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I love regional anaesthesia and working with surgeons, & am also sad that I have finished Schitt’s Creek. Here is a thread of experiences as a regional anaesthetist.. The reaction of a new surgeon the first time you state you’d like to site a nerve block... for a trauma patient

Teamwork

Our new paper in JAMA Internal Medicine: is IV contrast nephrotoxic? Lots of studies say no, but have ⬆️risk of confounding: people who get contrast ≠ people who don't get it. We used a natural experiment to try to overcome this bias jamanetwork.com/journals/jamai… 1/5

Interesting - nice #Infographic too! Need to read in more detail, but appears ESP=QLB for Lap Chole Would love to have seen a control arm with LA infiltration though. #RAUK21

It really is quite a long time since I had occasion to put up something I'd written but here is a version of a late night talk for South African trainees on button batteries and the like if #pedsanes is your thing. songsorstories.com/2021/04/18/3-b…

Bruce Biccard PADDI Trial Many thanks Bruce, and thanks so much for your contribution.

#TTM2 trial randomised comatose #OHCA patients to targeted #hypothermia (#TTM 33°C) or targeted normothermia (<37.8°C). ➡️ Hypothermia did not lead to a lower incidence of death or poor functional outcome by 6 months than normothermia. 🔗bit.ly/3d5NwDB #FOAMcc TTM2

A history of hypothermia for cardiac arrest, 2002-2021 (RIP)🪦 🥶2002 studies supporting hypothermia were weak 🥶robust studies refute benefit (TTM1 & TTM2) 🥶growing evidence of iatrogenic harm 🥶post-arrest hypothermia should be restricted to within RCTs emcrit.org/pulmcrit/ttm2/

Change the culture

🔐Supraglottic airway insertion and removal is not associated with increased levels of bio-aerosol, is no different to tidal breathing and is considerably lower than a volitional cough. Andy Shrimpton Jules Brown Tim Cook Gus Hamilton Tony 🔗…-publications.onlinelibrary.wiley.com/doi/10.1111/an…

Infection control teams around the country: please take notice.

There are plenty of ways to waste time online. You already know those. Instead, here are 7 sites that will make you more productive––not less: 🖥

If it feels like the story around anaesthesia and neurodevelopment keeps moving, perhaps this #OpenAccess paper is the one you need to catch up. #pedsanes onlinelibrary.wiley.com/doi/epdf/10.11…

Webinar from BD where the developers of the new Eleveld TCI propofol model will be available for Q&As. event.webcasts.com/starthere.jsp?…

1/17 🤔Why do we use epinephrine to treat cardiac arrest? Epinephrine can CAUSE cardiac arrest. And yet we give it as part of ACLS to treat the condition it caused. This paradox requires explanation.

Final session of Friday that I am attending is about PROSPECT Guidelines. Chaired by Dr Narinder Rawal. These guidelines are procedure specific analgesia, but it is important to understand they are recommendations based on AVAILABLE evidence, not final answers. #ESRA #ESRA2022

Super-excited tobhave received my new butterfly IQ+ probe from Jean ZEBRAMEDICAL! Awesome personalised service, now I am officially part of the South African Butterfly IQ family 😀 #POCUS

Makes me very happy when my Butterfly IQ can be used during a liver resection! ZEBRAMEDICAL Butterfly Network

Proud to see my MMed study published in the #BJAOpen! Interesting to evaluate patient-reported Quality of Recovery in a public hospital. We also show using desflurane with basal to minimal fresh gas flow is feasible & results in economical use. authors.elsevier.com/sd/article/S27… Sefako Makgatho Health Sciences University (SMU)

New #bjaopen. Quality of recovery between desflurane and isoflurane inhalation anaesthesia in patients undergoing ophthalmological surgery at a tertiary hospital in South Africa: new trial by Steyl et al #volatile #QoR bjaopen.org/article/S2772-…