“Hours of boredom and moments of terror”
Bolangir
Joined August 2010
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Why I keep my degree in my twitter title:
1. Dr. can be anything from a PhD in English to a physiotherapist,I like to keep things clear.
2. As a 1st gen doc,it represents generations of dreams & hopes.
3. It took a lot to earn them,and I want to flaunt it.
Go on,Judge me!
Neha Padhi MD retweeted
The "work life balance" in anesthesia comes much later if you want when you've already learned and seen everything. At this stage, to learn how a case is supposed to be done and how a particular comorbidity / physiology is supposed to be managed, you need to actually sit in OT.
Neha Padhi MD retweeted
Hello everyone. I'll be talking about the use of Cranial B mode Ultrasound in post decompression craniectomy patients in this symposium.
Register here and join us today at 5:30 PM to 8:30 PM IST🙌🤝
us02web.zoom.us/webinar/regi…
Neha Padhi MD retweeted
#DidYouKnow Durga Puja in Kataka has a unique fish bhog tradition on Maha Navami!
Today, at Chandni Chowk and Alisha Bazaar, around 20 quintals of fish being offered to Maa Durga during Navami and distributed among thousands of devotees.
At Chandni Chowk, this tradition dates back to 1817!
The traditional bhog also features khata and kanika, served alongside fish bhog.
Neha Padhi MD retweeted
Thanks @AirwayMxAcademy , I do appreciate there's no evidence that gastric US changes outcomes. That said, there are lots of things we use every day that provide useful information while lacking evidence. Pulse oximetry has not been shown to reduce periop mortality, but I sure ain't gonna stop using it while I await some dude to do a meta-analysis on it.
Here's the real value: In the above example, if I scan and find stomach is empty, that means I can proceed confidently with my plan of spinal plus propofol sedation (aka unconsciousness/loss of airway reflexes). If I were just to reflexively intubate the tracheas of every joint replacement on a GLP1 (about 15-20% now), I would now be exposing those patients -- as you point out -- to a new set of risks (airway trauma, bronchospasm, blah blah blah).
If I DO find a full stomach, then we have some decisions to make. Spinal with the patient awake through the procedure is one option. Postpone is another. Re-scan an hour or two later is a third. GA with RSI is an option I suppose BUT....RSI is hardly a guarantee of safety. Most operative aspiration events occur during RSI/full stomach.
Here's a question for everyone out there (and I'm genuinely curious). If you have a known full stomach and you proceed with GA/ETT for an elective case and the patient has a serious aspiration event, is that defensible? I reaaaallllyyy hate questions that start with "Dr. Gadsden, please explain to the jury ..."
Neha Padhi MD retweeted
🚨 PUNCH 2027 | REGISTRATIONS OPEN! 🚨
The 10th edition of PUNCH is back! 🎯
📍 Bhubaneswar, Odisha
📅 2nd–4th April 2027
🏨 Lemon Tree Premier, Bhubaneswar
💥 Hands-on learning. Expert faculty.
🎟️ Special package: ₹12,000 for the first 30 registrations. @dragarwalgaurav
docs.google.com/forms/d/e/1F…
My favourite RA-POCUS event of the year i.e. PUNCH is open for registrations now!
Whether you are just foraying into it or want to brush up your knowledge of RA-POCUS,this is it!
#Anesthesia
#India
Neha Padhi MD retweeted
#MayoAnesGR
How can PNS be useful 🪜 in acute pain ?
Making PNS another toolkit 🧰 for regionalist !
Indications ✅
Cost 💸
Limitations ❌
Workflow 🖇️
Benefits 🔑 @MayoAnesthesia @MayoPainMed @ASRA_Society @galusweegie @sanjibadhikary @ssinha3300 @NarouzeMD @dr_rajgupta
Power failure at 911001130659 since 5 pm,it is almost 8 pm now!, Tentative time of restoration? Or maybe a timeline?
@TPWesternOdisha
The best and my most favourite part of #blocktober is here!
Curled up in my bed,with this crossword in my hand and as usual stuck at the last two answers! 😭😭😭
Thank you @jeffgadsden sir for all the effort you put in!
It's time to kick back in a comfy chair and complete this year's Blocktober crossword puzzle! Once you've solved it, send me a screenshot to [email protected]. We'll put all the successful names into a hat and draw one winner in 48 hours. Prizes! Good luck!! (link below👇👇)
crosswordlabs.com/embed/bloc…
Neha Padhi MD retweeted
It is not so black and white.
Suxamethonium still has a place in clinical practise.
I use it for the following indications:
📌quick and safe treatment of laryngospasm
📌reliable relaxation if supraglottic airway device does not work but desaturation already starting
📌intralingual injection when IV stops working during induction
📌ECT procedures
📌short ENT procedures
📌rocuronium allergy
📌airway rescue
📌procedures where surgeons use nerve stimulators
📌complex airway but sugammadex not available
#suxamethonium
#suxisnotdead
@DaveOlvera1 @jducanto @DrHuw
Neha Padhi MD retweeted
Given the high short term mortality risk in this particular scenario, I would also discuss non-operative management combined with a phenol nerve block with the patient and her family.
pubmed.ncbi.nlm.nih.gov/4271…
Neha Padhi MD retweeted
🔥OOP vs IP approach for ISB 🔥 i
In the land of blind…one 👁️ man is the 👑 ?
IP… 2 ⚠️ nerves… LTN & DSN … risk of these nerve injuries other than C5 and C6 itself ⛔️
Most people even with ultrasound don’t recognize and know about them‼️
👉 pubmed.ncbi.nlm.nih.gov/3794…
So when you are in India and suffer from the lack of a USG(look up the PCPNDT Act,before you come at me),you can still use landmark technique do the DEEP Serratus Anterior Plane Block,that's why it wins for me!
#MedTwitter
There are two different versions (of course there are…*eyeroll emoji) A superficial and a deep approach, where the local is placed above and below the serratus muscle, respectively. I have my thoughts on which one I like, but how about you? #Blocktober26
Two reasons why October is my favourite month of the year;
1)it's my birthday month
2) it's #Blocktober26 😁😁😁 @jeffgadsden
Good morning and welcome to #Blocktober26 day two! You’re working with a new shoulder surgeon who likes his patients to be awake throughout. Cool! You perform superior trunk block for arthroscopic rotator cuff repair with 10 ml of 0.5% ropivacaine. Twenty minutes later, the patient can barely lift their arm and the shoulder feels numb. Sweet.
BUT...when the surgeon starts work on the port site on the posterior shoulder, the patient nearly jumps off the bed. Bummer dude 🫤
What happened—and what are you going to do about it?
🧵👇
Neha Padhi MD retweeted
What started as a dream has now become a reality!
The dream of establishing the first ATLS Provider Center in Northeast India at AIIMS, Guwahati began with our own training, followed by successfully clearing the site inspection. Since then, there has been no looking back!
We have successfully conducted three courses on 12–14 Dec 2025, 13–15 Mar 2026, and 7–9 Aug 2026, and are now geared up for our 4th course on 29–31 Oct 2026.
Forever grateful to Prof. Ashok Puranik, executive director, AIIMS, Guwahati, Prof. M. C. Mishra, ATLS Chair, India, Prof. Amita Ray, Site Inspector and all our external faculty and delegates for their invaluable support.
A special cheer to our in-house faculty, site coordinator, and supporting staff for their unwavering dedication and teamwork in making every course a success.
A dream achieved. A journey in progress. A commitment to saving lives.
Long live ATLS! 🚑🩺
Long live AIIMS, Guwahati
@AIIMS_Guwahati
@ATLS_India – at Guwahati, India
Would any of you #anesthesia people be interested for a quiz during the month of October? Leading upto Ether day?
#MedTwitter
Neha Padhi MD retweeted
Kya ho raha hai yeh 😥 suicide is not an answer right? If you're stressed out, take a break, at least 2 weeks. Go home, agar leave nai de rahe toh let them extend your residency, cut salary or whatever. Suicide is not an option 🙏🏾