@ON_Anesthesia @CASUpdate

Thanks to my fantastic team who made this work possible! @JessPetricca @yuanxin_xue @LukaKremic @maggie_xz @biancapivetta2 @simonevigod @PinnaclePeriop @drladha @uoftmedicine @UofTanesthesia @ihpmeuoft @UofT_dlsph @Anaes_Journal @Assoc_Anaes

With preoperative depression established as a risk factor for postoperative delirium (amongst other adverse outcomes), there is a growing impetus for assessing the utility of incorporating routine psychologic screening and psychologic interventions into the perioperative period!

Postoperative delirium is a major complication which can be highly distressing for patients (and their family and care team) and also associated with other complications, new disability, increased hospital length of stay and healthcare utilization, and even mortality.

29% of patients with a pre-existing diagnosis of depression or active depressive symptoms before surgery experienced postoperative delirium, compared to only 15% of patients without a depression diagnosis/symptoms (RR 1.91, 95% 1.68-2.17).

Excited to share our latest systematic review and meta-analyses (with 4.6 million patients from 42 studies) highlighting the impact of preoperative depression on increased risks of delirium after major surgery. https://t.co/ZYFFQXKIhS

@yuanxin_xue @JessPetricca @LukaKremic @maggie_xz @biancapivetta2 @drladha

Check out our recently published review led by @sandralee990! With students @uoftmedicine, residents @UofTanesthesia, and @PinnaclePeriop. The impact of pre‐operative depression on pain outcomes after major surgery: a systematic review and meta‐analysis

Congratulations to @PinnaclePeriop Co-Director @drladha on being awarded the CAS Career Scientist Award & @PinnaclePeriop trainee @calvdiep on being awarded the Residents' Research Grant at the @CASUpdate Annual Meeting #CASAM2023 @UofTanesthesia @UnityHealthTO @ON_Anesthesia

This is ignored far too much for my liking. We easily forget this is the most stressful day of a patient’s life. Respectful silence counts for a lot.

Meet the faces behind PINNACLE! The team is led by the dynamic duo Dr. Duminda Wijeysundera (left) and Dr. Karim Ladha (@drladha, right), both clinician-scientists and staff anesthesiologists @UnityHealthTO and faculty @UofTanesthesia

It has become routine to do a systematic review before committing to a RCT. We should do the same for prediction models. Please use the wheel.

This will go down in history as one of science and medical research's greatest achievements. Perhaps the most impressive. I put together a preliminary timeline of some key milestones to show how several years of work were compressed into months.

"Take a deep breath, you're okay." Something we say to every single patient as they wake up from anesthesia. Hilarious that we sometimes forget to offer the same to ourselves.

I've reviewed my share of medicolegal cases, mostly about drugs. If I could share one piece of prescribing advice it would be this: When opioids aren't working, simply giving more opioids probably isn't the answer.

I’m officially dedicating my life to suicide prevention and mental illness!!! Y’all not alone Waka Flocka Flame is with y’all now!!!!

“There is simply no way that our lives will resume as if this had never happened. And so, while it may feel good in the moment, it is foolish to dive into a frenzy of activity or obsess about your productivity right now. That is denial and delusion.” https://t.co/Sa88MsuocV

Pandemic education for non-intensive care clinicians to work in ICU- https://t.co/OPcmr7bGlg Please review, use and snowball so more can benefit

#SearchForPPE Spreadsheet generated by scraping public info from https://t.co/3LhXZ8nGx6. The same can be generated for any city/region in Canada🇨🇦 upon request! https://t.co/6G0NlvuUsG /3

#SearchForPPE Our hospitals are projected to run short of PPE in coming months of fighting #COVID19. Community practitioners and local businesses have begun donating spare PPE. There are surely some goldmines of spare PPE out there. https://t.co/6G0NlvuUsG /2