Aotearoa NZ Anaesthesia ASM workshop spaces are filling. Register now to secure your place. Check out the workshop programme: www.nzanaesthesia.com/workshops/ Aotearoa NZ Anaesthesia ASM 2025 12-15 November, Kirikiriroa Hamilton Earlybird registration closes October 5.

When VL was used as the first-choice device: ⬇️ patients experiencing at least 1 complication (5.5% vs. 9.7%) ⬇️ 3+ intubation attempts (1.2% v 2%) ⬇️ need to change operator (1.8% vs. 4.9%) ⬇️ oesophageal intubation (0.5% vs. 1.4%) #AnSky #MedSky doi.org/10.1111/anae...

🫗 Gastric emptying, assessed with the paracetamol absorption test with greater area under the curve representing faster gastric emptying, did not differ significantly between sugammadex vs neostigmine/glycopyrrolate. journals.lww.com/anesthesia-a...

Just published the latest version of the ongoing systematic review and meta-analysis of GLP-1 receptor agonists and their association with residual gastric content and aspirin risk. Link in next post. #AnSky #RASky #MedSky

Happy to share our new article in @iarsjournals.bsky.social: Faculty Diversity Trends in Academic #Anesthesiology by Demographics in the United States, 1977-2021 Link: journals.lww.com/anesthesia-a...

Verifying both identity and concentration of a compounded drug using a real-time, non-invasive process. #AnSky #MedSky www.healthcareitnews.com/news/anz/st-...

How do you reconcile fasting guidelines with glucagon-like peptide-1 receptor agonists, ‘Sip-til-Send’ policies and gastric ultrasound? #AnSky #GLP-1 #POCUS #MedSky @drnavsidhu.bsky.social @rosiehogg.bsky.social doi.org/10.1002/anr3...

GLP-1 RAs slow gastric emptying and may increase aspiration risk No studies have assessed the efficacy of pre-op erythromycin as a prokinetic. This case reports evaluates erythromycin efficacy with gastric ultrasound! #AnSky @drnavsidhu.bsky.social doi.org/10.1002/anr3...

Who else cooks South-East Asian cooking? Surely, this “oil-splitting” thing is a myth! #PecahMinyak

Eleveld et al.'s #pharmacokinetic - #pharmacodynamic model of #remimazolam begins to pave the way for its widespread use in #sedation and anaesthesia. #BJA #model #simulation www.bjanaesthesia.org/article/S000...

Gears are shifting rapidly on fasting guidelines & gastric ultrasound might just be the pit stop we need. As we accelerate into new territory, are we steering patients safely to the OR? In @anaesthesiareports.bsky.social with @rosiehogg.bsky.social #AnSky #MedSky #RASky doi.org/10.1002/anr3...

Dutch antibiotic policy in two graphs:

Vaccines are rigorously tested, they are effective, and they save lives. More than 150 million lives have been saved in the past 50 years thanks to vaccines! But you may be worried about what's in them? So, let’s break it down ⬇

Finally, anyone simultaneously up in arms about GLP1-RAs and sanguine about RSI will have their cognitive dissonance flogged like a rented mule. (3/3)

Not new, but this is brilliant take-down of cricoid pressure. #AnSky #MedSky

Earlybird registration for this year's Aotearoa NZ Anaesthesia ASM is open! Lock in a discounted rate to join us in Kirikiriroa Hamilton, 12-15 November. www.nzanaesthesia.com/ @anzca.bsky.social

In adult patients undergoing tracheal intubation in real-world operating theatre settings, universal VL showed clear advantages over direct laryngoscopy. This is the largest comparative analysis conducted to date! #AnSky #AirwaySky #MedSky doi.org/10.1111/anae...

I agree - just put the tube in: "After half a century of circular arguments regarding how RSI should be performed, and the benefits and harms of each element, this meaningless term should be abandoned." associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/full/10.... #Ansky

ChatGPT provides ashpublications.org/bloodadvance...

My O neg might not be so popular in the near future. #MedSky #AnSky www.tokyoweekender.com/entertainmen...

They’re cooked.

Conversation with colleague went something like this: Let’s split our binational college into the Aotearoa New Zealand College of Anaesthetists and the Australian College of Anaesthetists. We can remain FANZCAs and they can be FACAs. #AnSky #MedSky #Jokes

Going to highlight this list (& paper) to those in my dept who data gather

1/n A brief thread on a recent paper on periop metrics in the @cja-journal.bsky.social from Ke & colleagues @mgoerges.de #AnSky #MedSky doi.org/10.1007/s126...

Enough of this 'Bluesky at ~3 yrs' isn't as good as 'Twitter at ~18'! 3 years after founding in 2006, Twitter user growth had plateaued and it was predicted to fail. It had ~23M users- about two thirds that of Bluesky now. This site is what we make of it. www.theguardian.com/media/pda/20...

Looks about 0.3 of an imperial pint. Will be interested in the why (v 200ml)

A Surgeon’s Guide to Anesthesia Care:

IV drug verification at point-of-care. Healthcare start-up is raising funds. Note: This is not financial advice, I'm just highlighting new tech. #MedSky #AnSky pledgeme.co.nz/investments/...

The colleges will eventually be dragged kicking and screaming by regulatory bodies. The more forward-thinking colleges will be proactive instead of reactive. #SMITHSEx #MedSky

Whole-heartedly agree with this. The current assessment system in the UK (and Aus/NZ seemingly) is entirely out of keeping with the science in how people learn and how to help people learn. We also need to move away for "difficult" = "valid".

1/ Recently, #RFKJr. recently said parents do research to buy a stroller, they should also “do your [their] research” when it comes to medicine. But here’s the problem—when it comes to vaccines and medicine, that advice can lead people straight into conspiracy rabbit holes. Let’s break down why. 👇

To continue @maffygirl.medsky.social's (who's post-conference) weekly #AnSkyMedSkyDebate (sticking with non-clinical stuff I'm more comfy with), here is my proposition: High-stakes postgrad exams are bad and should be abolished. (Comment here or read the thread for my opinions!) #AnSky #MedSky

There are two publications that I think are absolutely worth reading on this. The first is @drnavsidhu.bsky.social and @orthopodreg.bsky.social's 2023 narrative review. Many of the arguments for these exams are bad and there are better alternatives. www.tandfonline.com/doi/full/10....

Linda McMahon wrote Harvard a letter to which they responded by noting areas that are in need of corrections and then posted it on social media. Great job Harvard!👏👏👏

Good summary of this important study linking blood pressure control and reduced dementia www.nature.com/articles/s41...

Just passing along some friendly advice on how to approach potential changes to the Australian health care system @drruthmitchell.bsky.social

A special evening celebrating the presentation to all new Fellows and ANZCA Awards at last night’s College Ceremony. Congratulations A/Prof Wayne Morriss on the presentation of your Robert Orton Medal and to all award recipients and new fellows 👏 Whakamihi! #ASM25CNS

The @skynewsau.bsky.social presenters must be apopleptic. #AusPol

So recently I was at the Manchester Critical Care Symposium where I presented my polemic: “Dedicated intensive care medicine exams are a waste of time” It brought up some interesting opinions, which I will share here in this thread 🧵

Nonetheless you persevere and learn as much as you can… For everything to boil down to a single moment in time, high stakes, examination. @drnavsidhu.bsky.social co-wrote a fantastic article discussing these exams and their problems www.tandfonline.com/doi/full/10....

Brief video breakdown by @garypayinda.bsky.social, of the govt's proposals to dumb down NZ healthcare. #NZpol youtu.be/az8QyviViNc

Researchers and academics are either posting less on X* or the algorithm is not what it used to be. Or both. #MedSky #AcademicSky Also, note that spike in Feb 2025 was due to surge in anti-vax papers being shared. * the platform formerly known as Twitter

The airway experts said: 1. Anaesthetic departments should have #RapidSequence guidelines (89% of experts) 2. Those who perform #RSI should be trained in #gastricUS#RSI(43%) 3. At least 2 team members for RSI with cricoid (50%) 4. Trainee #RSI should always be supervised (93%)

Similar advice has been issued here in NZ.

Case report on using #GastricUltrasound to assess erythromycin efficacy in a patient taking GLP-1 receptor agonist. #POCUS #AnSky #RASky #Anaesthesia #Anesthesiology @anaesthesiareports.bsky.social dx.doi.org/10.1002/anr3...

#POCUS is a valuable tool in #anaesthesia Here is a mini collection of our case reports highlighting its use. buff.ly/8TbXL4L buff.ly/ffAWKNx buff.ly/4sWYUTX buff.ly/K8LGMbY #AnSky #MedSky #regional #OBSky #RASky #AirwaySky #SurgSky #PainSky

If you're curious about the CGM love, it's because RFK Jr's advisors Casey and Calley Means own a CGM company: www.levels.com/blog/7-reaso...

High ceilings are attractive in medical school selection. But we rarely think of the height of the floor. - Assoc Prof Tim Walker at the ANZ Selection Symposium #MedEd #MedSky