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⭐️TIME FOR A BIG AIRWAY QUESTION⭐️ You are intubating with a hyperangulated videolaryngoscope. You want to intubate successfully on the first attempt. Do you reach for a: 👉 bougie!? OR 👉 stylet!? You may be surprised at the answer! …-publications.onlinelibrary.wiley.com/doi/10.1111/an…

Latest event from Liverpool Head & Neck Centre designed to encourage members within H&N MDT to attend and engage in discussing complex decisions regarding patient care. Full day with lunch included Hope Street Hotel

#videolaryngoscopy #airway VL hack: dont have a stylet? No stress, use the “Geenen trick” to bend the tracheal tube in the correct shape. 5 minutes is enough for most brands to preserve shape memory Keep the tube in the opened package for hygiene. James DuCanto, M.D. Cliff Reid

1/ So, this document just dropped today from ANZCA, GESA, NACOS, Australian Diabetes Society A consensus expert opinion on what do to with patients on GLP-1 RAs presenting for endoscopy and #surgery. Let's unpack it in this brief thread 🧵 #Anaesthesia #Anesthesiology

🔓Hyperangulated vs. Macintosh videolaryngoscopy in adults with anticipated difficult airway management: a randomised controlled trial UKE Hamburg 🔗…-publications.onlinelibrary.wiley.com/doi/10.1111/an…

What is the Cooper manoeuvre? Vertical lifting of the tracheal tube until its tip is level with the glottis. Avoid an exaggerated posterior tilt - this makes it more likely to ‘hang up’ on the arytenoid cartilages. Nicholas Chrimes 🔗…-publications.onlinelibrary.wiley.com/doi/10.1111/an…

Peri-operative steroid management Here is a summary of the AoAs recommended supplementation regimen for adult patients receiving ≥ 5 mg oral prednisolone equivalents for ≥ 28 days Aravind Ramesh @bengibbison 🔗…-publications.onlinelibrary.wiley.com/doi/10.1111/an…

Check out the view from an augmented reality laryngoscope! #AR #AugmentedReality #AirwayTwitter #anaesthesia buff.ly/3UbBf5T

I’ve uploaded a new pEEG video covering indices, raw EEG, DSA, drugs, ketamine, age and suppression. A great start for the EEG user keen to know more! Processed EEG in anaesthesia youtu.be/sF2GgW_OWIg?si… via YouTube

Now the dust of #SIVA24 is settling and you've all hopefully made it home. It's time to put SIVA 2025 in your diary... Liverpool, City of Culture, home of the Beatles and the lamb banana! #SIVA25 - Save the date

The evidence for harm associated with #perioperative NSAIDs is conflicted. NSAIDs are probably safer than previously thought and could be used routinely in the #perioperative period. bjanaesthesia.org/article/S0007-…

Do you use silk sutures to secure your central line? • The large surface area of silk sutures predisposes to colonisation & biofilm formation • The antigenic properties of silk protein leads to local inflammation Time to consider an alternative? #anaestheisa #surgery

Can regional anaesthesia techniques improve pain outcomes after abdominal surgery? New correspondence on external oblique regional catheters for postoperative analgesia #pain #regional #anaesthesia bjanaesthesia.org/article/S0007-…

Anaesthetists….do you use the Glidescope? They are changing the connectors on the cables. We erroneously got new stock that didn’t connect to our screen and only found out during an unanticipated difficult intubation. Beware!! 🚨🚨🚨🚨 Royal College of Anaesthetists AoA #patientsafety

In the UK the majority of surgical patients receive IV paracetamol, which has a 12-fold greater environmental impact compared to oral paracetamol #anaesthesia2025

When using a hyperangulated videolaryngoscope have you tried "reverse loading" a tracheal tube on to a preformed stylet? The stylet & tracheal tube are shaped forcibly in the opposite direction to the normal curvature and to match the shape of the blade. #anaesthesia

Great to see this published in 𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 TLDR - Stylets best for hyperangulated VL intubation Dynamic bougies next best Standard bougies worst Effects more marked when difficulty increases Manikin studies are often criticised, but may in some cases be the optimal design.

Our ED airway program’s success lies in our team-based approach. We invest in training our nurses to be expert assistants Essential Assistant Microskills for Bougie-Assisted Critical Care Intubations

Here's a video I made breaking down this incredible case of a 60-year-old man who presented to the ER with a muffled voice, difficulty breathing, and coughing up blood #FOAMed

Staying SAFE to #intubate: introducing a two-step two-operator check for tracheal intubation to facilitate navigation within the #PUMA algorithm. bjanaesthesia.org/article/S0007-…