraxial Anesthesia

💾 SAVE this post for your next epidural case or anesthesia viva!
👥 SHARE with an anesthesiology resident/friend who needs this revision.

Decode Anesthesia — Let’s answer your anesthesia-related queries.

29/06/2026

Share it as much as possible

🚨 Important Advisory for the Anaesthesia Community 🚨

Patient safety always comes first.

The Indian Society of Anaesthesiologists (ISA) National has issued an urgent advisory recommending the immediate discontinuation of Themis-manufactured Bupivacaine for spinal anaesthesia and other clinical uses until further notice, following reports of serious adverse events currently under investigation.

🔹 Stop using the concerned product immediately.
🔹 Switch to an alternative approved manufacturer.
🔹 Stay updated through official ISA communications.
🔹 Report any suspected adverse drug reactions through appropriate channels.

Let's work together to ensure the highest standards of patient safety while the investigation is underway.



Dr. Richa Sharma Amita Chandel Santosh Yadav

31/05/2026

A short infographic on PNS, The peripheral nerve stimulator. one of my favourite topics to teach and demonstrate.

27/05/2026

peri-operative fluid calculation for a patient. just one infographic and all queries are solved

26/05/2026

06/05/2026

consumption formula for inhalational anaesthetic agents. a simple calculation.

04/05/2026

Capnography 2026 updates

04/05/2026

2026 Spinal Anesthesia consensus latest guidelines 💉💉💉