Dr Pieter Peach
@pieterpeach.com
2.5K followers 690 following 2.8K posts
Anaesthesiologist, paediatric and adult | MPH | Royal Children’s Hospital, Melbourne rch.org.au Also mastodon.social/@pieterpeach #AnSky #MedSky
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pieterpeach.com
A reminder of a solid framework that has existed for social media engagement since well before social media was a thing.
Reposted by Dr Pieter Peach
anzca.bsky.social
With such a diverse discipline, anaesthetists need to have not only clinical expertise but also the ability to communicate effectively, manage anxiety, & build trust to help reassure patients. Join us to celebrate National Anaesthesia Day #NAD25 this Thursday! #insafehands #AnSky bit.ly/42lfpB8
Reposted by Dr Pieter Peach
hypoxicchicken.medsky.social
Always happy to drone on about my favourite topics - safety and safety science. National Anaesthesia Day is as good an excuse as any 😜
anzca.bsky.social
“We have a very proud history over the nearly 200 years of our specialty of improving safety. Indeed, we're really a model for safety.” – A/Prof Stu Marshall @hypoxicchicken.medsky.social. Join us next week to celebrate #NAD25 and the miracle of anaesthesia: bit.ly/42lfpB8 #InSafeHands #AnSky
Reposted by Dr Pieter Peach
anaesjournal.bsky.social
Patient education as the bridge to meaningful consent in anaesthesia

"Materials that classify risks by category with brief illustrative examples, supported by simple numerical explanations, can give patients a clearer framework for discussion."

#AnSky

doi.org/10.1111/anae...
doi.org
pieterpeach.com
I remember reading about people drinking ether and just realised I’ve never considered the oral/NG route for total anaesthesia. Wonder what the therapeutic index might be.
Reposted by Dr Pieter Peach
welshgasdoc.bsky.social
Don’t forget the cricoid, because nothing makes the situation better than a performative dance that makes the intubation more difficult, and ties one of the hands of your skilled assistant 🙃🙃
Reposted by Dr Pieter Peach
kojamf.bsky.social
Dr. Jane Goodall filmed an interview with Netflix in March 2025 that she understood would only be released after her death.
Reposted by Dr Pieter Peach
assocanaes.bsky.social
“I am an eighty-four-year-old, self-confessed slightly crazy (actions possibly defined as such by the majority) retired consultant having a very happy and fulfilling retirement”

Read ‘From anaesthetics and aeroplanes to narrowboats and autogyros’ in Anaesthesia News September buff.ly/dfOfH5W
pieterpeach.com
Why do you think they would care less?
Reposted by Dr Pieter Peach
lotusgav.bsky.social
@sthjournalclub.bsky.social #RCoAUpdates TIVA vs volatile - patient centred outcomes definitely better. Less sick +sore. (Sorry can’t do alt text quick enough)
pieterpeach.com
What do you think is behind the reduced pain score?
Reposted by Dr Pieter Peach
anaesjournal.bsky.social
Dexmedetomidine for cardiac surgery: case closed?

"There remains the possibility that delirium is a complex peri-operative issue for which straightforward strategies, such as using drug A instead of B, are too simplistic."

#AnSky #ICUSky #MedSky #delirium
doi.org
Reposted by Dr Pieter Peach
anesthesiology.bsky.social
The application of cricoid force remains controversial in modern practice. A new review by Sotiriou et al. critically assesses the anatomic, physiologic, and contemporary clinical evidence of cricoid force application: ow.ly/Mkx350WY3Zy
Reposted by Dr Pieter Peach
anesthesiology.bsky.social
Ji et al. assessed whether the combination of dexmedetomidine and remifentanil, by reducing sevoflurane exposure, has any differential effect on neurodevelopmental outcomes in young children compared with sevoflurane alone. Read the new cover study: ow.ly/btn050WU27p
Reposted by Dr Pieter Peach
justlittleadults.bsky.social
There is some new content up at the site - a quick bit on providing anaesthesia for CT scans in kids. You can find it nestled around here. www.justlittleadults.com/imagingandir #ansky #pedsanes
Just Little Adults
www.justlittleadults.com
pieterpeach.com
In paediatrics there’s rarely an airway indication for muscle relaxation. In adults if the practitioner is intentional with patient selection & experienced with their technique I don’t doubt they can achieve great outcomes. Wonderful thing about this platform is hearing important nuances of practice
pieterpeach.com
It may help with post discovery (search) but it’s becoming very straightforward to have a service that describes the image using a small onboard vision to text model in the operating system, if it doesn’t already exist.
pieterpeach.com
Paediatric patients fortunately have very manipulatable larynxes, unlike adults
pieterpeach.com
Paediatric HAVL in syndromic/known difficult laryngoscopy patients in public practice, outside of that where the larger volume of practice is zero probability of DI, occasionally use VL when teaching ED registrars how to use them as it will be their primary tool.
pieterpeach.com
Every hospital should have them, and would be surprised if any hospital in Australia doesn’t.
pieterpeach.com
It’s very region and organisation specific. These are the costs for our context which will hopefully come down and looking forward to it when it does. ~$5 vs ~$50
pieterpeach.com
It will no doubt take over in training as prices of equipment fall and then will follow through with their practice beyond training. Some organisations will simply need to take the plunge and absorb the higher initial costs.
pieterpeach.com
“Grant me the serenity to accept the things I cannot change; courage to change the things I can; and wisdom to know the difference.”

Happy to focus on our craft group’s locus of control.
pieterpeach.com
pieterpeach.com
If it adds value, absolutely. In my paed patient cohort in my volume practice, it’s not a superior piece of equipment. It adds no value while costing more. In others it absolutely might. The wider debate is how we all gawk at the low ROI on health $ in the US while heading down exactly the same path
pieterpeach.com
If it adds value, absolutely. In my paed patient cohort in my volume practice, it’s not a superior piece of equipment. It adds no value while costing more. In others it absolutely might. The wider debate is how we all gawk at the low ROI on health $ in the US while heading down exactly the same path