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Posts by Dr Pieter Peach

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Use of sterile gowns for single‐shot spinal anaesthesia: consensus guidelines from the Association of Anaesthetists, Royal College of Anaesthetists, Obstetric Anaesthetists' Association, Regional Anae... Introduction International guideline recommendations vary on the use of sterile gowns during spinal anaesthesia. There is limited evidence of benefit for their routine use and debate about environme.....

Stop press: sterile gowns are no longer mandatory for spinal anaesthesia.

I’m so proud to have been part of this process trying to simplify our practice, making us efficient, more sustainable without increasing risk

associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/...

4 days ago 13 6 0 0

Nice to see a multinational agreement as well. Bravo.

3 days ago 5 2 0 0
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New guidance on sterile gown use during spinal anaesthesia aims to reduce unnecessary waste while maintaining high standards of patient safety

Guidelines published in @anaesjournal.bsky.social buff.ly/rvtALwy

With CAI, @ra-uk.org, @oaa-anaes.bsky.social, @rcoanews.bsky.social, @anzca.bsky.social

4 days ago 18 13 0 6
A guy asking ChatGPT to review a series of fart sound effects and getting a serious kiss ass response that calls it atmospheric

A guy asking ChatGPT to review a series of fart sound effects and getting a serious kiss ass response that calls it atmospheric

I can't stop laughing at this post. It's perfect.

1 week ago 27705 6225 897 717
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EFF is Leaving X After almost twenty years on the platform, EFF is logging off of X. This isn’t a decision we made lightly, but it might be overdue.

After almost twenty years on the platform, EFF is logging off of X.

This isn’t a decision we made lightly, but it might be overdue. 🧵 (1/5)
www.eff.org/deeplinks/2...

1 week ago 14926 2784 530 370
Two bar charts compare the intervention vs. control groups for clinically significant residual gastric volume. Chart A: Intention-to-treat analysis, Chart B: Per-protocol analysis. Both show higher volume in the intervention group.

Two bar charts compare the intervention vs. control groups for clinically significant residual gastric volume. Chart A: Intention-to-treat analysis, Chart B: Per-protocol analysis. Both show higher volume in the intervention group.

Continuing #GLP1 or GIP agonists before upper endoscopy increased the risk of clinically significant residual gastric volume, with no additional aspiration events.

ja.ma/4bYbVIK

1 week ago 6 3 0 0
A humanist is a person who recognises this life is the only life we have, and therefore, resolves to live a moral a fulfilling life in the here and now, based on the inherent human capacity for compassion, and a desire to do good on its own merit. Being a humanist is simply a way of thinking and living that emphasises humanity's capacity and responsibility to promote human flourishing across all frontiers, to protect the natural world, and to work towards a more tolerant society where rational thinking and kindness prevail.

A humanist is a person who recognises this life is the only life we have, and therefore, resolves to live a moral a fulfilling life in the here and now, based on the inherent human capacity for compassion, and a desire to do good on its own merit. Being a humanist is simply a way of thinking and living that emphasises humanity's capacity and responsibility to promote human flourishing across all frontiers, to protect the natural world, and to work towards a more tolerant society where rational thinking and kindness prevail.

1 week ago 43 11 0 0
Surgeries no longer mean enduring unimaginable pain. All because of anesthesia.

Together for health. Stand with science.

Image shows a surgeon working, with an illustrative blue coloured line weaving across the frame.

Surgeries no longer mean enduring unimaginable pain. All because of anesthesia. Together for health. Stand with science. Image shows a surgeon working, with an illustrative blue coloured line weaving across the frame.

Before anesthesia, surgery meant unimaginable pain. Science transformed it into something you can safely sleep through.

What is your health and science story?

Ahead of #WorldHealthDay tomorrow, Together for Health. #StandWithScience 💙

2 weeks ago 155 35 5 6
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The UK Covid Inquiry has laid bare the avoidable horror of the second Covid wave It is becoming ever clearer both how devastating the second wave of winter 2020/21 was, and how much of that devastation could have been avoided.

I wrote about the findings from the inquiry about the impact of the pandemic on the NHS, and the mistakes of the first year.

I hope it makes you angry - it should make us all angry.

open.substack.com/pub/christin...

3 weeks ago 925 543 54 56
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Reminder that Ethicon Biopatch used as an adjunct in central line dressings is chlorhexidine (CHG) impregnated.
The effort in avoiding a chlorhexidine impregnated CVC in a patient with chlorhexidine anaphylaxis can easily be undone.

www.jnjmedtech.com/en-EMEA/prod...

#ansky #anaphylaxis

1 month ago 1 1 0 0
Organ failure type in fatal and near-fatal anaphylaxis: a systematic review Objectives Anaphylaxis is a sudden onset multiorgan allergic reaction that infrequently but regularly causes fatalities which may be preventable with appropriate organ support. There is limited data a...

In his 1st PhD paper Ben shows respiratory failure (bronchospasm) is the main cause of death in fatal anaphylaxis.
Food allergy deaths nearly if not all due to bronchospasm

Important-most resuscitation guidelines don’t prioritise intubation & ventilation

#Medsky

bmjopen.bmj.com/content/16/3...

1 month ago 8 4 1 1
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How are asymptomatic COVID-19 cases tracking? In the first year of the SARS-CoV-2 pandemic, data were assembled that defined how the virus spread among us, who, at the time, had never been infected. But the world's population is very different now - billions of infections, many waves triggered by evolved variants, vaccination, and that has impacted incubation periods, serial interval, generation times, and, according to this modelling, increased the proportion of cases (=infections) that are asymptomatic. A study published last year applied a modelling system. It started by acknowledging that these estimates are challenged by many variables.

As a fully immunised (=successfully vaccinated and boosted) individual, this study is good news. If you get infected, you're a bit more likely to come away with an unnoticed infection.

1 month ago 53 18 6 1
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Vaccines save lives and have protected millions of people. Choosing to vaccinate is a simple step to safeguard your health and that of your loved ones. Check out today’s daily dose by @drtedros.who.int

1 month ago 234 64 5 2

Fun fact - Febreze is also a cyclodextrin, and traps odour molecules to 'neutralise' smells.

1 month ago 4 1 1 0
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The political effects of X’s feed algorithm - Nature Among users initially on a chronological feed, 7 weeks of exposure to X’s algorithmic feed in 2023 shifted political attitudes and account-following behaviour in a more conservative direction compared...

Brainwashing, 2026 edition. This paper shows how X's algorithmic feed shifts people's views rightwards. It's a sophisticated, highly effective form of reorientation. And it is utterly chilling.
If you're still on that platform, unhook yourself now.
www.nature.com/articles/s41...

1 month ago 2609 1571 83 135
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To help you understand how bad people are at the concept of estimating relative risk, about 1 person dies every two years from a shark attack in the US, whereas cows kill about 20 people per year.

2 months ago 19 5 2 0
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Record spike in whooping cough cases due to 'potentially catastrophic' trend A "potentially catastrophic" decline in Australia's childhood vaccination rates has contributed to the sharpest increase in cases of whooping cough in 35 years, infectious diseases experts say.

Whooping cough cases hit record high after vaccine rate drop in Australia.

-we need a government Comms campaign about the benefits of vaccination. Yesterday.

www.abc.net.au/news/2026-02...

2 months ago 64 23 2 2
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After just nine months Sussan Ley was sent on eternity leave The issue for the Liberal Party is not simply the toppling of a female leader. It's also about what happened to that leader while she was in the job.

What frikkin epic writing!

www.abc.net.au/news/2026-02...

2 months ago 21 6 4 0
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"If I had an ego, I'd be dead."

2 months ago 1 0 0 0

Horrible news. Each of these are future cases of horrible, painful, devastaing cervical cancer in the making.
This is a safe and hugely effective vaccine.

2 months ago 55 19 6 1
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The Inventor Of The Little Arrow That Tells You What Side The Fuel Filler Is On Has Finally Been Found - Jalopnik I bet most of our regular readers have, at some point, blown the mind of one of their non-gearhead friends by pointing out the little arrow in almost every modern fuel gauge that shows what side the f...

Jim Moylan 1986

www.jalopnik.com/the-inventor...

2 months ago 0 0 0 0
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Statement of Ethics | Infectious Dose Statement of ethics for Infectious Dose, explaining why silence is not neutral and why science, public health, and human rights are inseparable.

A brief statement clarifying the ethical boundaries of #InfectiousDose is now live.
www.infectiousdose.com/statement-of...

2 months ago 2 1 0 0
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On Silence, Science, and Complicity: A Statement From Infectious Dose Podcast Episode · Infectious Dose · 06/02/2026 · Bonus · 3m

“This episode is not a scientific explainer & not an invitation to debate. It exists to make clear where this podcast stands, why silence is not an option, why evidence, accountability & human rights are inseparable from public health” @infectdosepodcast.bsky.social

2 months ago 1 1 0 0

Well that’s an experience! Awake surgery. Anaesthetist was 😊 one of my old regs but been a boss for a while. But I know is high cognitive load when you have awake colleague! A thread…

2 months ago 14 2 5 1

Reasonable!

2 months ago 1 0 0 0

A recommendation like this with few/no published case reports is a little unusual given how long sevoflurane has been in use.

2 months ago 2 0 0 0
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I spend my days defending against “Did you have cars when you were growing up?”

2 months ago 1 0 0 0

Instalabelled as you walk into ED

2 months ago 2 0 0 0
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2 months ago 2 2 0 0

So in homage to the fine traditions of anaesthetic anecdotes, what descriptions have your patients given of the ‘flavour’ of anaesthetic agents? #AnSky @maffygirl.medsky.social

2 months ago 9 3 11 1