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Posts by BJA Education

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Liver disease in pregnancy Liver dysfunction complicates up to 3% of all pregnancies, and the incidence of liver disease amongst women of childbearing age is increasing.1 Contemporary research into preexisting and…

🔬 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...

3 hours ago 0 0 0 0
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Screening for perioperative neurocognitive disorders Perioperative neurocognitive disorders (PNDs) are common yet underdiagnosed complications after anaesthesia and surgery. Postoperative cognitive decline was first described in 1887 by the prominent…

👴 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...

1 day ago 2 2 0 0
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Enhanced recovery after Caesarean delivery. Part 2: postoperative considerations and quality indicators Enhanced Recovery After Caesarean delivery (ERAC) is a multidisciplinary and evidence-based strategy designed to optimise perioperative maternal and neonatal outcomes for patients undergoing…

💊 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...

2 days ago 0 0 0 0
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Analgesia and sedation in mechanically ventilated critically ill children Published reports of paediatric sedation date back to the advent of modern anaesthesia.1,2 Despite this and the establishment of the first paediatric ICUs (PICUs) 70 yrs ago in response to the polio…

🔄 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...

3 days ago 0 0 0 0
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Common interventional techniques for cancer-related pain Significant cancer-related pain (CRP) is experienced in two thirds of patients who have advanced, metastatic or terminal disease and in more than half of patients undergoing cancer treatment.1 This…

🔬 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...

4 days ago 0 0 0 0
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Liver disease in pregnancy Liver dysfunction complicates up to 3% of all pregnancies, and the incidence of liver disease amongst women of childbearing age is increasing.1 Contemporary research into preexisting and…

🏥 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...

5 days ago 0 0 0 0
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Screening for perioperative neurocognitive disorders Perioperative neurocognitive disorders (PNDs) are common yet underdiagnosed complications after anaesthesia and surgery. Postoperative cognitive decline was first described in 1887 by the prominent…

🔧 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...

6 days ago 0 0 0 0
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Enhanced recovery after Caesarean delivery. Part 2: postoperative considerations and quality indicators Enhanced Recovery After Caesarean delivery (ERAC) is a multidisciplinary and evidence-based strategy designed to optimise perioperative maternal and neonatal outcomes for patients undergoing…

🏥 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...

1 week ago 0 0 0 0
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Analgesia and sedation in mechanically ventilated critically ill children Published reports of paediatric sedation date back to the advent of modern anaesthesia.1,2 Despite this and the establishment of the first paediatric ICUs (PICUs) 70 yrs ago in response to the polio…

🚨 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...

1 week ago 0 0 0 0
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Common interventional techniques for cancer-related pain Significant cancer-related pain (CRP) is experienced in two thirds of patients who have advanced, metastatic or terminal disease and in more than half of patients undergoing cancer treatment.1 This…

⚠️ 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...

1 week ago 0 0 0 0
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Liver disease in pregnancy Liver dysfunction complicates up to 3% of all pregnancies, and the incidence of liver disease amongst women of childbearing age is increasing.1 Contemporary research into preexisting and…

⚠️ 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...

1 week ago 0 0 0 0
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Screening for perioperative neurocognitive disorders Perioperative neurocognitive disorders (PNDs) are common yet underdiagnosed complications after anaesthesia and surgery. Postoperative cognitive decline was first described in 1887 by the prominent…

⚠️ 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...

1 week ago 0 0 0 0
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Enhanced recovery after Caesarean delivery. Part 2: postoperative considerations and quality indicators Enhanced Recovery After Caesarean delivery (ERAC) is a multidisciplinary and evidence-based strategy designed to optimise perioperative maternal and neonatal outcomes for patients undergoing…

📋 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...

1 week ago 0 0 0 0
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Analgesia and sedation in mechanically ventilated critically ill children Published reports of paediatric sedation date back to the advent of modern anaesthesia.1,2 Despite this and the establishment of the first paediatric ICUs (PICUs) 70 yrs ago in response to the polio…

👶 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...

1 week ago 0 0 0 0
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Common interventional techniques for cancer-related pain Significant cancer-related pain (CRP) is experienced in two thirds of patients who have advanced, metastatic or terminal disease and in more than half of patients undergoing cancer treatment.1 This…

💡 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...

2 weeks ago 0 0 0 0
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Liver disease in pregnancy Liver dysfunction complicates up to 3% of all pregnancies, and the incidence of liver disease amongst women of childbearing age is increasing.1 Contemporary research into preexisting and…

🤰 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...

2 weeks ago 0 0 0 0
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Screening for perioperative neurocognitive disorders Perioperative neurocognitive disorders (PNDs) are common yet underdiagnosed complications after anaesthesia and surgery. Postoperative cognitive decline was first described in 1887 by the prominent…

📋 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...

2 weeks ago 0 1 0 0
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Enhanced recovery after Caesarean delivery. Part 2: postoperative considerations and quality indicators Enhanced Recovery After Caesarean delivery (ERAC) is a multidisciplinary and evidence-based strategy designed to optimise perioperative maternal and neonatal outcomes for patients undergoing…

🤱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...

2 weeks ago 0 0 0 0
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Analgesia and sedation in mechanically ventilated critically ill children Published reports of paediatric sedation date back to the advent of modern anaesthesia.1,2 Despite this and the establishment of the first paediatric ICUs (PICUs) 70 yrs ago in response to the polio…

💉 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...

2 weeks ago 0 0 0 0
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Common interventional techniques for cancer-related pain Significant cancer-related pain (CRP) is experienced in two thirds of patients who have advanced, metastatic or terminal disease and in more than half of patients undergoing cancer treatment.1 This…

🎯 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...

2 weeks ago 0 0 0 0
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Liver disease in pregnancy Liver dysfunction complicates up to 3% of all pregnancies, and the incidence of liver disease amongst women of childbearing age is increasing.1 Contemporary research into preexisting and…

🩸 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...

2 weeks ago 0 0 0 0
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Screening for perioperative neurocognitive disorders Perioperative neurocognitive disorders (PNDs) are common yet underdiagnosed complications after anaesthesia and surgery. Postoperative cognitive decline was first described in 1887 by the prominent…

🧠 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...

3 weeks ago 1 0 1 0
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Management of phaeochromocytoma in pregnancy Phaeochromocytomas are neuroendocrine tumours of the adrenal medulla that secrete catecholamines, which, when released into the bloodstream, typically cause paroxysmal symptoms of headache,…

🚫 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:

3 weeks ago 0 0 0 0
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Anaesthesia for children with cervical spine anomalies Craniocervical anomalies in children are unusual but may occur in the context of a range of congenital and acquired disorders. Children with such disorders, not infrequently, require anaesthesia for…

🧠 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

3 weeks ago 0 0 0 0
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Pain after lower limb amputation Limb amputation results in profound physical, psychological and social effects for individuals with consequent societal and healthcare costs. In the UK, the commonest indications for lower limb…

📉 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

3 weeks ago 0 0 0 0
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Persistent air leak in the critically ill Persistent air leak (PAL) is an infrequent but challenging scenario in critical care and anaesthesia, most often arising as a complication of lung resection surgery. Patients with PAL are at high…

🤢 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

3 weeks ago 1 1 0 0
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Persistent air leak in the critically ill Persistent air leak (PAL) is an infrequent but challenging scenario in critical care and anaesthesia, most often arising as a complication of lung resection surgery. Patients with PAL are at high…

🔍 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...

3 weeks ago 0 0 0 0
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Management of phaeochromocytoma in pregnancy Phaeochromocytomas are neuroendocrine tumours of the adrenal medulla that secrete catecholamines, which, when released into the bloodstream, typically cause paroxysmal symptoms of headache,…

🩺 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

4 weeks ago 0 0 0 0
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🔪 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

4 weeks ago 0 0 0 0
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🥤 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

1 month ago 0 0 0 0