Here is a suggested algorithm for peri-operative management of directly acting anticoagulants.

You can read about the use of blood components & their alternatives in these new Association of Anaesthetists guidelines!

#AnSky #HaemSky #MedSky

https://buff.ly/4hbI4O6

Summary of key considerations in the anaesthetic management of oncological disease in pregnancy

• Management of pregnancy in patients with cancer
• Management of cancer surgery in pregnant patients

#AnSky #MedSky #OncSky #ObSky

https://buff.ly/40sCzoq

Recommendations for the peri-operative management of patients taking glucagon-like peptide-1 receptor agonists and glucose-dependent insulinotropic peptide

#AnSky #EndocrineSky #PharmSky #MedSky

https://buff.ly/4ak4pa0

Recommendations for the peri-operative management of patients taking sodium-glucose cotransporter-2 inhibitors.

#AnSky #MedSky

doi.org/10.1111/anae...

What do you think of this use of the PENG block?

Anyone else had a dislocation spontaneously relocate when decent analgesia was provided?

https://buff.ly/3DRtooM

@bilih.bsky.social

#freeforaweek #anaesthesia #regional #RASky #foamed #AnSky #MedSky #anesthesia #PENGblock #EMSky #EMedSky

Review Article: Anaesthesia for paediatric radiotherapy: A narrative review doi.org/10.1111/anae... #AnSky #OncSky #MedSky

This image could be useful for trainees studying for their final anaesthesia exams!

These are the considerations related to primary pathology and its treatment in children presenting for radiotherapy.

#AnSky

Podium time! 🥉

No. 3 of our most read articles of 2024

A service evaluation of Obstetric TIVA in the UK

https://buff.ly/3DtZXsG

@yavorrm.bsky.social @iliff-helen.bsky.social

#AnSky #anaesthesia #anesthesia #obstetrics #FOAMEd #openaccess

🎄🎁🧝‍♂️

Many congrats.We have one at our trust.

High Neuraxial Block in Obstetrics: A 2.5-Year Nationwide... : Anesthesia & Analgesia the incidence and clinical features of high neuraxial block in the Netherlands, where the presence of anesthesiologists in the labor and delivery unit is comparatively lower. We aimed to assess the in...

🚩In a 2.5-year national surveillance in the Netherlands, incidence of high neuraxial block requiring ventilatory support was low (1:12,758). 3 of 5 cases occurred after spinal anesthesia for #CesareanDelivery after epidural analgesia

@iarsjournals.bsky.social
journals.lww.com/anesthesia-a...

Courtesy of GEHealthcare, we are offering a free webinar on ultrasound guided regional block and the transformative role of AI in regional anaesthesia 💻

🔗 https://buff.ly/3ZG6kk6

Read about the new expedited specialist pathway for anaesthetists seeking to work in Australia. Read about the new expedited specialist pathway for anaesthetists seeking to work in Australia.

🚀Anaesthetists !

The new Aussie expedited specialist pathway detail has been released for anaesthetists trained in Ireland or the UK.

Find out more 👇🏽

#medsky #anaesthesia #australia

www.spinnermedical.com/insights/vie...

Looking for some regional anaesthesia research inspiration?

Here are some top-ranked research priority questions in regional anaesthesia reformulated as possible research studies.

Featuring rib & hip fractures, mastectomies, AI & dexamethasone!

#RASky #AnSky #MedSky

https://buff.ly/49zVeBD

Blockographics! In this series, we are going to take you through as many of the common ultrasound guided blocks you may need for your practice. Simplicity is the key! You won’t find intricate anatomical desc…

Neat and focused talk, full of pearls of wisdom, by @nottheflyhalf.bsky.social on blocks for rib fractures, with some great #FOAMed resources here: criticalcarenorthampton.com/blockographi...
#MedSky #EMedSky #LTC2024

Rare case of LA skin infiltration at the facet joint causing an accidental high spinal #freeforaweek
Was infiltration too deep or did LA spread into the erector spinae?
#regional #AnSky #anaesthesia
https://buff.ly/41ihb68

YouTube video by Regional Anesthesiology and Acute Pain Medicine Ultrasound Guided Genicular Blocks (2024 update!)

Finally a case I can talk about in detail... my own!

I got a ACL reconstruction with patellar bone-tendon-bone graft, microfractures, and intraarticular hydrogel.

Single shot adductor and superolateral geniculate blocks.
Worked great and lasted 16 hours!

www.youtube.com/watch?v=DGv0...

Clinicians with previous experience in direct laryngoscopy required an average of 12 tracheal intubation attempts with hyperangulated videolaryngoscopy to achieve an acceptable first-attempt tracheal intubation success rate.

#AnSky #MedSky #AirwaySky

https://buff.ly/3CVoXIZ

If a clinician is already experienced in direct laryngoscopy, how long does it take to achieve proficiency in hyperangulated-blade videolaryngoscopy?

Approximately 12 attempts!

#AnSky #MedSky #AirwaySky

https://buff.ly/3CVoXIZ

I have made the #POCUSky feed and starter pack which contains a fair few echo folks. You can also find my #echosky feed in there. go.bsky.app/EtZL9J6

This is a really interesting editorial.

It describes the evolution of propofol use.

It looks at remifentanil & dexmedetomidine.

And finally asks - when will we get "remimazolam off the bench and into the game"?

You should read it.

#AnSky #PharmSky #MedSky #PedsAnes

https://buff.ly/3ZCemMd

SALG Patient Safety Update has released
One case reports stood out

Relevant after our 'TIVA in a hyperbaric chamber' by Craig Holdstock
#SIVA24

One of the few NHS funded indications for hyperbaric oxygen therapy. Delaying can be detrimental

🔗 tinyurl.com/5564rezu
#salgpatientsafety @RCoANews

Great week.India wallop Australia in Perth.Liverpool do the same to Real and City(scoreline flatters the losers in both cases).

And here’s a link to @chronotrope.bsky.social & Tom Bank’s excellent video on Propofol TCI models 👇🏻

youtu.be/S_tr8iJXavQ?...

3rd and finally @cannula_service
"Mirror mirror on the wall, which TCI model is the fairest of them all?"

Manchester City’s day of reckoning is coming – it may even arrive at Anfield | Jonathan Liew An overreliance on Guardiola’s genius has sent champions down a diverging path to Slot’s revamped Liverpool On this week’s episode of the Rest is Football podcast, the Manchester City midfielder Rodri was asked if he ever fancies emulating Pep Guardiola…

Manchester City’s day of reckoning is coming – it may even arrive at Anfield | Jonathan Liew

YouTube video by Dr Amit Pawa Erector Spinae Plane Block - RA-UK Webinar version

For part of the @ra-uk.org webinar series I gave a short lecture on our favourite (😂) block, the ESP!

You can watch it here!
#RAsky #AnSky #PainSky
youtu.be/EJDBnzOfmms?...

Face mask ventilation vs high-flow nasal oxygenation

Comparison of end-tidal oxygen concentration and the lowest SpO2 after tracheal intubation between parturients.

#AnSky #MedSky

https://buff.ly/4fMvK6u

The SAS Collective's "alternative career pathways" slide, featuring progression from the Specialty Doctor role, including: - Extending your role beyond the clinical. - Becoming a Specialist by achieving the requirements of the generic capabilities framework for the role. - Becoming a Consultant by the portfolio pathway, or (re-)entering a formal training programme. Alternative career pathways need parity of esteem, especially in light of today's GMC workforce report.

If anyone is wondering what a career outside of formal training is supposed to look like in 2024, it is supposed to look like this.

These are the national contracts negotiated for doctors in this position, and this is what the national rhetoric describes.

We need to make this viable.

#SASsix

Single-shot Spinals: To Gown or Not to Gown? Should we be gowning for single-shot spinals? It is important you read the preamble before answering the survey questions.

An anaesthetic colleague is looking at international practice for gowning for single shot spinals. If you’ve got a spare moment could you share your thoughts? form.gov.sg/64dd8427d3fe... #AnSky @gonggasgirl.bsky.social @doctorhelgi.bsky.social

Regional anaesthesia research priorities: a Regional Anaesthesia UK (RA‐UK) priority setting partnership involving patients, carers and healthcare professionals Introduction Regional anaesthesia provides important clinical benefits to patients but is underutilised. A barrier to widespread adoption may be the focus of regional anaesthesia research on novel t...

Pleased to see this out today - the culmination of a long project!

Congratulations to the author team (not all on here yet!)

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

@amepearson.bsky.social @ajrmacfarlane.bsky.social