
Alistair Steel 🇺🇦🇮🇷
@alistairsteel
NHS consultant anaesthetist. Likes solitude, coffee & parkrun 🏃♂️
ID: 43182328
28-05-2009 19:53:52
5,5K Tweet
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Just published: Autonomy for SAS doctors and guidance on progression to Specialist rcoa.ac.uk/training-caree… A useful framework for everyone to use in their organisation. Great news for SAS anaethetists Royal College of Anaesthetists Association of Anaesthetists #SASsix

SipTilSend is safe. Prof Scarlett McNally shares the benefits at #Anaesthesia2025 For the 2 hours before surgery adults can have 170ml of clear fluid per hour before GA, regional block or sedation. Find out more: ow.ly/ylyU50VWc2w Centre for Perioperative Care


Salman Naeem Athmaja Thottungal Really interesting! Lots of questions but any good resources you can recommend to look at that can be applied to the ED population? Cynical question: Do you create a cohort of frequent attenders or is there a decent length of relief? For simple sciatica or complex chronic?

Philip Barclay explains that pre-filled syringes are the future for our specialty, millions of pound saved in litigation for medication errors. #Anaesthesia2025 Royal College of Anaesthetists


Becki Marsh Joe Pick Burnt Toast What’s the point of being an anaesthetic senior reg if you can’t anaesthetise most patients for most procedures?






Valerie (Val) Humphreys David Mulvey TIVA Tim InfamousGasman 🇵🇸 🇵🇰 🇬🇧 Mary Springchicken permanentlyexhaustedpigeon @medicalmodelwithabriochebun It depends what kind of sedation we’re talking. A small dose of midazolam, maybe. But how have they assessed if the patient is appropriate for this? TCI protocol definitely not appropriate .Sedation can be harder as you’re in a grey area with a potentially noncompliant patient


SIVA Trainees simtiva.blogspot.com/2025/05/rsi-an… The above is a full explanation of why a manual bolus is a better choice, as experimented via simulations on SimTIVA app

Juliet Tango Hysteroscopy Action Gail Busby Stephanie O'Donohue Patient Safety Commissioner RoyalCollegeObsGyn Getting It Right First Time (GIRFT) Mary-Ann Fox Hi Juliet. Here it is standard to have hysteroscopy in an operating theatre with GA. Difficult to tell which patients will have short procedures and which will have long. Most women are so tired with running their lives, they are grateful to have a ‘sleep’. We give them extra TLC

The Natasha Bedingfield set at #radio1bigweekend was fab 👏 👏 Could easily have been worthy of being the headline act. Have a listen! bbc.co.uk/sounds/play/m0…



Do you use a bougie for your hyperangulated VL (HAVL) intubations? 👀 We just published a side-by-side comparison of five intubation adjuncts for HAVL in a simulated difficult airway. Read it and you might consider changing your practice. …-publications.onlinelibrary.wiley.com/doi/10.1111/an…

Raghu Venugopal MD “Time gives us more information. We often can’t give an exact diagnosis right away, but thankfully your exam/testing looks alright at the moment. If things get worse or you develop new symptoms, that can help better identify what’s going on.” I say this every shift.