Jan Hansel

Here is the first consensus-based core outcome set for airway management research, with agreed definitions and measurement instruments.

This will harmonise evidence synthesis and improve the translatability of findings to improve clinical care.

#AnSky #AirwaySky

doi.org/10.1111/anae...

Through and through the airway: optimising airway introducer use with videolaryngoscopy

@doctimcook.bsky.social @janhansel.bsky.social

#AnSky #AirwaySky #MedSky

doi.org/10.1111/anae...

Bougie or stylet: what to use when the chips are down?

Is it truly possible to consistently and deliberately shape a bougie to fit a hyperangulated blade?

@doctimcook.bsky.social @janhansel.bsky.social

#AnSky #AirwaySky #MedSky

doi.org/10.1111/anae...

Clinicians risk becoming ‘liability sinks’ for artificial intelligence

Thanks. We wrote more specifically about the liability sink issue here:

pmc.ncbi.nlm.nih.gov/articles/PMC...

Less Haste, More Speed: Does delayed blood culture loading lead to adverse incubation time or yield? Blood culture remains a vital diagnostic tool in the acutely unwell patient. The UK Standards for Microbiology Investigations (SMI) stipulate pre-analytical requirements that are aimed at increasing y...

If you're interested in blood cultures:

Our study of time to laboratory on yield (adjusted for ward structure and baseline positivity) did not show a global adverse effect except for S pneumoniae, S pyogenes, and S dysgalactiae

(2500 beds, England)

www.journalofinfection.com/article/S016...

If you have time to read one paper this week, make sure it's this one. High-yield content matched with excellent narrative style.

Welcome to our new series - Core Topics in Anaesthesia

"Anaesthesia support for transcatheter heart valve interventions: a narrative review"

#AnSky

doi.org/10.1111/anae...

…so we think we make rational autonomous choices about DL vs VL but they are strongly influenced by systemic factors, cues and nudges. #AnSky 2/

Routine application of incisional negative pressure wound therapy to the closed surgical wound after emergency laparotomy did not prevent surgical site infection more than other dressings.

ja.ma/3R6RDT7

#MedSky

bsky.app/profile/anae...

Cautious generosity advised: stop (the lidocaine infusion) before you block (the atrioventricular node)

@janhansel.bsky.social

#AnSky #PainSky #MedSky

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

Their conclusions, much like their dosing recommendations, seem to be a bit generous.

This morning at Dept of Housing and Urban Development (HUD) HQ in DC as mandatory return to office began, this video played on loop for ~5 mins on screens throughout the building, per agency source.

Building staff couldn’t figure out how to turn it off so sent people to every floor to unplug TVs.

The Conservative Party handling of the NHS - in miniature. Courtesy of @hsj.co.uk

Amazing 😂

Statement from ANZCA

Good to see @anzca.bsky.social continuing to lead the way and move from Twitter/ X to this platform.
This is the new home of medical information on social media.
@AnSky @MedSky

Excerpt from editorial in Anesthesia & Analgesia asserting that, in the cited case, adherence to the recommendations in the PUMA guidelines for preventing unrecognised oesophageal intubation led to a patient death.

Concerning misrepresentation of the impact of guidelines for preventing unrecognised oesoph intubation by @elboghdadly.bsky.social & @iarsjournals.bsky.social's own editor-in-chief Jaideep Pandit.

PUMA guidance was NOT followed & WOULD have avoided this situ

1/8

journals.lww.com/anesthesia-a...

UK low- to middle-income families far poorer than OECD counterparts – study Britons 39% worse off than Dutch equivalent due to housing costs 44% higher than western European average

"German families are 21% or £2,300 a year better off than their UK equivalents and the gap with Dutch families is even wider, at 39%."

#Poverty and #Inequality - that's what our politics has given us
www.theguardian.com/business/202...

Psychological impact of an intensive care admission for COVID-19 on patients in the United Kingdom - Alicia AC Waite, Mary Gemma Cherry, Stephen L Brown, Karen Williams, Andrew J Boyle, Brian W Johnst... Background: The psychological impact of surviving an admission to an intensive care unit (ICU) with COVID-19 is uncertain. The objective of the study was to ass...

🚨Thrilled to share output from the first project the TRIC Network undertook🚨

Conceived at the height of the first wave of the COVID pandemic, the PIM-COVID project assessed the psychological impact of COVID in ICU survivors.

Important findings —>

journals.sagepub.com/doi/10.1177/...

Visual abstract

The average life expectancy of people diagnosed with dementia ranges from 9 years at age 60 to 4.5 years at age 85 for women, and from 6.5 to just over 2 years, respectively, in men, finds this systematic review of the evidence

Includes a visual abstract
www.bmj.com/content/388/...

Advanced Airway Management Course, Guy's Hospital June 2025 (GAMC) <p><strong>A Two Day Comprehensive Hybrid Update in Advanced Airway Management&nbsp;</strong></p> <p><strong>The days will provide an up to date and in depth training experience on advanced airway ma...

⭐️REGISTRATION FOR #GAMC2025 IS OPEN⭐️

Grab those diaries, get your study leave requests in and get registered!!

Note: there are limited workshop spaces available for day 2 and we always have a waiting list! Register early to avoid disappointment!!

🔗 bookcpd.com/course/GAMCJ...

Congratulations to Dr Emma Sewart presenting #QRH #teatrolley @assocanaes.bsky.social #WSM2025

Such an important topic

@emmasewart.bsky.social

Never seen ‘rocodile tears’ then? 👀

Dont be silly he cant deliver the obstetrician who delivered him. Fake news.

This is the colleague that the likes of Cleverly, Badenoch & Jenrick are refusing to defend...

Having always allowed parental presence during resuscitation in the #PedsICU, I can see the benefit, assigning a PICU attending to be with the parent is a key part. Definitely not for every family, but an option to be present could go a long way.

So this is the new great idea🤔

I’m pretty sure if Sarah had seen a GP she wouldn’t have needed to have a CT scan, no need to speak to the ENT registrar & yes it could be managed in the community

Why does NHS England always underestimate the skills of GPs?

www.england.nhs.uk/long-read/re...

Large Language Model Influence on Diagnostic Reasoning This randomized clinical trial evaluates the diagnostic performance of physicians with use of a large language model compared with conventional resources.

Agreed. I found this recent RCT published in JAMA Open scary though:

jamanetwork.com/journals/jam...

Maybe we’re just holding it back 👀

-in a genuinely difficult intubation performance differences increased
-findings same for FPS, time to intubation, operator ease, success w/in 120s

3/4

I

The key findings of adjuncts for HAVL

-STYLETS BEST
-STATIC BOUGIES WORST (by a distance)
-dynamic bougies closer to stylet than bougie

This contrasts to recent studies so is notable.

2/4