Regional anaesthesia and major lower extremity amputations Check out the recommendations from this Delphi consensus study! As always, we'd love to hear your thoughts! #AnSky #RASky doi.org/10.1111/anae...

Are motor-sparing approaches universally advantageous or are their benefits more limited and contingent on careful patient selection? Here is a tiered, patient-centred decision model about prioritising function or analgesia. #AnSky #RASky doi.org/10.1111/anae...

🚨We have retired "no trace, wrong place" to align with PUMA guidelines. Instead, with @assocanaes.bsky.social and @dasairway.bsky.social, our message is that if sustained exhaled CO2 is not detected, then oesophageal intubation must be ruled out. See our dedicated webpage👉 ow.ly/vOZs50WA03r

We welcome the publication of the Review of patient safety across the health and care landscape undertaken by Dr Penny Dash. Anaesthesia has always been at the forefront of patient safety and our mission is to keep both patients and anaesthetists safe 👉 buff.ly/hS4MWhZ

I’ve uploaded a new video on the Suprainguinal Fascia iliaca (SIFI) Block It is meant to simulate the teaching you may receive on a scanning workshop #RAsky #AnSky #POCUSky Please do check out the full link here: youtu.be/fHgO4dczWFk?...

The Bluesky Anaesthesia feed has been updated to include posts matching common anaesthetic keywords from a list of accounts from anaesthetists/anesthesiologists. Still using the Hacker News algorithm to balance sorting by popularity/recency. Let me know what you think #ansky bsky.app/profile/did:...

Our new guidance supports departments in calculating safe staffing levels for overall and daily service delivery and in adjusting services to protect patient safety. 📖 Read our Safer Staffing guidance, produced in partnership with @assocanaes.bsky.social. 👉 ow.ly/ZmST50W4bpO

How should we teach junior anaesthetists to perform regional anaesthesia? What educational approaches work and how will new technologies affect it? New paper just out by Walter Eppich and me. #MedSky #AnSky @bjajournals.bsky.social @dr-amit-pawa.bsky.social www.sciencedirect.com/science/arti...

Well worth a watch

Hey #AnSky #HFESky - a weekend topic for you: a) What have been the greatest Human Factors / Ergonomics advances in anaesthetics in the last 100 years? b) What, if anything, has anaesthetics contributed to the wider field of HF/E?

Thank you to all my ODP colleagues for all the incredible things you do #NationalODPday

'Anaesthesia explained' is our new animation for patients that explains: ☑️ The different types of anaesthetic ☑️ What to expect when you have surgery ☑️ How you can prepare ☑️ Discharge and recovery Watch and share 👉 ow.ly/PzZ650VREPp Produced with @wearecognitive.bsky.social

My talk from @ra-uk.org #RAUK25 is available here! youtu.be/qos9VOHv85M?... #RASky #AnSky

1) Thief of Time (and all Discworld would be top) 2) Dune 3) Driving over Lemons 4) The City of Brass (and rest of trilogy) 5) Kitchen Confidential

Saline nasal sprays show great promise as a public health intervention. www.southampton.ac.uk/news/2024/07...

One of the differences between Twitter and Bluesky is that 'likes' don't count for anything other than encouraging the person who wrote the post. It doesn't boost views or 'upvote' the post on followers TLs. If you want to disseminate, you have to retweet or quote tweet.

Surely this just reflects 'absence of evidence' rather than 'evidence of absence', given the extremely low incidence of aspiration (1 in 4K in elective surgery). The authors acknowledge that risk could have increased by up to 1 in 2K cases. A 200% increase in risk of commonest cause of anaes death.

Editorial: It's not (all) about the bike: making pre-operative risk stratification equitable @mikecharlesworth.bsky.social #AnSky associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/...

Working together, we identified the five principles that made the most difference to small-scale surgical improvements. THIS summary: ths.im/4bybq7I Full paper: ths.im/41zBlay

NEW guidance in partnership with @ra-uk.org ow.ly/IIgo50V20nf 🔷Helps trainers support anaesthetists in training to meet regional anaesthesia capabilities when clinical training opportunities are limited. 🔷Straightforward process that aims to increase fairness.

Are you a QI leader of the future? If so take a look at our newly launched @rcoanews.bsky.social Quality Network Career Development Programme for residents, fellows, specialty doctors - build QI leadership skills and join the national conversation on QI www.rcoa.ac.uk/safety-stand...

The "messy middle" of change: gap in the change process between intent/ambition & the ability of a system/org/team to make progress. Without methods to motivate people to work towards something new, we may never get past it. benholliday.com/2025/01/28/t... @benholliday.com. Graphics:Tash Willcocks

Recommendations for the peri-operative management of patients taking GLP-1 RAs and GIPs #AnSky #MedSky #GLP1 https://buff.ly/4ak4pa0

Should we worry about the stomach being full? CPOC has launched a 'Sip Til Send' webpage Read our patient info, blog and protocols, plus great examples from colleagues 👇 cpoc.org.uk/guidelines-a... Share how your hospital implements Sip To Send by sending your SOP/guidelines to [email protected]

@cpoc.bsky.social SipTilSend guidance. Fab news!! tinyurl.com/23jzj2vk

Small-scale, local quality improvement doesn't often get as much of a look-in as big programmes, but it's vitally important. Here's five principles that those who've led local improvement in surgery settings identify as key: bmjopenquality.bmj.com/content/14/1...

Airway trauma, one passage opens with inspiration, the other on expiration. Tissues are very oedematous. The CT scan didn't show this injury. What would you do? #AnSky #MedSky #EMSky #airway associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/epdf/10....

Delighted that the long overdue infection control guidelines for RA & Pain are out. So many Authors, Lots of Hard Work - and possibly some things that will spark debate! Check them out! #RAsky #PainSky #AnSky #POCUSky #MedSky #InfectionSky (made that last one up!) rapm.bmj.com/content/earl...

The Association of Anaesthetists have published new guidelines on blood components & their alternatives! Tranexamic acid has been proven to ⬇️ bleeding in most surgical settings. But what dose of TXA should you use in different clinical contexts? #AnSky #MedSky #HaemSky https://buff.ly/4hbI4O6

SNAP3: We are delighted to share the first major publication from SNAP3: Characteristics of older patients undergoing surgery in UK @claireswarbrick.bsky.social @rcoanews.bsky.social @cri.bsky.social @uniofnottingham.bsky.social What does it tell us? 🧵 1/ pubmed.ncbi.nlm.nih.gov/39765405/ #AnSky

Deactivating X, good feeling.

I am delighted to share our latest work on motor sparing Knee Blocks Credit goes to @leighwhite.bsky.social Dr Chris Thang @mick-kerr.bsky.social for an incredible amount of work Free download till Feb 21st from @bjajournals.bsky.social #RAsky kwnsfk27.r.eu-west-1.awstrack.me/L0/https:%2F...

What to do with left over egg whites from making chocolate fondants...pistachio cream meringues.

And the NHS actually spends less on things we consider “waste”, like admin and managers, than many other nations. The NHS may indeed be inefficient — but it is not “bloated”. Rather, it is inefficient because it is run too lean. More in my column 🔗 www.thetimes.com/article/1130...

⚠️WARNING⚠️ Do not try this! This is not a real patient! Intraneural Tibial nerve injection at the Popliteal Fossa It is really quite hard to impale a nerve and then perform an injection like this - Please do Not Do this! #RAsky #AnSky #POCUSky j

It’s our first #regionalanaesthesia for ED course next week - and I’ve made an introduction video for the talk… I hope our ED colleagues share our (my) sense of humour!

One thing I'm finding increasingly tiring about the AI in health narrative in general, but especially AI in the NHS, is the lack of specificity. The whole narrative is filled with grandiose generalised statements. What *exactly* do we want to achieve and how *exactly* are we going to achieve it?

So many of mine are Levi 501’s : no zipper! Like my old 501 jeans the no zipper SIFI still seem fit for purpose. It’s ok to be deep in iliacus. Think of all those branches coursing through the muscle to the hip.

My direct appeal to @rthonwesstreeting.bsky.social & Keir_Starmer in the light of yesterday's vote on AD. If they sincerely care about dying people, surely now they will publicly & urgently commit to properly funding our threadbare, neglected palliative care? www.theguardian.com/society/2024...

When searching for the correct injection point for my Femoral triangle blocks- (formerly incorrectly called Adductor canal) - I look for the apex of the femoral triangle. How? Well I look for the “Prayer Sign” - everyone else calls it a fish/Tuna/whale! 😂 #RAsky #AnSky youtube.com/shorts/kslJY...

Very impressed with the FutureNHS workspace platform and how far it's come. We are trying to support to achieving the RCOA QI curriculum objectives for Wessex Anaesthetic trainees and this is looking like a useful platform, time will tell!

What is a common thread in medical tragedies? Rescuers fail to cut through the ‘mind lock’; they follow the primary caregiver down the wrong, fatal, path. If we are going to train our way out of this problem, we need to train the rescuers. #AnSky #HFESky #MedSky https://buff.ly/3COBTjM

If you are interested in promoting #humanfactorsergonomics in healthcare here’s a starter pack that I think I’ve created let me know go.bsky.app/92WZmMq

Should anaesthetists wear sterile gowns and facemasks when performing spinal anaesthesia? NAP3 reported 2 cases of vertebral canal abscess & 1 of infective meningitis (325,000 spinal anaesthetics). What is the environmental cost? #AnSky #sustainability https://buff.ly/4fBaPU0

Have you seen @thisinstitute.bsky.social's series on major approaches to improving and innovating in healthcare? Covering topics from statistical process control and supply chain management through to culture change and design creativity, it's fully open access. www.cambridge.org/core/publica...

Fascinating seeing how following roughly the same people as X the content I see here is so much better.

A tale of two platforms: BlueSky user numbers have hit a new record high in recent days, while the number of people deleting their accounts on X/Twitter has rocketed 🚀

Impact of safety incidents on staff can IMHO be a bit of a taboo subject. There are two givens in a medical career. 1) We will be involved in something going wrong. 2) We will need to say sorry to a patient or family. I don’t think we teach either well…