Siva Arumugam, MD, FASA

Shame on you @benstokes38 and his mates for their behavior on the field yesterday. Moral posturing even hours after the heat of the moment showed their hypocrisy with “spirit of the game” #INDvsENG Raj days are gone, we don’t have to say YES to you @BCCI @englandcricket

#regionalanesthesia #pain @ASRA_Society Consensus Practice Infection Control guidelines: 👇🏿 Check out: rapm.bmj.com/content/early/… @DProvenzanoMD Full article: rapm.bmj.com/content/early/… @NarouzeMD @RAPMOnline @Ropivacaine @MayoPainMed @ESRA_Society @dr_tinadoshi @rakesh6282

No mistakes from “Sinner” New champ 🎾 #wimbledon #wimbledon2025

Are clear fluids until 2 hrs preop safe in post-gastric sleeve patients? #gastricpocus #pocus

Humbled to receive this card from @DProvenzanoMD rating organization of #ASRA50 as A+++🙏 His words: “The meeting was perfect. I am ever grateful for all your efforts.” Sharing the photo and note 🏆 - means the world coming from @ASRA_Society past-president and a true leader!

#POCUS Don’t miss it….. it’s tomorrow ! 💥RAPID 2025: “Recent Advances of Point of care ultrasound In Diagnosis” June 29th, 2025, Vijayawada 🇮🇳 !💥 @GopalKkoduru @dandamudivasu @ASRA_Society @NibrasBughrara @drmohansai @Keerthich1155 @AoraIndia @HospitalsAayush

“Periop Mx of patients on GLP-1 RA meds” ⭐️Multiple different societies & multi-society guidelines have been published. @KalagaraHari @SudiptaSen_MD @rosie_hogg @dr_melissabyrne @ASRA_Society @ASALifeline @AbaPhysicians What’s your practice now in these pts for elective surgery

Lots of great resources, courses, etc out there. This website is an amazing first place to start if you want to add this skill to your armamentarium: gastricultrasound.org That’s it for me, have a great weekend!! 😊

Also this one !! @jeffgadsden #Blocktober #POCUS Tummy Check 👇🏿 👉 youtu.be/4Kc5qVMGGPU?si… @Duke_Anesthesia

All of the above-If surgery can wait or risk is high (e.g. recent dose change), hold GLP-1 for 1 week: built in EMR. If time sensitive or high risk- 24h fasting with CLD, symptoms & GUS DOS. shared decision making b/w pt, anes,surgeon after GUS to proceed.

It’s a true honor to receive the Su Ganapathy Regional Anesthesia research award on the same year that Dr. Sugantha Ganapathy received the CAS Gold Medal! @CASUpdate @CAS_RegAnes #CASAM25

Congrats Manisha Kukreja for this great book … Live Longer !! A must read to for optimal health and longevity!! 👉 amazon.com/dp/B0FCZDB2WD?… @KukrejaPromil 🎊👏 @ASRA_Society @NarouzeMD @DrBluesNYC @Ropivacaine @EMARIANOMD @athmathottungal @Steve_Coppens @HouthoffKavita

What can you do? 🔹 Choose RA/TIVA/automated FGF 🔹 Use reusable gear 🔹 Advocate in your department 🔹 Push for green policies 🔹 Donate unused supplies ✅ Reusable devices like laryngoscope blades, endoscopes, and even drapes/scrubs are safe & cost-effective

Icing on the cake is also catching up with Dr Manoj Karmakar ! @Sivakumar_SRK @Sivakumar_RKS @Keerthich1155 @Siva6faces @SreeHPraveenKO1 @Archana_Areti @srivalluri123 @MKwesiKwofie @KukrejaPromil

Big thanks to @wiscanesthesia for the warm welcome as Visiting Professor! ❤️Fantastic academic exchanges & yes, I made sure to rub the Capitol badger’s nose for good luck 🦡 🙏Grateful to Drs. McQueen, @KristopherSchr6, Bevil & Klesius for the incredible hospitality and energy!

One device - dual modality of analgesia “RELAY” from @gatescience1 ✅ Start with nerve block using a local anesthetic ✅ Prolong the #analgesia with #neuromodulation ✅ Avoids motor block / infusion bags in recovery @ASRA_Society @ESRA_Society @AoraIndia

"Congress needs to hear that there is no 'care' in 'Medicare' if there are no physicians." "What insurance companies are doing to us and to our patients is wrong." @PresAmerMed opening address @AmerMedicalAssn #AMAmtg