New from our "Core Topics" series - here is a mechanistic framework for interpreting shock and hypotension! #AnSky #MedSky doi.org/10.1111/anae...

Come and be our Fellow! Applications close 8 June 2026. #AnSky #MedSky

Rebalancing priorities in obstetric anaesthesia: integrating maternal and neonatal outcomes #AnSky #MedSky #ObsSky doi.org/10.1111/anae...

Oh WOW! Check out this case report on the anaesthetic management of the first caesarean birth following uterus transplantation in the United Kingdom! Principal challenges: • immunosuppression • different surgical technique • increased risk of haemorrhage #AnSky #ObSky doi.org/10.1002/anr3...

Can you name the rare finding on this chest radiograph? What conditions is it associated with? #AnSky #MedSky doi.org/10.1002/anr3...

𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 and 𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 𝘙𝘦𝘱𝘰𝘳𝘵𝘴 Editorial Fellowship - applications open! 🔔 This exciting opportunity will be awarded to two Resident Doctors, offering a unique chance to gain hands-on experience in medical publishing while working with a leading international journal. shorturl.at/3FyM9

Successful spinal anaesthesia for caesarean birth after epidural blood patch for intracranial hypotension headache #AnSky #MedSky #ObsSky doi.org/10.1002/anr3...

Hypotension prediction in elective caesarean section: are we comparing with the right standard? #AnSky #MedSky doi.org/10.1111/anae...

Peri-operative allergy: continuing to navigate uncertainty #AnSky #allergy #MedSky doi.org/10.1111/anae...

Hot off the press, and a plug for PLUGS @anaesjournal.bsky.social @docashah.bsky.social Our prospective study of platelet function in vascular surgery TLDR: better periop pathways 🤝 personalised periop care Read👇 associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/full/10....

We are taking a foray into short form videos - come and join us over on Instagram! @anaes_journal How do you like to consume your content? #anaesthesia #MedTwitter

Hypotension prediction in elective caesarean section: a reply "Closed-loop vasopressor systems are highly promising and a prediction index-informed closed-loop strategy may represent a logical next step in proactive obstetric haemodynamic management." #AnSky #ObsAnSky doi.org/10.1111/anae...

GLPs and gastric ultrasound In a survey of resident and consultant anaesthetists, it was found that when assessing a patient receiving GLP-1 RAs who has not undertaken a 24-h clear fluid diet, only 43% of respondents would use gastric ultrasound. #AnSky #GLP1 doi.org/10.1111/anae...

It’s not simple then. #RASky FTW. doesn’t mention riding your bike to work and I wonder, if the main energy culprit is HVAC, lighting and infrastructure costs the increasing penetration of renewables will offset a lot of that 🤔

Here are some practical, system-level and research-focused actions to advance sustainable anaesthesia! #AnSky #climate #MedSky doi.org/10.1111/anae...

This paper identifies where sustainability efforts are likely to deliver the greatest gains – particularly upstream decisions, infrastructure and system-level contributors – rather than unidimensional comparisons between different anaesthetics. #AnSky #climate doi.org/10.1111/anae...

It was once thought that N-rays could explain paranormal phenomena such as telepathy or mind reading. Are there parallels between the popularity and enthusiasm of erector spinae blocks plane today and that of N-rays in the past? #AnSky #MedSky doi.org/10.1111/anae...

'... when lung mechanics change during one-lung ventilation, what can the anaesthetist measure immediately & act on at the bedside? On that basis, global mechanics, especially compliance & driving pressure, remain practical targets." #AnSky doi.org/10.1111/anae...

Can a nitrous oxide mobile destruction unit reduce occupational exposure? In this small study, the median values of nitrous oxide ambient levels were reduced by 90%with the use of the mobile destruction unit. #AnSky #MedSky #climate doi.org/10.1111/anae...

Safe Vascular Access 2025 consensus statement Should real-time ultrasound guidance for central venous access be mandated in time-critical prehospital trauma care? #AnSky #MedSky doi.org/10.1111/anae...

Framing quality in peri-operative care "If indicator development is to genuinely incorporate the patient perspective, it seems paradoxical not to include the very measures that most directly reflect patient experience." #AnSky #MedSky doi.org/10.1111/anae...

Safe Vascular Access 2025 "We support strongly the principle that ultrasound improves safety and should be used whenever feasible. However, a blanket requirement for its use in all settings risks unintended harm in the unique context of prehospital trauma." #AnSky doi.org/10.1111/anae...

Ultrasound-guided regional anaesthesia education and dissemination: revisiting the ‘Plan A’ concept "The Plan A block structure may be restrictive for novice anaesthetists in centres with different clinical priorities and practice patterns." #AnSky #MedSky #RASky doi.org/10.1111/anae...

Maternal BP targets & neonatal outcomes at caesarean birth: a reply Current research on spinal anaesthesia for caesarean is focusing on the influence of interventions on neonatal outcomes eg maternal haemodynamics, fluid mx, vasopressors & anaesthetic technique. #AnSky doi.org/10.1111/anae...

Is maternal labour epidural analgesia associated w adverse behavioural outcomes? • longitudinal cohort • 1962 mother–child dyads NO association at 18 months, 6 years or 11 years postpartum (adjusting for maternal psychological, obstetric and immunological factors) #AnSky doi.org/10.1111/anae...

Have you heard about tiered shared decision-making delivery? • All patients contemplating surgery should receive SDM • Their decisional needs should be matched to the degree of support required • Patients may move between tiers as their needs vary across time #AnSky doi.org/10.1111/anae...

What opioid do you use for induction of general anaesthesia for caesarean? Low or moderate certainty evidence established that alfentanil and remifentanil are not associated with adverse neonatal outcomes, but fentanyl may lower 5-min Apgar scores transiently. #AnSky doi.org/10.1111/anae...

Is rocuronium a suitable alternative to suxamethonium during induction of anaesthesia for caesarean? RCTs comparing sux and roc found minimal/no significant differences in speed of onset or conditions for intubation when adequate doses (1mg/kg) were administered. #AnSky doi.org/10.1111/anae...

General anaesthesia for a caesarean birth can affect both the mother & the baby. The type of medicine used, how much is given, and when it is given can change how safe and comfortable this process is. Which medicines work best and are safest for mothers & babies? #AnSky doi.org/10.1111/anae...

Best practice in obstetric general anaesthesia: an umbrella review of pharmacological strategies for induction of general anaesthesia #AnSky #MedSky #ObSky #ObAnSky

New guidelines published today - Sterile gowns are no longer mandatory for single-shot spinal anaesthesia in uncomplicated adults. Backed by top anaesthetic organisations, this move cuts waste and keeps patients safe. Full details 👉 https://ow.ly/6Jhi50YKOQW #Ansky #Medsky

I’m very proud to have co-ordinated and co-chaired the group that produced this guidance, rationalising the use of sterile gowns in spinal anaesthesia Hopefully this provides international clarity and helps improve the sustainability of our practice doi.org/10.1111/anae...

Stop press: sterile gowns are no longer mandatory for spinal anaesthesia. I’m so proud to have been part of this process trying to simplify our practice, making us efficient, more sustainable without increasing risk associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/...

Nice to see a multinational agreement as well. Bravo.

New guidance on sterile gown use during spinal anaesthesia aims to reduce unnecessary waste while maintaining high standards of patient safety Guidelines published in @anaesjournal.bsky.social buff.ly/rvtALwy With CAI, @ra-uk.org, @oaa-anaes.bsky.social, @rcoanews.bsky.social, @anzca.bsky.social

Here is some great news for the environment! Presenting the new consensus guidelines on the use of sterile gowns for single-shot spinal anaesthesia. @assocanaes.bsky.social @rcoanews.bsky.social @oaa-anaes.bsky.social @ra-uk.org @anzca.bsky.social #AnSky #climate #MedSky doi.org/10.1111/anae...

Safer prehospital anaesthesia: updated guidelines from the Association of Anaesthetists @STHJournalClub.bsky.social #AnSky #MedSky doi.org/10.1111/anae...

Here is a shared decision-making services model. #AnSky #MedSky #SurgSky doi.org/10.1111/anae...

How can we integrate shared decision-making principles into patient care? Here's a proposed pathway! #AnSky #MedSky #SurgSky doi.org/10.1111/anae...

PeriOperative Quality Initiative consensus statement recommendations on the definitions, aims and delivery of shared decision-making for major surgery #AnSky #MedSky #SurgSky doi.org/10.1111/anae...

The combination of lidocaine + esketamine reduced movement-evoked pain and opioid consumption whilst improving quality of recovery during the initial 72 h after hepatic resection. BUT treatment effects were modest & of limited clinical importance. #AnSky #PainSky #MedSky doi.org/10.1111/anae...

Lidocaine combined with low-dose esketamine for movement-evoked pain after hepatectomy: a double-blind randomised controlled trial #AnSky #PainSky #MedSky doi.org/10.1111/anae...

Day case surgery and pain Most patients were satisfied with pain relief after surgery but a large proportion were still taking opioid medications on day 7. Nearly 1 in 5 patients sought additional help for pain relief. #AnSky doi.org/10.1111/anae...

"Qualitative research is sometimes undervalued within traditional hierarchies of medical evidence [...] Yet for questions relating to patient experience, trust, communication and access to care, qualitative methods are not supplementary but essential." #AnSky

Confirming tracheal intubation: does a two-point check miss the point? #AnSky #MedSky doi.org/10.1111/anae...

Delirium is a frequent complication of critical illness and remains an important cause of short- and long-term morbidity for patients admitted to ICUs. This review provides an overview of the current understanding of ICU delirium and its implications. #AnSky doi.org/10.1111/anae...

The PUMA Guidelines recommend evaluating at least seven administered breaths to confirm tracheal tube placement. But why? It is unclear why a positive trajectory in amplitude would be expected to reverse during the fifth, sixth or seventh breaths. #AnSky doi.org/10.1111/anae...

Should you use videolaryngoscopy to confirm tracheal tube location? Further use of VL to evaluate location could lead to ongoing misinterpretation. #AnSky doi.org/10.1111/anae...

This study compared different medicines used to stop low blood pressure to see how they affected mothers' blood pressure and side effects and babies' health at birth. Four medicines worked well: phenylephrine, noradrenaline, metaraminol and adrenaline. #AnSky doi.org/10.1111/anae...

Vasopressor infusions in caesarean delivery Metaraminol and noradrenaline showed the most favourable combined profile for fetal outcomes and maternal haemodynamic stability. #AnSky #ObsAnSky doi.org/10.1111/anae...