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Vin Vyapury

@bluntingstress.bsky.social

PGY11 Anaesthetist in Perth ๐Ÿ‡ฆ๐Ÿ‡บ via England ๐Ÿด๓ ง๓ ข๓ ฅ๓ ฎ๓ ง๓ ฟ. Subspec: POM, complex general, vascular, regional and onco-anaesthesia

290 Followers  |  126 Following  |  7 Posts  |  Joined: 17.11.2024  |  1.7541

Latest posts by bluntingstress.bsky.social on Bluesky

Although I agree that is largely true, there are instances where the risks of anaesthesia arenโ€™t acceptable to the patient relative to the nature of surgery theyโ€™re having.

But yes, what we are really doing is offering alternatives and allowing pts to choose the risks that are acceptable to them

02.08.2025 01:59 โ€” ๐Ÿ‘ 3    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

IMO, consenting on the morning of surgery can hardly be considered informed consent. We are protecting ourselves rather than a true autonomous process.

Imagine a patient having traveled over 200km, paid for accommodation for the time around admission, has waited a year and is first on the list..

02.08.2025 00:44 โ€” ๐Ÿ‘ 3    ๐Ÿ” 1    ๐Ÿ’ฌ 2    ๐Ÿ“Œ 0

Was a standard in most NHS hospitals Iโ€™d worked. I think it potentially useful in overstretched PACU units where staff vigilance can be suboptimal (granted thatโ€™s papering cracks, which unfortunately is a problem in some units in the NHS)

16.07.2025 07:34 โ€” ๐Ÿ‘ 4    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

We still did a fair bit of PACU extubations in a place I was practising in Brum 12 months ago. Canโ€™t say we had any higher rate of complications than the norm.

As usual it all boils down to patient selection and skillset. When done well it inevitably improves efficiency

17.05.2025 02:50 โ€” ๐Ÿ‘ 2    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
Risks associated with general anaesthesia infographic

Risks associated with general anaesthesia infographic

Our risk information series for patients has been updated.

We have used the latest evidence and methodologies for presenting risk in an accessible way.

The interactive toolkit will be useful when discussing risk and shared decision making with patients.

ow.ly/sz6750UCo1G

09.01.2025 09:59 โ€” ๐Ÿ‘ 18    ๐Ÿ” 10    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 2

Are you interested in #Sustainability in #Anesthesiology and how reusing TIVA lines could help reduce greenhouse gas emissions? Per Werner Moller, originally an expert in #AppliedPhysiology and #VenousReturn, discusses their environmental paper on the #EJA podcast.

open.spotify.com/episode/2RCa...

03.12.2024 21:36 โ€” ๐Ÿ‘ 11    ๐Ÿ” 6    ๐Ÿ’ฌ 2    ๐Ÿ“Œ 2

Iโ€™ve worked in a large tertiary orthopedic center that didnโ€™t use probe covers for SS blocks - not a single incident of infection.

A clean no touch technique is probably of greater importance.

Disclaimer: I use tegaderm for SS blocks myself

03.12.2024 01:26 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

โ€œBeing within an echo chamber canโ€™t be good for your global perspectiveโ€

But it most definitely is better for my mental health.

Thank you @bsky.app

01.12.2024 23:25 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Made the change when I started doing vascular, and now it is my first choice regardless of the patient in front of me. Almost fool proof and takes away the uncertainty with long cases/awkward positioning.

23.11.2024 14:50 โ€” ๐Ÿ‘ 2    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

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