🇨🇦 Regional Anesthesiologist. Clinical Researcher. St. Paul's Hospital at the University of British Columbia, Vancouver.

Vancouver, British Columbia
Joined April 2017
Editor’s Recommendation✏️ Propensity scores can balance measured covariates—but they do not establish causality. New #KJA Statistical Round: how to align estimands (ATE/ATT), covariate selection, overlap, and unmeasured confounding for sound causal interpretation. PS matching ≠ causality. doi.org/10.4097/kja.26332 #Anesthesiology #Causality #ConfoundingFactors #ObservationalStudy #PropensityScore #TreatmentOutcome #SCIE #MEDLINE #KJA
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Is it a surprise that there are so many concerns with LAST with continuous SPIP blockade? Fig 1. Blue dot: ribs Large white dot: major arterial perforators Fig 2. Black dot = ITA perforators Fig 3. Coronal section Br J Plast Surg. 1986; 39: 287-99
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To learn the innervation of the costal, diaphragmatic, and mediastinal parietal pleura --> Use a wire to scratch around in awake humans. Costal pleura: Intercostal nerves Diaphragmatic pleura: Outer rim intercostal nerves Inner rim phrenic nerves. Capps, J. Arch Intern Med 1911
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Our entire understanding of visceral innervation of pleura, pericardium, lung parenchyma, heart, and coronaries are based on few wild studies 100 years ago. Lewis T. Pain. New York: MacMillan 1942.
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Reviewed for this open-access journal. Recommended Reject. Editor decided to accept without revision, "based partly on my recommendation". Ok.
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Yes I learned my lesson
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Accurate, except more like 12 hours, and one citation.
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I just love this figure that differentiates between association vs causation in observational studies. From Causal Inference: What if? (Miguel Hernan)
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You know what would be a rad conference talk? Bias in observational regional anesthesiology research It'd be super cool for a methodology-heavy conference like IARS.
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Interpreting relative risks and odds ratios after propensity score matching: practical guidance for clinical research doi.org/10.4097/kja.25973 📕 How do RR and OR behave after propensity score matching? Discover when they diverge, why collapsibility matters, and how to evaluate effect estimate robustness in your clinical research. Read our practical guidance! #SCIE #MEDLINE #KJA
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Statistics is a lot more interesting than philosophy.
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🥼 New R1s, new skills, and lots of hands-on learning! 💨🫁 #Bootcamp #AirwayWorkshop #ProceduresWorkshop #POCUS/eFASTWorkshop #UBCAnesthesia #AnestesiaResidency #UBC #Anesthesia
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Does anyone have experience doing retrospective cohort study using target trial emulation framework? Sounds good in theory but wondering about practical pitfalls. Advice from experience really appreciated.
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ovid.com/10.1097/ALN.0000000… This is an important volunteer study showing that peripheral nerve blockade, in itself, is unlikely to CAUSE hyperalgesia upon block resolution. This study offers important mechanistic insights into rebound pain pathogenesis.
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#POCUS An amazing 😻 🤩 feeling to see our #gastricultrasound article on the cover page of @RAPMOnline journal. Kudos to @shaskinsMD for the lead ! Thx 🙏 to ALL ! Diabetes ✅ Urgent C-sections ✅ GLP1 ✅ Obesity ☑️ GERD ❌ 👉 rapm.bmj.com/content/51/7/72… @ASRA_Society 👇🏿
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