Sally El-Ghazali (@sally_ghazali) 's Twitter Profile
Sally El-Ghazali

@sally_ghazali

Anaesthetist/ICM consultant in @LNWH_NHS. Avid supporter of @Anaes_Trainees. Choc lover. Generally happy & smiley. Views expressed my own.

ID: 3677465417

calendar_today16-09-2015 18:31:44

10,10K Tweet

5,5K Followers

2,2K Following

Sally El-Ghazali (@sally_ghazali) 's Twitter Profile Photo

Some patients may be quite obvious as to who *needs* an ATI If unsure re: asleep Vs awake, ask yourself these questions: IF asleep intubation fails: - are you confident FM ventilation - is SGA likely to work - can you wake the patient - is eFONA likely to be difficult #GAMC2025

Some patients may be quite obvious as to who *needs* an ATI

If unsure re: asleep Vs awake, ask yourself these questions:
IF asleep intubation fails:
- are you confident FM ventilation
- is SGA likely to work
- can you wake the patient
- is eFONA likely to be difficult

#GAMC2025
Sally El-Ghazali (@sally_ghazali) 's Twitter Profile Photo

Do all cervical spine injuries need ATI? Short answer - no. Some have head injuries and may not be compliant to have ATI. ATI Vs asleep decided on individual basis. Speak to surgical colleagues and risk assess to see if other patient factors may influence decision. #GAMC2025

Do all cervical spine injuries need ATI? Short answer - no. Some have head injuries and may not be compliant to have ATI.

ATI Vs asleep decided on individual basis. Speak to surgical colleagues and risk assess to see if other patient factors may influence decision.

#GAMC2025
Sally El-Ghazali (@sally_ghazali) 's Twitter Profile Photo

Something I didn't even realise! Reported risk of angioedema with alteplase. Higher risk in the stroke subgroup of patients but consider in all patients given tPA #GAMC2025

Something I didn't even realise! Reported risk of angioedema with alteplase. Higher risk in the stroke subgroup of patients but consider in all patients given tPA

#GAMC2025
David Vaughan (@oldandbaffled) 's Twitter Profile Photo

Nuala Lucas at #GAMC2025. Obs GA: SGA vs ETT. Aspiration rare. Some evidence counter intuitively 1st trimester increased transit time 2nd and 3rd not. Ultrasound studies variable but broadly increased content. Benefit small, risk not zero. Should you? Would you?? GAMC 2025

<a href="/noolslucas/">Nuala Lucas</a>   at #GAMC2025. Obs GA: SGA vs ETT. Aspiration rare. Some evidence counter intuitively 1st trimester increased transit time 2nd and 3rd not. Ultrasound studies variable but broadly increased content.  Benefit small, risk not zero. Should you? Would you?? <a href="/GAMCLondon/">GAMC 2025</a>
Sally El-Ghazali (@sally_ghazali) 's Twitter Profile Photo

"Effective oxygenation buys you time" A second generation SGA can be a bridge - NOT a failure. Oxygenation is the goal! If you are unable to intubate in a time critical GA LSCS but have a SGA, judgement call needed re: wake up or continue depending on factors #GAMC2025

"Effective oxygenation buys you time"
A second generation SGA can be a bridge - NOT a failure. Oxygenation is the goal!

If you are unable to intubate in a time critical GA LSCS but have a SGA, judgement call needed re: wake up or continue depending on factors 

#GAMC2025
Sally El-Ghazali (@sally_ghazali) 's Twitter Profile Photo

More of a focus of anatomically difficult airway & less on the physiologically difficult airway. Physiologically difficult airway is one where patients' physiological & pathophysiological alterations increase risk of complications during tracheal intubation. #GAMC2025

More of a focus of anatomically difficult airway &amp; less on the physiologically difficult airway.

Physiologically difficult airway is one where patients' physiological &amp; pathophysiological alterations increase risk of complications during tracheal intubation.

#GAMC2025
Sally El-Ghazali (@sally_ghazali) 's Twitter Profile Photo

Why do some patients have cardiovascular collapse after tracheal intubation? Some patients may be critically ill and lose their sympathetic drive with induction agents. Think about use of induction drugs- Avoid using propofol & consider drugs such as ketamine! #GAMC2025

Why do some patients have cardiovascular collapse after tracheal intubation? Some patients may be critically ill and lose their sympathetic drive with induction agents.

Think about use of induction drugs- 
Avoid using propofol &amp; consider drugs such as ketamine!

#GAMC2025
Sally El-Ghazali (@sally_ghazali) 's Twitter Profile Photo

The PrePARE and PrePARE II trial suggested use of fluid bolus pre induction did NOT decrease the overall incidence of CVS collapse. Interesting upcoming trials comparing fluids Vs vasopressor pre induction. Will I stop giving a fluid bolus pre induction? Not likely! #GAMC2025

The PrePARE and PrePARE II trial suggested use of fluid bolus pre induction did NOT decrease the overall incidence of CVS collapse. Interesting upcoming trials comparing fluids Vs vasopressor pre induction.

Will I stop giving a fluid bolus pre induction? Not likely!

#GAMC2025
GAMC 2025 (@gamclondon) 's Twitter Profile Photo

🚨BOOKINGS FOR VIRTUAL ACCESS REOPENED🚨 we’ve had LOADS of people inquiring about getting access to yesterdays talks!!!! So much so that we’ve reopened bookings for virtual access!!!! No better value for money quality airway CPD going!!! Link to get access:

Oxfam (@oxfamgb) 's Twitter Profile Photo

Are you watching Channel 4? If you agree that targeting medics is a red line, join our collective action now and add your voice to 1000s of other people to demand action now at bit.ly/RedLineMosaic__ #RedLineForGaza #Gaza Channel 4 #GazaDoctorsUnderAttack PLEASE SHARE

Are you watching Channel 4?  If you agree that targeting medics is a red line, join our collective action now and add your voice to 1000s of other people to demand action now at bit.ly/RedLineMosaic__ #RedLineForGaza #Gaza <a href="/Channel4/">Channel 4</a> #GazaDoctorsUnderAttack PLEASE SHARE
Duncan Craig OBE (@mrmadrigalobe) 's Twitter Profile Photo

How can anyone watch #GazaDoctorsUnderAttack and not be horrified at IDF defying international law and committing war crimes??? The Israeli Army is committing War Crimes according to the UN and yet the international community remains relatively silent!

How can anyone watch  #GazaDoctorsUnderAttack and not be horrified at IDF defying international law and committing war crimes??? The Israeli Army is committing War Crimes according to the UN and yet the international community remains relatively silent!
Sally El-Ghazali (@sally_ghazali) 's Twitter Profile Photo

#GazaDoctorsUnderAttack is a difficult but necessary watch. Well done Channel 4 for bravely broadcast the truth - torture, famine, murder of civilians. Nothing can justify what happened on October 7th but HOW can people justify what is happening to Gaza? Silence is deafening!

#GazaDoctorsUnderAttack is a difficult but necessary watch. Well done <a href="/Channel4/">Channel 4</a> for bravely broadcast the truth - torture, famine, murder of civilians. 

Nothing can justify what happened on October 7th but HOW can people justify what is happening to Gaza? Silence is deafening!
Sally El-Ghazali (@sally_ghazali) 's Twitter Profile Photo

The numbers are shocking. 17000 Palestinian children have been killed by Israel Defense Forces with a further 30000 injured. How is this justified?!? When will this end?!? #GazaDoctorsUnderAttack Channel 4 Channel 4 News

The numbers are shocking. 17000 Palestinian children have been killed by <a href="/IDF/">Israel Defense Forces</a> with a further 30000 injured. How is this justified?!? When will this end?!?

#GazaDoctorsUnderAttack <a href="/Channel4/">Channel 4</a> <a href="/Channel4News/">Channel 4 News</a>