👩⚕️Ahead of International Women’s Day, we’ve published a new brief on women in anaesthesia.
Our specialty has a diverse workforce, with a growing number of women working in anaesthesia. Yet disparities in recruitment, career progression, and workplace safety remain.
Read the brief: shorturl.at/Qx8v1
Happy Final FRCA CRQ-eve!
Watched Cardiac Arrest recently (as someone who was in nappies when it came out) and thought it was brilliant, though also kind of shocking that we are still dealing with the same issues 30 years on!
Hot takes from Final FRCA revision (T-minus 10 days):
1) Any patient with any co-morbidity should be first on the list to limit pre-operative fasting and dehydration.
2) Most situations can be improved by multi-disciplinary team involvement, shared decision making and multi-modal analgesia.
I don’t think you can be too fussy tbh…
Definitely going to try this out when I am next on labour ward!
When testing a neuraxial block for caesarean section, AoA guidelines recommend using light touch as the primary sensory modality, but no recommendation on *how* we should assess light touch.
So what are people using? Cotton wool? Monofilaments?
@assocanaes.bsky.social @oaa-anaes.bsky.social
Or maybe this is just a sign of how tired I am right now.
Random musings from covering obstetrics: does anyone else think of pushing through the ligamentum flavum like a drum roll with the release when you get loss of resistance?
…but I hope it’s by saving the lives of people who would otherwise die from cancer rather than finding tumours that were never going to cause harm in the first place!
However the interviewers kept spinning it as any man who is worried they have prostate cancer should get tested!
I hope the government is able to improve cancer outcomes…
This is an emotive debate and often the nuance is lost.
An example of this is PSA screening for prostate cancer.
I listened to an interview with Chris Hoy who was advocating for PSA screening in HIGH-RISK individuals like himself (both his father and grandfather died from prostate cancer)
I think this comes from a good place: we have some of the worst cancer survival rates in Europe and this needs to be addressed.
But they are many examples from screening programmes where more cancers are found, more successfully treated but no change in number of people who died from cancer!
Interesting to note that they aren’t promising to reduce cancer deaths but rather promising to identify cancer earlier…
This #HealthInformationWeek, Patient Information Forum has launched a series of Trusted Health Information collections in partnership with NHS England.
Our epidural anaesthetics – risks & side effects resources have been added to the collection 🙌
View them here 👉 https://ow.ly/4xyh50XZEEy
My thoughts too. What was the reasoning behind an intra-op epidural and a GA if the epidural had to come out? Perhaps I would have just done intrathecal (dia)morphine?
When was the patient expected to ambulate post-op? Would the femoral catheter delay that?
Also after a 500mg dose, the character remained fully conscious, whatever effects it did have seemed to last hours and she didn’t throw up once.
I’m assuming the writers have not sat the FRCA or spoke to anyone who has administered the drug…
Watching ‘Pluribus’ and the main character picks up two vials of thiopentone, which is presented as a clear colourless liquid!
Even though I have never used the drug (sorry traditional RSI enthusiasts), I know it’s a yellow powder stored in a nitrogen atmosphere!
Find out more about our new resources on epidural and spinal anaesthetics, for pain relief options for pregnant women and people.
They explain the risks, benefits, and side effects, and can be used in antenatal discussions.
Share them widely 👉 ow.ly/zKtC50XNBgn
#Ansky #Medsky
Do you think a regional technique, such as an interscalene, with a small amount of sedation, would have worked in this scenario?
please see this one too: emcrit.org/pulmcrit/rsi...
I think when the dust settles and the glitter wears off the RSI trial, people will realize that ketamine isn’t that scary and all induction agents drop your BP 🤷♂️
Special shout outs to the young children who are clearly just amazed that when they press a key, they create a sound
There are some really talented people out there but I find it actually sweeter to hear people who aren’t necessarily the most amazing players just enjoying expressing themselves musically
My current hospital has a piano in it, and it is really heart warming to see patients/other members of the public playing it
This feels almost as bad as saying the Q word
Also, if they're really crook then we are probably modified RSI to a point where it's unrecognisable.
All about risk-benefit: knowing what drugs/personnel/equipment you have available and using them to deliver anaesthesia in the best way for your patient.
This 100%. A lot of talk about which agents to give, but very little about dosage, speed they are being given and how you are giving vasopressors.
One of the best techniques I learnt from my neuro anaesthetic block is running a vasopressor infusion before induction of anaesthesia with TIVA (in a centre where there were always pumps). Game changer in terms of haemodynamic stability.
This is really exciting! Imagine if there could be compatibility between the TCI pump and this.
Though fear for future Primary FRCA candidates would have have to learn about photoacoustic measurements…
