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

I’ve got a new setup that really improves ergonomics for CVCs and regional anaesthesia in theatre. #AnSky

This is the midweek #MedSkyDebate thanks to @pieterpeach.com Do you use LA for your cannula insertions?

Hey @maffygirl.medsky.social, maybe a mid week topic for the future. “Our patients deserve better: We should use local anaesthetic infiltration for all large gauge intravenous cannulations in elective surgery.” Eg youtu.be/GXA7D7IOZOc?... #Ansky

“So remember when you're feeling very small and insecure How amazingly unlikely is your birth And pray that there's intelligent life somewhere up in space 'Cause there's bugger all down here on earth” - Monty Python youtu.be/V-S6GrwH6IQ?...

A reminder of a solid framework that has existed for social media engagement since well before social media was a thing.

🚨 Social Media Public Service Announcement 🚨 For *every* post assume: 1. It will be on the front page of your national newspaper 2. Your patients will see them 3. It will be used in court 4. It will be scraped to steal your identity or scam you Think before you post. #Ansky #Medsky

Correct Bob..a technique used routinely at the Eastman dental hospital many many years ago. Kid given 100% N2O until unconcious (hypoxia plus anaesthesia), N2O turned off, tooth rapidly whipped out by devilishly quick dentist, kid returned to parent, some vomiting and probably a headache ..then home

This hospital has implemented a policy of banning glasses with audio and video recording (eg Meta Ray Ban glasses). ❌🤓❌ I wouldn’t be surprised if other industries start following suit. #Anksy #Medsky

I have quite the topic for the #MedSkyDebate this weekend. Do you use Chat GTP and how has it affected your practise?? ChatGTP did this infographic. Is AI bad for us or can we use it to assist us? Pro’s and Con’s. This should be the best debate!!

Good luck reading the drug name and dose without augmented vision #EzDrugID #Ansky

🚨 Social Media Public Service Announcement 🚨 For *every* post assume: 1. It will be on the front page of your national newspaper 2. Your patients will see them 3. It will be used in court 4. It will be scraped to steal your identity or scam you Think before you post. #Ansky #Medsky

Do you specifically consent for risks of anaphylaxis, cardiac arrest, haemorrhage, aspiration? Given the consequences of any of these for the patient can vary from nothing to death, how do you expect patients to integrate that information into their decision making? #MedSkyDebate #MedSky #AnSky

What a ride xkcd.com/1732/

Want to reduce your plasma forever chemical (PFAS) levels? - Donate plasma - A study of firefighters in Victoria Australia demonstrated a significant (~30%) reduction in PFAS levels after 1 year of 6 weekly plasma donations. Also, it’s free, you get lunch & it helps others doi.org/10.1001/jama...

Revisit the February 2025 Infographic in Anesthesiology - Safe or Skip? Association Between Intraoperative Midazolam in Elderly Patients and Rates of Postop Delirium 🎨 ow.ly/Z7Tx50UH1jQ

Are you a paediatric anaesthetist? Check out this great new guideline! "Consensus recommendations for paediatric airway topicalisation using lidocaine" #AnSky #MedSky #PedsAnesSky #PaedsAnaesSky #PharmSky doi.org/10.1111/anae...

Here is the midweek #MedSkyDebate, a topic provided by @drnavsidhu “You don’t need a paediatric anaesthetist to anaesthetise children” What do you think and do you have a cut off age where you will not anaesthetise them? Is it just particular cases?? Tell us what you think.

The weekend #MedSkyDebate is from Anaesthesia Journal @anaesjournal.bsky.social How do you consent for an Obstetric epidural and how can we improve this process? #MedSky #AnSky https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/anae.16697 #MedSkyDebate

Stories like these from our future selves are worth reading #Ansky

Taps the sign

I'm way more optimistic about LLM tech than a lot of people around here, and find it *personally* incredibly useful. But I also find it takes a lot of work & careful thought to make it useful, and forcing people to use it guarantees it will be used very, very badly.