#Asm26Akl goodbye Auckland! Learnt from you, loved you, will be back. Ngā mihi nui. @anzca.bsky.social

#Asm26Akl @anzca.bsky.social Environmental Sustainability Network session: Time to decommission leaking hospital reticulated pipeline nitrous oxide systems. It’s a win for the environment and saves a heck of a lot of money. #climatechange #climatehealth @archiecurium.bsky.social

#Asm26Akl @anzca.bsky.social Environmental Sustainability Network Session: Up to 44% of pathology testing is unnecessary. Come on people. Time to rationalise. Time to do things better. Our planet, our future, our health depends on it.

#Asm26Akl @anzca.bsky.social Environmental Sustainability Network Session: Public hospitals contribute 34% of health care related carbon emissions. Not unexpected (#doublenegative 😬) but big room for emissions reduction right there!

#Asm26Akl appropriately dressed for the @anzca.bsky.social Environmental Sustainability Network session chaired by @archiecurium.bsky.social

#Asm26Akl More sustainability in action at the @anzca.bsky.social ASM! Medtronic have finally released a rechargeable McGrath VL battery. 1 rechargeable battery replaces 40 single-use chuck-in-the bin ones. Nice. Although @archiecurium.bsky.social won’t be happy until they have a reusable blade 😬

#Asm26Akl #hottopics Allergy to muscle relaxants more common in females. 🤷 @anzca.bsky.social

#Asm26Akl #hottopics Cephazolin is the surgical-site infection prophylaxis antibiotic of choice for most surgery. Clindamycin is quite frankly crap. Allergy to penicillin or other cephalosporins doesn’t stop you giving Cephazolin.

#Asm26Akl Sustainability in action at the @anzca.bsky.social ASM. First time I’ve seen reusable coffee cups used as the standard at a conference. Literally thousands of throw away cups avoided. Love this. 🙌🙌 (loving the barista made coffee in the cups too btw 😀☕️). @archiecurium.bsky.social

#Asm26Akl #hottopics Despite 1 in 4 critical airway incidents occurring at extubation, we are ignoring this vital part of our anaesthetics as shown by the paucity of research on this subject. @anzca.bsky.social

#Asm26Akl #hottopics Literal hot topic: Beware of diathermy if using high flow nasal oxygen. The two are incompatible. #fire @anzca.bsky.social

#Asm26Akl #hottopics Peroxygenation - using high flow nasal oxygen during intubation attempts. Should be part of your difficult airway planning and execution. @anzca.bsky.social

#Asm26Akl Clear evidence that high flow nasal oxygen in head up position is the best pre- oxygenation technique for prolonging apnoea time to desaturation. #justdoit @anzca.bsky.social

#asm26akl Mmm, is scuba diving really such a good idea?? 🤔 Dive and you too can experience: • Gas narcosis • Hypoxia • Hyperoxia • Hypercapnia • HPNS • Hypothermia 😬😬 @anzca.bsky.social

##asm26akl Standing room only at the Diving and Hyperbaric Medicine stream lectures. 🤿 @anzca.bsky.social

#Asm26Akl Modifications to CPR for a cardiac arrest during childbirth: there are a few important changes to our usual resuscitation technique @anzca.bsky.social

#Asm26Akl Shout out to us! Without current medical practice, including care provided by specialist anaesthetists, 1 in 100 mothers would die during childbirth. Current OECD figures are a maternal mortality rate of 1 in 10000. We done good! @anzca.bsky.social

#Asm26Akl Time to reconsider our fear of conversion of regional anaesthetic to GA during LSCS if mother is feeling pain. Video laryngoscopy is a game changer imho! @anzca.bsky.social

#Asm26Akl Pain during LSCS should not be expected or expected to be “tolerated”. It’s a traumatic psychologically damaging event. But it is not rare. Up to 1:6 may report pain. Spinal is best. Epidural blocks can be patchy. It’s time we made it rare. Time to increase your dose??? @anzca.bsky.social

#asm26akl what I loved about the @anzca.bsky.social #runclub this morning was the transport back to the hotel that they organised for those of us who couldn’t complete the return leg back up the hill from the harbour 😬🤣

#Asm26Akl First rule of run club: Talk about run club. Talk about it a lot. Pace, splits, cadence, energy gels, & why are run vests so darned expensive? #earlybirds @anzca.bsky.social

##asm26akl With the greatest respect to our New Zealand friends, this really was the best table in this Auckland restaurant, eh bro! 🤣🤣 @anzca.bsky.social

#Asm26Akl Resuscitation Workshop team scorecard: 2 dummies 🛟😀 1 dummy 🪦💔 Remember team: “KCC” - keep compressing consistently. @anzca.bsky.social

#Asm26Akl can’t intubate, can’t oxygenate. #CICO. An anaesthetist’s worst nightmare. 😕😱 @anzca.bsky.social

#Asm26Akl who’d have thought there’d be a silent disco at @anzca.bsky.social ASM! Need to see a bit more boogie from the crowd though 🤣🤣

#Asm26Akl The delirium pain-opioid paradox: Pain causes delirium so treat the pain. BUT opioids cause delirium so don’t treat the pain* 😬😬😬 *don’t @ me! Obviously you do treat the pain

#Asm26Akl Post-op delirium impacts approx 7% of all surgical patients. A not insignificant number (#doublenegative 😬). Pre-op risk factors seem pretty logical really. @anzca.bsky.social

#Asm26Akl Pre-eclampsia: words that instill fear in on-call anaesthetists. Prof Dennis, pre-eclampsia guru makes it simple: It’s the body balancing competing physiological priorities- an imbalance between oxygen supply & demand. Fetus asks for oxygen Pregnant woman responds The body can’t keep up

#Asm26Akl @anzca.bsky.social Presenter: how old is too old to be on the anaesthetic on-call roster? Dr Andrew Guy: 40 years old 🤣🤣

#Asm26Akl Biggest line in the @anzca.bsky.social ASM trade hall is guaranteed to be, always going to be, at the stand with the Barista 😀 ☕️ #gottobequick

#Asm26Akl @anzca.bsky.social Professor: opioids are inappropriate for treating chronic pain. Me: why are all my patients living with chronic pain who present for surgery ON BUCKET LOADS of opioids??

##asm26akl Chronic pain is such a scourge. Our patients living with chronic pain often have multiple medical morbidities, take multiple medications & can be opioid dependent/resistant. Caring for chronic pain patients peri-operatively is such an important role for an anaesthetist @anzca.bsky.social

#Asm26Akl #hottopics Do robots feel pain??? 🤔 @anzca.bsky.social

#Asm26Akl got to say, loving this very modern and awesome plenary session hall. Brilliant AV. A great learning space. @anzca.bsky.social

#Asm26Akl Big learning today - what is consciousness? Very clever Oxford Professor presenter: We still don’t know 🙃

#Asm26Akl #ArvoTea OMG 😍

#Asm26Akl #hottopics History of cephalosporin allergy: to cephazolin or not to cephazolin? That is the question. Answer:

#asm26akl interesting risk factors for anaphylaxis (zoom in)

#ASM26akl #Hottopics GLP1 agonists: Gastric ultrasound - just do it!

I wrote this! We need thousands more EV chargers to encourage the transition we need to electric powered vehicles on Australia. #climatechange www.smh.com.au/technology/h...

What’s the deal with Mark and the shoe collecting??? #survivorAU

Mark is a #survivorAU whisper. “A look from Brooke” and he knows he’s under threat!

#SurvivorAU Caleb every day on a Samoan beach: “This is the best day of my life”

#survivorAU Rich at tribal after Simon handed over the necklace:

How many hats does The Don have?? Was it beavers or some other critter who donated fur for this one ? #survivorAu

Brooke, what are you thinking??? You’ve just painted a massive target on your back. #survivorau

Tonight’s tribal vote : the Don Johnson #survivorau

Harry! Nooooooooooooooooo. My buff pick 😢. #putyourstrawout #survivorAU @previouslyonas.bsky.social

Jackson just dogged Harry big time #survivorau

I’m rating Caleb on this comment alone - “I don’t even know who Matty Rogers is”. 🤣🤣. #survivorau