Lachlan Miles's Avatar

Lachlan Miles

@lachiemiles.bsky.social

Consultant Anaesthetist. Will gas for coffee. Has been known to attempt ‘research’. Editor @anaesjournal.bsky.social. Opinions own, etc.

217 Followers  |  42 Following  |  4 Posts  |  Joined: 10.11.2024  |  1.8792

Latest posts by lachiemiles.bsky.social on Bluesky

Post image

Do you have a paper you want to write but aren’t sure whether it may be suitable for publication?

Our editors Ed, Lachie & Maryann, & our former EIC Andy Klein, are on the ground at #NSC25

Come and have a chat!

@emarianomd.bsky.social @lachiemiles.bsky.social @maryannturner.bsky.social

#AnSky

04.10.2025 00:00 — 👍 1    🔁 2    💬 0    📌 0
Post image

ANZCA and FPM STATEMENT

Paracetamol use in pregnancy

We are aware of recent claims from the US questioning the safety of paracetamol use in pregnancy. These claims are not based on new evidence. Our full statement is here: tinyurl.com/5yye2npu

23.09.2025 07:05 — 👍 14    🔁 11    💬 0    📌 2
Preview
Acetaminophen Use During Pregnancy and Children’s Risk of Autism, ADHD, and Intellectual Disability This nationwide cohort study with sibling control analysis examines the association of acetaminophen use during pregnancy with children’s risk of autism, ADHD, and intellectual disability.

I’m going to leave this here for absolutely no reason.

jamanetwork.com/journals/jam...

23.09.2025 08:19 — 👍 3    🔁 1    💬 0    📌 0
Post image

Can we trust research?

The ENTRUST-PE framework conceptualises the construct ‘trustworthiness’ of research to be supported by 7 core values.

From: Editorial commitment to trust and integrity in science: implications for pain and anaesthesiology research

#AnSky #MedSky

doi.org/10.1111/anae...

03.07.2025 09:14 — 👍 4    🔁 3    💬 0    📌 0

Calling all trainee anaesthetic doctors based in Australia or Aotearoa/New Zealand!

Exciting news - the deadline for application has been extended to 8 July!

Get your applications in ASAP!

01.07.2025 22:15 — 👍 3    🔁 3    💬 1    📌 1

Editorial fellowship opportunity for trainee anaesthetists in Australia or Aotearoa/New Zealand ➡️ buff.ly/vu0UPDO

From September 2025-2026, gain the skills, knowledge and experience to become an editor.

Deadline has been extended to 8 July!

02.07.2025 13:16 — 👍 3    🔁 5    💬 0    📌 0
Post image

Recruiting now!

Anaesthesia and Anaesthesia Reports Editorial Fellowship: Australian or Aotearoa/New Zealand

Applications due 1 July 2025

#AnSky

12.06.2025 14:02 — 👍 1    🔁 3    💬 0    📌 0
Anaesthesia Journal | WhatsApp Channel Anaesthesia Journal WhatsApp Channel. Anaesthesia is the official journal of the Association of Anaesthetists with comprehensive coverage in peri-operative medicine, critical care and pain. IF 7.5. 46...

We have started a WhatsApp channel! Come and join us!

‎Follow the Anaesthesia Journal channel on WhatsApp: whatsapp.com/channel/0029...

12.05.2025 08:55 — 👍 17    🔁 14    💬 1    📌 0
Preview
Utah Republicans push to let patients supply their own blood as vaccine concerns linger Health care facilities in Utah would be required to let patients bring their own blood or choose their own donor for medical procedures under legislation gaining momentum in Utah

We continue to see legislative efforts to mandate that blood banks/hospitals allow patients to use directed or autologous blood donations without medical indication. These are driven by vaccine-related fears which lack any scientific grounding. This is problematic for multiple reasons… 1/

20.02.2025 18:42 — 👍 8    🔁 5    💬 2    📌 3
Post image

Why are patients readmitted after surgery?
• wound complication 11%
• falls or other mechanical injuries 7%
• pneumonia 7%
• ileus or bowel obstruction 6%
• heart failure/pulmonary oedema 5%

#AnSky #MedSky #SurgSky

https://doi.org/10.1111/anae.16567

18.02.2025 11:18 — 👍 10    🔁 1    💬 1    📌 0

I use it for transfemoral TAVI. I give 0.625mg droperidol, then load 0.4mcg/kg over 20 mins and run at 0.2-0.4mcg/kg/h to effect. These patients are elderly with chronotropic incompetence, so bradycardia is not pronounced. We also have a pacing wire as part of procedure which minimises risk.

26.11.2024 19:42 — 👍 4    🔁 0    💬 0    📌 0
Preview
The association between iron deficiency and outcomes: a secondary analysis of the intravenous iron therapy to treat iron deficiency anaemia in patients undergoing major abdominal surgery (PREVENTT) trial In the intravenous iron therapy to treat iron deficiency anaemia in patients undergoing major abdominal surgery (PREVENTT) trial, the use of intravenous iron did not reduce the need for blood transfu...

The data for most of this response comes from this paper. Fundamentally, not every form of anaemia will respond to iron alone. Anaemia is a symptom of an underlying condition. To treat successfully, treat the cause.

associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/full/10....

25.11.2024 18:50 — 👍 1    🔁 0    💬 1    📌 0

Depends on the iron studies! For ferritin < 30, IV iron can cause fairly rapid increases in Hb within 2 weeks. For ferritin < 100 + TSAT < 20%, it likely takes > 4 weeks. Oral iron generally takes > 3 months as the amount of iron transported across the gut daily is fairly small.

25.11.2024 18:48 — 👍 1    🔁 0    💬 2    📌 0

@lachiemiles is following 20 prominent accounts