Michael Hofkamp, MD, FASA

After machine availability, I think image acquisition is the biggest barrier to widespread adoption of perioperative gastric POCUS.

Ok it’s time for the second #AnSkyDebate featuring this article from @anaesjournal.bsky.social.
Engage and discuss this very interesting paper.
Tag @anaesjournal.bsky.social who suggested this topic.
Follow and repost to increase exposure.
This is so topical.
Enjoy ☺️

Editorial: Best anaesthetic technique for prevention of postoperative cognitive dysfunction in older patients after hip fracture surgery – is the debate over?

#AnSky #MedSky #OrthoSky

doi.org/10.1111/anae...

#POCUS is a valuable tool in #anaesthesia

Here is a mini collection of our case reports highlighting its use.

buff.ly/8TbXL4L

buff.ly/ffAWKNx

buff.ly/4sWYUTX

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#AnSky #MedSky #regional #OBSky #RASky #AirwaySky #SurgSky #PainSky

The Snapshot Obstetric National Anaesthetics Research (SONAR) project investigating pain during Caesarean with neuraxial anaesthesia got underway this week.

This NIHR portfolio project is something I have been agitating for over almost 10 years. Why? 1/

We are on BlueSky! #ObAnes friends, give us a follow to keep up with the latest in Obstetric Anesthesia!

@ruthilandau.bsky.social @oaa-anaes.bsky.social

Think you know the SOFA score? Think again! 🧐

Our systematic review dives into its use as an endpoint in RCTs, uncovering the surprising variability in definitions, timing, and handling of missing data.

It's time to take a fresh look at the SOFA score!
#FOAMcc #FOAMed

What does ethical leadership look like?

There are six main principles:
• respect
• accountability
• service
• honesty
• justice
• community

#AnSky #MedSky #LeadershipSky

https://doi.org/10.1111/anae.16561

"Toxic leadership: when culture sabotages clinical excellence"

#AnSky #MedSky #LeadershipSky

https://doi.org/10.1111/anae.16561

This year the @RegionalAnaesUK #RAUK25 meeting will be in Leeds!

8-9th May

It will be incredible & you will not want to miss it!

Lectures, Demonstrations & Workshops galore- Plus Social events!

Have you registered yet? 👇🏼

www.ra-ukmeetings.com

#RAsky #AnSky #POCUSky #MedSky

Why might there be worse outcomes in after-hours surgery?

• surgeon fatigue
• resource availability
• patient characteristics
• types of surgeries scheduled
• circadian rhythm disruption

#AnSky #MedSky #SurgSky

https://buff.ly/4aXXmE6

For those of you who missed the, ahem, discussion around ultrasound-guided neuraxial puncture last week, it's not too late to check out the editorial and join the debate!

@decarvalhocc.bsky.social @elboghdadly.bsky.social

#AnSky #MedSky #OBSky #PainSky #POCUS #RASky

https://buff.ly/42LsEfd

Does the ROUTE that you give dexamethasone for rebound pain following peripheral nerve blocks matter?

#AnSky #MedSky #PainSky #RASky

https://buff.ly/3CMuXEs

What is the efficacy and safety of intraoperative controlled hypotension. New commentary by the authors of a recent systematic review. #BP #hypotension #blood #Ansky

www.bjanaesthesia.org/article/S000...

Boys More Likely Than Girls To Negotiate For Bigger Rewards, Study Finds A new set of studies reveals that boys begin asking for more than girls in negotiations as early as elementary school.

Study (N=462) finds even though girls and boys performed equally on a task, girls didn't believe they had done as well as boys. Boys overestimated their competence (relative to girls & reality) & negotiated for a larger reward than the girls. @kimelsesser.bsky.social
www.forbes.com/sites/kimels...

Congressional delegation outside USAID now: “We are here to shed a light on a crime unfolding before our eyes.”

Happy #NationalWomensPhysicianDay 💕💗💖💞

Grateful to work with this brilliant and talented all⭐️ group of 🚺 #chestrads and #cardiacimagers @weillcornell.bsky.social 🫀🫁

A can of Canada Dry Zero Sugar Ginger Ale

About to be a rare commodity

Preoperative estimated glomerular filtration rate to predict cardiac events in major noncardiac surgery: a secondary analysis of two large international studies Optimised use of kidney function information might improve cardiac risk prediction in noncardiac surgery.

#AnSky Preoperative estimated glomerular filtration rate to predict cardiac events in major noncardiac surgery: a secondary analysis of two large international studies - British Journal of Anaesthesia www.bjanaesthesia.org/article/S000....

Hey everyone! Incredible news!

Trans Scouts selling GS cookies this year on my list have sold over 50,000 boxes of GS cookies!

If you want girl scout cookies, consider buying from a trans girl scout this year! They'll mail them to you!

This is literally my fav thing to do every year :)

Oversized check settling a bet

4 years ago, I bet a skeptical buddy that Joe Biden would complete his term. This was subject to Biden dying, resigning, being impeached, etc. Joe came through and so did my buddy with this check! (And he did settle the bet with cash!) Thank you Mr. President for your service.

Fellow investigators: thoughts on open access journals that levy an article processing charge (APC)? My philosophy is that I will review for free if I can submit/publish for free. 🤔

#medsky #ansky #obgynsky

Patient and clinical characteristics associated with pain during cesarean delivery: a prospective single-center patient-reported outcome study There are multiple variables known to be associated with pain during cesarean delivery (PDCD), including patient-related factors, obstetrical and surg…

Pasting it again:

www.sciencedirect.com/science/arti...

Dr. Landau and I

And thank you to Dr. Ruth Landau, the editorial staff, and reviewers at IJOA for their hard work in the peer review of our manuscript. Science wouldn’t happen without people doing this often unrecognized work

Me and Dr. Emily Sharpe

And special thanks to @emilysharpe.bsky.social for her contributions as a co-author. She was instrumental in getting the manuscript across the finish line. I’m looking forward to her upcoming #Ostheimer lecture at #SOAPAM2025!

Dr. Litman and I in scrubs

Congratulations to Dr. Jessica Litman on leading this study! She was an OB/GYN intern when this study was conducted and she tirelessly went to the bedside before, during, and after her shifts to collect this data.

The only practical modifiable variable in our study was anesthetic technique. We should continue to investigate our standard practice of activating epidurals for cesarean delivery and search for better ones. @sas-imran.bsky.social

We had high PDCD but we believe that we practice within the parameters of contemporary #OBAnes in regards to anesthetic technique and dosages of medication. We encourage other investigators to use the 30 mm VAS methodology in future PDCD studies.

Our study was limited by small sample size (110 pts), single-center, and that we train residents. Our 30 mm VAS definition was novel for PDCD. Our assessment of catastrophizing/anxiety in postpartum setting may have been biased

We were disappointed to find that Black race (versus White) was associated with PDCD. Butwick et al reported that Black pts were more likely to have GA for CD. This is the first study to our knowledge that reported Black race associated w/ PDCD

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