Effect of intravenous lidocaine on nociception level-directed management in robot-assisted laparoscopic radical prostatectomy: protocol for a single-centre, factorial-randomised controlled trial (VALINOR study)
#AnSky #MedSky #PainSky
Does the implementation of a standardised ROTEM®-guided transfusion strategy reduce the use of blood coagulation products for PPH?
#AnSky #MedSky #ObSky
doi.org/10.1002/anr3...
Delayed hypertensive crisis after intracavernosal phenylephrine for penile plication
#AnSky #MedTSky
doi.org/10.1002/anr3...
Sustained, exhaled carbon dioxide by waveform capnography is an essential component of tracheal intubation.
But what if there is bronchospasm?
Tracheal intubation can be confirmed using flexible bronchoscopy.
#AnSky
doi.org/10.1002/anr3...
Did you know that CA125 is well known to be elevated in ovarian cancer but can also be elevated in heart failure, particularly right-sided heart failure & heart failure with preserved ejection fraction?
@rgdavies70 @USW_Oxygen
#MedSky #AnSky #ICUSky
doi.org/10.1002/anr3...
In this case, the pulmonary artery catheter had been inadvertently sutured to the pulmonary artery likely when an injury occurred at the base of the pulmonary artery during an ascending aortic replacement.
It was noticed when the PAC was difficult to remove.
#AnSky #ICUSky
doi.org/10.1002/anr3...
Comment on ‘Postoperative bilateral visual loss after a single dose of tranexamic acid’
#AnSky
doi.org/10.1002/anr3...
Did you know that the administration of a single dose of tranexamic acid can cause visual loss!?
#AnSky #MedSky #PharmSky
Read about it here: doi.org/10.1002/anr3...
How do you reconcile fasting guidelines with glucagon-like peptide-1 receptor agonists, ‘Sip-til-Send’ policies and gastric ultrasound?
#AnSky #GLP-1 #POCUS #MedSky
@drnavsidhu.bsky.social @rosiehogg.bsky.social
doi.org/10.1002/anr3...
Management of iatrogenic bronchial tear during one-lung ventilation for robotic thoracic surgery
#AnSky #SurgSky
doi.org/10.1002/anr3...
Have you had an intra-operative airway injury during robotic thoracic surgery?
This case report describes a surgical bronchial tear and subsequent bronchial cuff rupture.
Argh! #AnSky
doi.org/10.1002/anr3...
Have you heard of the psoas sheath block?
It is a novel approach to the lumbar plexus.
Local anaesthetic goes into the potential space between the psoas major muscle and its surrounding fascia.
#AnSky #RASky #MedSky
doi.org/10.1002/anr3...
Methaemoglobinaemia can arise due to the administration of local anaesthetic agents.
This patient experienced a rapid onset of methaemoglobinaemia following airway topicalisation with lidocaine and benzocaine sprays for bronchoscopy.
#AnSky #MedSky
doi.org/10.1002/anr3...
Interested in the effect of intravenous erythromycin on gastric emptying in a fasted patient taking a GLP-1 RA?
Check out these gastric point-of-care ultrasound pictures!
#AnSky @drnavsidhu.bsky.social
doi.org/10.1002/anr3...
GLP-1 RAs slow gastric emptying and may increase aspiration risk
No studies have assessed the efficacy of pre-op erythromycin as a prokinetic.
This case reports evaluates erythromycin efficacy with gastric ultrasound!
#AnSky @drnavsidhu.bsky.social
doi.org/10.1002/anr3...
Case report on using #GastricUltrasound to assess erythromycin efficacy in a patient taking GLP-1 receptor agonist. #POCUS #AnSky #RASky #Anaesthesia #Anesthesiology @anaesthesiareports.bsky.social
dx.doi.org/10.1002/anr3...
#POCUS is a valuable tool in #anaesthesia
Here is a mini collection of our case reports highlighting its use.
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#AnSky #MedSky #regional #OBSky #RASky #AirwaySky #SurgSky #PainSky
During hyperangulated #videolaryngoscopy #HAVL the ETT was passed through the soft palate
The authors discuss a ‘blind spot’ of the oropharynx during videolaryngoscopy.
Any thoughts?
buff.ly/L50WWP4
#AnSky #MedSky #AirwaySky #SurgSky #ENTSky
Soft palate injury during hyperangulated #videolaryngoscopy #HAVL
All tracheal intubations carry a risk of trauma to the surrounding tissues.
What are your experiences of this?
buff.ly/cveUXPv
#AnSky #MedSky #AirwaySky #SurgSky #ENTSky
What do you know about Familial Amyloidotic Polyneuropathy and #anaesthesia?
Multi-organ involvement can lead to liver failure and the need for transplantation
associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/epdf/10....
#AnSky #MedSky #SurgSky
How would you manage #anaesthesia for a domino liver transplantation?
Find out how it was managed in this rare case of Familial Amyloidotic Polyneuropathy
associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/epdf/10....
#AnSky #MedSky #SurgSky
Review Article: Intravenous lidocaine with propofol-based sedation for colonoscopy: a systematic review and meta-analysis with trial sequential analysis
#AnSky #MedSky #PharmSky
doi.org/10.1111/anae...
Any #Severance fans here?
Ether factories, sweet vitriol, windows of amnesia...
We are loving the links to anaesthesia in Apple TV's Severance 📺
The Safe Anaesthesia Liaison Group recommends standardising waveform capnography as a white solid filled-in graph at the bottom of the monitor display.
Is there compliance with the SALG standard in the UK?
#AnSky
doi.org/10.1111/anae...
Nice article on continuous insulin - glucose monitoring systems and yet another reason I'm not going to use IV acetaminophen.
Great visual example from @drhawntrinh.bsky.social of using the water challenge in #GastricUltrasound. #AnSky #MedSky #RASky
Full description in @anaesthesiareports.bsky.social here: associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/full/10....
A 15 year old patient with #Type1Diabetes needs emergency #surgery. How would you manage their hybrid closed loop system?
The authors present a useful guide to safe peri-operative practice
buff.ly/3zD6SAv
#AnSky #MedSky #SurgSky #FOAMEd #diabetes
What are the benefits and potential pitfalls of using hybrid closed loop systems in #Type1Diabetes during #surgery?
Which drugs alter CBG readings? Does this mean they can’t be used?
buff.ly/3zD6SAv
#AnSky #MedSky #AirwaySky #SurgSky #EndocrineSky #FOAMEd #diabetes
What do you know about hybrid closed loop systems in #Type1Diabetes (measures CBG and delivers insulin)
How would you manage a patient with one for #surgery?
Would you remove it or continue it?
buff.ly/3zD6SAv
#AnSky #MedSky #AirwaySky #SurgSky #FOAMEd #diabetes
