Iain Moppett

NAP8 will be collecting data around complications of regional anaesthesia next year covering all UK for 12 months. Here’s hoping serious complications are really unusual but sadly we know they happen @rcoa-cri.bsky.social #AnSky

More seriously, perhaps AI and smarter technology might be of benefit in reducing the risk of fatal local anaesthetic toxicity. This reporting database study from the US highlights this rare but potentially catastrophic complication still occurs. #AnSky bsky.app/profile/bjaj...

The crunch question for the AI-guided-laryngosopist is of course what its firmly held evidence view is regarding cricoid force. bsky.app/profile/anae... #AnSky

In a highly unusual turn of events anaesthetists are arguing about the role of cricoid. bsky.app/profile/anae... Blow me down with a feather!

a cartoon cat with a sad look on its face and the words `` missed you '' . Alt: a cartoon cat with a sad look on its face and the words `` missed you '' .

How frustrating for you (understatement klaxon). Let’s see what you might have missed… #AnSky

Donut chart showing relative numbers of provider types in deaths reported due to local anaesthesia from the BJA paper by Fettiplace and colleagues. Anaesthesia: 23; self: 18; surgeon: 6; dentist: 4; pulmonologist: 3; ICU: 6; ward nursing: 3; ward cardiology: 1.

‘Anaesthesia was the most frequent provider (36% of cases) but also with delivery by proceduralists and on wards (Fig. 5b).’ Without knowing the context of frequency of LA use (especially with potential for higher doses) difficult to ascribe any concept of relative risk #AnSky

There is a U-shaped relationship between BMI and the risk of postoperative loss of independent living.

Patients with mild obesity experienced a lower risk of losing the ability to live independently after surgery.

#AnSky #MedSky

doi.org/10.1111/anae...

Shocking reality: 1 in 4 older hospital patients develop #delirium, yet most families have never heard the word.

We need to do much better in improving public awareness of delirium.

We are pleased to announce that Professor Malcom West and Professor John Moore have been appointed as clinical co-leads for the first National Clinical Audit of Perioperative Care (NCAPC).

Learn more about the project and the clinical co-leads 👉 ow.ly/2MSf50XrMQk

#Ansky #Medsky

Join us in London or online for our Hip fracture care seminar.

Covering topics such as: Surgical options and potential controversies surrounding hip fracture surgery; Enhanced recovery for hip fracture care; and more.

📆 Tuesday 9 December 2025
📍 21 Portland Place & online
👉 buff.ly/8Z4EJNy

a baby groot from guardians of the galaxy is sitting on a person 's back and waving . Alt: a baby groot from guardians of the galaxy is sitting on a person 's back and waving .

Sorry to see you go. We’ll miss you and hopefully we’ll still be here when you come back. #MedSkyDebatesWillBeBack

Let’s try a little #MedSky game. When I finished med school:
-gastric lavage had been scrapped for ODs
- Doxapram was still used for T2 resp failure in COPD
- co-danthrusate was widely used,
- Quinolones were magic and only consultants were allowed to prescribe them.

What year did I qualify?

Love this, when I finished med school
- cefotaxime was the latest antibiotic
- we had a new look BNF
- we wore white lab coats with nice big pockets
- H. Pylori was starting to be linked to ulcers (yes I did gastro house job)
- vagotomy with Pyloroplasty was a common treatment for GI bleed

Social card text reads: The Centre for Perioperative Care (CPOC) is recruiting for the Deputy Director role.

Our Centre for Perioperative Care (CPOC) is recruiting for a Deputy Director.

This role is open to senior clinical leaders from any perioperative care profession and offers a unique opportunity to help shape the future of surgical care.

For more information & to apply 👉 https://ow.ly/MzUk50Xou5Z

Families: Caring for someone with #delirium is exhausting. Your wellbeing matters too. Take breaks, seek support, ask for help.

New subanalysis from #SNAP3 examining the prevalence of frailty & postoperative #morbidity and #mortality in these populations – does this show the need for a specific #perioperative services targeting these subgroups?

https://www.bjanaesthesia.org.uk/article/S0007-0912(25)00501-X/fulltext

Research priorities for Delirium in the UK: A James Lind Alliance Priority Setting Partnership Take this survey powered by surveymonkey.com. Create your own surveys for free.

There’s lots we don’t know about delirium. To help researchers ask the right questions, not necessarily the ones we think of, it is really valuable to have the input of clinicians, patients, carers and others. So click the link and tell us what you think. #AnSky www.surveymonkey.com/r/WTHNBZK

Measuring the distress related to delirium in older surgical patients and their relatives Objectives Delirium is a common postoperative complication with implications on morbidity and mortality. Less is known about the psychological impact of delirium in patients and relatives. This stud...

The term ‘pleasantly confused’ is still used. Please stop. It’s delirium. And it’s not pleasant. And it is recalled. @amaclullich.bsky.social #AnSky #SurgSky @rcoanews.bsky.social onlinelibrary.wiley.com/doi/abs/10.1...

Our UK SNAP3 cohort of older surgical patients reported delirium occurred in around 1 in 16 overall and 1 in 5 for those living with frailty. It’s not just those with hip fracture either. Older age, emergency surgery have higher risks #AnSky #SurgSky www.bjanaesthesia.org/article/S000...

Postoperative outcomes in older patients living with frailty and multimorbidity in the UK: SNAP-3, a snapshot observational study Older surgical patients experience longer hospital stays and a higher risk of morbidity and mortality than their younger counterparts. Frailty (19.6% of cohort) and multimorbidity (63.1% of cohort) in...

At the risk of sounding like a cracked record, #Delirium is a common but frequently under-recognised and under-appreciated complication of surgery. #AnSky #SurgSky

I hope anaesthetists, surgeons and intensivists (and anyone who is interested) will give their thoughts about #Delirium research. Such an important but overlooked issue that affects at least 1 in 16 older surgical patients. www.surveymonkey.com/r/WTHNBZK #AnSky #GeriSky #SurgSky #NIHR

Delirium has a visibility problem, not just a diagnostic one.

How many cases of delirium are you missing day to day by not looking proactively?

Routine pre-operative modified telephone interview for cognitive status screening: feasible, but is it justified?

#AnSky #MedSky

“I needed to be told the date every time. Repetition ≠ patronising.”

#delirium

We told my Dad frequently that he had delirium & that it was because he was unwell, 2 years ago.

I think it did help, & he volunteers to us regularly now that he’s had strange experiences. He’s got definite dementia now, but I’m happy that he isn’t inhibited in telling us when weird stuff happens.

Getting child injury research evidence into legislation and practice: How long does it take? To identify the time lag from publication of seminal research that provided evidence that an intervention could reduce a specific child injury and for…

How long does it take to get preventive measures identified from child injury research into legislation & practice in Australia? – An average of 19 years - shorturl.at/ZscZI

There are still several anaesthesia related posts per day visible on this feed, so not entirely dead yet bsky.app/profile/did:...

White text on a purple background alongside a map of the UK. The text reads: Hospitals across the UK report capacity for an additional 178 core anaesthetic training posts each year, if government funding were made available.

➡️ Hospitals across the UK report capacity for an additional 178 core anaesthetic training posts each year, if government funding were made available.

➡️ Read the Key Interim Findings from our 2025 Census 👉 rcoa.ac.uk/anaesthetic-...

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#Ansky #Medsky

White text on purple background alongside a map of the UK. The text reads: Across the UK there is a shortage of 2,147 anaesthetists. This is 15% below what is needed to meet the needs of patients

➡️ Across the UK there is a shortage of 2,147 anaesthetists.

➡️ This is 15% below what is needed to meet the needs of patients.

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White text on purple background with an image of a map of the UK. Text reads: 89% of clinical leaders report delays to elective surgery due to a lack of anaesthetist. 43% say this happens on a daily or weekly basis.

📢 Key interim findings from our 2025 Census are out today 🧵

➡️ 89% of clinical leaders report that elective surgery is being delayed because of a lack of anaesthetists.

➡️ 43% say this happens on a daily or weekly basis.

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