@drmattdevine.bsky.social
UK trained Anaesthetist and Intensivist living in 🇦🇺
Eerily familiar in many environments I’ve seen and worked in.
We need better training for those clinicians who are expected to step up to lead.
Today's Paper of the Day is:
Non-Neuraxial Chest and Abdominal Wall Regional Anesthesia for Intensive Care Physicians
https://criticalcarereviews.com/latest-evidence/paper-of-the-day
Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2025
Editorial: Bullying: a silent threat to clinician well-being and patient safety
#AnSky #MedSky #bullying #wellbeing
doi.org/10.1111/anae...
Figure 2. Oxygen Exposure and Arterial Oxygenation by Treatment Group in Patients With Enhanced Data Collection
Conservative oxygen therapy with a target SpO2 of 90% did not reduce 90-day all-cause mortality compared to usual oxygen therapy in mechanically ventilated adult patients.
#CCR25 @criticalcarereviews.com
https://ja.ma/4kG5gWK
Image shows PDF.
Editorial: The UK-ROX trial demonstrates that targeting lower oxygen saturation in critically ill patients is safe but does not improve outcomes.
#CCR25 @criticalcarereviews.com
https://ja.ma/4ngdtmn
The complicity of NHS England, the GMC, the Colleges & establishment medics in this experiment on NHS patients has been scandalous.
It should never have taken years of grassroots doctor whistleblowing to expose.
But this is a small step in the right direction.
www.theguardian.com/society/2025...
They should be renamed as Clinical Assistants. Any use of ‘doctor’ or ‘physician’ in the name risks further confusion for patients.
05.06.2025 23:43 — 👍 0 🔁 0 💬 0 📌 0
🪢 Paralysis: Sux vs Roc & Reversal — onset, duration & sugammadex hacks. 👉 buff.ly/JYNCU1i #FOAMed #medsky #ansky
03.06.2025 08:03 — 👍 3 🔁 1 💬 0 📌 0
🔥 Critical Care Reviews Meeting 2025 🔥
🧠 Not just talks — conversations that matter
🌍 Leading clinicians
📊 Dissect the biggest trials
🤔 Challenge assumptions
🔮 Explore what’s next
🧵 Insights beyond the paper
📺 Free global livestream
#CCR25
https://criticalcarereviews.com/meetings/ccr25
In adult patients undergoing tracheal intubation in real-world operating theatre settings, universal VL showed clear advantages over direct laryngoscopy.
This is the largest comparative analysis conducted to date!
#AnSky #AirwaySky #MedSky
doi.org/10.1111/anae...
Flyer for the Critical care Reviews Meeting 2025, from Titanic Belfast, June 11th to 13th.
🚨 The best critical care trials in the world
⚡ Groundbreaking medicine
#CCR25
📺 Full, free livestream from Titanic Belfast
criticalcarereviews.com/meetings/ccr25
Flyer for the UK-ROX trial results presentation at #CCR25
🚨UK-ROX TRIAL Results at #CCR25🚨
📍 ~100 🇬🇧 ICUs
👥 ~16,500 pts
🎯 Conservative vs usual oxygen therapy in invasively ventilated adults
🩺 Outcome: Mortality day 90
🤔 Will less oxygen save lives?
📺 Free livestream — but it's better in person!
🔗 criticalcarereviews.com/ccr25
Editorial: Looking before we leap: treating postoperative anaemia with iron
#AnSky #MedSky #HaemSky
doi.org/10.1111/anae...
When using a hyperangulated videolaryngoscope have you tried "reverse loading" a tracheal tube on to a preformed stylet?
The stylet & tracheal tube are shaped forcibly in the opposite direction to the normal curvature and to match the shape of the blade.
#AnSky #AirwaySky
doi.org/10.1111/anae...
Critical insights for intensivists on Guillain-Barré syndrome
CCR Journal Watch - tracking the critical care literature daily
criticalcarereviews.com/latest-evide...
Point of View: A Holistic Four-Interface Conceptual Model for Personalizing Shock Resuscitation
CCR Journal Watch - tracking the critical care literature daily
criticalcarereviews.com/latest-evide...
I’ve posted a quick update to my ESP talk based on my @ANZRA_X talk this year and including some useful insights from Ki Jinn Chin & Mauricio Forero
Check it out here:
youtu.be/6mY_m_uoqvs?...
#RAsky #AnSky
It's a great paper which has been well cited!
Cardiac arrest in obstetric patients receiving anaesthetic care: results from the 7th National Audit Project of the Royal College of Anaesthetists
doi.org/10.1111/anae...
Slide-set for my talk at the @anzca.bsky.social ASM on the Management of Traumatic Haemorrhage
sthjournalclub.wordpress.com/2025/05/02/a... #ASM25CNS
In Cairns till Tuesday representing @anaesjournal.bsky.social and @assocanaes.bsky.social - happy to chat about potential submissions!
I learned that in Australia voting is compulsory and happens on a Saturday, you know, like a normal civilized country.
03.05.2025 22:12 — 👍 2722 🔁 330 💬 142 📌 20
Unflappable @chrimesy.com at #ASM25CNS
#VortexApproach
Bravo 👏👏
Today's Paper of the Day is:
Pathophysiology, diagnosis and management of cerebral venous thrombosis
https://criticalcarereviews.com/latest-evidence/paper-of-the-day
Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2025
TCI isn't autopilot. 🚫 We compare Marsh, Schneider, and Eleveld models so you know what your pump is *actually* doing. Ideal FRCA revision.
Shownotes @ buff.ly/HfLZLie
#FOAMed #FRCA #ansky #podcast
Today's Paper of the Day is:
How to avoid harm with feeding critically ill patients: viewpoints of a basic scientist, dietitian and intensivist
criticalcarereviews.com/latest-evide...
Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2025
Placenta accreta spectrum: managing the bleeding risk.
🩸 Understand uterine blood supply
🛠️ Explore IR techniques like embolisation & balloon occlusion
🏥 Tackle the challenges of IR & hybrid theatre care
..and more.
New in #BJAEd from Fletcher et al.
doi.org/10.1016/j.bj...
REMAP-CAP has dropped
insanely underpowered in terms of its mortality endpoint (117 patients in one arm)
based on statistical power & methodologic problems, it adds nothing to CAPE-COD
my take hasnt changed since my discussion of CAPE-COD here https://emcrit.org/pulmcrit/cape-cod/ #EMIMCC
Pre-operative use of GLP-1s is known to delay gastric emptying, but does that translate to an increased risk of pulmonary aspiration?
This systematic review and meta-analysis suggests NO.
#GLP-1 #AnSky #MedSky
doi.org/10.1111/anae...
During hyperangulated #videolaryngoscopy #HAVL the ETT was passed through the soft palate
The authors discuss a ‘blind spot’ of the oropharynx during videolaryngoscopy.
Any thoughts?
buff.ly/L50WWP4
#AnSky #MedSky #AirwaySky #SurgSky #ENTSky
2 platinum tickets available Broncos-Dolphins game tonight. tixel.com/u/matthewd388
28.03.2025 01:44 — 👍 0 🔁 0 💬 0 📌 0
