Happy Holidays from one of the incredible sonographers who created this masterpiece ☃️❄️🌲🎄

Elizabeth Garrett Anderson (1836-1917), 1st female dean of a British med school, and 1st female mayor in Britain, pretended to be rich during med school (in Paris, 1870) so admin would think she'd be able to sue if they suddenly said women couldn't be doctors 1/10

Here’s one of my essentials for a Femoral Triangle Block…and it never gets stolen by anyone else !!!

1/ Time for another #POCUS pitfalls thread: the infamous IVC 🤩 I have MANY thoughts on the IVC 💭 When I first started teaching POCUS, I actually disliked the IVC because it was often poorly done or incorrectly interpreted ❌ I have now come to love the IVC, BUT you have to do it right! #emimcc

VATS procedures: TEA, PVB, ESP, and SAPB ⬇️ CPSP at 2-3 and 6 months vs control No differences TEA, PVB, and ESP but SAPB less reduction of CPSP pubmed.ncbi.nlm.nih.gov/39240480/ @garrettsbarry.bsky.social @chrisprabhakar.bsky.social @ropivacaine.bsky.social @dr-amit-pawa.bsky.social

This is a heatmap of topics identified in 6 research prioritisation studies relevant to regional anaesthesia. Important themes were on the role of RA in: • ⬇️ chronic postsurgical pain • improving postop recovery • benefit in specific patient groups #RASky #AnSky #MedSky https://buff.ly/49zVeBD

When I teach Axillary Brachial plexus blocks I often talk about the relatively common variation where the musculocutaneous nerve has “Late take off”. Here is a post-block example where you see median, ulnar, radial, MCN & MABCN #RAsky #AnSky #POCUSky

Anaesthetists: Is it just me or does everyone think is a little strange that anaesthetists have to take significant amount of time snapping open glass ampoules, needling vials etc and drawing up the contents, risk/time/tasks. Maybe more drugs should be readily available in prefilled syringes??

In this new randomized trial of 126 patients having laparoscopic cholecystectomy, intravenous lidocaine provided a non-inferior quality of recovery compared to erector spinae plane block. Either approach was superior to placebo. #RegionalAnesthesia #AnSky 🔗 doi.org/10.1016/j.jclinane.2024.111528

For Laparoscopic Abdominal surgery- are you performing blocks? If so which? This study in RAPM compared TAP to Lateral QLB and noted a difference in dermatomal loss of sensation, but not analgesia. I’d love to see an arm with Anterior QLB. Thoughts? #RAsky #AnSky rapm.bmj.com/content/rapm...

Delighted that Ben Dallyn from @RUHBath won the 1st prize for oral presentation @dasairway He presented A MANIKIN STUDY OF STYLETS & BOUGIES (static & dynamic)….. 1/4

Finally a case I can talk about in detail... my own! I got a ACL reconstruction with patellar bone-tendon-bone graft, microfractures, and intraarticular hydrogel. Single shot adductor and superolateral geniculate blocks. Worked great and lasted 16 hours! www.youtube.com/watch?v=DGv0...

IV lidocaine given intraop and for 6-12h postop failed to influence gut motility, analgesia, quality of recovery, or time to discharge following laparoscopic colectomy.

That feeling when you see “unzippering” like this! #SIFI #IYKYK #RAsky #AnSky with patient consent

t’s interesting how people define anaesthesia I ask every new resident what anaesthesia is. When they offer me a triad of -Unconsciousness -Muscle relaxation -Analgesia I give them 1 out of 3 Why is that? Am I right?

1/ I love love LOVE scanning the heart 😍, but when it comes to bang for your buck for ultrasound novices, lung ultrasound is such a winner 🏆 It's time for another #POCUS basics #skeetorial 🧵 Let's talk about common pitfalls in #LungUltrasound and how to correct these ✔️ #emimcc

Engage and learn from the top-tier faculty at the #ASRASpring25 #ASRA50! 🌟 Here’s a glimpse of who you can expect: @emarianomd.bsky.social @dr-rajgupta.bsky.social @son-of-caine.bsky.social @maggieholtzmd.bsky.social @drstugrant.bsky.social @siva6face.bsky.social @chrisprabhakar.bsky.social & more..

There are two microG analogues: - Underwater - Parabolic flight Each have challenges… 🧵 1/5 @Garrettsbarry.bsky.social @Chrisprabhakar.bsky.social @brettelmore.bsky.social @lloydturbitt.bsky.social @ropivacaine.bsky.social @danwerry.bsky.social @andrewjarvey.bsky.social

Save the date 🗓️- largest #regionalanesthesia meeting #ASRASPRING25 #ASRA50 #RAsky #Ansky ⭐️ Lectures ⭐️ Workshops #POCUS ⭐️ Networking @emarianomd.bsky.social @ropivacaine.bsky.social @dr-rajgupta.bsky.social @jeffgadsden.bsky.social @dr-amit-pawa.bsky.social @rosiehogg.bsky.social

Tomorrow is my last day as dean Queen's Health Sciences & CEO SEAMO. As a parting gift, I'm donating honoraria I've received this year & using the seed funds to launch the Jane Philpott Primary Care Fund to support research & innovation in primary health care. healthsci.queensu.ca/stories/feat...

We used this meat model in our simulated microgravity study! Summary: Nerve blocks can feasibly be performed while floating in microgravity! doi.org/10.1016/j.bj... @maggieholtzmd.bsky.social @amepearson.bsky.social @chrisprabhakar.bsky.social @brettelmore.bsky.social @lloydturbitt.bsky.social

Only 5 programs (33%) mandated simulation-based UGRA in their curriculum in Canada. Inconsistent inclusion and modalities of simulation for UGRA in general. doi.org/10.1007/s126... @garrettsbarry.bsky.social @chrisprabhakar.bsky.social @lloydturbitt.bsky.social @ropivacaine.bsky.social

Randomness: Taught my 9yo daughter how to place a nerve block catheter last night using a ballistics gel model. @Garrettsbarry.bsky.social @Chrisprabhakar.bsky.social @ropivacaine.bsky.social

I recently attended the @rauk.bsky.social -Belgian Association of Regional Anaesthesia meeting in Bruges At that meeting I took part in a Pro-Con Debate about whether we need Journals to find evidence against Prof Marc Van De Velde This was fun - here is my take! #AnSky youtu.be/9k4j5tfg7os?...

Dye injected into meat models had a high rate of sensitivity (95%) and specificity (85%) when determining the accuracy of a simulated block. How would you use this? doi.org/10.1097/sih.... @Drnavbahal.bsky.social @Maggieholtzmd.bsky.social @Amepearson.bsky.social @Chrisprabhakar.bsky.social

As we continue with Plan A Blocks, it’s time for the most controversial of all! The Erector Spinae Plane Block! Love it or Loathe it, it’s popular! Chest wall Analgesia & Abdominal Analgesia I made two videos, one was more popular than the other #RASky #AnSky youtu.be/HWei4RNv6OA?...

https://www.cbc.ca/news/canada/first-person-burnout-health-care-rural-doctors-1.7382033 “I'm a rural emergency room doctor — and I feel the need to publicly apologize. “ My friend and colleague Dr Giles speaks truly for us all. #RuralHealthCare