Did you know that the administration of a single dose of tranexamic acid can cause visual loss!? #AnSky #MedSky #PharmSky Read about it here: doi.org/10.1002/anr3...

How do you reconcile fasting guidelines with glucagon-like peptide-1 receptor agonists, ‘Sip-til-Send’ policies and gastric ultrasound? #AnSky #GLP-1 #POCUS #MedSky @drnavsidhu.bsky.social @rosiehogg.bsky.social doi.org/10.1002/anr3...

Management of iatrogenic bronchial tear during one-lung ventilation for robotic thoracic surgery #AnSky #SurgSky doi.org/10.1002/anr3...

Have you had an intra-operative airway injury during robotic thoracic surgery? This case report describes a surgical bronchial tear and subsequent bronchial cuff rupture. Argh! #AnSky doi.org/10.1002/anr3...

Have you heard of the psoas sheath block? It is a novel approach to the lumbar plexus. Local anaesthetic goes into the potential space between the psoas major muscle and its surrounding fascia. #AnSky #RASky #MedSky doi.org/10.1002/anr3...

Methaemoglobinaemia can arise due to the administration of local anaesthetic agents. This patient experienced a rapid onset of methaemoglobinaemia following airway topicalisation with lidocaine and benzocaine sprays for bronchoscopy. #AnSky #MedSky doi.org/10.1002/anr3...

Interested in the effect of intravenous erythromycin on gastric emptying in a fasted patient taking a GLP-1 RA? Check out these gastric point-of-care ultrasound pictures! #AnSky @drnavsidhu.bsky.social doi.org/10.1002/anr3...

GLP-1 RAs slow gastric emptying and may increase aspiration risk No studies have assessed the efficacy of pre-op erythromycin as a prokinetic. This case reports evaluates erythromycin efficacy with gastric ultrasound! #AnSky @drnavsidhu.bsky.social doi.org/10.1002/anr3...

Case report on using #GastricUltrasound to assess erythromycin efficacy in a patient taking GLP-1 receptor agonist. #POCUS #AnSky #RASky #Anaesthesia #Anesthesiology @anaesthesiareports.bsky.social dx.doi.org/10.1002/anr3...

#POCUS is a valuable tool in #anaesthesia Here is a mini collection of our case reports highlighting its use. buff.ly/8TbXL4L buff.ly/ffAWKNx buff.ly/4sWYUTX buff.ly/K8LGMbY #AnSky #MedSky #regional #OBSky #RASky #AirwaySky #SurgSky #PainSky

During hyperangulated #videolaryngoscopy #HAVL the ETT was passed through the soft palate The authors discuss a ‘blind spot’ of the oropharynx during videolaryngoscopy. Any thoughts? buff.ly/L50WWP4 #AnSky #MedSky #AirwaySky #SurgSky #ENTSky

Soft palate injury during hyperangulated #videolaryngoscopy #HAVL All tracheal intubations carry a risk of trauma to the surrounding tissues. What are your experiences of this? buff.ly/cveUXPv #AnSky #MedSky #AirwaySky #SurgSky #ENTSky

What do you know about Familial Amyloidotic Polyneuropathy and #anaesthesia? Multi-organ involvement can lead to liver failure and the need for transplantation associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/epdf/10.... #AnSky #MedSky #SurgSky

How would you manage #anaesthesia for a domino liver transplantation? Find out how it was managed in this rare case of Familial Amyloidotic Polyneuropathy associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/epdf/10.... #AnSky #MedSky #SurgSky

Review Article: Intravenous lidocaine with propofol-based sedation for colonoscopy: a systematic review and meta-analysis with trial sequential analysis #AnSky #MedSky #PharmSky doi.org/10.1111/anae...

Any #Severance fans here? Ether factories, sweet vitriol, windows of amnesia... We are loving the links to anaesthesia in Apple TV's Severance 📺

The Safe Anaesthesia Liaison Group recommends standardising waveform capnography as a white solid filled-in graph at the bottom of the monitor display. Is there compliance with the SALG standard in the UK? #AnSky doi.org/10.1111/anae...

Nice article on continuous insulin - glucose monitoring systems and yet another reason I'm not going to use IV acetaminophen.

Great visual example from @drhawntrinh.bsky.social of using the water challenge in #GastricUltrasound. #AnSky #MedSky #RASky Full description in @anaesthesiareports.bsky.social here: associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/full/10....

A 15 year old patient with #Type1Diabetes needs emergency #surgery. How would you manage their hybrid closed loop system? The authors present a useful guide to safe peri-operative practice buff.ly/3zD6SAv #AnSky #MedSky #SurgSky #FOAMEd #diabetes

What are the benefits and potential pitfalls of using hybrid closed loop systems in #Type1Diabetes during #surgery? Which drugs alter CBG readings? Does this mean they can’t be used? buff.ly/3zD6SAv #AnSky #MedSky #AirwaySky #SurgSky #EndocrineSky #FOAMEd #diabetes

What do you know about hybrid closed loop systems in #Type1Diabetes (measures CBG and delivers insulin) How would you manage a patient with one for #surgery? Would you remove it or continue it? buff.ly/3zD6SAv #AnSky #MedSky #AirwaySky #SurgSky #FOAMEd #diabetes

How do you manage the #airway for glottoplasty? Here are 2 views: our original article on glottoplasty for gender affirming surgery buff.ly/NfGG9CU And a comment buff.ly/ubkz2CB LMA vs intubation? What about later surgeries? #FOAMEd #AnSky #MedSky #AirwaySky #SurgSky

Happy International Women’s Day from our Editorial Team! #AnSky #MedSky #regional #OBSky #RASky #AirwaySky #SurgSky #PainSky #POCUS #internationalwomensday #Criticalcare

Laryngospasm during glottoplasty. An interesting comment on our article on gender affirming vocal surgery: intubation vs LMA & LaserJet catheter buff.ly/ubkz2CB Here is the original article buff.ly/NfGG9CU #AnSky #MedSky #AirwaySky #SurgSky #FOAMEd

#POCUS to assess effectiveness of cricoid pressure (Sellick manoeuvre) in post-oesophagectomy patients Who would use this for other high-risk for aspiration patients? buff.ly/n5kutWY #AnSky #MedSky #EMSky #AirwaySky #SurgSky

How would you assess effectiveness of cricoid pressure (Sellick manoeuvre) in post-oesophagectomy patients who have a high risk of aspiration/ regurgitation? Here #POCUS is used to assess effectiveness of cricoid pressure buff.ly/n5kutWY #AnSky #MedSky #EMSky #AirwaySky #SurgSky

Costoclavicular catheters... Who uses these and what complications have you seen? https://buff.ly/4gZRTOz Interesting report of epidural spread of injectate while placing a costoclavicular catheter under fluoroscopy #AnSky #MedSky #regional #RASky #AirwaySky #SurgSky #PainSky

For those of you who missed the, ahem, discussion around ultrasound-guided neuraxial puncture last week, it's not too late to check out the editorial and join the debate! @decarvalhocc.bsky.social @elboghdadly.bsky.social #AnSky #MedSky #OBSky #PainSky #POCUS #RASky https://buff.ly/42LsEfd

Unilateral arm weakness after GA with thoracic epidural for a retroperitoneal lymph node dissection due to testicular cancer. What would your differential diagnosis be? https://buff.ly/4hNb92K #AnSky #MedSky #regional #RASky #FOAMEd

Brilliant solution. Used a similar procoagulant with @urethroplasty.bsky.social on a patient on the ward. He was anti coagulated for a PE and was bleeding from a SPC site. Surgiflow down the wound solved the problem and he stoped bleeding within minutes.

How would you manage a tracheal injury caused by intubation? Has anyone else used surgical sealant to close the tracheal defect? In this report the authors used #BioGlue https://buff.ly/430LRtx #AnSky #MedSky #airway #EMSky #AirwaySky #FOAMEd

Patients with a BMI > 40 kg.m-2 are classified as being morbidly obese and are rated as ASA physical status 3. Using gastric ultrasound to assess gastric emptying is potentially challenging in these patients. #AnSky #MedSky #EndocrineSky #GLP1 doi.org/10.1111/anae...

Tracheal injuries are a known risk of tracheal intubation In this case report there was an injury caused by a bougie during an emergency intubation How would you manage the injury? https://buff.ly/430LRtx #AnSky #MedSky #airway #EMSky #AirwaySky #FOAMEd

Did you know that the incidence of primary lung cancer in patients with carcinoma of the larynx is 5-19%? How would you manage one lung ventilation in a laryngectomy patient? https://buff.ly/3WSLFJ1 #AnSky #MedSky #airway #AirwaySky

How do you manage one lung ventilation in a patient with a laryngectomy? These authors successfully used a Hyperflex tracheostomy tube advanced into the L main bronchus https://buff.ly/3WSLFJ1 #AnSky #MedSky #airway #AirwaySky

Who is using remimazolam and how do you use it? Here it is used for awake tracheal intubation as boluses https://buff.ly/4aFIbzk And a reply advocating the use of a bolus then infusion https://buff.ly/4aIpwTs #AnSky #MedSky #airway #RASky #AirwaySky

Essential reading from our sister journal @anaesjournal.bsky.social Aspiration due to the GLP-1 agonist semaglutide is a real concern as illustrated by the two cases reported here: associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1002/... #AnSky #MedSky #airway #AirwaySky

VTE is a significant cause of #maternal morbidity and mortality Right atrial & ventricular thrombus causing peri-arrest in a patient with complex medical history undergoing LSCS Great case report highlighting the value of #POCUS #AnSky #MedSky #ObsSky #Anaesthesia https://buff.ly/40mNnmU

Dynamic carotid artery compression is a rare complication of multinodular goitre How would you manage this 37y with episodes of transient cerebral ischaemia on neck movement and a compressed trachea? The case report is #freeforaweek https://buff.ly/42iJL89 #AnSky #MedSky #airway #AirwaySky #FOAMEd

Thank you for sharing this.

Important message from this study on emergency front of neck access for CICO: Making the decision is the hardest part; the doing is easier.

17 UK anaesthetists interviewed by a psychologist on their experience of #eFONA for #CICO 2 meta themes emerged: 1. Making the decision is the hardest part; the doing is easier 2. What helps make the decision? https://buff.ly/40ADHX6 #AnSky #MedSky #airway #AirwaySky #anaesthesia

What goes through anaesthetists’ minds before and during emergency front of neck access? What can we learn from those who have performed eFONA? https://buff.ly/40ADHX6 #AnSky #MedSky #regional #airway #AirwaySky #FONA

Airway trauma, one passage opens with inspiration, the other on expiration. Tissues are very oedematous. The CT scan didn't show this injury. What would you do? #AnSky #MedSky #EMSky #airway associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/epdf/10....

Epidural lipomas are rare and <1% of all spinal tumours How would you manage labour analgesia for a patient with a spinal lipoma? #freeforaweek https://buff.ly/423XCit #Anaesthesia #AnSky #RASky #obstetrics #foamed #obsanaesthesia #MedSky

What do you think of this use of the PENG block? Anyone else had a dislocation spontaneously relocate when decent analgesia was provided? https://buff.ly/3DRtooM @bilih.bsky.social #freeforaweek #anaesthesia #regional #RASky #foamed #AnSky #MedSky #anesthesia #PENGblock #EMSky #EMedSky

Association president, and all round splendid human @tmeek.bsky.social opens #WSM2025, including a plug for the Association bluesky accounts. @assocanaes.bsky.social @anaesresidents.bsky.social @assocsas.bsky.social @anaesjournal.bsky.social @anaesthesiareports.bsky.social Give them all a follow!

Great work from our sister journal @anaesjournal.bsky.social A special edition on Oncoanaesthesia. Articles are currently free to read. #FOAMEd #AnSky

This image could be useful for trainees studying for their final anaesthesia exams! These are the considerations related to primary pathology and its treatment in children presenting for radiotherapy. #AnSky