I hope this Microsoft email outage lasts until the sun dies

Team For anyone involved in paediatric airway management KEY PHRASE "PILLOW PLEASE" www.maskinduction.com/positioning-... Aman Kalra, Professor of Anesthesiology, (Author, Illustrator and Web Designer) #Ansky #Medsky #Anaesthesia #Anaesthetist #ICM #ICU #Intensivist #Anaesthesiologist #PHEM #HEMS

#ansky Our 25yr review of anaesthetic FGF just published by @anesthesiology.bsky.social. We’ve been banging on about the $ & CO2 savings by avoid waste from hi FGF for a while…Despite >60% TIVA we’ve kept our avg FGF with sevo at 850ml/min. journals.lww.com/anesthesiolo.... 🧵

Wow and the rate of pulmonary aspiration is 0.01% !

Peri-operative risk of non-cardiac surgery in patients with aortic stenosis ⚠️ Severe aortic stenosis is associated with nearly 10% mortality within 30 days postoperatively #AnSky doi.org/10.1111/anae...

New: Scope of practice released for Physician Assistants in Anaesthesia. Note change in terminology to reflect new changes @rcoanews.bsky.social rcoa.ac.uk/training-car...

There’s still room on Pack 5. Who should I add? Don’t spend ages trying to find your anaesthesia types. Just click on these starter packs

NZSA, ANZCA and ASA have released a joint statement on decommissioning N2O for medical gas pipeline systems. This statement aims to strengthen patient safety and environmental sustainability. It does not propose to impact or change clinical indications for use of N2O. anaesthesia.nz/news/joint-s...

Check out the editorial, "Cutting Corners: Is Mixing Remifentanil and Propofol a Bad Idea?" from Drs. Anthony Absalom and Robert Sneyd journals.lww.com/anesthesia-a...

Why does big pharma pay doctors? It raises an important question about healthcare ethics | Ranjana Srivastava

Rob Reiner: I'm going to make a coming of age drama, a fantasy adventure story, a romantic comedy, a psychological horror and then a courtroom drama. Us: Across your entire career? Reiner: In a 6 year period. Us: That sounds- Reiner: -Each one will be arguably the best movie in that genre.

To be fair it’s going to be very funny when these clowns invent AGI and the super intelligent machine tells everyone to get offline, avoid processed food, stroll in the woods, seek community, eschew racism, pay high marginal rates of tax and ignore the ravings of deranged billionaires.

Propofol for cancer surgery isn’t protective. I think we can say we’ve answered the question now? must be enough trials for a meta-analysis by now 🤔

Absolutely amazing chart from @peterkellner.bsky.social's piece in @thenewworldmag.bsky.social today: www.thenewworld.co.uk/peter-kellne...

Friends don't let friends use generative #AI around numbers...

Thio, sux, cricoid etc. aren't magic. They were thought up by clever people, and new clever people get to think up the next version, and make it better. This is how things move on towards "optimal". When we are so bound to the past we can't change, we perish, innit?

Failed facemask ventilation in a patient with recent dermal filler injections. Our paper on cosmetic enhancements & potential impact. Lip fillers or angioedema? Modern era of aesthetics & anaesthesia causes new challenges doi.org/10.1002/anr3... @anaesjournal.bsky.social

Australasian Anaesthesia 2025 (also known as the Blue Book) has landed! You can read a digital version, or order a hard-copy version, here: bit.ly/49JzoxX

Noradrenaline, metaraminol, phenylephrine or vasopressin? This ovine cardiopulmonary bypass experiment suggests that the choice of vasopressors may affect renal oxygenation. #AnSky #MedSky

We’re gathering the top clinical challenges in anaesthesia, perioperative medicine, and pain management to steer future AI research, investment and collaboration across our specialty. Suggest your clinical pain points before the survey closes 👉 buff.ly/vBf5CVb

Just donated to @wikimediafoundation.org. We often take for granted how valuable a resource it is. Having contributed to it I know how vigorously the Wikipedians donating their time defend the veracity of the content. donate.wikimedia.org

Here is the first consensus-based core outcome set for airway management research, with agreed definitions and measurement instruments. This will harmonise evidence synthesis and improve the translatability of findings to improve clinical care. #AnSky #AirwaySky doi.org/10.1111/anae...

Now with 13,000+ reports, webAIRS is the world's largest anaesthetic incident database! Built by AU/NZ anaesthetists, we're turning experiences into collective wisdom for patient safety & continuous improvement. Every report matters. Join us to help shape a safer future. webairs.com #anksy

Liberal transfusion after major surgery did not reduce death or major cardiac event rates compared to restrictive thresholds in high-risk patients. #AHA25 @ahascience.bsky.social ja.ma/43koXNj

We probably went overboard on withholding perioperative transfusion in the wake of TRICC, but there’s still little to be gained setting a generous transfusion trigger (100 g/L).

2025 DAS guidelines for the management of unanticipated difficult airway published today in the British Journal of Anaesthesia. #airway #difficultairway #intubation #anaesthesia #anesthesia https://www.bjanaesthesia.org/article/S0007-0912(25)00693-2/fulltext

There are now > 13,000 incidents reported to @webairs.com, the largest anaesthetic incident reporting & learning database. Built by anaesthetists & supported by ANZCA, @asa-australia.bsky.social & @thenzsa.bsky.social. Join the growing community of anaesthetists making a difference: www.anztadc.net

Ok 3D printing anaesthesia nerds, give me suggestions of exciting and pointless objects we can print with one of these. #3Dprinting #Ansky

The Cook Islands are looking for Anaesthetic locum cover for Rarotonga Hospital asap or in a weeks time. If you or someone you know is available and interested please contact the NZSA at [email protected] and we’ll put you in touch.

I do love the fact that over the years we've kept up with the science by going from "something something oil/gas partition" via "something something lipid bilayer" to "something something microtubules quantum mechanics"

Why does intravenous #dexamethasone prevent rebound pain after regional anaesthesia in some, but not others? This new study by Touil et al. uncovers key individual factors affecting rebound pain after axillary plexus block. https://www.bjanaesthesia.org/article/S0007-0912(25)00388-5/fulltext

Join us for our exciting webinar, "Integrating AI into Anaesthesia Education: Opportunities and Challenges". Don’t miss this chance to explore how AI could transform anaesthesia education! 🗓️ 26th November 2025 ⏰ 18:00 🎟️Register here: register.gotowebinar.com/register/418...

Bed-Up-Head-Elevated (BUHE) positioning is an easy, effective way to increase safe apneic time and reduce intubation related complications PMID: 26866753 youtube.com/shorts/BnZz0... #EMIMCC

hard cosign on this👇 Also, for patients at risk of aspiration, it's often wise to intubate in a bolt upright position This was difficult with direct laryngoscopy, but with indirect video-laryngoscopy, it's not hard to intubate patients who are steeply angulated (you may need to stand on a stool)

With such a diverse discipline, anaesthetists need to have not only clinical expertise but also the ability to communicate effectively, manage anxiety, & build trust to help reassure patients. Join us to celebrate National Anaesthesia Day #NAD25 this Thursday! #insafehands #AnSky bit.ly/42lfpB8

Always happy to drone on about my favourite topics - safety and safety science. National Anaesthesia Day is as good an excuse as any 😜

Patient education as the bridge to meaningful consent in anaesthesia "Materials that classify risks by category with brief illustrative examples, supported by simple numerical explanations, can give patients a clearer framework for discussion." #AnSky doi.org/10.1111/anae...

Don’t forget the cricoid, because nothing makes the situation better than a performative dance that makes the intubation more difficult, and ties one of the hands of your skilled assistant 🙃🙃

Dr. Jane Goodall filmed an interview with Netflix in March 2025 that she understood would only be released after her death.

“I am an eighty-four-year-old, self-confessed slightly crazy (actions possibly defined as such by the majority) retired consultant having a very happy and fulfilling retirement” Read ‘From anaesthetics and aeroplanes to narrowboats and autogyros’ in Anaesthesia News September buff.ly/dfOfH5W

@sthjournalclub.bsky.social #RCoAUpdates TIVA vs volatile - patient centred outcomes definitely better. Less sick +sore. (Sorry can’t do alt text quick enough)

Dexmedetomidine for cardiac surgery: case closed? "There remains the possibility that delirium is a complex peri-operative issue for which straightforward strategies, such as using drug A instead of B, are too simplistic." #AnSky #ICUSky #MedSky #delirium

The application of cricoid force remains controversial in modern practice. A new review by Sotiriou et al. critically assesses the anatomic, physiologic, and contemporary clinical evidence of cricoid force application: ow.ly/Mkx350WY3Zy

Ji et al. assessed whether the combination of dexmedetomidine and remifentanil, by reducing sevoflurane exposure, has any differential effect on neurodevelopmental outcomes in young children compared with sevoflurane alone. Read the new cover study: ow.ly/btn050WU27p

There is some new content up at the site - a quick bit on providing anaesthesia for CT scans in kids. You can find it nestled around here. www.justlittleadults.com/imagingandir #ansky #pedsanes

I have always been guided by the Bouvet study. I use propofol 2 mg/kg and remi 5 mcg/kg together on induction as my base. between 45-60 s after induction you see the HR drop, reflecting sympatholysis and you go. associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/...

Tip of the day (via Annual Queenstown update in anaesthesia) and @anzca-fpm.bsky.social use of celecoxib perioperatively. As in we probably don’t use it enough or appropriately #ansky

I agree with this. Given that EVERY anaesthetist gives a different anaesthetic, and all our outcomes are pretty much the same, does how we give our anaesthetic matter? There’s no evidence that one technique is better than the other. Claiming superiority with no evidence is unsound.

Research suggesting our ancestors nearly went extinct ~900,000 years ago. Only 1,280 breeding individuals survived a 117,000-year bottleneck that brought early humans to the brink. This small population became the foundation of our entire species.​​​​​​​​​​​​​​​​ doi.org/10.1126/scie...

Weekend #MedSkyDebate from @benmoran.bsky.social#MedSkyDebate Controversial point for discussion, highlighted by a surgical colleague: There’s no doubt that regional analgesia techniques can be fantastic for post-operative pain. However, is this in the best interest of the patient? 1/4