@sivatrainees.bsky.social
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reposted by
Rob Fleming
3 months ago
Ahead of my talk today at
#SIVA25
, I have packaged up some
#PERUSEbeforeYouInfuse
posters, for anyone convinced by what I'm saying, who then wants to use the check. The right things happen more often if you make them easy. Providing posters (and Blu Tack) is very much in the spirit of the talk.
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reposted by
Society for Intravenous Anaesthesia
3 months ago
Morning folks! We hope that those who attended the dinner last night had a splendid time and have woken up bright and refreshed, ready for today's
#SIVA25
content! Those who have registered for the workshop, please note it starts at 0900. The first session of talks starts at 0915. See you soon!
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reposted by
Society for Intravenous Anaesthesia
3 months ago
First up in the main session today at
#SIVA25
we have Professor Gavin Kenny, one of the key architects of the Diprifusor TCI system. It is no exaggeration to say modern TCI and TIVA would not exist without him. In the first of two talks he is giving today, he tells us how Diprifusor was created.
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reposted by
Society for Intravenous Anaesthesia
3 months ago
Getting ready for the second start of the day. To the folks who attended a workshop this morning, hello again! To the folks just arriving, welcome to Liverpool and
#SIVA25
! Our next talks are focussed around some of the practicalities of TIVA, in the "how I do it" session.
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reposted by
Society for Intravenous Anaesthesia
3 months ago
Nice view of the famous Liverpool skyline from up here! Both cathedrals, and the Radio City tower are visible. Bit chilly right now though. Liverpool is a brilliant city. We are looking forward to welcoming our delegates at tomorrow's Annual Scientific Meeting
#SIVA25
. See you there!
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reposted by
Society for Intravenous Anaesthesia
3 months ago
Hello Bluesky! Ahead of our Annual Scientific Meeting, which starts tomorrow, we thought we would get this account up and running. It will be curated by
@robjimfleming.bsky.social
for the next couple of days at least. Hopefully we will see some of you in sunny Liverpool!
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reposted by
Anaesthesia
5 months ago
"... a ‘RSI–TCI’ mode with a pre-programmed manual bolus offers a pragmatic solution for those who wish to preserve an intact pharmacokinetic model for accurate propofol delivery, while allowing the rapid induction clinicians expect from a manual bolus."
#AnSky
#MedSky
doi.org/10.1111/anae...
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reposted by
British Journal of Anaesthesia
9 months ago
Eleveld et al.'s
#pharmacokinetic
-
#pharmacodynamic
model of
#remimazolam
begins to pave the way for its widespread use in
#sedation
and anaesthesia.
#BJA
#model
#simulation
www.bjanaesthesia.org/article/S000...
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reposted by
Nicholas Chrimes
9 months ago
I don’t think anyone considers thio part of RSI anymore but I’m certain most who’ve abandoned cricoid are still using sux/roc & many aren’t FMV. It’s definitely singled out. Again, I qtn whether the rationale for RSI is sound. This is my fav evidence FOR cricoid.
journals.lww.com/anesthesia-a...
loading . . .
The Effectiveness of Cricoid Pressure for Occluding the... : Anesthesia & Analgesia
al entrance with and without CP in anesthetized and paralyzed adult patients. METHODS: One hundred seven, nonobese ASA physical status I and II patients were recruited for the study. A cricoid forc...
https://journals.lww.com/anesthesia-analgesia/abstract/2014/03000/the_effectiveness_of_cricoid_pressure_for.16.aspx
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reposted by
Nicholas Chrimes
9 months ago
Interestingly while cricoid pressure gets mocked by those wanting to practice EBM, there’s no more evidence for any other aspect of RSI? Why has cricoid been singled out as the component to ditch when the whole thing is entirely rationale-based & incls many opportunities to cause harm.
add a skeleton here at some point
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reposted by
Nicholas Chrimes
9 months ago
Background reading for this week’s debate - this excellent editorial by
@sthjournalclub.bsky.social
& Craig Lyons in
@anaesjournal.bsky.social
associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/epdf/10....
add a skeleton here at some point
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reposted by
Dr Mary-Ann Fox BMBS FANZCA GChPOM
9 months ago
Ok it’s time for the very first Midweek #AnSkyMedSkyDebate, which I will call the #VortexDebate after the wonderful
@chrimesy.com
#AnSkyMedSkyDebate
#VortexDebate
Come on let’s get our opinions out and have a good robust discussion. See next comment for the topic.
#AnSky
#MedSky
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1st SIVATrainee - BlueSky Thread! pEEG and ketamine If youve spent any time around TIVA and EEG You'll know that ketamine can increase the BIS number - Perhaps you never use ketamine because every time you do your processed EEG keeps telling you the patient's 'awake' 1/12
loading . . .
about 1 year ago
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reposted by
Kaspar Bachmann
about 1 year ago
Are you interested in
#Sustainability
in
#Anesthesiology
and how reusing TIVA lines could help reduce greenhouse gas emissions? Per Werner Moller, originally an expert in
#AppliedPhysiology
and
#VenousReturn
, discusses their environmental paper on the
#EJA
podcast.
open.spotify.com/episode/2RCa...
add a skeleton here at some point
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SALG Patient Safety Update has released One case reports stood out Relevant after our 'TIVA in a hyperbaric chamber' by Craig Holdstock
#SIVA24
One of the few NHS funded indications for hyperbaric oxygen therapy. Delaying can be detrimental 🔗
tinyurl.com/5564rezu
#salgpatientsafety
@RCoANews
about 1 year ago
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Goat brains on bypass If you know...you know
#SIVA24
@chronotrope.bsky.social
about 1 year ago
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Now the dust of
#SIVA24
is settling and you've all hopefully made it home. It's time to put SIVA 2025 in your diary... Liverpool, City of Culture, home of the Beatles and the lamb banana!
#SIVA25
- Save the date
about 1 year ago
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reposted by
Rob Fleming
about 1 year ago
The always wonderful, and dear friend
@nickopotamus.co.uk
speaking about TCI as a means of making adequate sedation more likely in critically ill transfers. Expert talk, as always. Also, he and I have just spent lunch talking about dogs, so he gets extra applause from me!
#SIVA24
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reposted by
Rob Fleming
about 1 year ago
J. Robert Sneyd speaking about Remimazolam. A very entertaining talk! Remimazolam potentially has the advantages of an offset not dissimilar to propofol, with the CVS stability and reversibility of Midazolam. The best of both worlds, possibly. There is a niche for this, I suspect.
#SIVA24
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Why Elon has ruined social media
#SIVA24
about 1 year ago
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3rd and finally @cannula_service "Mirror mirror on the wall, which TCI model is the fairest of them all?"
about 1 year ago
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2nd We have Joshua Etheridge On the ABCDE of Anaesthesia
#SIVA24
about 1 year ago
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Infographics Time 1st up Patrick Whelpdale With the benefits of TIVA
#SIVA24
about 1 year ago
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Some great questions coming through in the panel discussion BAS (UK Antarctica society) do not require and appendicectomy. Aus & US do!
#SIVA24
about 1 year ago
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Next up AntarcTIVA? Katherine Gamly on TIVA and the history of anaesthesia in the Antarctic. @katganly
about 1 year ago
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Next up Craig Holdstock talking about TIVA in a hypobaric chamber
#SIVA24
about 1 year ago
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And we're back! Our next speaker is talking on Space TIVA (Anaesthesia in Space) I can barely anaesthetise patients on earth
#SIVA24
about 1 year ago
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PERUSE before you infuse from the Antipodes!
#SIVA24
@robjimfleming.bsky.social
about 1 year ago
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Kate Lesley dialling in remotely for the John Sear lecture on Female sex, Propofol pharmacology and awareness
about 1 year ago
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NAP7 Jasmeet Soar pEEG use is increasing particularly when using TIVA
#SIVA24
about 1 year ago
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Mark Barley - Moving on from MAC Why does movement occur under anaesthesia despite 'nice numbers'
#SIVA24
about 1 year ago
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Session 2: The Science! Let's see what we've got
#SIVA24
about 1 year ago
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Spontaneous ventilation for airways in children How do I do it - Dr Sophie Liu
#SIVA24
about 1 year ago
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Can we Use pEEG to identify a space occupying lesion and get a time critical patient to be theatre quicker?
#SIVA24
about 1 year ago
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TIVA in pre hospital medicine In pre hospital - Time between induction and time to start sedation variable. Ketamine infusions becoming more standard 0.5-1mg/kg/Hr of standard 10mg/ml 60kg = 3-6ml/hr
#SIVA24
about 1 year ago
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reposted by
Matt Wiles
about 1 year ago
My supporting slide set for my talk on smooth tracheal extubation for the
@sivanaesthesia.bsky.social
ASM in Sheffield.
sthjournalclub.wordpress.com/2024/11/28/s...
loading . . .
SIVA 2024: Winter Symposium
This is the slide set for my talk at the 2024 SIVA ASM The aim was to discuss approaches to, and evidence for, smooth tracheal extubation. SIVA 2024Download
https://sthjournalclub.wordpress.com/2024/11/28/siva-2024-winter-symposium/
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1st up
@sthjournalclub.bsky.social
on Smooth extubation Reviewing the evidence on - Remifentanil - Lidocaine (including intra-cuff) - Dexmedetomidine
#SIVA24
about 1 year ago
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Top tip for high BMI children Paeds Prescribing Pro App
www.paedspro.com
#SIVA24
about 1 year ago
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Intubating children without relaxant? Propofol bolus 3-5mcg/kg or via TCI pump Remifentanil 1-2mcg/kg (slowish 20+ secs) +/- Lignocaine spray to the vocal cords 1-2ml 1% using MAD device
#SIVA24
about 1 year ago
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Paedfusor V Eleveld In Kids (normal size) Eleveld gives a bigger bolus then pauses (Look at how long the pause is!) After an hour the infusion rate is the same
#SIVA24
about 1 year ago
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Allometric scaling If it's good enough for crabs it's good enough for humans
#SIVA24
about 1 year ago
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Cutler's Hall We've arrived! Hope you all found your workshops I heard fights were breaking out to get into the Eleveld sessions
#SIVA24
about 1 year ago
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Off to an absolute cracker of a meeting with a bang as @SIVAtrainees takes both sets of keys and leaves their wife and baby locked out the house
#SIVA24
about 1 year ago
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