Anybody seen vagal stimulation from laryngeal manipulation? Got a 20 second pause during a microlaryngoscopy - haven’t seen that before 🤔 #ansky
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RCoA's national conference, Anaesthesia 2026
8 weeks until Anaesthesia 2026!
Over 1,000 clinicians attend our annual conference to stay at the forefront of anaesthetic practice, connect with colleagues, and gain actionable insights for their work in theatre.
Discover more and secure your place 👉
https://ow.ly/PNcn50YyMEq
#Ansky #Medsky
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#FlashbackFriday to highlights of our 2025 Ceremony of Diplomates 🎉
We had a great time speaking with some of you 😀
Can you spot yourself or colleagues 👀
#rcoadips #anaesthesia #diplomates #anaesthesialife #Ansky #Medsky
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#ThrowbackThursday to some highlights of our 2025 Ceremony of Diplomates 🎉
We had a great time speaking with some of you 😀
Can you spot yourself or colleagues 👀
#rcoadips #ThrowbackThursday #Ansky #Medsky
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Join the New to the NHS Meeting online event. This is a free event for any anaesthetist new to the NHS.
Step into your NHS career with confidence!
Join the New to the NHS Meeting for advice, learning tools, & FRCA exam support.
Unlock growth & earn 6 CPD credits with our Clinical Content Lead, Dr Ruwanmali De Silva.
Shape your future and book today 👉 https://ow.ly/j2rC50YyErv
#Ansky #Medsky
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Check out the March issue of the BJA #miniflipbook, which showcases all of our #FREE articles on topics including: #HFNO #noveldrugs #TIVA #protaminereversal #myocardialinjury #anaestheticinducedneurotoxicity and #TAVIs #AnSky #MedSky
https://ow.ly/x7AC50YlUr6
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2018 was a pivotal year. Slide shoes some Euro cash notes and the Golden Hip trophy.
#AAAIGSConf Louise Brent - money (best practice tariff / process performance bonus) and competition (Golden Hip award, a gift from the Scottish Hip Fracture Audit) both act a drivers for improvement. #AnSky #GeriSky
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Interesting comment from Prof Plant. Once upon a time the surgeon was the curator and custodian of the physiological response to injury and surgery. Have they given up that role now? (I paraphrased slightly). #AnSky #SurgSky #GeriSky
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Communication with the cognitively impaired. Onus is on us (healthcare professionals) to support and reveal communication and decision making competence. Formal assessment may conceal non-linguistic cognitive function of people with aphasia.
#AAAIGSConf Communication with the cognitively impaired. Onus is on us (healthcare professionals) to support and reveal communication and decision making competence. How often do we assume lack of competence when with effort we could demonstrate it? #AnSky
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Hospital Acquired Disability (HAD) - common; impacts on recovery; sense of isolation in older adults matters. Vulnerability in therapeutic conversations impacts on ability to take part in healthcare decision making
#AAAIGSConf Hospital Acquired Disability (HAD) - common; impacts on recovery; sense of isolation in older adults matters. Create a relationship - 'the banter matters'. Find the link - hurling, football, music, families... these are important parts of our roles. #AnSky
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Think TROL when prescribing iv fluids: Type; Rate; intended Outcome; Limits (time / volume).
#AAAIGSConf Prof Plant: Think TROL when prescribing iv fluids: Type; Rate; intended Outcome; Limits (time / volume). But in reality frequently 'same as last bag'. #AnSky
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Slide from Prof Liam Plant: 'Disturbing thesis': Summarised as poor fluid management choices in the ill / post-surgical patient lead to AKI, electrolyte disorders & multiple adverse consequences.
#AAAIGSConf First up - Prof Liam Plant on perioperative fluid management. 'We don't allow the surgeon to touch the robot without hours of training, but any bozo can prescribe iv fluids.' Why is this form of chemotherapy prescribed (largely) unsupervised by the most junior members of the team? #AnSky
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What’s the best way to anaesthesia a thumb then? From snuff box distally? Pain in the arse… #ansky #RAsky
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Peri-operative fasting
How much milk matters?
Plant-based or animal-based?
#AnSky
doi.org/10.1111/anae...
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This is an interesting read (for those of us in the specific niche of kids' anaesthesia mostly I think). #ansky
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NECTARINE - not just a serious effort in study acronyms. An in this study on neonates and infants compares Germany to the broader European cohort. It suggests a difference in critical events and morbidity. But why might that be? onlinelibrary.wiley.com/doi/10.1002/... #ansky #pedsanes
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[General siren to signal stuff we did]. It's been a bit but there's a little up on the website about what we do when kids need an MRI. The imaging page now includes bits on sedation and GA. Maybe check it out if kids' anaesthesia is your thing. www.justlittleadults.com/imagingandir #pedsanes #ansky
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Our latest #AnaesthesiaOnAir podcast is out.
Hear Ms Rachel Hargest on #AnaesthesiaOnAir as she shares insights on safe surgery in resource-limited settings, following her Webb Johnson Oration at our Winter Symposium last year.
Listen now 👉 https://ow.ly/nshp50YyeEF
#Ansky #Medsky
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It's been a bit but there is new content up. Quick things on both GA and sedation for MRI have hit the medical imaging page. #ansky #pedsanes www.justlittleadults.com/imagingandir
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Women in Anaesthesia Research webinar
Join us tomorrow for the Women in Anaesthesia Research webinar 💻
We’ll spotlight the amazing achievements and inspiring stories of women with BJA guest editors 👩🏽⚕️👩🏻⚕️
Meet brilliant speakers and network with colleagues online from across the globe.
Book 👉 https://ow.ly/cZAQ50Y1Jzb
#Ansky #Medsky
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It’s only any good if you use NMT monitoring - two patients recently who have needed a second dose for complete reversal #ansky
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6.7% incidence increasing LoS 5+ days. Plus other adverse outcomes. Only slightly alarming… #ansky
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New Primary exam webinars
Exam changes are coming—join our webinars to stay ahead! 💻
Discover what’s new, get a full overview, and receive expert prep advice.
CASE and CPE sessions start in June.
Book now 👉 https://ow.ly/kgpS50Yp6yx
#Ansky #Medsky
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A chart showing the elements of the TIME approach to delirium: Think / Triggers; Investigate / Intervene; Management plan; Engage / Explore. Original is here: https://www.widgetlibrary.knowledge.scot.nhs.uk/media/WidgetFiles/1010435/Delirium%20toolkit%20v3.1%20testing%20sep%20(web).pdf
Scotland is doing some great stuff in this sphere. They (I think) started the TIME approach to #delirium: Think / Triggers; Investigate / Intervene; Management plan; Engage / Explore. Apologies if I haven't credited the correct author🤔 #AnSky www.widgetlibrary.knowledge.scot.nhs.uk/media/Widget...
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Delirium fun times for #AnSky (and everybody else).
Of particular interest to me as I continue to modify my neck of femur technique but advice around 4ATs plus the PINCHME very interesting.
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Join our next Let’s Talk event on 23 March
Join us for our Let’s Talk event later today.
We’ve been reviewing how well our membership structure serves & supports you, and our Board of Trustees have approved a full review of our membership categories – come and learn more.
Join us this evening 👉 https://ow.ly/JtUx50Yskrw
#Medsky #Ansky
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#Delirium and the older surgical patient. Delirium is common in the older surgical patient and unpleasant for all concerned. It’s associated with a host of worse outcomes. It’s time for clinicians and service planners to act. www.bjanaesthesia.org/article/S000...
#AnSky #GeriSky #SurgSky 18/FIN
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#Delirium and the older surgical patient. Sorted! ‘Controlled fear’, disorientation, sleep deprivation, noise – all increase ‘cerebral stress’. This is evidence-based medicine not some nice to have optimism pmc.ncbi.nlm.nih.gov/articles/PMC...
#AnSky #GeriSky #SurgSky 17/n…
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#Delirium and the older surgical patient. Sorted! The patient’s environment is a strongly modifiable factor – we need to be avoiding ‘delirogenic’ environments. How much are we - health care providers - adding to cerebral stress?
#AnSky #GeriSky #SurgSky 16/n…
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A graphic of the PINCHME mnemonic to help identify potential causes of delirium. Pain; Infection; Nutrition; Constipation; Hydration; Medication; Environment.
#Delirium and the older surgical patient. Sorted! Delirium can be conceptualised as cerebral stress. So, what can we do to relieve that? PINCHME is a great place to start. Again, not solely the purview of the medics – everyone can be thinking about it
#AnSky #GeriSky #SurgSky 15/n…
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