Of those techniques it is pretty much the only one that carries the risk of making airway Mx harder, in clinical situations where it is already potentially challenging.

Hence it being the first thing to go, for me at least!

Definitely would not teach cricoid as *the* essential preventer of aspiration in isolation.

It is however part of the suite of techniques we use (including high dose relaxant, available suction, NG aspiration etc) in these patients to reduce aspiration risk.

I’ll use cricoid pressure for any RSI-type situation as the default but if there’s any concern that it is impairing airway management it comes off straight away, and brief team as such. If you set the cricoid removal threshold low the mental load is minimal imo.

Also having experienced both types of anaesthetic I DEFINITELY preferred the TIVA experience…

I use gas for spont breathing via SGA, getting that to work with TIVA is something I find very hit and miss (although the trainees seem to love it). Also use bolus induction plus gas for sickies.

Everything else - if it needs and ETT I use TIVA now, always remi added in as a ‘smoothing agent’ 😆

Yikes!

a young boy in a blue shirt says " i 'll fight you " ALT: a young boy in a blue shirt says " i 'll fight you "

Flow switch are the best. I will die on this hill.

I’m always ultrasound guided these days, it’s immediately available, and first pass success is pretty much guaranteed. They even switch on instantly these days!

I’m pretty sure I’m at least as fast (maybe quicker) than when they were all done blind.

I'm running the London Marathon for Team Shooting Star! Help Charles Linton raise money to support Shooting Star Children's Hospices

Hi all, my brother in law Charlie is running the marathon on Sunday for a very worthy cause - Shooting Star Children’s Hospices.

Please consider visiting his page and donating. Thank you.

Tagging @doctoroxford.com in the hope she would approve!! 😀

www.justgiving.com/page/charlie...

Some of the (many!) fantastic faculty and models on our paediatric update day

A great morning at our @oxfordcpd.com paediatric anaesthesia update, thank you to our morning speakers and looking forward to the afternoon workshops!

Dr Sumit Das giving us an update on the latest from @apagbi.org.uk a great talk about an incredibly active association! 🙏

Extra 10 places added - quick before they go!

Oxford Paediatric Anaesthesia Revalidation Day 1st April 2025 Milton Hill House Milton Hill House, Steventon, Oxford & Join us for a day of updates in Paediatric Anaesthesia - in conjunction with Oxford CPD and Paediatrics at the Nuffield Department of Anaesthesia 6 RCOA CPD Points £150 - Anaesthetic Consultants & SAS £120 - Senior Anaesthetic Trainees & Fellows (ST5+)

Faculty Dr. Walid Alrayashi C Dr. Engy Samuel C Dr. Lucy Hepburn O Dr. Arnie Choi V Dr. Kim Ng C Dr. Bianca Tingle C Dr. Gagan Dhotar O Dr. Frances O'Brien C Dr. Rebecca Wilde V Dr. Sumit Das O

Scientific Program Oxford Paediatric Anaesthesia Revalidation Day 08:00 - 08:30 Registration & Coffee 08:30 - 08:40 Welcome - Dr. Bianca Tingle, Consultant Paediatric Anaesthetist 08:40 - 09:10 Collapsed Neonate - Dr. Frances O'Brien, Consultant Neonatologist 09:10-09:40 Paediatric Cardiac Considerations - Dr. Lucy Hepburn, Consultant Padiatric Cardiac Anaesthetist 09:40-10:00 Coffee 10:00 - 10:30 Paediatric Trauma - Dr. Engy Samuel, Consultant Paediatric Anaesthetist 10:30 - 11:00 Updates in Paediatric Analgesia - Dr. Kim Ng, Consultant Paediatric Anaesthetist 11:00 - 11:20 Coffee Re-image - ining Neuraxial Regional| Anaesthesia in Neonates - Dr. Walid 11:20-11:50 Alrayashi, Assistant Professor of Anaesthesia, Harvard Updates from APA - Dr. Sumit Das, 11:50 - 12:20 Consultant Paediatric Anaesthetist Outline of Afternoon Sessions - 12:20 - 12:30 Dr. Gagan Dhotar, Consultant Paediatric Anaesthetist 12:30 - 13:30 Lunch

Practical Demo Sessions 888 ROOMS 13:30 - 14:30 GROUP 1 6 GROUP 2 g AIRWAY WISTERIA REGIONAL FUCHSIA& ROSE 14:30 - 15:00 Coffee 15:00 - 16:00 GROUP1受 REGIONAL FUCHSIA & ROSE GROUP 2 E AIRWAY WISTERIA 16:00 - 16:30 Close of Day Thank you & Feedback

Last chance to book onto our next CPD day taking place in person on the 1st April!!

Paediatric Anaesthesia Update 2025.

6 CPD points approved by @rcoanews.bsky.social

www.oxfordcpd.com/booking

What.

Admittedly it’s been a while* but is it, like, no longer around or…?

*24 years

DAMN IT

I KNOW.

AI if you’re listening, frankly you’re nothing but a disappointment.

Probably the most commonly repeated message my wife sends me….

We now have two (2!) CPD days available to book:

Cardiac disease in surgical patients. Virtual. 12th March 2025.

Paediatric anaesthesia update. In person. 1st April 2025.

For programmes, more information and booking visit www.oxfordcpd.com/booking. #Medsky #Anaesky

Me in a hospital bed wearing one of those standard NHS hospital gowns preparing for a mastectomy

It's World Cancer Day and 10 years ago this year I was diagnosed with breast cancer. I can't believe it was a decade ago

This is me in hospital waiting to have a mastectomy. I'm smiling but god I was so anxious, so worried I wouldn't wake up from the anaesthetic

🧵

Lovely! Enjoying the 6D over here (and maaaaaay have bought another lens 👀)

We now have two (2!) CPD days available to book:

Cardiac disease in surgical patients. Virtual. 12th March 2025.

Paediatric anaesthesia update. In person. 1st April 2025.

For programmes, more information and booking visit www.oxfordcpd.com/booking. #Medsky #Anaesky

Went onto the Facebook "Medical Consultants" group: it's clear that NHS consultants are spending far more time than we should be worrying about avoiding (or reducing) 5-figure pension tax bills.

Sadly, the usual and safest answer is "cut your hours"

@rthonwesstreeting.bsky.social

Our next virtual CPD day - “Cardiac Disease in Surgical Patients” takes place on the 12th March. Register now for access!

www.oxfordcpd.com/booking

I have now treated 8 colleagues from my own hospital, including major emergencies like cardiac arrest. They ALL regretted how much they’d been working and resolved to reduce stress

The most recent said “I don’t want to be the hardest working doctor in the graveyard”

Been thinking about that one

😆😆😆

I hadn't realised Dr Goldstone has made it here - just using his great tool which has given me some unpleasant warnings - well worth a look as there's still time to reduce large tax charges.

(unfortunately for @rthonwesstreeting.bsky.social one of the main answers is not to take on extra work)

Our next virtual CPD day - “Cardiac Disease in Surgical Patients” takes place on the 12th March. Register now for access!

www.oxfordcpd.com/booking

Finishing up with our resident doctors from across the Thames Valley presenting on their fantastic achievements

#MacDay25 #MedSky