robjimfleming.bsky.social - Profile | ThreadSky | a Reddit-style client for Bluesky

Scathing, and absolutely hilarious talk on whether high flow humidified nasal oxygen has a routine role in obstetric anaesthesia. "When you read about airway catastrophes, you don't often think - if only they had a high flow oxygen device". #OAA25ASM

submitted 4 hours ago • 0 comments

An excellent slide in the next talk, on high neuraxial block. How high does a spinal block typically go in obs theatre. The risk of a higher than intended block is not small, but the risk of respiratory compromise is lower. Both height AND density are required for phrenic nerve palsy. #OAA25ASM

submitted 4 hours ago • 0 comments

Excellent talk from Dr Heather Nixon on pain during caesarean delivery (PDCD): Review your epidurals. Replace them if they aren't working, and carefully select those you might use for theatre. Believe people. "Pressure" can be painful. How keen are you to put your hand in a vice? #OAA25ASM

submitted 4 hours ago • 0 comments

Continuing #OAA25ASM is @yavorrm.bsky.social, on forthcoming guidance for anaesthetic implications of chiari malformation. We have covered frequency (around 1%); subtypes, including 1-4, AND 0, 0.5, and 1.5 (!); and why the guideline needs to exist, potentially widening access to analgesia.

submitted 5 hours ago • 0 comments

A reminder from the always excellent Dr Nuala Lucas, president of the OAA, of just how busy we have become as a subspecialty. The NAP7 activity survey demonstrated that 70% of anaesthesia conducted out of hours is obstetric. What we do as obstetric anaesthetists has a huge impact. #OAA25ASM

submitted 5 hours ago • 0 comments

I really like this photo. A handful of confetti ready to be thrown as the bride and groom come past. You can see the textures and the film grain, and I like that. Canon EOS 10, nifty fifty F/1.8 and Lomography "Lady Grey" black and white film. #photography #believeinfilm

submitted 7 hours ago • 0 comments

The final question in the first session at #OAA25ASM relates to sustainability vs choice when it comes to analgesia, particularly nitrous oxide. Denying analgesic options to people giving birth, to save the planet, is only uncontroversial if it isn't YOUR uterus or perineum we are talking about.

submitted 10 hours ago • 2 comments

Excellent summary slide from Dr Mathers talk on updates relating to anaesthesia for caesarean section. The alt text includes my thoughts. #OAA25ASM

submitted 10 hours ago • 2 comments

Reduction in #OBAnes maternal deaths. Association doesn’t mean causation but….. authors.elsevier.com/a/1km1x1dCDy...

submitted 61 days ago • 0 comments

Continuing the updates section of #OAA25ASM, we are talking about inequalities in access to neuraxial analgesia and anaesthesia. Bias, and prejudice, are important contributers to this outcome. Greater diversity in those delivering care potentially provides greater equality in that care.

submitted 11 hours ago • 0 comments

Next at #OAA25ASM "updates", we are onto PCA remifentanil. Some useful statistics: Around 1 in 4 people receiving PCA remi will have an apnoeic episode in the first hour. Desaturation below 94% also occurs in roughly 1 in 4 people.

submitted 11 hours ago • 1 comment

The first session of #OAA25ASM is "recent advances" in Obstetric Anaesthesia. Most recent publications on Nitrous Oxide relate to the environment. Healthcare accounts for ~5% of all the carbon footprint of humans. 5% of that is anaesthesia related, and 75% of that is nitrous oxide. #OAA25ASM

submitted 11 hours ago • 0 comments

Before the conference opens, a representative from Visit Belfast talks about the city. Titanic, tourism, world renowned universities, sunshine (today at least!) and the craic. My mum grew up here, but I've seen more of the inside of the ICC than the rest of the city. I must change that. #OAA25ASM

submitted 11 hours ago • 0 comments

Sitting down in the main auditorium for the @oaa-anaes.bsky.social conference in Belfast's ICC. As is my way, I'll bring posting snippets over the conference, using the hashtag #OAA25ASM

submitted 11 hours ago • 1 comment

In Belfast for @oaa-anaes.bsky.social conference, if anyone is about. I look a lot like my avatar, except less neon. Feel free to say hello if you see me milling around.

submitted 1 day ago • 0 comments

Film photography is a challenging, but rewarding thing. These are a few of the random photos from a friend's wedding. There is something about film, and black and white, which isn't easily replaced by another medium. #photography #believeinfilm

submitted 1 day ago • 1 comment

My son has sent me a petition to sign, about allowing shorts instead of just trousers at his school. I care not at all about the shorts. However, I care a lot about teaching him the importance of protest, collective action, and believing change can result from these things. I'd sign it twice!

submitted 1 day ago • 3 comments

Really looking forward to this opportunity to engage with politicians and others over the contributions and needs of the SAS and LED workforce in the NHS. We often say that we are marginalised. Well, we ought to do something about that.

submitted 3 days ago • 0 comments

Am I followed by any MPs? The @sascollective.com have been invited to a parliamentary event next week, hosted by @peterprinsleymp.bsky.social, on behalf of @assocanaes.bsky.social. We'd love to see you there! The future of the medical workforce will be defined by SAS careers. #SASsix

submitted 3 days ago • 1 comment

Today's performative clampdown on migrants will gut our care homes of desperately needed staff. We are already short of over 150k carers. Banning foreign care workers will only exacerbate this - increasing suffering of society's most vulnerable members & pressures on the NHS. It's madness.

submitted 3 days ago • 61 comments

I consider many of the folks who travelled to join this "island of strangers" close friends, actually.

submitted 3 days ago • 1 comment

Feeling a little glum today, so my wife suggested I went and pointed a camera in the direction of the sunset. I love that woman. Being reminded that the world is still beautiful is sometimes exactly what I need.

submitted 3 days ago • 1 comment

Framed and waiting to go on a wall. A triptych of Eden Project photos taken with Lomochrome Turquoise film, for the colour shift, and a black and white portrait landscape. #photography #believeinfilm

submitted 5 days ago • 0 comments

There is no better place to display photographs than a fridge. #photography

submitted 5 days ago • 1 comment

Walk after sunset, with another old camera. Sony A300, with its 10MP CCD sensor. 35mm F/1.8 lens. #photography

submitted 5 days ago • 1 comment

my vet, who's hard of hearing: can you repeat your cat's name me:

submitted 6 days ago • 423 comments

I have put a Tokina 60-300mm lens on my dad's old film SLR. I'm going to try and do some bird photography with this. Wish me luck. I am likely to need it, folks. #photography ##believeinfilm

submitted 6 days ago • 2 comments

We had a bird box on our cherry tree, until the year before last. It had a nest of Blue Tits in it, but it fell off the tree last year. I put it on a different tree earlier in the spring. It would appear that our Blue Tits have found it again! Canon 7D ii, 70-200 F/4 L #photography #birding

submitted 7 days ago • 3 comments

Did this a couple of times during my trip to Mevagissey, and doubled up the photo, in case the film one didn't come out. The one on the left was taken with a reasonable modern dSLR, a Canon 60D. The one on the right was taken with an Olympus PEN EE3 and Kentmere 400 film. #photography

submitted 8 days ago • 0 comments

Another stroll around Southwell before dinner. Obligatory Minster through the arch photo. Canon 60D, Sigma 17-50 F/2.8 #photography

submitted 8 days ago • 1 comment

Another pretty day out there today for a walk with the dogs. Green, mostly. #photography Canon 60D, cheap Sigma F/2.8 standard zoom lens

submitted 9 days ago • 0 comments