Fiona (@fionafionakel) 's Twitter Profile
Fiona

@fionafionakel

Consultant in Anaesthesia and ICM, Bath. Featherstone Professor 2024. DAS/Assoc of Anaes human factors guideline group. #teatrolleytraining. All views my own

ID: 1979246594

calendar_today21-10-2013 16:17:46

3,3K Tweet

2,2K Followers

869 Following

Tim Cook (@doctimcook) 's Twitter Profile Photo

Today’s treat eFONA tea trolley training Great -to refresh the motor skills on a skinny & obese model -to chat it through -to work in a department where the residents are happy to teach the consultants - to work in a department where all consultants are happy to learn Nice

Today’s treat

eFONA tea trolley training

Great
-to refresh the motor skills on a skinny & obese model
-to chat it through 
-to work in a department where the residents are happy to teach the consultants 
- to work in a department where all consultants are happy to learn

Nice
Tom Cloke (@clokeetdagger) 's Twitter Profile Photo

A two-person verbal intubation check has been proposed to reduce unrecognised oesophageal intubation. Our feasibility study reported that: ✅ possible to implement this in two UK hospitals. ✅ it was acceptable to the majority of intubators and intubating assistants.

Tim Cook (@doctimcook) 's Twitter Profile Photo

TWO PERSON CHECKING TO LESSEN RISK OF OESOPHAGEAL INTUBATION is feasible & acceptable Great to see this paper in early access in British Journal of Anaesthesia A simple feasibility study supported both 2-person checking of capnograph trace (sustained exhaled CO2) & 2-person checking of

TWO PERSON CHECKING TO LESSEN RISK OF OESOPHAGEAL INTUBATION is feasible & acceptable Great to see this paper in early access in

<a href="/BJAJournals/">British Journal of Anaesthesia</a>
A simple feasibility study supported both  2-person checking of capnograph trace (sustained exhaled CO2) &amp;  2-person checking of
Tim Cook (@doctimcook) 's Twitter Profile Photo

2-person checks of intubation Exit survey: still highly positive Conclusion 2-person checks of intubation are highly feasible & acceptable to intubators & assistants -judged to reduce risk of unrecognised oesophageal intubation -multiple team & human factor benefits

2-person checks of intubation   

Exit survey: still highly positive  

Conclusion 
2-person checks of intubation are highly feasible &amp; acceptable to intubators &amp; assistants  
-judged to reduce risk of unrecognised oesophageal intubation 
-multiple team &amp; human factor benefits
Tim Cook (@doctimcook) 's Twitter Profile Photo

Through The Cords-Next Generation Airway Tools Good question HYPERANGULATED VL: OPTIMISING TECHNIQUE As ever, I think the answer lies with careful attention to some simple tips In RUH Bath 🏥 we teach a technique of -optimising view (pic1 ) achieving a grade 1 view - divide the screen into 3x3 grid & the glottis should be

<a href="/TTCmed/">Through The Cords-Next Generation Airway Tools</a> Good question 

HYPERANGULATED VL: OPTIMISING TECHNIQUE 

As ever, I think the answer lies with careful attention to some simple tips

In <a href="/RUHBath/">RUH Bath 🏥</a> we teach a technique of
-optimising view (pic1 ) achieving a grade 1 view 
- divide the screen into 3x3 grid &amp; the glottis should be
Fiona (@fionafionakel) 's Twitter Profile Photo

Videolaryngoscope in paediatrics Nicola Disma editorial British Journal of Anaesthesia ✅ 1st choice- neonatal/infant intubation ✅ considered as 1st choice - difficult intubation +/- with other techniques ✅ technique of choice for safely teaching tracheal intubation bjanaesthesia.org/article/S0007-…

Tim Cook (@doctimcook) 's Twitter Profile Photo

Louella Vaughan Many will disagree with this. Regarding the picture it’s the one item that seems to provide accurate information about the individual that others might need. More generally hats (like badges) inform those around you who you are -useful & unambiguous to patients who may forget

<a href="/DrLKVaughan/">Louella Vaughan</a> Many will disagree with this.

Regarding the picture it’s the one item that seems to provide accurate information about the individual that others might need.

More generally hats (like badges) inform those around you who you are
-useful &amp; unambiguous to patients who may forget
Tim Cook (@doctimcook) 's Twitter Profile Photo

Dr Stuart Gold describing our approach to airway management at RUH Bath 🏥 RUH Anaesthetic Dept 1 Follow the evidence (use kit most likely to work) 2 Follow the guidelines (use kits supporting transition through guidelines) 3 Strip away choices 4 What remains is what you need We

Dr Stuart Gold describing our approach to airway management at <a href="/RUHBath/">RUH Bath 🏥</a> <a href="/RUHAnaesthesia/">RUH Anaesthetic Dept</a> 

1
Follow the evidence (use kit most likely to work)
2 
Follow the guidelines (use kits supporting transition through guidelines)
3 
Strip away choices
4 
What remains is what you need

We
Aston Martin Aramco F1 Team (@astonmartinf1) 's Twitter Profile Photo

Celebrating International Women in Engineering Day. 💚 Alongside ServiceNow and their partner Plan International UK, we gave three young women a glimpse into our engineering environments at the AMRTC and a chance to shadow our talented team. #INWED25 #TogetherWeEngineer

Tim Cook (@doctimcook) 's Twitter Profile Photo

And another Great Science Letter from our team -everyday VL - within patient comparisons of laryngeal view with a Mac VL vs Mac DL - 1373 patients - all grades, experience & locations Difficult laryngoscopy DL 2.5% VL

And another Great Science Letter from our team   
-everyday VL  
- within patient comparisons of laryngeal view with a Mac VL vs Mac DL  
- 1373 patients  
- all grades, experience &amp; locations    

Difficult laryngoscopy  
DL                                  2.5%  
VL
Tim Cook (@doctimcook) 's Twitter Profile Photo

Here's a humdinger.... "Assessing the incidence of ‘can see, cannot intubate easily’ during routine use of C-MAC videolaryngoscopy." Is it a real problem - with a MacVL - with a HAVL Well basically no! Another cracking science letter from the team @anaesthesia Fiona

Here's a humdinger....
"Assessing the incidence of ‘can see, cannot intubate easily’ during routine use of C-MAC videolaryngoscopy."

Is it a real problem
- with a MacVL 
- with a HAVL

Well basically no!

Another cracking science letter from the team

@anaesthesia <a href="/Fionafionakel/">Fiona</a>
𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 (@anaes_journal) 's Twitter Profile Photo

Are you looking for some practical advice for implementing videolaryngoscopy for all intubations? Look no further! #anaesthesia #MedTwitter Fiona Tim Cook doi.org/10.1111/anae.1…

Are you looking for some practical advice for implementing videolaryngoscopy for all intubations?

Look no further!

#anaesthesia #MedTwitter

<a href="/Fionafionakel/">Fiona</a> <a href="/doctimcook/">Tim Cook</a>

doi.org/10.1111/anae.1…