Speaking against TIVA in this afternoon's #WSM2026 debate, Dr Craig Lyons first illustrates the number of ways in which we have also "modified" or allowed variation in practice when it comes to RSI. There are apparently over 3000 combinations available on this slide alone.

The final session at today's @assocanaes.bsky.social #WSM2026 is a debate. "This house believes that TIVA should be used for Rapid Sequence Induction." Our Hon Sec @chronotrope.bsky.social is speaking on behalf of TIVA. Dr Barley is delivering a rousing and entertaining talk. He does that!

If we look at anaesthesia as a "brain stress test" and burst suppression as a marker of getting it wrong, Dr Williams argues that processed EEG should be the norm. Without it, we aren't seeing the harm we might be causing, especially in frail brains. @assocanaes.bsky.social #WSM2026

Burst suppression results from an unnecessary depth of anaesthesia, and correlates with delirium, especially in older patients. Unless you are deliberately trying to accomplish it (such as such as deep circulatory arrest or in treating raised ICP), you should be trying to avoid it. #WSM2026

Next up at today's @assocanaes.bsky.social #WSM2026 is SIVA's own Dr Susan Williams, speaking about processed EEG and post-operative neurological outcomes. Post-operative delirium (POD) is a common complication of anaesthesia, with morbidity and mortality consequences.

Every season is the season to use intravenous anaesthesia! Consider supporting SIVA by becoming a member, for only £25 per year. We exist to advance the science of TIVA and processed EEG, and support those who are using or introducing these things in their practice. siva.ac.uk/joom2/index....

Thanks again to everyone who attended #SIVA25 in Liverpool last month. We had a great time, and we hope you did too. We would be very grateful for your feedback. All attendees should have received an email afterwards, with a link to do so. Be honest with us. We want our events to be excellent!

Every season is the season to use intravenous anaesthesia! Consider supporting SIVA by becoming a member, for only £25 per year. We exist to advance the science of TIVA and processed EEG, and support those who are using or introducing these things in their practice. siva.ac.uk/joom2/index....

We hope everyone who joined us for #SIVA25 had a great time, learned some things, and has had a safe journey home. Thanks for coming! For anyone wanting to join our growing community of TIVA users, membership is the bargain price of £25 per year. Join here: siva.ac.uk/joom2/index....

As we wind up today's excellent content at #SIVA25, planning is already well underway for next year. We hope to see you all again in Exeter, if not before. You have all been wonderful company! SIVA wouldn't exist or be successful without your support, folks, and we appreciate it.

Really excellent talk in the processed EEG session this afternoon from Dr Joana Berger-Estilita. The goldilocks zone between too deep and too light "looks" a certain way. If alpha is dropping out and beta is coming back, one of two things is happening. Neither is good. #SIVA25

The final session of #SIVA25 is all about processed EEG and monitoring. We are finishing strong today! Keep the questions coming via slido, folks, ahead of the final panel discussion at the end of the session.

The first talk of the final session of #SIVA25 is about teaching processed EEG, by Dr Joana Berger-Estilita, who has travelled to us from Bern. How does a doctor learn a new skill, such as pEEG interpretation? Well, it depends on a lot of things...

Opening the final session of this year's #SIVA25, focussed around processed EEG, is SIVA Honorary Secretary @chronotrope.bsky.social. Fantastic content, delivered by international experts. We hope you folks have enjoyed all this as much as we have!

The final talk of this #SIVA25 session is delivered by military anaesthetist Wing Commander (Dr) Alice Humphreys, who is also a new SIVA committee member, elected yesterday. She is speaking about Military TIVA, and TIVA use in low power or no power environments, or after a nuclear blast.

Next up this morning at #SIVA25 is Dr Seth Tasbihgou, who has travelled to us from Groningen to speak today. His excellent talk on "TIVA - how not to do it", is focussed around how to avoid some of the more common pitfalls, including standardisation, equipment checking, and monitoring.

The second session of day 2 of #SIVA25 has started with some excellent poster presentations, and more safety and error based content. Make sure to visit our friends in the trade exhibition hall over lunch. These folks are an important part of delivering these conferences.

Another lovely day in Liverpool for #SIVA25! We are quite enjoying this view from the conference venue, with the two cathedrals and the Radio City tower, with the waterfront in the distance.

Last up in our first session of the day of #SIVA25, on safety and design, we have Professor Kenny giving his second talk of the day. Patient controlled sedation might allow us to achieve the optimal balance between patient satisfaction, and avoiding the risks of oversedation.

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.

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!

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.

We are delighted to welcome Dr Alice Humphreys, as newly elected member of the SIVA committee. Alice works in a major trauma centre in the south of England and her interests include neuroanaesthesia, transfer and retrieval. Welcome! #SIVA25

Session 2 of Day 1 of #SIVA25 gets cracking. This session is focussed around the science, and is chaired by the always excellent Professor Tony Absolom. The first talk is Dr Douglas Eleveld, speaking to us from Groningen about developing the model that shares his name.

Sessions 1, Day 1's presenters taking questions from the audience to close the session. It has been an absolutely fascinating couple of hours. #SIVA25

Next up at #SIVA25 is Dr Paul McConnell, speaking about defending the brain from the effects of anaesthesia, and the "Safe Brain Initiative". Post-operative delirium and cognitive dysfunction exist within the spectrum of neurocognitive disorders, which may pre-exist and be worsened by our choices.

Next up this afternoon we have SIVA's Honorary Secretary, Dr Mark Barley, @chronotrope.bsky.social. A controversial topic, potentially, Mark is speaking to us about RSI with TIVA TCI. #SIVA25

Opening the afternoon session of day 1 of #SIVA25 is our President, Dr Alistair Baxter. He tells us there are no more places available at tonight's dinner. Sorry folks!

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.

Several of our #SIVA25 workshops this morning are all about brains. Monitoring our end organ seems a good idea, for a lot of reasons. We have a workshop on processed EEG interpretation for beginners, as well as one for folks seeking to consolidate existing expertise. We hope you are enjoying them!

Morning all! Welcome to everyone arriving in Liverpool for day 1 of #SIVA25. We look forward to seeing some of you this morning at our workshops, or the seminar sponsored by Arcomed, which starts at 1300. Our main scientific content starts after a welcome from our President, Alistair, at 1325.

To the folks attending #SIVA25 tomorrow, don't forget to download the app! It is your indispensable guide to all things SIVA ASM. Available for android and apple, the instructions should have come with one of our recent emails.

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!

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!