This new #BJAEd article from Eaddy & McCarthy provides a great introduction to point-of-care ultrasound in paediatric anaesthesia: www.bjaed.org/article/S205...

In this month’s excellent #BJAEd Editors’ choice article, Maghami & colleagues outline the key considerations for using peripheral nerve catheters for regional anaesthesia. www.bjaed.org/article/S205...

Read this new #BJAEd article by Shafai & Landau for an overview of the management of pregnant patients with substance use disorder: www.bjaed.org/article/S205...

This new #BJAEd article on perioperative ventilation practices in children is now available to read online: www.bjaed.org/article/S205...

Read this fantastic new #BJAEd article by Dorsey & colleagues which describes the symptoms, classification, pathophysiology and diagnostic approach for migraine: www.bjaed.org/article/S205...

Not all ACHD patients carry the same risk ⚖️ Classifying by anatomical complexity & physiological status is key for safe periop planning 🧠 Full breakdown in #BJAEd: www.bjaed.org/article/S205...

📘 Videolaryngoscopy is now central to safe airway management – but are we still documenting it with tools built for a different era? This article questions whether Cormack–Lehane should finally be retired for VL. #BJAEd www.bjaed.org/article/S205...

🌍 Ventilator-associated pneumonia (VAP) varies widely between regions — but why? Definitions, diagnosis & practice all play a role. A must-read review in BJA Education. #BJAEd www.bjaed.org/article/S205...

Major trauma is shifting. 🚑 The “typical” patient is now in their 60s, often with frailty & comorbidities. How should anaesthetists adapt to this new reality of silver trauma? Read more in #BJAEd: www.bjaed.org/article/S205...

Chronic pain isn’t always about structural damage. 🧠 Central sensitisation reshapes the nervous system, amplifying pain signals for a long time.
Explore the mechanisms behind this phenomenon in #BJAEd: www.bjaed.org/article/S205...

Patients with adult congenital heart disease (ACHD) are living longer 🫀➡️ increasing presentations for non-cardiac surgery. What does this mean for perioperative risk, planning & anaesthesia? 📘 New #BJAEd review: www.bjaed.org/article/S205...

✅ Could video recordings one day replace grading systems altogether? This article explores the future of documenting videolaryngoscopic intubation. #BJAEd www.bjaed.org/article/S205...

📘 Ventilator-associated pneumonia remains a major ICU challenge. This comprehensive BJA Education review offers fresh insight for practice, teaching & CPD. #BJAEd www.bjaed.org/article/S205...

Major trauma is no longer the preserve of the young. Average age: 63.6 years. Anaesthetists must master the physiological, ethical & organisational challenges this brings. 🧠 Read the full review in #BJAEd: www.bjaed.org/article/S205...

Why does acute pain sometimes become chronic? 🔄 Central sensitisation highlights how circuits adapt, amplifying pain long after the trigger is gone. Read in #BJAEd: www.bjaed.org/article/S205...

Teamwork matters 👥 Close MDT coordination + careful preop optimisation + tailored intra/postop strategies ✅ Explore perioperative management of ACHD in #BJAEd: www.bjaed.org/article/S205...

🔍 Routine VL use has uncoupled glottic view from ease of intubation. If documentation lags behind, are we risking patient safety? #BJAEd www.bjaed.org/article/S205...

💡 Shorter antibiotic courses, continuous infusions, or targeted prophylaxis? Evolving strategies for VAP management are discussed in this review. #BJAEd www.bjaed.org/article/S205...

Prognostication in elderly trauma is complex. Tools like the Clinical Frailty Scale or GTOS can guide — but never replace — MDT judgement. Curious how they fit into trauma decision-making? 🔍 #BJAEd: www.bjaed.org/article/S205...

🧠 Chronic pain changes the nervous system itself. Central sensitisation shows how pain becomes a disease in its own right, not just a symptom. Dive into the mechanisms with #BJAEd: www.bjaed.org/article/S205...

From Fontan physiology to repaired ToF🫀 - ACHD patients present unique periop challenges. This #BJAEd review explores anaesthetic implications: www.bjaed.org/article/S205...

🧠 From Fremantle to PeDiAC: VL-specific grading systems are emerging, but none yet hold the crown. Which will become the new standard? #BJAEd www.bjaed.org/article/S205...

🔍 From tracheal aspirates to novel molecular diagnostics — what’s the best way to diagnose VAP? This article reviews evidence & controversies. #BJAEd www.bjaed.org/article/S205...

Damage-control anaesthesia & surgery in the elderly is essential to understand. When do we push on, and when is palliation the most appropriate path? 💡 Explore the nuances in #BJAEd: www.bjaed.org/article/S205...

From excitatory pathways to disinhibition and glial cell activity — central sensitisation reflects a plastic re-wiring of pain circuits. A must-read on the science behind chronic pain in #BJAEd: www.bjaed.org/article/S205...

ACHD + non-cardiac surgery = high stakes 🚨 When should you contact, or transfer to, a specialist centre? When is local care appropriate? 🔍 This #BJAEd article offers a practical framework: www.bjaed.org/article/S205...

💡 A “good view, cannot intubate” is a familiar challenge in videolaryngoscopy. New scoring systems aim to capture this reality more reliably – could they change your practice? #BJAEd www.bjaed.org/article/S205...

🧠 VAP prevention bundles, antimicrobial strategies & guideline differences… this review explores this challenging condition. #BJAEd www.bjaed.org/article/S205...

Falls from standing height are now the commonest cause of major trauma in adults. But mechanism tells only part of the story — frailty & physiology are critical. More in #BJAEd 📘: www.bjaed.org/article/S205...

🔍 Why does pain persist when the injury is gone? Central sensitisation offers an answer — neural circuits adapt, amplify, and reorganise, sustaining chronic pain. Read more in #BJAEd: www.bjaed.org/article/S205...

Not all ACHD patients carry the same risk ⚖️ Classifying by anatomical complexity & physiological status is key for safe periop planning 🧠 Full breakdown in #BJAEd: www.bjaed.org/article/S205...

📘 Videolaryngoscopy is now central to safe airway management – but are we still documenting it with tools built for a different era? This article questions whether Cormack–Lehane should finally be retired for VL. #BJAEd www.bjaed.org/article/S205...

🌍 Ventilator-associated pneumonia (VAP) varies widely between regions — but why? Definitions, diagnosis & practice all play a role. A must-read review in BJA Education. #BJAEd www.bjaed.org/article/S205...

Major trauma is shifting. 🚑 The “typical” patient is now in their 60s, often with frailty & comorbidities. How should anaesthetists adapt to this new reality of silver trauma? Read more in #BJAEd: www.bjaed.org/article/S205...

Chronic pain isn’t always about structural damage. 🧠 Central sensitisation reshapes the nervous system, amplifying pain signals for a long time.
Explore the mechanisms behind this phenomenon in #BJAEd: www.bjaed.org/article/S205...

Patients with adult congenital heart disease (ACHD) are living longer 🫀➡️ increasing presentations for non-cardiac surgery. What does this mean for perioperative risk, planning & anaesthesia? 📘 New #BJAEd review. www.bjaed.org/article/S205...

📈 CLIF-C ACLF score is more predictive of mortality than MELD or Child–Pugh. It incorporates organ failure, age & WCC. Key for prognosis & decision-making. 👉 Check out the table in this month’s BJA Education. www.bjaed.org/article/S205...

⚡Peripheral nociception → spinal cord → supraspinal centres Feedback loops (neuroimmune, neuroendocrine) = sensory + emotional + behavioural experience. Pain is more than just a signal. 👉 www.bjaed.org/article/S205...

🛠️ What would your ideal pre-hospital bag contain? Equipment matters: • Portable, robust, checked daily • 2nd-gen supraglottic devices preferred • Videolaryngoscopes = primary tool in most UK prehospital services Kit reliability = patient safety. Read more: www.bjaed.org/article/S205...

🔍 Identify unique features of ICU airway management. Critically ill patients have physiologically difficult airways due to hypoxaemia, shock, and poor reserve—very different from elective theatres. Full article 👉 www.bjaed.org/article/S205... #ICU #AirwayManagement

🔑 In major trauma, the priority is a patent airway + adequate oxygenation. Suspected unstable cervical spine injuries are rare, and airway takes precedence. Read more: www.bjaed.org/article/S205... #Prehospital #AirwayManagement

⚠️ Ataxia telangiectasia: • Neurodegeneration & ataxia • Immunodeficiency → recurrent infections • Aspiration risk from dysphagia • Radiosensitivity & ↑ cancer risk Anaesthesia requires specialist centre care + careful aspiration & infection assessment. 👉 www.bjaed.org/article/S205...

🧠 Pain is multidimensional: sensory, emotional, cognitive & behavioural. It results from an imbalance between excitatory and inhibitory control in nociceptive circuits. This month’s BJA Education explores pain from genes to symptoms. 👉 www.bjaed.org/article/S205...

🫀 Haemodynamic collapse after ICU intubation: remember all the key mechanisms. • Hypovolaemia • LV/RV dysfunction • Drug-induced vasodilation • Transition to positive pressure ventilation Optimise fluids & vasopressors early. #Airway #ICU 👉 www.bjaed.org/article/S205...

⚖️ Rebalanced coagulation Patients may bleed or clot in acute liver failure. Routine correction of INR with products isn’t recommended unless bleeding. Viscoelastic testing can help guide therapy. Read more in BJA Education: www.bjaed.org/article/S205... #CriticalCare #Haemostasis

🌦️ Environmental factors play a huge role in the pre-hospital arena: • Weather, noise, lighting • Distance to major trauma centres • Scene safety & hazards Each shapes airway management decisions in the field. Read more: www.bjaed.org/article/S205...

🔍 Pain neuromatrix: Melzack’s theory proposes pain emerges from a dynamic network of brain structures. Below shows sensory, affective & cognitive dimensions. Not one centre—but a mosaic of systems. 👉 www.bjaed.org/article/S205...

🫁 Optimising oxygenation is key: there are many variables affecting preoxygenation. 👉 FRC, FiO₂, patient position, agitation, sepsis, pain. Safe apnoea time is often very short—positive pressure preoxygenation extends it. Read more: www.bjaed.org/article/S205...

⚖️ Pain depends on the balance of excitation & inhibition. ⬆️ Excitation → hyperalgesia, allodynia ⬆️ Inhibition → analgesia This month’s BJA Education article highlights key mediators: glutamate, GABA, opioids, serotonin, cannabinoids. 👉 www.bjaed.org/article/S205...

📋 Checklists save lives. Pre-hospital checklists improve outcomes → fewer failed intubations & more first-pass success. Verbal challenge-response format builds shared mental models. Read more: www.bjaed.org/article/S205...