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Tom Billyard

@tombillyard.bsky.social

Intensivist and lapsed anaesthetist. Organ donation enthusiast.

297 Followers  |  131 Following  |  7 Posts  |  Joined: 14.08.2024  |  1.3285

Latest posts by tombillyard.bsky.social on Bluesky

The "lower targets are safe" message is really important.
Basically, stop stressing if you can't get the sats above 90. Don't do things known to be harmful just to increase SpO2.

12.06.2025 15:41 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

No!
Not enough patients in the trial. Many centres (mine included) felt uncomfortable including them and so didn't randomise.
I hear MegaRox hasn't had the same issue, so wait and see...

12.06.2025 15:39 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
Nitrous Oxide Regulator, Pin Index Inlet with BS Schrader Outlet | Industrial Gas | Gas Equipment & Accessories | BOC Shopmyacc_balancemyacc_checkoutprefmyacc_communicationmyacc_contactinfomyacc_cylin...

If you are using nitrous now, surely the machines already have a nitrous hose? Can't you use that?

BOC sell the cylinder valve adaptor you need.

www.boconline.co.uk/shop/en/uk/n...

08.06.2025 20:56 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

All of the above are true. Particularly the last.
Trials of treatment rarely survive a change of staff.
"How did we get here, and is it still the right thing to do?" is a hard question if you haven't been involved from the start.

02.06.2025 13:09 โ€” ๐Ÿ‘ 2    ๐Ÿ” 1    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

There was a brief update on this in the last Critical Eye - the OSCE is going. It takes ages to make changes to exams though, so many people need to approve the changes.

30.04.2025 07:36 โ€” ๐Ÿ‘ 4    ๐Ÿ” 1    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0
Preview
The Intensive Care Society Affirms Commitment to Inclusive, Dignified Care for All Patients

At the @ics-updates.bsky.social we want to acknowledge the distress being experienced by many in the transgender and gender diverse community. Our values havenโ€™t changed ๐Ÿ‘‡๐Ÿป

ics.ac.uk/resource/the...

23.04.2025 14:49 โ€” ๐Ÿ‘ 4    ๐Ÿ” 3    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

My prediction is that you will watch it, and that you will also find it too annoying.
Every year I wonder why I watch it again!

31.01.2025 19:12 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

Remember the Diprifusor? Prefilled syringe with a chip so the pump knew which drug it contained.
Only one risk removed, but a significant one.
Seems daft that was commonplace 15 years ago, but no more.

27.11.2024 22:09 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

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