Anaesthetic considerations for a patient with Emery–Dreifuss muscular dystrophy undergoing cardiac resynchronisation therapy with pacemaker implantation #AnSky #MedSky doi.org/10.1002/anr3...

Improving decision-to-delivery interval for category 1 emergency caesarean births Interventions focused on: • reinforcing appropriate categorisation • improving awareness of decision-to-delivery interval expectations • introducing standardised workflow posters #AnSky doi.org/10.1002/anr3...

Ultralow concentration levobupivacaine 0.0625% for continuous wound infusion after open abdominal surgery: a prospective observational study #AnSky #PainSky doi.org/10.1002/anr3...

Association between pre-operative adherence to positive airway pressure therapy and postoperative opioid use after lower limb arthroplasty in patients with obstructive sleep apnoea #AnSky #MedSky @emarianomd.bsky.social doi.org/10.1002/anr3...

Hands up - who has heard of the recto-intercostal fascial plane block? This case series illustrates the feasibility of incorporating the block into multimodal analgesia after laparoscopic cholecystectomy. #AnSky #RASky #MedSky doi.org/10.1002/anr3...

Read a patient's account of their experience of an awake mastectomy under regional anaesthesia! Hx: pulmonary fibrosis, bronchiectasis, interstitial lung disease requiring ambulatory home oxygen (SaO2 in air was 84%), bilateral pulmonary emboli and ⬆️ RAP (65 mmHg) #AnSky doi.org/10.1002/anr3...

Improving the assessment of acute pain in adult inpatients: a quality improvement project #AnSky #MedSky #PainSky @drcrthomas.bsky.social

Obstetric anaesthetists! How would you manage a pregnant woman with catecholaminergic polymorphic ventricular tachycardia and an implantable cardioverter-defibrillator during induction of labour and subsequent emergency caesarean birth? #AnSky #ObsSky #MedSky doi.org/10.1002/anr3...

Left ventricular assist device management during surgery for a ruptured abdominal aortic aneurysm #AnSky #MedSky doi.org/10.1002/anr3...

Paradoxical bradycardia as a sign of silent bleeding resulting in a pelvic haematoma after an elective hernia repair #AnSky #MedSky #SurgSky doi.org/10.1002/anr3...

Seizure-induced laryngospasm during a paediatric sevoflurane induction This may be the first documented human case to support a neurogenic pathway for laryngospasm following seizure activity under general anaesthesia. #AnSky #PedsAnSky #MedSky doi.org/10.1002/anr3...

What is the impact of cosmetic procedures on facemask ventilation? This report describes a woman with recent dermal filler injections to her cheeks & chin with minimal difficult airway predictors who could not be ventilated. #AnSky #MedSky 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...

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...

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

Exaggerated plethysmography waveforms associated with premature ventricular contractions in a 58-year-old man with severe chronic obstructive pulmonary disease and significant cardiac history who underwent laparoscopic appendectomy. #AnSky #MedSky doi.org/10.1002/anr3...

This is a report of a spontaneous intra-operative granny knot formation between a large bore nasogastric tube (NGT) and an oro-oesophageal temperature probe within the oesophagus! #AnSky #MedSky doi.org/10.1002/anr3...

Anaesthetic management of colorectal surgery in a patient with chronic pericardial effusion "We report the case of a 43-year-old woman with a moderate chronic, asymptomatic pericardial effusion scheduled for robotic anterior resection of rectal cancer." #AnSky #MedSky doi.org/10.1002/anr3...

Effect of intravenous lidocaine on nociception level-directed management in robot-assisted laparoscopic radical prostatectomy: protocol for a single-centre, factorial-randomised controlled trial (VALINOR study) #AnSky #MedSky #PainSky

Does the implementation of a standardised ROTEM®-guided transfusion strategy reduce the use of blood coagulation products for PPH? #AnSky #MedSky #ObSky doi.org/10.1002/anr3...

Delayed hypertensive crisis after intracavernosal phenylephrine for penile plication #AnSky #MedTSky doi.org/10.1002/anr3...

Sustained, exhaled carbon dioxide by waveform capnography is an essential component of tracheal intubation. But what if there is bronchospasm? Tracheal intubation can be confirmed using flexible bronchoscopy. #AnSky doi.org/10.1002/anr3...

Did you know that CA125 is well known to be elevated in ovarian cancer but can also be elevated in heart failure, particularly right-sided heart failure & heart failure with preserved ejection fraction? @rgdavies70 @USW_Oxygen #MedSky #AnSky #ICUSky doi.org/10.1002/anr3...

In this case, the pulmonary artery catheter had been inadvertently sutured to the pulmonary artery likely when an injury occurred at the base of the pulmonary artery during an ascending aortic replacement. It was noticed when the PAC was difficult to remove. #AnSky #ICUSky doi.org/10.1002/anr3...

Comment on ‘Postoperative bilateral visual loss after a single dose of tranexamic acid’ #AnSky doi.org/10.1002/anr3...

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