Following on the weekend #MedSkyDebate is a continuation of the Regional theme. “What do you do to improve the experience of regional anaesthesia for your patients?” Thanks again to @benmoran.bsky.social for this really interesting topic. Music? Sedation? Chatter? GA? It can be scary for patients.

We’ve followed @anzca.bsky.social‘s lead & will no longer be posting on Twitter. Bluesky all the way!

Midweek #MedSkyDebate is here!! Thanks to Manu @nitrousman75.bsky.social "Do we need capnography monitoring in Recovery/PACU, like in the NHS where it’s part of standard monitoring in PACU” No where I work does, what do your workplace do??? Guaranteed to stimulate discussion!!

I have just uploaded a new scanning tutorial on the Quadratus Lumborum Blocks. Please check it out here: youtu.be/kA5mc4n6qh8?... #RegionalAnaesthesia #RegionalAnesthesia #RAsky #AnSky Teaser below 👇🏼🔉

Here is the midweek #AnSkyMedSkyDebate from @fromthemountain.bsky.social Describe your anesthetic management of a 90-year old woman with a hip fracture and a known severe aortic stenosis. Would you wager a cheeky spinal, or opt for GA instead? Let's hear what you have to say!! AnSky MedSky

I start with 2% Sevo and build up every two breaths by 2% to max 8%. If you have N2O you could (not should) use it to make things smoother. DONT rush it. Keep talking & reassuring

I'm very happy to share that our new letter has been published - a great collaboration with @ajrmacfarlane.bsky.social and @dr-amit-pawa.bsky.social to improve patient safety in regional anesthesia kwnsfk27.r.eu-west-1.awstrack.me/L0/https:%2F...

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...

Tomorrow - next Episode of @bilih.bsky.social #BILIH #BlockItLikeItsHot Another one from #ASRASpring25 @jeffgadsden.bsky.social is a machine with these! A big thanks to Andrej from Germany for a great audio tip too!

My latest ultrasound cheat sheet - starvation and gastric ultrasound! Download it here http://criticalcarenorthampton.com/pocusgrams/ Ready for the @AAGBI meeting where we teach you this and more! @Anaes_Journal @rosie_hogg @elboghdadly #POCUS @amit_pawa #FOAMcc...

Today’s Tweetorial is Gastric ultrasound! A potentially rewarding #POCUS skill to learn. Great 📄 from my good friends @shaskinsMD and @JanBoublikMDPhD #FOAMed #FOAMcc #foamus https://rapm.bmj.com/content/43/7/689#POCUS#FOAMed👍 to assess NPO status and minimise post op pulmonary...

'Anaesthesia explained' is our new animation for patients that explains: ☑️ The different types of anaesthetic ☑️ What to expect when you have surgery ☑️ How you can prepare ☑️ Discharge and recovery Watch and share 👉 ow.ly/PzZ650VREPp Produced with @wearecognitive.bsky.social

My talk from @ra-uk.org #RAUK25 is available here! youtu.be/qos9VOHv85M?... #RASky #AnSky

@noolslucas.bsky.social at RAUK 2025 @ra-uk.org delivering the Bruce Scott Lecture was so inspiring! Such a passionate talk in the field of OB anesthesia! Well deserved 👏 👏👏

We are discussing this @anaesjournal.bsky.social paper associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/...

With increasing #GLP1agonist use concerns remain over perioperative #aspiration risk. Evidence is mixed and in a specific elective cohort, GLP1-agonists were not associated with increased aspiration risk

Science Letter: Separating the signal from the noise: how mortality rate associated with hip fracture changes over time after accounting for population level mortality rates #AnSky #MedSky #SurgSky doi.org/10.1111/anae...

Read this #PapersoftheWeek #EditorsPick from Zhang et al. and @natcomms.nature.com detailing a neural circuit for sex-dependent male-specific conditioned pain hypersensitivity in mice bit.ly/42rN5gL #PapersoftheWeek#EditorsPick#PRF

You Heard it Here First!! This May, #BILIH #BlockItLikeItsHot @bilih.bsky.social will be at #ASRASpring25 in collaboration with #GEHealthcare Come and Join @jeffgadsden.bsky.social & I at the Block Box in the exhibition hall!! #RAsky #ANsky #POCUSky

#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

We are delighted to announce that @bilih.bsky.social will be live at #ASRAspring25 where @jeffgadsden.bsky.social and I will be recording a podcast and interviews in collaboration with #GEHealthcare Come & Join us!

Had a difficult day with a case that totally bummed me out. On my way home, had a chance to listen to the latest @bilih.bsky.social episode featuring the "Wizard" himself, and all of a sudden, I found myself smiling, laughing and totally enjoying the podcast!

🗨️ «The 7th Edition of the e-ESRA Meeting promises to be a perfectly balanced blend of science, innovation, and connection—delivered straight to your screen on April 5th, 2025!" #eESRA2025 🔴 WATCH LIVE: esra.e-congres.com

Our trainees' session is live 🔴 #eESRA2025 We invite all trainees to participate to our survey 📣 🔗 www.surveymonkey.com/r/RFHDRPB Help us improve training programs and better prepare trainees in regional anaesthesia across Europe!

We are pleased to present our next industry webinar with Pajunk: [Risky Regional? Not on My Watch! Safety Standards 2.0] ✅ Learn more on practical strategies that improve patient safety through structured processes, checklists, and team training 👤 with Dr Sandro VALLE

The updated guideline ‘The use of blood components and their alternatives’ contains an evidence-based set of 12 recommendations so that anaesthetists and peri-operative physicians might provide high-quality care 🔗https://buff.ly/X5alydo

Ok ok - I have received a few guesses for who our next guest is on @bilih.bsky.social #BILIH #BlockItLikeItsHot So with @jeffgadsden.bsky.social ‘s blessing- I’ll give you a bigger clue!! #RAsky #AnSky #POCUSky 👇🏼👇🏼👇🏼👇🏼👇🏼

[Simulation in Regional Anaesthesia] #eESRA2025 👥 Chaired by Josip AZMAN, with David BURCKETT-ST LAURENT, Clara LOBO & Ashokka BALAKRISHNAN 📺 TV studio 2 | 12:35pm-1:35pm CET 👉 9h live programme free for ESRA members! esra.e-congres.com

[To block or not to block: trainees’ perspective on decision making] #eESRA2025 👥 Chaired by Fani ALEVROGIANNI, with Clara LOBO, Ioan-Iustin LOGHIN, Ivan JURKOVIC & Peter SEILER 📺 TV studio 1 | 12:35-1:35pm CET 👉 9h live programme free for ESRA members! esra.e-congres.com

Lot’s of exciting stuff to come from @bilih.bsky.social in next 4 weeks! @jeffgadsden.bsky.social can’t wait to share! Stay tuned! #BILIH #BlockItLikeItsHot #RAsky #AnSky #POCUSky

🎶 “𝘐𝘵’𝘴 𝘕𝘰𝘸 𝘰𝘳 𝘕𝘦𝘷𝘦𝘳…” 🎶 #RAUK25 is coming up, and the deadline for abstracts/infographics/videos is 𝗧𝗵𝘂𝗿𝘀𝗱𝗮𝘆 𝟮𝟳𝘁𝗵 𝗠𝗮𝗿𝗰𝗵 𝟬𝟬:𝟱𝟵 Join the UK’s biggest #regionalanaesthesia conference 🗓️ 8-9th May 2025, Leeds UK ➡️ www.ra-ukmeetings.com/abstracts2025

[Education] #eESRA2025 👥 Chaired by Peter MERJAVY, with Admir HADZIC, Josip AZMAN & James BOWNESS 📺 TV Studio 2 | 5 April | 09:10-10:10am CET 👉 9h live programme free for ESRA members! esra.e-congres.com

«This is more than just a workshop: it's a place to grow, challenge yourself, and connect» 🗨️ Lara Ribeiro, Chair of the Residents & Trainees Workshop, is inviting to you in Porto 📅 16-17 May 🚨 Only a few tickets left, book now! 📎 esraeurope.org/meeting/7th-esra-residents-trainees-workshop

[New interventional proposals for the management of spine pain] #eESRA2025 👥 Chaired by José DE ANDRES, with Leonardo KAPURAL, Sudhir DIWAN & Dawood SAYED 📺 TV Studio studio 1 | 11:45am-12:30pm CET 👉 9h live programme free for ESRA members! esra.e-congres.com

[Paediatric anaesthesia] #eESRA2025 👥 Chaired by Fatma SARICAOGLU, with Eleana GARINI, Valeria MOSSETI, Can AKSU & Luc TIELENS 📺 TV Studio studio 1 | 10:15-11:15am CET 👉 9h live programme free for ESRA members! esra.e-congres.com

«Enhance your skills and confidence in regional anaesthesia with expert guidance» 🗨️ Josip Azman, Co-Chair of the Residents & Trainees Workshop, is inviting to you in Porto 📅 16-17 May 🚨 Only a few tickets left, book now! 📎 esraeurope.org/meeting/7th-...

I was interviewed along with @docwaldman.bsky.social about the newest analgesic on the market @asahq.bsky.social @stanfordanes.bsky.social health.usnews.com/wellness/art...

The recording of my 2025 Dr. Sidney Winchell Lecture at the Department of Anesthesiology at @columbiauniversity.bsky.social is freely available on YouTube: youtu.be/osb6HM3V0Cc?... "Integrating Regional Anesthesia into Academic Healthcare: Making the Case So Everyone Wins"

What is your intra-operative lidocaine infusion regimen in patients with obesity? Evidence is lacking, risking underdosing or toxicity. The therapeutic window is relatively narrow. But Tognolini et al are here to help! #AnSky #MedSky #PainSky https://doi.org/10.1111/anae.16531

An interesting anatomical variant - double axillary artieries. Inspired by a post from @drrobbieerskine.bsky.social youtu.be/Hwxw1tYfhGs

Ok Folks! In case you hadn’t realised, the second part of our PVB episode is out! Check it out at your usual pod provider! #BILIH #BlockItLikeItsHot @bilih.bsky.social @jeffgadsden.bsky.social Links: Spotify: open.spotify.com/episode/1HX2... Apple: podcasts.apple.com/gb/podcast/b... #RAsky

This week’s #PAIN Featured Image depicts the role of GABAA receptors in the generation of ectopic bursting. Learn more in Bryson et al.’s new research paper: bit.ly/40hAtGz

This year the @RegionalAnaesUK #RAUK25 meeting will be in Leeds! 8-9th May It will be incredible & you will not want to miss it! Lectures, Demonstrations & Workshops galore- Plus Social events! Have you registered yet? 👇🏼 www.ra-ukmeetings.com #RAsky #AnSky #POCUSky #MedSky

Lazy Sunday morning?...you COULD play scrabble, or read a book...OR you could curl up with some of the episodes of the #BILIH podcast that you've missed! We're now into Season 3, and are available on Spotify, Apple Podcasts, etc. Knees? Shoulders? PVBs? We have something to say (😬) about it all!

Do you use ketamine as part of your routine clinical practice? Richards et al review the diverse effects of ketamine and its benefits in clinical practice. #ketamine #anaesthesia #perioperative #analgesia #surgery www.bjanaesthesia.org/article/S000...

A special shout-out to my present and future colleagues in #anesthesiology for Anesthesiologists Week! 4 yrs undergrad science, 4 yrs med school, 5 yrs residency and fellowship - worth it! What I love about being an anesthesiologist kevinmd.com/2014/10/love... #PhysAnesWk25 @asahq.bsky.social

I have a series of 3 videos out: Counting ribs: youtu.be/JqbS-eqxEss?... Transverse PVB: youtu.be/AMHCqxP7-RU?... Paramedian Sagiital PVB: youtu.be/Gkc7jqmAyew?... All compliment our latest @bilih.bsky.social #BILIH #BlockItLikeItsHot episode! @jeffgadsden.bsky.social #RAsky #AnSky #POCUSky

For blocks in the Paraspinal region, it’s important to identify the correct level in order to get the maximum benefit. We could guess, but even better we can count with ultrasound! #RAsky #AnSky #POCUSky #MedSky Here is the video link 👇🏼 youtu.be/JqbS-eqxEss?...

It is vital that patient information resources are accessible to all. Our patient information comes in a range of formats, including easy read, videos and #BSL videos, as well as translations in many languages. #HealthInformationWeek #HIW2025 👇 ow.ly/6Fwm50ULJg9