"Infusulator", first created by Matthew Hart, coming soon to SimTIVA. It allows easy entry of a time series of CE (or CP) targets to generate TCI simulations. The conversion from CET/CPT to dosage (volume infused, or the total dose) over time is made simple. An export module is also provided.

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

Has anyone implemented the Hannivoort model for Dexmedatomadine? Looking to do this on our TCI pumps and any advice appreciated!

The UK is one of the few countries with penicillin sensitive streptococcus. This is, in my view, one of the greatest achievements of the NHS model.

In >1,100 high-risk surgical patients, individualized periop BP targets based on pre-op nocturnal MAP were not associated with ↓ kidney or cardiac injury vs routine MAP ≥65 mm Hg CCR Journal Watch – tracking the critical care literature daily criticalcarereviews.com/latest-evide...

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

Who routinely consents patients for the risk of awareness?

Good presentation by @claireswarbrick.bsky.social on delirium and anaesthesia, in my opinion probably the least understood and appreciated post-op complication, and one that as anaesthetists I think we can influence. #Anaesthesia2025

The key points for stroke thrombectomy. I completely agree that it is the neuro equivalent of a cat 1 section and should be treated as such! #Anaesthesia2025

Your dignity honors the bravery of the Ukrainian people. Be strong, be brave, be fearless. You are never alone, dear President Zelenskyy. We will continue working with you for a just and lasting peace.

Arterial trauma is a rare, but potentially life-threatening complication of central venous catheter insertion. In this interrogation of two national databases of incident reports, outcomes included: • stroke (10%) • death (4%) #AnSky #MedSky https://doi.org/10.1111/anae.16570

When a central venous catheter-related arterial trauma incidents occurs.. Who is involved? 37% resident doctors Where is the procedure conducted? 37% critical care What was the intended insertion site? 54% internal jugular @intensiveperson.bsky.social #AnSky #MedSky doi.org/10.1111/anae...

Propofol vs inhalational anaesthesia and cancer-related outcomes Preclinical investigation & retrospective studies suggest propofol: • inhibits tumourigenesis & metastasis • is not immunosuppressive • blocks angiogenesis • ⬇️ recurrence BUT no large RCT supports this #AnSky buff.ly/4aIWRh3

When do you switch off propofol #TCI at the end of a case? How do you predict when the patient will spontaneous eye open and emerge from general anaesthesia? We tackled this Q in our latest study published in BJA. Here's a quick summary ... 1/7 #AnSky #TIVASky

Leeds leading

I'm interested in people's opinions on BP targets in ICH. Let's use an example. Gentleman in his mid 50s. Unknown PMHx. BP 220/100 o/a GCS 7 (M4) I+V to facilitate scan which shows ICH with hydrocephalus. Going to theatre for an EVD. What are your BP target, and upper and lower limits.

This is really nice for showing how inaccurate Schnider is at induction, and why you should take the numerical figure the patient goes to sleep at with a huge pinch of salt. Ce 90s after the same bolus (75mg propofol) Schnider: 4.3 Eleveld: 1.3 ...and this is coming from a Schnider user.

If this can be replicated it would probably improve list turnover, be more sustainable and most importantly, make TIVA much less of a faff. #ansky

#ansky #neuroanaesthesia #neuroicu

Until I was a young I adult, I thought that a general anaesthetic was one that was used all over the country. And a local one was one that was just used where I lived.

This is almost identical to my recipe for extubating neuro and head & neck cases, esp. pituitaries. Only stimulation being their name I think is the most important aspect. Main difference is I leave the remi running, and I admit I've never heard of lidocaine in the cuff. I'll be giving it a go!

School books indoctrinating our kids with NIMBYism. No wonder we couldn't get HS2 done 😂

Supporting slide set for my talk at the @RCoANews Winter Symposium "Pick of the Papers 2024" My (biased) choice of the most interesting papers relating to anaesthesia/ICM that people may have missed. wordpress.com/post/sthjour...

The @rcoanews.bsky.social State of the Nation 2024 report is out. No huge surprises, still a massive shortfall in Anaesthetists. This is a political decision, so now is a great time to email your MP and point out this huge barrier to NHS recovery. #ansky #medsky www.rcoa.ac.uk/policy/polic...

Starting to feel like home.

I guess we are doing introductions. I'm a consultant anaesthetist specialising in neuro and the T part of ENT. I'm a TIVA enthusiast and extremely interested in pEEG, awareness and consciousness, and can often be found boring residents about the above.

People of BlueSky. Let’s get to know each other better. What is your favourite movie? Quote share your answer only in gif form. #filmsky

I'm a huge fan of SimTiva. Even if your pumps have all the models you need it's great for teaching, calculating induction doses and getting a better understanding of the models. If you use TIVA, it should really be on your phone.

The peri-operative implications of sodium-glucose co-transporter 2 inhibitors: a narrative review #AnSky #MedSky https://buff.ly/3O6qa2C

Shall we give this place another go then.... #medtwitter