🎯 When systemic analgesia fails in cancer pain, what next? Dr Kalaiyarasan et al. walk you through sympathetic, peripheral and neuraxial interventional techniques. 🧠 #BJAEd www.bjaed.org/article/S205...

🩸 Liver disease complicates up to 3% of pregnancies. Do you know how to spot it, assess severity, and manage anaesthesia safely? Dr Crosby Zawierucha et al. cover everything from AFLP to cirrhosis in this essential read 📖 #BJAEd www.bjaed.org/article/S205...

🧠 Frailty + cognitive impairment = a high-risk combination your surgical patient may already have. Dr Weiss et al. break down how to screen, stratify & refer - before it's too late. Learn the tools. Build the pathway. 🔍 #BJAEd 👉 www.bjaed.org/article/S205...

✅ How do you evaluate the success of your ERAC programme? Dr Takenoshita et al. explain how to apply core outcome metrics and deliver patient-centred hospital discharge after Caesarean delivery. Don't miss Part 2! #BJAEd www.bjaed.org/article/S205...

🩺 Can you name the right sedation scale for a ventilated neonate vs a 7-year-old? Dr Mazandi et al. guide you through assessment tools, analgesic choices, and why comfort goes beyond pharmacology. 📖 #BJAEd www.bjaed.org/article/S205...

🌐 Many patients with advanced cancer experience significant pain. Dr Kalaiyarasan et al. explain how to integrate interventional techniques into multimodal oncology pain care. 📖 #BJAEd www.bjaed.org/article/S205...

🔬 The incidence of liver disease in women of childbearing age is rising. The obstetric anaesthetist is pivotal. Master the physiology, the conditions, and the anaesthetic management with Dr Crosby Zawierucha et al. 📚 #BJAEd www.bjaed.org/article/S205...

👴 Your older surgical patient deserves more than a standard anaesthetic plan. Dr Weiss et al. show how identifying cognitive frailty early transforms perioperative care - and outcomes. 💡 Read. Share. Act. #BJAEd www.bjaed.org/article/S205...

💊 Multimodal analgesia. Early feeding. VTE prophylaxis. Anaemia management – and more! Know the postoperative ERAC toolkit inside out with this excellent review from Dr Takenoshita et al. Your patients will thank you. #BJAEd www.bjaed.org/article/S205...

🔄 The goal of PICU sedation has shifted from unconsciousness to targeted comfort. Learn the tools, the drugs, and the non-pharmacological strategies that make the difference. Dr Mazandi et al. 💊 #BJAEd www.bjaed.org/article/S205...

🔬 Evidence-based decision making for cancer pain interventions: understand when to intervene, which technique are available, and how MDT assessment shapes outcomes. Dr Kalaiyarasan et al. #BJAEd 🩺 www.bjaed.org/article/S205...

🏥 From intrahepatic cholestasis to HELLP to acute fatty liver of pregnancy... are you prepared? This #BJAEd article by Dr Crosby Zawierucha et al. gives you the knowledge to assess, escalate, and act 🎯 www.bjaed.org/article/S205...

🔧 Mini-Cog? MoCA? CFS? 4AT? Know which tool to use, when, and why - Dr Weiss et al. map out perioperative cognitive screening from preop clinic to PACU. Essential reading. ✅ #BJAEd www.bjaed.org/article/S205...

🏥 28.5% of women will deliver by Caesarean by 2030. Are your postoperative care pathways ready? Dr Takenoshita et al. outline evidence-based ERAC strategies to optimise recovery and achieve patient-centric discharge. #BJAEd www.bjaed.org/article/S205...

🚨 Delirium. Withdrawal. Under-sedation. The PICU presents unique challenges. Dr Mazandi et al. outline how analgesia-first strategies and validated scales can transform your practice. ✅ #BJAEd www.bjaed.org/article/S205...

⚠️ Complications after interventional cancer pain procedures can be serious. Dr Kalaiyarasan et al. cover safe practice, follow-up essentials, and early complication recognition. A must-read. 📋 #BJAEd www.bjaed.org/article/S205...

⚠️ Neuraxial or general anaesthesia? The answer may change fast when your patient has liver disease in pregnancy. Dr Crosby Zawierucha et al. break down the anaesthetic implications you need to know 🧠 #BJAEd www.bjaed.org/article/S205...

⚠️ Periop neurocognitive disorders are common, underdiagnosed & life-changing - yet routine screening remains inconsistent. Dr Weiss et al. cut through the complexity: frailty, cognitive frailty & how to build a referral pathway. 🏥🧠 #BJAEd www.bjaed.org/article/S205...

📋 Can you name the 15 core outcome metrics for ERAC success? Dr Takenoshita et al. break down exactly how to measure postpartum recovery after Caesarean delivery. Essential reading for anyone in perioperative obstetric care. #BJAEd www.bjaed.org/article/S205...

👶 Sedating critically ill children is not the same as sedating adults. Dr Mazandi et al. cover assessment tools, drug choices, and why non-pharmacological comfort matters just as much. 📋 #BJAEd www.bjaed.org/article/S205...

💡 Coeliac plexus block, ganglion impar block, intrathecal neurolysis - and more! Know your options for cancer-related pain. Learn to select the right intervention for the right patient with the right MDT. 🏥 #BJAEd Dr Kalaiyarasan et al. www.bjaed.org/article/S205...

🤰 Pregnancy masks liver disease. Can you tell the difference? Learn to identify hepatic dysfunction, know when to refer, and navigate anaesthetic choices with confidence 💡 Dr Crosby Zawierucha et al. #BJAEd www.bjaed.org/article/S205...

📋 Can you name a validated screening tool for perioperative neurocognitive disorders? Do you know when to refer? Dr Weiss et al. will teach you exactly that - and more. 🧓⚕️ #BJAEd www.bjaed.org/article/S205...

🤱Learn the postoperative ERAC components that truly matter for mum and baby. Dr Takenoshita et al. explore this in this #BJAEd review article. www.bjaed.org/article/S205...

💉 Still relying on hypnotic-based sedation in the PICU? Time to rethink. Dr Mazandi et al. break down the shift to analgesia-based sedation, key assessment tools, and the drugs you need to know. 🧠 #BJAEd www.bjaed.org/article/S205...

🎯 When systemic analgesia fails in cancer pain, what next? Dr Kalaiyarasan et al. walk you through sympathetic, peripheral and neuraxial interventional techniques. 🧠 #BJAEd www.bjaed.org/article/S205...

🩸 Liver disease complicates up to 3% of pregnancies. Do you know how to spot it, assess severity, and manage anaesthesia safely? Dr Crosby Zawierucha et al. cover everything from AFLP to cirrhosis in this essential read 📖 #BJAEd www.bjaed.org/article/S205...

🧠 Frailty + cognitive impairment = a high-risk combination your surgical patient may already have. Dr Weiss et al. break down how to screen, stratify & refer - before it's too late. Learn the tools. Build the pathway. 🔍 #BJAEd 👉 www.bjaed.org/article/S205...

🚫 Several drugs deserve caution or avoidance in pregnant patients with phaeochromocytoma, including ketamine, pancuronium, atracurium, morphine, tramadol, dexamethasone, metoclopramide, and ephedrine. Trigger avoidance is part of the anaesthetic plan. Read more in the #BJAEd:

🧠 Instability is often worse in flexion. In children with atlantoaxial instability, flexion can reduce space available for the cord, a critical point for airway management, positioning, and radiology under anaesthesia. Read more in the #BJAEd: buff.ly/oAIGtKV #Neuroanaesthesia

📉 Mortality after major lower limb amputation remains high. Reported 30-day mortality was 8.4% for transfemoral amputation and 4.4% for transtibial amputation. Pain management is only one issue, but it is a critical one. Read more in the #BJAEd: buff.ly/GbBq1Y5 #PerioperativeMedicine #Anaesthesia

🤢 Nausea and vomiting during caesarean delivery are not trivial. Multimodal antiemetic prophylaxis, especially combination therapy, can reduce complications, improve comfort, and support smoother recovery. Read more in the #BJAEd: buff.ly/5oLHBGm #PONV #ObstetricAnaesthesia #PerioperativeCare

🔍 If the lung fails to re-expand after pleural drainage, don’t assume it is just ongoing leak. Consider: 🫁 trapped/non-expandable lung 📍 drain malposition or blockage 💥 a very large leak Read more in the #BJAEd: www.bjaed.org/article/S205...

🩺 Modern management has transformed outcomes. Perioperative mortality for phaeochromocytoma resection has fallen from >25% historically to <1%, with morbidity around 5%, thanks to α-blockade and better haemodynamic control. Read more in the #BJAEd: buff.ly/qADR2ZK #Anaesthesia #CriticalCare

🔪 Surgical technique matters for pain outcomes. Careful nerve handling, traction neurectomy, and avoidance of neuroma-prone nerve endings in scarred or pressure-bearing tissue may reduce symptomatic neuroma formation. Read more in the #BJAEd: buff.ly/GbBq1Y5 #Surgery #PainPrevention

🥤 Nonparticulate carbohydrate loading before caesarean delivery may reduce insulin resistance, shorten time to colostrum expression, improve breastfeeding outcomes, and reduce neonatal hypoglycaemia. Read more in the #BJAEd: www.bjaed.org/article/S205... #EnhancedRecovery #Obstetrics

🚨 In massive air leak with failing gas exchange, rescue strategies may include lung/lobar isolation, endobronchial occlusion, surgery, or VV-ECMO. Sometimes the priority is buying time safely enough for healing. Read more in the #BJAEd: buff.ly/z7AkQIq #ECMO #CriticalCare #ThoracicAnaesthesia

⚠️ Phaeochromocytoma should stay on the differential for hypertension in pregnancy. It classically presents with headache, palpitations, diaphoresis, hypertension, and tachycardia, but diagnosis is easy to miss. Read more in the #BJAEd: buff.ly/qADR2ZK #Obstetrics #Anaesthesia #Hypertension

🤝 In children with c-spine abnormalities, best care is multidisciplinary: neurosurgery, orthopaedics, anaesthesia, radiology, physiotherapy and often medical teams too. Read more in the #BJAEd: buff.ly/oAIGtKV #Teamwork #Paediatrics #Anaesthesia

📊 NCEPOD highlighted suboptimal analgesia in this group: only 23% reported good pain control before surgery and 38% reported good pain control after surgery. Early pain team involvement is not optional. Read more in the #BJAEd: www.bjaed.org/article/S205... #PatientSafety #PainTeams #PeriopCare

💧 In elective Caesarean delivery, prolonged fasting is not benign. Reducing fasting time can improve recovery, maternal satisfaction, and length of stay. “Sip til send” is a pragmatic approach increasingly used in obstetric practice. Read more in the #BJAEd: buff.ly/5oLHBGm #ObstetricAnaesthesia

🩺 Bronchoscopy can be pivotal in persistent air leak: 🔹 identify a bronchopleural fistula 🔹 localise the culprit segment with balloon occlusion 🔹 guide endobronchial valve placement Read more in the #BJAEd: www.bjaed.org/article/S205... #Bronchoscopy #ICU

📚 In pregnancy, most phaeochromocytomas are resected after delivery. Recent reviews suggest 70–77% undergo postpartum resection, with diagnosis often made at around 24–26 weeks’ gestation. Read more in the #BJAEd: www.bjaed.org/article/S205... #ObstetricMedicine #PerioperativeCare #BJAEd

⚠️ In trisomy 21, up to 30% of children have radiological evidence of atlantoaxial instability, though only a minority become symptomatic. Even asymptomatic patients may still be vulnerable to neurological injury from neck movement. Read more in the #BJAEd: buff.ly/oAIGtKV #PaedsAnaesthesia #Airway

🩺 A key perioperative message: pre-existing pain matters. Longer duration and greater intensity of pain before amputation are associated with more severe postoperative pain and higher risk of chronic pain after amputation. Read more in the #BJAEd: www.bjaed.org/article/S205... #Pain #Anaesthesia

🎥 Antenatal education is a core component of ERAC. It helps patients engage with care, supports shared decision-making, and improves experience. Educational videos may be especially effective for reducing maternal anxiety. Read more in the #BJAEd: buff.ly/5oLHBGm #PatientEducation #Obstetrics

⚠️ In persistent air leak, more suction is not always better. Excessive suction can increase flow across the defect and delay healing. Use the least suction necessary to maintain pleural apposition. Read more in the #BJAEd: www.bjaed.org/article/S205... #RespiratoryMedicine #ChestDrain #ICU

🤰 Phaeochromocytoma in pregnancy is rare — estimated at 1 in 15,000 to 1 in 300,000 pregnancies — but the stakes are high, with reported maternal mortality of ~4–9% and fetal mortality of ~7–14%. Read more in the #BJAEd: buff.ly/qADR2ZK #ObstetricAnaesthesia #PerioperativeMedicine

📚 A practical framework: most paediatric cervical spine/CVJ disorders can be understood through 3 mechanisms: 🔹 instability 🔹 deformity 🔹 compression That biomechanical approach is often more useful than a rare syndrome label. Read more in the #BJAEd: buff.ly/oAIGtKV #Paediatrics

🦿 Lower limb amputation carries major personal and healthcare burden. In the UK in 2022, there were ~3500 major lower limb amputations, with median hospital stay 21 days and readmission rates >9%. Read more in the #BJAEd: www.bjaed.org/article/S205... #Anaesthesia #PainMedicine #VascularSurgery