I've never heard of a connection with warming the patient before today - interesting, thanks. www.sciencedirect.com/science/arti...

I’m a nay. No clear benefit with plenty of potential SE. A lot were using it with remi/dexmed/prop, and it just seemed like an organised offensive to disrupt haemodynamics for the benefit of “analgesia”, without the evidence to support it. I use it rarely in ICU for refractory VT/VF.

Come on #AnSky #MedSky what do you think??? Get involved #MedSkyDebate We are what we engage.

Welcome back to the #MedSkyDebate from @bobfunn.bsky.social#MedSkyDebate What do you do? IV Lignocaine yay or nay?? After a rush of enthusiasm in my primary hospital IV Lignocaine has disappeared. I do not use it Get involved #MedSky #AnSky

New paper just dropped today, a secondary analysis using data from my PhD! Hard work spearheaded by Eimear Lusby. Link: www.sciencedirect.com/science/arti...

There are SO MANY benefits of a specialist vascular access team! Does your hospital have one? #AnSky #MedSky doi.org/10.1111/anae...

Should you request a PICC, a tunnelled CVC or a midline for your patient? What factors should influence your choice of vascular access device? #AnSky #MedSky doi.org/10.1111/anae...

The National Safety Standards for Invasive Procedures (NatSSIPS) sequential step standards (`NatSSIPs eight´) that should be implemented for invasive procedures. #AnSky #MedSky doi.org/10.1111/anae...

Check out these coagulation and platelet recommendations for insertion and removal of central venous access devices! Super helpful! #AnSky #MedSky doi.org/10.1111/anae...

Sometimes you have to give noradrenaline in a hurry! Here are the working party recommendations for administering peripheral noradrenaline. #AnSky #MedSky doi.org/10.1111/anae...

I’m happy to share that I have been appointed as an Editor at @anaesjournal.bsky.social! Excited to start contributing to evidence based medicine and forwarding anaesthetic and scientific knowledge from the other side of the peer review process!

TWO GUIDELINES IN A WEEK! Wow. You can't make this stuff up! Hot on the heels of "Safe Vascular Access", today we present: "Guidance for reporting artificial intelligence technology evaluations for ultrasound scanning in regional anaesthesia" #AnSky #RASky #AI doi.org/10.1111/anae...

Guidance for reporting AI technology evaluations for ultrasound scanning in regional anaesthesia #AnSky #RASky #AI doi.org/10.1111/anae...

"We believe that block selection is ultimately a medical decision based on the specific clinical scenario that should be guided by input from anaesthetists, surgeons, patients, caregivers and other peri-operative staff." #AnSky #RASky #MedSky doi.org/10.1111/anae...

Check out the top 10 articles published in @anaesjournal.bsky.social from 2024 - all free to read or open access! associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/toc/10.1...

Real-world deployment and evaluation of PEri-operative AI CHatbot (PEACH): a large language model chatbot for peri-operative medicine Findings: PEACH is an accurate, adaptable tool that enhances consistency and efficiency in peri-operative decision-making. #AnSky #AI #LLM doi.org/10.1111/anae...

Real-world deployment and evaluation of PEri-operative AI CHatbot (PEACH): a large language model chatbot for peri-operative medicine #AnSky #AI #LLM #MedSky doi.org/10.1111/anae...

What does the PEri-operative AI CHatbot (PEACH) hallucinate about? eg provided information contradicting institutional guidelines; suggested mx plans that were dangerous; or addressed irrelevant details not included in the clinical scenario #AnSky #AI #LLM #MedSky doi.org/10.1111/anae...

Towards a comprehensive and efficient assessment of regional anaesthesia competency #AnSky #RASky #MedSky doi.org/10.1111/anae...

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

Here's a potential application of a tailored peri-op pain management approach for the surgical patient based on pre-op assessment of risk which can be applied throughout the acute & transitional phases of care @dariobugada.bsky.social @emarianomd.bsky.social #AnSky #RASky doi.org/10.1111/anae...

We are delighted to welcome Danny Wong to our editorial board! @dannyjnwong.bsky.social #AnSky

@an-leavy.bsky.social @maffygirl.medsky.social @asharao.bsky.social @drhilary.bsky.social @sidherian.bsky.social @lovenotgreed.bsky.social More Wildflowers -Densely concentrated microcolors

#MedSkyDebate delayed until next weekend due to my work commitments. 62 years old and still working weekends. Massive day today and husband’s birthday tomorrrow. We are back bigger than ever next week. Topic from @bobfunn.bsky.social#MedSkyDebate

So what would you all like to see as the #MedSkyDebate??? This is your forum and I would like a little bit of help here. The weekend debate is open to you all. Tell me what you want to debate #AnSky #MedSky

@an-leavy.bsky.social @maffygirl.medsky.social @asharao.bsky.social @drhilary.bsky.social @sidherian.bsky.social @lovenotgreed.bsky.social More Wildflowers

I guess if @maffygirl.medsky.social wanted a slightly off-piste midweek #MedSkyDebate #AnSky...

100% agree I’m a 27g Sprotte 95% (certainly for these patients)👍

For a balanced approach I would recommend Toby Ashken’s @numboblivion (Twitter X) talk in the free RAUK webinar series

Well put…but with lack of evidence (NAP3)to suggest SPINAL anaesthesia (as opposed to significant risk with epidurals) is of increased risk for neuraxial haematoma we are still in the position of denying the patient what may be a better option based on a perceived risk only..maybe NAP8 will help us?

I agree with Robbie Erskine that what the patient needs but would add if has to be what the anaesthetist is comfortable with. Do what you feel comfortable doing and do it well. I know some will disagree!!

The weekend MedSky debate comes from @dr-amit-pawa. How do you manage frail #NOF patients taking direct oral anticoagulants?? #BILIH Wait, reverse, GA-nerve block or spinal? https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/anae.16226

Weekend #MedSkyDebate is coming….. I am just getting it organised and waiting for contributions. We are also going away for the weekend to see our son and daughter in law. It is coming but may be a bit late….. Patience Sky Peeps xx Likely Monday #MedSkyDebate 🥰

Live this weekend!!

With respect to #ESRA2025, the regional anaesthesia conference in Oslo attended by all the social media medical royalty, the #MedSkyDebate comes from Amit Pawa @dr-amit-pawa. The nicest person who is the best speaker I have ever met, unlike me he only speaks words of wisdom.

@an-leavy.bsky.social @maffygirl.medsky.social @asharao.bsky.social @drhilary.bsky.social @sidherian.bsky.social @lovenotgreed.bsky.social Hoping for more sun.

❗ Airway POCUS❗ Are you interested in the POCUS parameters for the prediction and management of a difficult airway? Here they are! #AnSky #MedSky #AirwaySky doi.org/10.1111/anae...

Oooh, time for some more stats fun! Let's re-visit S values! (Oh, S is the new p, in case you hadn't heard! 😆 ) #AnSky #StatSky #MedSky #ResearchSky doi.org/10.1111/anae...

The fewer the better or the more the merrier? The challenges of large research collaborations #AnSky #MedSky doi.org/10.1111/anae...

In a real-world OT setting, universal VL was effective at increasing the rate of easy intubation and successful first-attempt intubation, while reducing the incidence of difficult laryngoscopy and complications related to tracheal intubation. #AnSky #MedSky doi.org/10.1111/anae...

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...

Welcome to the conversation Prof!! No one is ever too verbose for our debates. Thank you for your insightful comments.

Amazing engagement to this post which has been very triggering to many and I hope you are ok. This is why we really need to engage with such topics. I am always happy to be contacted by DM if the topic worries you. I really want to hear about what you want to hear.

I have met the very best of people on social media who have gone on to be dear friends. I met them in real life and they are just as nice as they are on SM. So very grateful xx

I’ve been off Bluesky for a while but have quite missed the goings on of @maffygirl.medsky.social and @an-leavy.bsky.social. And, of course, #postboxsaturday. So strange that social media has us developing relationships with total strangers who we’d love to meet one day…

I have almost completely removed NMB from intubation in favour of prop/remi, I do believe it practically eliminates awareness under induction.

If however you accept Pandit's definition of anaesthesia - "a chemically induced state which renders surgery acceptable to the patient" - then you can have awareness and even recall under anaesthesia provided those conditions are concurrently and subsequently acceptable to the patient.

Thank you (and him) for sharing. I feel so passionately about this I brought it up for the most recent @resuscitology.bsky.social podcast…

A topic close to my heart. @urethroplasty.bsky.social my spouse received suxamethonium before the fentanyl. Deeply distressing at the time and a life long fear of anaesthesia. He is a surgeon. His description of the events is very distressing. It is never acceptable.