Vital resource to help women make the right decision for themselves when it comes to analgesia and anaesthesia during childbirth!

Watching the Trump Paracetamol Autism news cycle is essentially watching Brandolini’s Law in action

Anyone else really into how every episode of Alien: Earth ends with a 90s/early 00s rock classic? The way episode seven uses 'Song for the Dead' by Queens of the Stone Age has got me really pumped for the last episode!

I posted this before but it seems appropriate In Germany, every kid learns in school how “it” was allowed to happen. How seemingly “normal” people didn’t see “it” come How “it” was normalised and suddenly “it” was there. How “it” wasn’t spotted, how no one took a stand How books burned

Written by a doctor at St Thomas' Hospital, London after the Tommy Robinson march on 13/9.

Draw the line. Join the Green Party today ⤵️ join.greenparty.org.uk?utm_source=s...

My wonderful residents Tom and George @georgeclews.bsky.social

Working with a more junior anaesthetist who felt I used ketamine more than my colleagues. I feel that in emergencies it is more forgiving than other agents (baring in mind its direct negative inotropic effects) Any other ketamine enthusiasts or do I need to stop listening to EMCrit? #AnSky

@jeffgadsden.bsky.social I was wondering if you had any experience with ultrasound guided approaches for the GPN? Putting a spinal needle near the carotid artery does not excite me and an approach described between mandible rami and styloid process seems reasonable…

Planning to anaesthetise patients living with obesity. From "Airway management in patients living with obesity: best practice recommendations from the Society for Obesity and Bariatric Anaesthesia" #AnSky #MedSky #obesity doi.org/10.1111/anae...

Great editorial which outlines the variation in practice with regards to RSI. Whilst it is one procedure, it is performed in a variety of patients for a variety of reasons, and like any "airway plan" we should verbalise what our components are going to be and any dynamic changes we predict. #AnSky

The entire AI industry can be summed up as follows - stealing people’s work to steal people’s jobs.

Patients with additional communication needs. Learning from Oliver McGowan. @anaesthetistsb.bsky.social explains the importance of perioperative individualised care pathways, pre assessment and shared decision making. Thank you to Shaun and Paula @mylifemychoice1.bsky.social & PatientVoices@RCoA.

SipTilSend is safe. @scarlettmcnally.bsky.social shares the benefits at #Anaesthesia2025 For the 2 hours before surgery adults can have 170ml of clear fluid per hour before GA, regional block or sedation. Find out more: ow.ly/ylyU50VWc2w @cpoc.bsky.social

Interesting article showing innovative techniques in the face of scarcity. But mainly appalling that the people of Gaza are unable to have basic analgesia such as opioids or sedation for their surgery!

Interesting article and a powerful reminder that whilst we know anaesthetic drugs work, how they work and how best to monitor their effect is still not fully understood

It’s #NationalODP Day. For those of you who don’t know what Operating Department Practitioners do, let me explain... It’s like having a second brain, a second pair of eyes and a second pair of hands. Thank you to my #ODP friends and colleagues who’ve made my job so much easier. #AnSky #MedSky

did you think that labetalol is a single drug? nope it’s actually a mixture of FOUR different drugs RS, RR, SS, and SR-labetalol and this is clinically relevant! lets discuss why… 🧵 #1/3 #EMIMCC

As a German I will forever be grateful to all who fought for the liberation of Europe. But as a historian I am looking at front pages today and must wonder: What is the point of remembering #VEDay 80 years on, what is the point of our thanks, when we are failing to protect the sacrifices made? 🧵

Thoughts on this #AnSky? I personally welcome this, but also appreciate my relative lack of experience. I heard previously that this will lead to more patients in pain, particularly on busy wards where nurses often don't have time to administer immediate release medications as required.

This is beautiful.

A week later and many more successful paraspinals, this has honestly changed my approach to neuraxial anaesthesia. What are other people’s practice changing techniques they have learnt and can share with #AnSky?

Going to miss winning every week when we are in the prem... #lufc

Beyond excited to accept an ST4 anaesthetics training number in South London!

After struggling with lateral spinals for months and months, adopted a paraspinous approach inspired by @drrobbieerskine.bsky.social @bilih.bsky.social and Ki Jinn Chin. Unable to adequately position patient but still got it first time!

Having just finished a set of obstetric nights, I think it does have the potential to be one of the most satisfying areas to work in as a junior anaesthetist?

There’s always a story but yesterday I found dobutamine in the drug cupboard in day surgery!

Some interesting changes suggested here; patients getting the results of scans the same day and more support to patients to ‘wait well’ before operations. But I think this is going to a while to implement and I’m interested to see what various stakeholders think about this.

Wow, I never knew he said this. Jimmy Carter was ahead of his time—a man of unmatched kindness and integrity. Truly, he was too good for us.

'Some clinicians have an "ingrained belief" that women-particularly those from ethnic minority groups-exaggerate their symptoms, meaning conditions are left undiagnosed...' #BiasInHealthcare #EquitableCare #MedSky

People often talk about the time critical nature of sepsis. But it may surprise you to hear that the evidence to support “early” antibiotics actually isn't a settled debate. Why is that? The key question is “early in relation to what”? 🧵 1/n

On assisted dying I'm genuinely open to all debate and have no fixed view but many of the egs given are people who already have choice in their lives or power over what happens to them in other areas. How does this interact with poverty/complex social backgrounds/difficult family dynamics etc.

Obstetric anaesthetists: AoA guidance states that light touch should be used as the primary modality for testing neuraxial block. This is not something I see very often in practice and there is little guidance on how light touch is assessed! So I want to know, how do you assess light touch?

Anaesthetics ST4 application submitted 🤮

It's time for some new airway terminology! Introducing "flextension" - flexion of the lower cervical spine & extension of the upper cervical spine It is the optimal position for non-infant airway management #AnSky #MedSky #AirwaySky @chrimesy.com @doctimcook.bsky.social https://buff.ly/4eSw2Yo

Was with an ED trainee on nights, and I was telling her about my rules of anaesthesia, and I wonder what rules other people had. The first two of mine were: 1). You can't anaesthetise a rumour 2). Do as little as possible (in terms of disturbing the patient's physiology, not just being work shy!)

Found it on RSS feed at PedsAnesthesia.Net and added to wiki! “Effects of dexamethasone on opioid consumption in pediatric tonsillectomy: a systematic review with meta-analysis” pedsanesthesia.net/wiki/index.p...

I’m applying for ST4 this month. We’ve just 4 years training, during which I’ll provide a service including being the most senior anaesthetist on site out of hours, I can be an autonomous practitioner, providing high quality patient care for the next two decades. 1/2

🧵 From @rcoanews.bsky.social: The Anaesthetic Workforce 2024: UK State of the Nation Report is out now. The UK has a shortfall of 1,900 anaesthetists, which prevents around 1.4 million operations and procedures from taking place each year. Read the report in full👉 ow.ly/2q3G50UaHkO

Some things haven't changed...

Officially an ALS instructor ✅

Prof Kevin Fong giving the most devastating and moving testimony to the Covid Inquiry of visiting hospital intensive care units at the height of the second wave in late Dec 2020. The unimaginable scale of death, the trauma, the loss of hope. Please watch this 2min clip. youtu.be/FPCztlID3Q0

Major imposter syndrome as it’s my first shift as the ‘second-on-call’ anaesthetist tonight. Any words of wisdom or advice for a trainee who felt like it was only yesterday he was giving his first anaesthetic?