It’s the start of the Antipodean weekend and that means #AnSkyMedSkyDebate time. Here’s the question: TIVA: bees knees or emperor’s new clothes? What do you think? What would you choose for you? Why? @anzca.bsky.social @rcoanews.bsky.social @assocanaes.bsky.social @maffygirl.medsky.social

Spot on! The crux of the problem of performing RSI with a TCI pump is whether the maximum pump rate suffices for the given induction dose For an old frail smaller patient, probably suffices For an young healthy larger patient, grossly inadequate It's about the pt not one size fit all technique.

Feature preview: RSI mode coming soon to simtiva.app! How do you do RSI with TIVA? The algorithm suggests a bolus dose based on user-defined CE target at a specified time point (e.g. 60s). It also predicts a CE overshoot & when to resume infusion. Also testing live preview feature... #ansky

Feature preview: testing dexmedetomidine TCI on simtiva.app - coming soon #ansky

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

Check out the new BJA Special Issue on #sustainability in anaesthesia. Guest-edited by Prof Jodi Sherman. #anaesthesia #Ansky #environment www.bjanaesthesia.org/current#Spec...

The climate crisis is a healthcare crisis! #ThereIsNoPlanetB #AnSky #sustainability

Wishing the Elsevier editors who desk-accepted this all the best for their next career moves. doi.org/10.1016/j.ij...

Do you TIVA kids but do not have paediatric TCI models readily available? Did you know you can accurately replicate the paediatric Eleveld model with the adult Marsh model simply using an adjusted weight input? Here is how with paediatric EleMarsh! 1/4 #AnSky #TIVASky

First post here! Simtiva.app is a web-based simulator for TCI/TIVA. It allows the use of Eleveld model (the latest one!) for propofol in "CE targeting", so you may use the suggested scheme on any syringe pump without TCI Eleveld functionality. Other drugs and models also available for simulation...

Do you TIVA patients at the extremes of BMI and age? Eleveld not available, numbers don't fit Schnider and not sure what input weight to use for Marsh? We came up with a way of replicating the Eleveld model using the Marsh model on your pump by simply adjusting the input weight! 1/4