Rebecca P's Avatar

Rebecca P

@coandaeffect.bsky.social

Consultant Anaesthetist. Obs, TIVA, QI & Patient Safety Ex-Academic (Biochem) European, Tea drinker, Left of Centre, Wannabe Photographer & Dog Mum

909 Followers  |  1,068 Following  |  368 Posts  |  Joined: 10.11.2024  |  1.7698

Latest posts by coandaeffect.bsky.social on Bluesky

GA and block.
But if GA too high risk from Resp Compromise then spinal with small needle to minimise risk.
Consent including spinal heamatoma & consequences.
I also add in the Regional alert bracelet to pick up delayed resolution of block.

15.09.2025 18:08 โ€” ๐Ÿ‘ 2    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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High Pay Centre and Equality Trust launch campaign calling for maximum 10:1 pay ratios - High Pay Centre Sign the High Pay Centre and Equality Trust's petition calling for a maximum 10:1 pay ratio between bosses and their lowest paid workers

Long championed a max 10:1 pay ratio in companies and organisations so thrilled to see โฆโ€ชthe High Pay Centreโ€ฌโฉ and โฆโ€ชEquality Trust fighting the good fight.

highpaycentre.org/high-pay-cen...

27.08.2025 13:14 โ€” ๐Ÿ‘ 16    ๐Ÿ” 7    ๐Ÿ’ฌ 2    ๐Ÿ“Œ 1
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a man in a suit and tie says i 'm so sorry about this in front of a nbc logo ALT: a man in a suit and tie says i 'm so sorry about this in front of a nbc logo

Weekend #MedSkyDebate is comingโ€ฆ..
I am just getting it organised and waiting for contributions.
We are also going away for the weekend to see our son and daughter in law.
It is coming but may be a bit lateโ€ฆ..
Patience Sky Peeps xx
Likely Monday #MedSkyDebate ๐Ÿฅฐ

12.09.2025 08:36 โ€” ๐Ÿ‘ 6    ๐Ÿ” 1    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0
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Growing evidence highlights significant maternal health disparities in the UK.

How do we achieve greater involvement of women from minority groups in health research?

#AnSky #MedSky #Equity #ObgynSky

doi.org/10.1111/anae...

25.04.2025 08:06 โ€” ๐Ÿ‘ 6    ๐Ÿ” 4    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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80 years of women Fellows: inspiring the next generation of women in STEM | Royal Society Ruby Seger-Bernard, Schools Engagement Officer, and Isabelle Moss, Diversity and Inclusion Officer, reflect on the importance of inspiring girls and young women in science.

As we celebrate 80 years since the first women were elected as Fellows of the Royal Society, Ruby Seger-Bernard, Schools Engagement Officer, and Isabelle Moss, Diversity and Inclusion Officer, reflect on the importance of inspiring girls and young women in science: royalsociety.org/blog/2025/09...

11.09.2025 14:34 โ€” ๐Ÿ‘ 11    ๐Ÿ” 2    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

Live this weekend!!

10.09.2025 13:33 โ€” ๐Ÿ‘ 4    ๐Ÿ” 2    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

But surely the phenomena wouldnโ€™t be limited to those who are paralysed ๐Ÿคท๐Ÿผโ€โ™€๏ธ

09.09.2025 07:10 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

But how would that work for any anaesthetic lasting longer than a couple of hours? That poor armโ€ฆ..

09.09.2025 07:04 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

Given that responsiveness without recall cannot be measured at the time nor identified retrospectively with any certainty & we cannot define specific risk factors then we cannot act logically & safely to prevent it. It is essentially unavoidable with todayโ€™s knowledge & therefore must be acceptable.

08.09.2025 22:02 โ€” ๐Ÿ‘ 2    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

But is responsiveness without recall avoidable? If itโ€™s undetected & undetectable during an anaesthetic what could or should we do to avoid this possibility & at what cost? The risk is greater known harm. Deeper anaesthetic, more cvs instability, renal impact, more brain suppression, more pocd ๐Ÿคท๐Ÿผโ€โ™€๏ธ

08.09.2025 21:55 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

Slightly diminish a book

Catch 21

Wolf Cupboard

The Handmaids Vignette

08.09.2025 14:13 โ€” ๐Ÿ‘ 2    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

This is what we needโ€ฆ I hope Labour are watching & start following the lead of the Green Party and not Reform.

Reform win when they can spread unrest, this is made easier when the majority of the country is disenchanted & angry at their situation. We need to improve conditions for everyone.

08.09.2025 13:16 โ€” ๐Ÿ‘ 3    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

I think Starmer has the yips - now heโ€™s there heโ€™s too scared to do anything meaningful. Iโ€™m hoping someone shakes him out of itโ€ฆ.

08.09.2025 13:13 โ€” ๐Ÿ‘ 2    ๐Ÿ” 1    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

I have done this - itโ€™s awful. The sad heartbreaking jobs will be over soon. Keep going

08.09.2025 13:11 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
Is Zack Polanski the Left's answer to Nigel Farage?
YouTube video by Channel 4 News Is Zack Polanski the Left's answer to Nigel Farage?

youtu.be/1KsgxOrgbOA?...

04.09.2025 15:56 โ€” ๐Ÿ‘ 933    ๐Ÿ” 310    ๐Ÿ’ฌ 62    ๐Ÿ“Œ 32

Maybe & Iโ€™ll keep an eye on whatโ€™s happening locallyโ€ฆ.

07.09.2025 19:46 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0
Is Zack Polanski the Left's answer to Nigel Farage?
YouTube video by Channel 4 News Is Zack Polanski the Left's answer to Nigel Farage?

๐ŸŽ‰ Lots of people have said they joined the party following this interview!

๐Ÿ’š So in case you missed it: here's how we're going to lower people's bills, protect our NHS and fight off the far right.

youtu.be/1KsgxOrgbOA?...

07.09.2025 18:40 โ€” ๐Ÿ‘ 722    ๐Ÿ” 229    ๐Ÿ’ฌ 16    ๐Ÿ“Œ 17

I live in a Labour constituency, used to be strongly so. Not so much now. Recently the nastiness of reform has taken hold. I worry that a free vote in my area will open the door to Reform. However, a shift to PR would change that & I would vote green as they most accurately represent my views.

07.09.2025 18:58 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

Thisโ€ฆ

07.09.2025 18:49 โ€” ๐Ÿ‘ 2    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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This is the coolest man in the UK.

It's not even close.

07.09.2025 10:03 โ€” ๐Ÿ‘ 511    ๐Ÿ” 198    ๐Ÿ’ฌ 15    ๐Ÿ“Œ 23

But what if the disabled person had a different skin colour & looked like a migrant?!?! ๐Ÿ˜ฑ๐Ÿ˜ฑ๐Ÿ˜ฑ

๐Ÿ™„๐Ÿคฆ๐Ÿผโ€โ™€๏ธ

The sad state of the world - everyone angry at the wrong things

07.09.2025 08:53 โ€” ๐Ÿ‘ 2    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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Museum of Broken Dreams An exhibition of community-led projects that could have transformed Britain.

Was recently pointed to this powerful website about brilliant community projects that didn't make it, blocked one way or another by "officialdom".

We have to stop electing the wrong people and hoping they will do the right thing

storymaps.arcgis.com/stories/3659...

07.09.2025 08:43 โ€” ๐Ÿ‘ 46    ๐Ÿ” 24    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 3

I usually say to patients that anaesthesia is like pressing pause on the recording part of their brainโ€ฆ their brain will still be working in the background but they wonโ€™t remember it. When they wake up the will start recording again from where they left off.

06.09.2025 22:46 โ€” ๐Ÿ‘ 3    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

I donโ€™t think thereโ€™s any way to reliably assess responsiveness without recall by patient or anaesthetist. Is it real? If so, is it harmful? If there is harm why are awake craniotomyโ€™s or even โ€œsedationโ€ on ITU acceptable.

Itโ€™s not the same as implicit memory drugs change the brain chemistry.

06.09.2025 22:39 โ€” ๐Ÿ‘ 2    ๐Ÿ” 0    ๐Ÿ’ฌ 2    ๐Ÿ“Œ 0

Only Connect is on tonight! In ten minutes, in fact! Never let it be said I forget to plug the programme when itโ€™s on.
On BBC Two, of course.

01.09.2025 18:52 โ€” ๐Ÿ‘ 206    ๐Ÿ” 7    ๐Ÿ’ฌ 13    ๐Ÿ“Œ 1
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Professor Clare Burrage wins the Royal Society Rosalind Franklin Award and Lecture 2025 for her achievements in theoretical cosmology & her proposed project which aims to inspire and engage girls of all ages with physics. #RSMedals https://royalsociety.org/medals-and-prizes/rosalind-franklin-award/

31.08.2025 07:45 โ€” ๐Ÿ‘ 24    ๐Ÿ” 6    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

Essentially yes, the stylette didnโ€™t give enough flexibility to allow the tube through the cords. Anatomy, airway distortion & oedema played a part.

31.08.2025 07:51 โ€” ๐Ÿ‘ 5    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

But user experience probably played a factor.

31.08.2025 07:47 โ€” ๐Ÿ‘ 2    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Yes, I see your point. I think the ability to use an algorithm rather than just follow it comes with experience.

31.08.2025 07:46 โ€” ๐Ÿ‘ 2    ๐Ÿ” 1    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

It was HAVL not a mac VL.

31.08.2025 07:40 โ€” ๐Ÿ‘ 2    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

@coandaeffect is following 19 prominent accounts