September pin up🥰

September pin up 🤣

Wonky but delicious

So If you were reading a medical textbook would you expect a patient to be described as “Obese” or “Living with obesity” Genuinely interested as they seem to mean slightly different things to me??

Pajunk acre a great company They’ve been making 60mm block needles on my request for us in Derby for years now because sometimes 50mm isn’t quite long enough👌

I’m glad Callum is on my daughter’s team!!😊

Just heard two experienced and excellent colleagues are leaving for Oz and Canada with their families ..it’s not all about the money though, they just want to work somewhere where they are treated as valued colleagues 😔

I use Lidocaine for shorter more minor arthroscopic procedures ..sometimes with suprascap block ..otherwise 0.75% L 👍 I agree , certainly quicker than time taken to position etc

I use only ropivacain 0,75% for awake shoulder procedures. Never had any problems concerning onset time. Surgeons are not fast enough in patient positioning 😉.

Wise words

With that concentration, and that onset time… I see no need to mix for this block and this indication! There, I said it! 😂😂😂 #RAsky #AnSky

Did 5 awake shoulder procedures yesterday. Interscalene block 0.75% Levo 6-10ml Plus sup Cx plexus 0.75% Levo 5ml I’m pretty convinced the onset time is equivalent to Lidocaine 1-2% …so no mixy mixy for me 🤪

Moonrise

Thing 2 gets her Yorkshire cap at Twickers with a cup win for Yorkshire🎉🎉🎉

It was a bit weedy though ..with its second click for 7% thingy🤣

The very worst bronchospasms of my life were with Des. Yeah nah

Same procedure, other side ACL.same patient 15 years apart Whitacre>sprotte Midline>paramedian Bupi/fent > Chloroprocaine FNB>FTB+cuties Bupi>Levobupi US>US with Nv Stim 😳

@rcoanews.bsky.social #Anaesthesia2025

Just relistened to both episodes back to back chilling after my morning run. I LOVE the ED perspective on RA…those subtle nuances of WHY they do the blocks and the consideration given to “Trajectory” of the patient. To quote The Clash: “So you got to let me know Should I stay, or should I go?”

In effort to continue @maffygirl.medsky.social and @sethina.bsky.social's efforts to revive #MedSky and #AnSky, allow me to add my two cents. Let's talk a bit about leadership. associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/...

Check out this snippet from our latest episode of @bilih.bsky.social where @jeffgadsden.bsky.social and I finish off talking with Drs Nagdev & Goldsmith about blocks in the ED/ER full episode here: podcasts.apple.com/gb/podcast/b...

Hi Do any of my antipodean colleagues use these 0.5%chlorhex tinted sponge sticks for neuraxial/RA prep?

Loving these new 25g 50mm NRFit block needles from Pajunk…includes a stimulator wire for us Nerostim Nerds 🤓

Happy World Frog Day everyone! (apparently we're celebrating it in this house; my kids are obsessed) Frog memes and pictures please #WorldFrogDay

Not seen this before! Classic Monty Python song performed by @briancoxtalks.bsky.social & @timminchin.bsky.social 🤩🤩 👏🏼👏🏼 youtu.be/4WqPGAJcp5c?...

Robbie’s spinal anaesthesia tip for this week: shine a spotlight beam tangentially across the back to emphasise the contours to help triangulate your approach. A little like a contoured field in the golden hour of evening sun ??low skill adjunct ??better than US😉

We’ve just ordered these little beauts from Pajunk as stock for paeds, hands and ortho. 25g 50m. Lovely to use for ankle blocks, brachial plexus, genics plus baby blocks. Fine tip allows greater precision around nerves. Also great with stimulator for teaching/defining nerves👍

1/The U.K. is soon to become 100% compliant with NRFit devices. Whilst there remains the possibility of drawing the wrong drug into the syringe, the yellow colour is a clear visual reminder of the possibility. Questioning trainees, they would feel very uncomfortable reverting to Luer. Next step?

Eva Roofthooft talking on modern options for neuraxial labour analgesia👍

Matthias Desmet kicking off the ESRAwinter week

The Australian and New Zealand College of Anaesthetists @anzca.bsky.social announced in its most recent e-newsletter that it was dumping X in favour of @bsky.app. 👍🏽👍🏽 #MedSky #AnSky

@casualtysrus.bsky.social Hi Chris ..welcome to the light side!

Entertaining ECG yesterday in Theatre . Ignore the rate figure..ooor old monitor had no idea what was going on! It couldn’t manage to measure the BP either🤣

Just been to see The Book of Mormon …I cried myself with laughing ..quite marvellous. I would recommend

Today I present “The OOP interscaleneBPB”😘

Here’s one of my essentials for a Femoral Triangle Block…and it never gets stolen by anyone else !!!

Anaesthetists: Is it just me or does everyone think is a little strange that anaesthetists have to take significant amount of time snapping open glass ampoules, needling vials etc and drawing up the contents, risk/time/tasks. Maybe more drugs should be readily available in prefilled syringes??

Glasgow sunrise 5k

The earth’s lungs…calm before the next storm😊

A very important video for all Australian anaesthetists #AnSky #MedSky

Interesting couple of singles I bought with my pocket money back in the very early 70’s😳😳

Well this just about sums it up for me😊😊

Goodbye Australia! You’ve been wonderful. I loved bringing my new show to debut here. Such warm and engaged audiences! Thanks to everyone who came to join my tour through 4 billion years of biological - and cultural - evolution.

Thought for the day @jeffgadsden.bsky.social Note to self: “Don’t try using a nerve stimulator as as part of your nerve location strategy for finding NVM when the patient is blocked to the gunwales with rocuronium” (My ODP pointed this out after much muttering and battery changing by me)😳😂

Bordeaux, family , Rugby and cheese🥰🥰

Happy Thanksgiving 🦃 🍁 Being grateful for family, friends and pets 🙃 @bobfunn.bsky.social @maffygirl.bsky.social @drrobbieerskine.bsky.social @dr-amit-pawa.bsky.social @jeffgadsden.bsky.social

All the journals are coming to Blue Sky! 💙 bsky.app/profile/cja-...

Ministers speaking out against assisted dying ‘are giving false impression’, says peer

“Too much of the discussion draws on religion. This cannot be just. Imposing religious doctrine on a largely secular country is archaic.”

I am right in thinking everyone wants to Rejoin the EU aren't I? Like if you do RP if you really do