Proposed Plan A blocks and their approximate anatomical areas of relevance!

#AnSky #PainSky #RASky #MedSky

@lloydturbitt.bsky.social @elboghdadly.bsky.social @emarianomd.bsky.social

doi.org/10.1111/anae...

What is considered a high-value basic ultrasound-guided regional anaesthetic technique?

#AnSky #RASky #PainSky #MedSky

@lloydturbitt.bsky.social @elboghdadly.bsky.social @emarianomd.bsky.social

doi.org/10.1111/anae...

Plan A blocks in regional anaesthesia

Key components to increase patient access to regional anaesthesia:
• select high value blocks
• widespread competence
• ⬆️ patient access
• pathway implementation

#AnSky #RASky #PainSky

doi.org/10.1111/anae...

Core Topics: Plan A blocks in regional anaesthesia

#AnSky #RASky #PainSky

@lloydturbitt.bsky.social @elboghdadly.bsky.social @emarianomd.bsky.social

doi.org/10.1111/anae...

I see #painsky is skeeting this morning!

We feel like shit and by God we are going to talk about it!

🫡

Balancing analgesia and function with patient preference and readiness

#AnSky #RASky #PainSky #MedSky

doi.org/10.1111/anae...

A caesarean birth can be very painful, and poor pain control can make recovery harder for parents and babies.

Here are some updated guidelines about how to best manage pain!

#AnSky #ObsAnSky #RASky #PainSky #MedSky

doi.org/10.1111/anae...

Here are the updated recommendations for pain management after elective caesarean section under neuraxial anaesthesia!

#AnSky #ObsAnSky #RASky #PainSky

doi.org/10.1111/anae...

It's always important to look at what interventions AREN'T recommended..

Here's a list of what interventions are NOT recommended for pain management after open thoracotomy.

Do you find any of these surprising?

#AnSky #MedSky #PainSky

doi.org/10.1111/anae...

Pain management after open thoracotomy 2025: procedure-specific postoperative pain management (PROSPECT) recommendations

#AnSky #PainSky #MedSky

doi.org/10.1111/anae...

After open thoracotomy adequate postoperative pain control is crucial for rehabilitation.

Recommendation: thoracic epidural analgesia or paravertebral blockade as a first-line intervention.

#AnSky #PainSky #MedSky

doi.org/10.1111/anae...

First choice treatments to control pain after thoracotomy:
• thoracic epidural analgesia - delivers medicine near the spinal cord to block pain
• paravertebral blockade - numbs the nerves next to the spine that send pain signals from the chest

#AnSky #MedSky #PainSky

doi.org/10.1111/anae...

Advocacy Causes Administration to Reverse Cuts As we reported yesterday, the Administration had arbitrarily cut nearly two billion dollars from mental health and substance use disorder treatment programs that had been approved on a bi-partisan bas...

www.naatp.org/advocacy/pub...

Keep fighting! #AddictionSky #AddictionSci #PainSky #MedSky

Chronic pain after day-case surgery: the next challenge in the prevention of chronic post-surgical pain

#PainSky #AnSky #MedSky

doi.org/10.1111/anae...

I have made a great medical discovery that many British healthcare professionals will be unaware of.

Whilst watching a US TV show, I bothered to look up what "Advil" was and it turns out it's ibuprofen.

Can I get this published?

#MedSky #PainSky #AnSky

Many patients are still in pain 3 months after their surgery.

Certain procedures have much higher rates of chronic pain after 3 months, including orthopaedic (35%), breast (15%) & gynaecological (11%).

#AnSky #PainSky

doi.org/10.1111/anae...

The estimated prevalence of chronic post-surgical pain was 7.2% - 1 in 14 patients!

It was associated with:
• week 1 pain scores
• orthopaedic, breast & plastic surgery
• non-surgical site chronic pain at baseline
• deprivation
• ethnicity

#AnSky #PainSky #SurgSky

Welcome to POPPY - the first large UK multicentre, prospective observational study exploring chronic post-surgical pain after day-case surgery.

Read both papers here:
👉 doi.org/10.1111/anae...
👉 doi.org/10.1111/anae...

#AnSky #PainSky #MedSky

In the UK, over a third of patients presenting for day-case surgery are in pain.

One in four have access to opioid medications and a little over one in 10 are using opioids daily.

#AnSky #MedSky #SurgSky #PainSky

doi.org/10.1111/anae...

"Topping-up an epidural that has required more than two additional boluses of local anaesthetic in labour should, in our view, be avoided."

Do you agree? What is your practice?

#AnSky #ObsAnSky #PainSky

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

High neuraxial block in obstetrics: are we only seeing the tip of the iceberg?

The presence of local anaesthetic in the epidural space makes the effect of subsequent intrathecal drug administration less predictable.

#AnSky #ObSky #PainSky

doi.org/10.1111/anae...

Erector spinae plane block vs. opioid-based regimen: a reply

#AnSky #RASky #PainSky

doi.org/10.1111/anae...

A systematic review of brain health in adults with chronic pain Introduction Recent research has linked chronic pain with an increased risk of clinical dementia diagnosis. Yet structural and functional brain changes associated with chronic pain and their…

A systematic review of brain health in adults with chronic pain

#AnSky #MedSky #ICUSky #PainSky

doi.org/10.1111/anae...

Esketamine infusion for the prevention of tourniquet-induced intra-operative hypertension

Esketamine:
⬇️ the RR of tourniquet-induced hypertension by 63%
⬇️ hypotension
• infusion of 0.25 mg kg-1 h-1 for the lower limb surgeries was well tolerated

#AnSky #RASky #PainSky

doi.org/10.1111/anae...

Pericapsular nerve group block for intracapsular vs. extracapsular hip fracture

#AnSky #RASky #PainSky

How does the analgesic effect of the PENG block compare with the infra-inguinal fascia iliaca block in the emergency department?

#AnSky #RASky #PainSky

doi.org/10.1111/anae...

Beyond the block: optimising analgesic strategies in laparoscopic inguinal hernia repair

#AnSky #MedSky #PainSky #RASky

doi.org/10.1111/anae...

Methadone vs morphine for postop pain management following cardiac surgery

Patients allocated to the methadone group:
• had lower postop morphine requirements in the 24 h after extubation and for up to 72 h
• had longer time to first morphine rescue

#AnSky #PainSky

doi.org/10.1111/anae...

Is the incidence of chronic postsurgical pain after caesarean delivery truly low or do we still not know how to evaluate and report it adequately?

#AnSky #ObSky #PainSky

doi.org/10.1111/anae...