Through and through the airway: optimising airway introducer use with videolaryngoscopy @doctimcook.bsky.social @janhansel.bsky.social #AnSky #AirwaySky #MedSky doi.org/10.1111/anae...

Bougie or stylet: what to use when the chips are down? Is it truly possible to consistently and deliberately shape a bougie to fit a hyperangulated blade? @doctimcook.bsky.social @janhansel.bsky.social #AnSky #AirwaySky #MedSky doi.org/10.1111/anae...

Thanks. We wrote more specifically about the liability sink issue here: pmc.ncbi.nlm.nih.gov/articles/PMC...

If you're interested in blood cultures: Our study of time to laboratory on yield (adjusted for ward structure and baseline positivity) did not show a global adverse effect except for S pneumoniae, S pyogenes, and S dysgalactiae (2500 beds, England) www.journalofinfection.com/article/S016...

If you have time to read one paper this week, make sure it's this one. High-yield content matched with excellent narrative style.

Welcome to our new series - Core Topics in Anaesthesia "Anaesthesia support for transcatheter heart valve interventions: a narrative review" #AnSky doi.org/10.1111/anae...

…so we think we make rational autonomous choices about DL vs VL but they are strongly influenced by systemic factors, cues and nudges. #AnSky 2/

Routine application of incisional negative pressure wound therapy to the closed surgical wound after emergency laparotomy did not prevent surgical site infection more than other dressings. ja.ma/3R6RDT7 #MedSky

Cautious generosity advised: stop (the lidocaine infusion) before you block (the atrioventricular node) @janhansel.bsky.social #AnSky #PainSky #MedSky associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/full/10....

This morning at Dept of Housing and Urban Development (HUD) HQ in DC as mandatory return to office began, this video played on loop for ~5 mins on screens throughout the building, per agency source. Building staff couldn’t figure out how to turn it off so sent people to every floor to unplug TVs.

The Conservative Party handling of the NHS - in miniature. Courtesy of @hsj.co.uk

Good to see @anzca.bsky.social continuing to lead the way and move from Twitter/ X to this platform. This is the new home of medical information on social media. @AnSky @MedSky

"German families are 21% or £2,300 a year better off than their UK equivalents and the gap with Dutch families is even wider, at 39%." #Poverty and #Inequality - that's what our politics has given us www.theguardian.com/business/202...

🚨Thrilled to share output from the first project the TRIC Network undertook🚨 Conceived at the height of the first wave of the COVID pandemic, the PIM-COVID project assessed the psychological impact of COVID in ICU survivors. Important findings —> journals.sagepub.com/doi/10.1177/...

The average life expectancy of people diagnosed with dementia ranges from 9 years at age 60 to 4.5 years at age 85 for women, and from 6.5 to just over 2 years, respectively, in men, finds this systematic review of the evidence Includes a visual abstract www.bmj.com/content/388/...

⭐️REGISTRATION FOR #GAMC2025 IS OPEN⭐️ Grab those diaries, get your study leave requests in and get registered!! Note: there are limited workshop spaces available for day 2 and we always have a waiting list! Register early to avoid disappointment!! 🔗 bookcpd.com/course/GAMCJ...

Congratulations to Dr Emma Sewart presenting #QRH #teatrolley @assocanaes.bsky.social #WSM2025 Such an important topic @emmasewart.bsky.social

This is the colleague that the likes of Cleverly, Badenoch & Jenrick are refusing to defend...

Having always allowed parental presence during resuscitation in the #PedsICU, I can see the benefit, assigning a PICU attending to be with the parent is a key part. Definitely not for every family, but an option to be present could go a long way.

So this is the new great idea🤔 I’m pretty sure if Sarah had seen a GP she wouldn’t have needed to have a CT scan, no need to speak to the ENT registrar & yes it could be managed in the community Why does NHS England always underestimate the skills of GPs? www.england.nhs.uk/long-read/re...

-in a genuinely difficult intubation performance differences increased -findings same for FPS, time to intubation, operator ease, success w/in 120s 3/4

The key findings of adjuncts for HAVL -STYLETS BEST -STATIC BOUGIES WORST (by a distance) -dynamic bougies closer to stylet than bougie This contrasts to recent studies so is notable. 2/4

Delighted that Ben Dallyn from @RUHBath won the 1st prize for oral presentation @dasairway He presented A MANIKIN STUDY OF STYLETS & BOUGIES (static & dynamic)….. 1/4

Welcome to our new @bsky.app account. We’ve been on X for a few weeks and in 15 minutes we have attained the same number of followers here. Used @sethina.bsky.social starter packs 😁 Excited to share our news, work & content. Happy New Year to you all. #TeamAnaesthesia

There’s a reason people generally feel like life is getting harder ifs.org.uk/living-stand...

🚨 Thrilled to share our latest comprehensive systematic review on diagnostic criteria for community-acquired #pneumonia in clinical trials 🤒 Only 69.4% of CAP studies registered between 2010 and 2024 provided diagnostic criteria, using 87 different combinations 😵‍💫

However the response by the @GMC is bordering on bizarre www.rcoa.ac.uk/sites/defaul... They state this should be based on ‘evidence’ …..the College has done a good job in trying to gain, assimilate & disseminate what evidence there is. There is not much! What has the GMC done? 2/2

The @rcoa is to be congratulated on navigating the treacherous path defining scope of practice for Anaesthesia Associates via -huge surveys of opinion -aiding #Nap7 analysing real life practice -Cochrane review -professional liaison/listening -pragmatic approach to patient safety & existing AAs 1/2

#RAUK25 Registration is now open! Don’t miss out on the UK’s biggest and best #regionalanaesthesia conference ➡️ www.ra-ukmeetings.com 🗓️ 8-9th May 2025 🌍 Leeds, UK (and virtual) Book early and avoid disappointment! #RASky #PainSky #AnSky #MedSky

Subclavian Mafia coming in hot now 😉 1) It's a dirty line when there's cleaner available 2) Awake patients tolerate subclav v well 3) Subclav PTX rate is the same as IJ if you use US pubmed.ncbi.nlm.nih.gov/31143996/ 4) Radial art is fine in 99% but femoral is the go-to in the 1% w/ severe shock

Great thread

Just another day in peer review land #IYKYK

This is great: fannyf.art

Four days on, and our inbox is still full of this story. Kind of restores your faith in the art of compo facing. You know what story you guys can stop sending in now? This one. www.gazette-news.co.uk/news/2478428...

Paging med-bsky: What #drugs are available for #prescription in the UK (via #BNF) but not in USA ? I know for example TCI propf is not licensed in the us? Anyone ? @drfreeze.bsky.social @janhansel.bsky.social @nickopotamus.co.uk Thanks :)

If you agree national rules about what physician associate’s can & can’t do, standard guidance on supervision & an agreed process for patients to give consent are needed, support @anaesunited.bsky.social who are fighting to protect patient safety

Interesting post, & one I have some sympathy with. Sepsis is a useful pathophysiological concept, but hard to pin down in clinical reality. The closer we get to an effective, universal diagnostic for pathogen ID & host response (I.e. the hallmark of infection) the closer we will be to squaring this.

@criticalcarereviews.com Congratulations to the newly announced PROFESSOR Rob MacSweeney. Richly deserved for a modest person who works tirelessly in support of improving care of the critically ill through world leadership and creativity for clinical research dissemination with real impact. 👏 Prof.

As you will recall from the real-life debate…we actually AGREED on that! So - middle ground is certainly a way forward! 👌🏾

There was a recent reference on here to Anaesthetic Rooms and some of our international colleagues were asking about them. I did a pro:con debate on anaesthetic rooms against @janhansel.bsky.social for @anaesjournal.bsky.social - and for those interested, talk👇🏼 #AnSky youtu.be/3jmtJ6lX26Y?...

ADAPT SEPSIS trial Using PCT or CRP to guide antibiotic duration. PCT reduced mean antibiotic duration from 10.7 to 9.8 days. Hm. I'm struggling to get excited about this result. Especially as it's not a cheap test. jamanetwork.com/journals/jam...

#ADAPTtrial released & the results are interesting… Compared to SOC, Procalcitonin guided antibiotics in sepsis resulted in: - FEWER antibiotic days: 10.7 vs 9.8 (p=0.01) BUT - HIGHER 28 day mortality: 19.4% vs 20.9% (p=0.02) though this did not meet the pre-specified non-inferiority margin 🤔 1/

Published in JAMA with #CCRdownunder: In critically ill adults with suspected sepsis, antibiotic regimens were safely reduced when guided by measurement of procalcitonin but not by C-reactive protein. @criticalcarereviews.com ja.ma/3BovM5v

A major take home from ADAPT-SEPSIS - docs aren’t as good at stopping antibiotics as we think we are… #ccrdownunder

Chief Investigator @darknatter.bsky.social shares insights from the #ADAPTsepsistrial at #CCRdownunder @adaptsepsis @jama.com

Today's Paper of the Day is updates in traumatic brain injury management https://criticalcarereviews.com/latest-evidence/paper-of-the-day Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2024

Winter pressures - Hospital Beds The Government promised 5000 extra beds in January 2023, in December 2023 NHSE proudly stated it had been achieved July 2024 NHS Board suggested that these beds were ‘locked in’ extra permanent beds The data doesn’t support this @rthonwesstreeting.bsky.social

i’m gonna just watch this at least once a day and i recommend everyone do the same