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leedsmedic.bsky.social
Anaesthetist. Neuro. Airway. TIVA. pEEG. Education. Coffee. Aston Villa. Ça Ira.
50 posts 633 followers 128 following
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Your dignity honors the bravery of the Ukrainian people. Be strong, be brave, be fearless. You are never alone, dear President Zelenskyy. We will continue working with you for a just and lasting peace.

submitted 8 hours ago • 1397 comments

Arterial trauma is a rare, but potentially life-threatening complication of central venous catheter insertion. In this interrogation of two national databases of incident reports, outcomes included: • stroke (10%) • death (4%) #AnSky #MedSky https://doi.org/10.1111/anae.16570

submitted 7 days ago • 3 comments

When a central venous catheter-related arterial trauma incidents occurs.. Who is involved? 37% resident doctors Where is the procedure conducted? 37% critical care What was the intended insertion site? 54% internal jugular @intensiveperson.bsky.social #AnSky #MedSky doi.org/10.1111/anae...

submitted 7 days ago • 2 comments

Propofol vs inhalational anaesthesia and cancer-related outcomes Preclinical investigation & retrospective studies suggest propofol: • inhibits tumourigenesis & metastasis • is not immunosuppressive • blocks angiogenesis • ⬇️ recurrence BUT no large RCT supports this #AnSky buff.ly/4aIWRh3

submitted 23 days ago • 3 comments

When do you switch off propofol #TCI at the end of a case? How do you predict when the patient will spontaneous eye open and emerge from general anaesthesia? We tackled this Q in our latest study published in BJA. Here's a quick summary ... 1/7 #AnSky #TIVASky

submitted 27 days ago • 3 comments

Leeds leading

submitted 36 days ago • 13 comments

I'm interested in people's opinions on BP targets in ICH. Let's use an example. Gentleman in his mid 50s. Unknown PMHx. BP 220/100 o/a GCS 7 (M4) I+V to facilitate scan which shows ICH with hydrocephalus. Going to theatre for an EVD. What are your BP target, and upper and lower limits.

submitted 55 days ago • 3 comments

This is really nice for showing how inaccurate Schnider is at induction, and why you should take the numerical figure the patient goes to sleep at with a huge pinch of salt. Ce 90s after the same bolus (75mg propofol) Schnider: 4.3 Eleveld: 1.3 ...and this is coming from a Schnider user.

submitted 76 days ago • 1 comment

If this can be replicated it would probably improve list turnover, be more sustainable and most importantly, make TIVA much less of a faff. #ansky

submitted 86 days ago • 0 comments

#ansky #neuroanaesthesia #neuroicu

submitted 86 days ago • 1 comment

Until I was a young I adult, I thought that a general anaesthetic was one that was used all over the country. And a local one was one that was just used where I lived.

submitted 88 days ago • 14 comments

This is almost identical to my recipe for extubating neuro and head & neck cases, esp. pituitaries. Only stimulation being their name I think is the most important aspect. Main difference is I leave the remi running, and I admit I've never heard of lidocaine in the cuff. I'll be giving it a go!

submitted 92 days ago • 0 comments

School books indoctrinating our kids with NIMBYism. No wonder we couldn't get HS2 done 😂

submitted 95 days ago • 0 comments

Supporting slide set for my talk at the @RCoANews Winter Symposium "Pick of the Papers 2024" My (biased) choice of the most interesting papers relating to anaesthesia/ICM that people may have missed. wordpress.com/post/sthjour...

submitted 98 days ago • 1 comment

The @rcoanews.bsky.social State of the Nation 2024 report is out. No huge surprises, still a massive shortfall in Anaesthetists. This is a political decision, so now is a great time to email your MP and point out this huge barrier to NHS recovery. #ansky #medsky www.rcoa.ac.uk/policy/polic...

submitted 100 days ago • 0 comments

Starting to feel like home.

submitted 102 days ago • 0 comments

I guess we are doing introductions. I'm a consultant anaesthetist specialising in neuro and the T part of ENT. I'm a TIVA enthusiast and extremely interested in pEEG, awareness and consciousness, and can often be found boring residents about the above.

submitted 104 days ago • 1 comment

People of BlueSky. Let’s get to know each other better. What is your favourite movie? Quote share your answer only in gif form. #filmsky

submitted 104 days ago • 1 comment