Anesthesia Made Easy

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We wants to make learning anesthesia fun & easy by daily posts/reels/clinical cases/notes related to Anesthesiology, Critical care medicine, Regional block, Pain Medicine.

02/03/2026

Off Duty - Behind the Wheels !


Note: Shot with POV camera. Following all Traffic Rules. Drive Safe, Stay Safe.

☆Vasopressor Dose Quick Card + Clinical Pearls 💉●Norad for vasoplegia.Adrenaline for inotropy + shock.Vasopressin for re...
27/02/2026

☆Vasopressor Dose Quick Card + Clinical Pearls 💉

●Norad for vasoplegia.
Adrenaline for inotropy + shock.
Vasopressin for refractory hypotension.
Start low. Titrate to MAP goal (65–70 mmHg).
◇Treat physiology — not just the number.

●Septic shock? → Norad first.
●Cardiogenic shock? → Add adrenaline or inotrope.
●Refractory vasoplegia? → Add vasopressin.
◇Know your receptors. Know your doses.
Escalate smart.

☆Pressors are not interchangeable.
▪︎α1 → ↑ SVR
▪︎β1 → ↑ Inotropy
▪︎β2 → ↑ HR
▪︎V1 → Non-adrenergic vasoconstriction

☆ICU at 3 AM be like:
“BP 60/40 😭”
You:
“Start norad. Titrate. Add vasopressin if needed.”
◇Confidence comes from knowing your doses.

Save this for your next ICU call.

ETT size calculation — adult & pediatric simplified.Correct tube size = safer intubation, better ventilation, fewer comp...
25/02/2026

ETT size calculation — adult & pediatric simplified.
Correct tube size = safer intubation, better ventilation, fewer complications.

Remember: Uncuffed = (Age/4) + 4
Cuffed = (Age/4) + 3.5
Depth ≈ (Age/2) + 12
Because guessing is not a strategy.

Adult male → 7.5–8.5
Adult female → 7.0–7.5
Pediatric → formula-based
Always confirm with ETCO₂.
B/L Airentry confirmation by Auscultation.

Tube size matters. Depth matters more. Confirmation matters most.

ETT size selection should be systematic, not instinctive.
Know the formula. Know the depth. Check cuff pressure.

&Depth

23/02/2026

Ever stuck with a Grade 3 view? Enter the McCoy. 🩺✨ (PART TWO)

​Body: Developed in 1993 by Dr. E.P. McCoy, this isn’t just a curved blade—it’s a mechanical game-changer.
By articulating the 2.0 cm hinged tip up to 90°, you’re tensioning the hyoepiglottic ligament to lift that epiglottis without the extra wrist torque.

​Perfect for:
✅ Anterior larynx
✅ Limited neck mobility
✅ Reducing the pressor response

Body: Did you know?
📍 Flexion: Up to 90 degrees.
📍 Tip Length: ~2.0 cm of pure articulation.
📍 Profile: 4mm slimmer at the tip than a standard Mac.
📍 Luminance: 4,000+ Lux (Green System).

​It’s the "English Mac" with a serious upgrade. 🚀

​CTA: Save this for your next airway exam! 📖

​

23/02/2026

Ever stuck with a Grade 3 view? Enter the McCoy. 🩺✨ (PART ONE)

​Body: Developed in 1993 by Dr. E.P. McCoy, this isn’t just a curved blade—it’s a mechanical game-changer.
By articulating the 2.0 cm hinged tip up to 90°, you’re tensioning the hyoepiglottic ligament to lift that epiglottis without the extra wrist torque.

​Perfect for:
✅ Anterior larynx
✅ Limited neck mobility
✅ Reducing the pressor response

Body: Did you know?
📍 Flexion: Up to 90 degrees.
📍 Tip Length: ~2.0 cm of pure articulation.
📍 Profile: 4mm slimmer at the tip than a standard Mac.
📍 Luminance: 4,000+ Lux (Green System).

​It’s the "English Mac" with a serious upgrade. 🚀

​CTA: Save this for your next airway exam! 📖

​

☆ICU Microbiology 101: Know Your Enemy 🦠●​Choosing the right empiric antibiotic starts with understanding the "neighborh...
23/02/2026

☆ICU Microbiology 101: Know Your Enemy 🦠

●​Choosing the right empiric antibiotic starts with understanding the "neighborhood" your pathogen lives in.
●In the ICU, we don't always have the luxury of waiting for cultures, so we categorize by Gram stain and oxygen requirements.

▪︎​Gram-Positives: The classic cocci (Staph/Strep).

▪︎​Gram-Negatives: The "heavy hitters" like Pseudomonas and Acinetobacter.

▪︎​Anaerobes: Think "below the diaphragm" or abscesses (Bacteroides, Clostridium).

▪︎​Atypicals: Don’t forget these for community-acquired pneumonia (Legionella, Mycoplasma).

》​Bottom line: If you don't know the classification, you can't pick the coverage.

◇This cheat sheet breaks down the major players we encounter in the unit:

✅ Atypicals: Won’t show up on a standard Gram stain.
✅ Anaerobes: Often require specific coverage (like Clindamycin or Carbapenems).
✅ Special Groups: Acid-fast bacilli and Fungi—the "zebra" cases that become "horses" in the ICU.

♡​Save this for your next rounds! 📌

​

🚨 ANAPHYLAXIS IN THE OT: A Quick Reference Guide 🚨☆​Anaphylaxis under anesthesia can be a diagnostic challenge because o...
21/02/2026

🚨 ANAPHYLAXIS IN THE OT: A Quick Reference Guide 🚨

☆​Anaphylaxis under anesthesia can be a diagnostic challenge because our patients can't tell us how they feel. We rely on physiological shifts: sudden hypotension, unexplained tachycardia, and rising airway pressures.

☆​Key Pearls:
●​Stop & Call: Immediately halt potential triggers (Antibiotics/NMBDs) and call for help.
●​Epi is King: Don't hesitate with Epinephrine. ●Titrate IV boluses (50 mcg) early.
●​Think Outside the Box: If shock is refractory, consider Vasopressin or Methylene Blue. Don't forget Glucagon if your patient is on a Beta-blocker!

□​The Second Wave: Always monitor for 24 hours to catch a potential biphasic reaction.🧪🔬

📍​Save this for your next shift and follow for more high-yield clinical tips! 🩺💉

☆5 Hs & 5 Ts — reversible causes of cardiac arrest.●In every code, after CPR + rhythm check, run through this list quick...
19/02/2026

☆5 Hs & 5 Ts — reversible causes of cardiac arrest.
●In every code, after CPR + rhythm check, run through this list quickly.
●Treat the cause, not just the rhythm.

☆During arrest:
●Brain = blank 😵
●This list = lifesaver ✅

◇Save it. Revise it. Use it.

☆When in doubt — think 5H & 5T.
●One checklist every anesthesia & ICU resident must know by heart.

&5T

TOF vs PTC — the difference that decides your reversal. 💉⚡Neostigmine needs twitches.Sugammadex can reverse even deep bl...
17/02/2026

TOF vs PTC — the difference that decides your reversal. 💉⚡
Neostigmine needs twitches.
Sugammadex can reverse even deep block (with PTC).

📍 Use TOF when twitches are present
TOF 4/4 → shallow block
TOF 1–3/4 → moderate block
TOF 0/4 → deep block (usually)
🧠 TOF is useful only when you can see twitches.

📍 Use PTC when TOF = 0
If there are no TOF twitches, TOF cannot tell you how deep the block is.
That’s where PTC helps.
PTC 1–2 → very deep block
PTC 3–5 → deep block
PTC >10 → TOF twitches will return soon
🧠 PTC speaks when TOF is silent.

Neostigmine is NOT a magic reversal drug.
It only works when spontaneous recovery has started.
✅ Best time to give: ➡️ TOF ≥ 2 (preferably TOF 4)
❌ If TOF = 0 ➡️ Neostigmine will NOT reverse reliably
➡️ and can lead to residual paralysis / weakness.
📌 Dose: 0.04–0.07 mg/kg
Glycopyrrolate 0.01 mg/kg

Sugammadex can reverse even deep block — but dose depends on depth.
✅ TOF ≥ 2 ➡️ 2 mg/kg
✅ TOF = 0 but PTC ≥ 1 ➡️ 4 mg/kg
🚨 Immediate rescue reversal
(e.g., CICV after Roc 1.2 mg/kg) ➡️ 16 mg/kg

Neostigmine needs twitches.
Sugammadex doesn’t.

🎯 Final reminder:
Never extubate unless:
✅ TOF Ratio ≥ 0.9

📌 Save this post — it’s one of those OT concepts you’ll use forever.
👨‍⚕️ Share with your anesthesia buddy who still reverses “by vibes” 😄
Anesthesia Made Easy — By Dr. Sambit Dash

15/02/2026

Macintosh vs Miller — it’s not preference, it’s biomechanics. - PART TWO

Mac lifts the epiglottis indirectly via the vallecula.
Miller lifts it directly under the epiglottis.

📌 The right blade = easier view + less force + safer intubation.
Choose the blade based on anatomy — not habit. 🫁💉

Mac: “Let the ligament do the work.”
Miller: “I’ll lift the epiglottis myself.” 😌
(And yes, both will punish you if you lever on teeth 😭)

Part 1 & 2 in this series 👇

15/02/2026

Macintosh vs Miller — it’s not preference, it’s biomechanics. - PART ONE

Mac lifts the epiglottis indirectly via the vallecula.
Miller lifts it directly under the epiglottis.

📌 The right blade = easier view + less force + safer intubation.
Choose the blade based on anatomy — not habit. 🫁💉

Mac: “Let the ligament do the work.”
Miller: “I’ll lift the epiglottis myself.” 😌
(And yes, both will punish you if you lever on teeth 😭)

Part 1 & 2 in this series 👇

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