Anaesthesia
@anaesjournal.bsky.social
𝘼𝙣𝙖𝙚𝙨𝙩𝙝𝙚𝙨𝙞𝙖 is the official journal of @assocanaes.bsky.social with comprehensive coverage in peri-operative medicine, critical care and pain.
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#AnSky #MedSky #PainSky #ICUSky #RASky #AirwaySky #PedsAnesSky
https://buff.ly/3ARJVrz
#AnSky #MedSky #PainSky #ICUSky #RASky #AirwaySky #PedsAnesSky
Reposted by Anaesthesia
“For clinicians who have abandoned cricoid force… the qtn to be answered is why they employ any element of RSI at all. Rather than selectively abandoning cricoid force as a component, it should perhaps be the only component we retain”
From @chrimesy.com in @anaesjournal.bsky.social
From @chrimesy.com in @anaesjournal.bsky.social
Cricoid force: therapeutic, prophylactic or routine
Click on the article title to read more.
associationofanaesthetists-publications.onlinelibrary.wiley.com
November 24, 2025 at 6:39 PM
“For clinicians who have abandoned cricoid force… the qtn to be answered is why they employ any element of RSI at all. Rather than selectively abandoning cricoid force as a component, it should perhaps be the only component we retain”
From @chrimesy.com in @anaesjournal.bsky.social
From @chrimesy.com in @anaesjournal.bsky.social
Changes in renal tissue perfusion and oxygenation in response to vasopressor infusion.
In sheep. On cardiopulmonary bypass.
#AnSky #MedSky
doi.org/10.1111/anae...
In sheep. On cardiopulmonary bypass.
#AnSky #MedSky
doi.org/10.1111/anae...
November 24, 2025 at 4:03 PM
Changes in renal tissue perfusion and oxygenation in response to vasopressor infusion.
In sheep. On cardiopulmonary bypass.
#AnSky #MedSky
doi.org/10.1111/anae...
In sheep. On cardiopulmonary bypass.
#AnSky #MedSky
doi.org/10.1111/anae...
Heart-lung bypass lowered kidney blood flow by about half and lowered oxygen levels in the kidney tissue.
The brain's blood flow and oxygen levels were not much changed.
When noradrenaline was used, kidney oxygen levels dropped more than with vasopressin.
#AnSky #MedSky
doi.org/10.1111/anae...
The brain's blood flow and oxygen levels were not much changed.
When noradrenaline was used, kidney oxygen levels dropped more than with vasopressin.
#AnSky #MedSky
doi.org/10.1111/anae...
November 24, 2025 at 1:00 PM
Heart-lung bypass lowered kidney blood flow by about half and lowered oxygen levels in the kidney tissue.
The brain's blood flow and oxygen levels were not much changed.
When noradrenaline was used, kidney oxygen levels dropped more than with vasopressin.
#AnSky #MedSky
doi.org/10.1111/anae...
The brain's blood flow and oxygen levels were not much changed.
When noradrenaline was used, kidney oxygen levels dropped more than with vasopressin.
#AnSky #MedSky
doi.org/10.1111/anae...
Does the choice of vasopressors affect renal oxygenation during cardiopulmonary bypass?
Using an ovine model, researchers found that intra-operative noradrenaline worsens renal medullary tissue oxygenation relative to vasopressin.
#AnSky #MedSky
doi.org/10.1111/anae...
Using an ovine model, researchers found that intra-operative noradrenaline worsens renal medullary tissue oxygenation relative to vasopressin.
#AnSky #MedSky
doi.org/10.1111/anae...
November 24, 2025 at 12:10 PM
Does the choice of vasopressors affect renal oxygenation during cardiopulmonary bypass?
Using an ovine model, researchers found that intra-operative noradrenaline worsens renal medullary tissue oxygenation relative to vasopressin.
#AnSky #MedSky
doi.org/10.1111/anae...
Using an ovine model, researchers found that intra-operative noradrenaline worsens renal medullary tissue oxygenation relative to vasopressin.
#AnSky #MedSky
doi.org/10.1111/anae...
Can special breathing tests help doctors find out which children might have breathing problems during an operation?
Researchers were able to do the nitric oxide test in 91% of the children and the oscillation test in 61%.
Neither test helped doctors!
#AnSky
Researchers were able to do the nitric oxide test in 91% of the children and the oscillation test in 61%.
Neither test helped doctors!
#AnSky
doi.org
November 24, 2025 at 11:02 AM
Can special breathing tests help doctors find out which children might have breathing problems during an operation?
Researchers were able to do the nitric oxide test in 91% of the children and the oscillation test in 61%.
Neither test helped doctors!
#AnSky
Researchers were able to do the nitric oxide test in 91% of the children and the oscillation test in 61%.
Neither test helped doctors!
#AnSky
Are pre-operative measurements of fractional exhaled nitric oxide and the forced oscillation technique feasible in children?
Can they predict peri-operative respiratory adverse events?
#AnSky #PedsAnSky
Can they predict peri-operative respiratory adverse events?
#AnSky #PedsAnSky
doi.org
November 24, 2025 at 9:06 AM
Are pre-operative measurements of fractional exhaled nitric oxide and the forced oscillation technique feasible in children?
Can they predict peri-operative respiratory adverse events?
#AnSky #PedsAnSky
Can they predict peri-operative respiratory adverse events?
#AnSky #PedsAnSky
Hypersensitivity reactions to NMDBs in Aotearoa New Zealand
• Suxamethonium accounted for 14% of usage but was responsible for 40% of POHRs
• Rocuronium accounted for 34% of usage and 44% of reactions
• Atracurium accounted for 41% of usage and only 12% of POHRs
#AnSky
doi.org/10.1111/anae...
• Suxamethonium accounted for 14% of usage but was responsible for 40% of POHRs
• Rocuronium accounted for 34% of usage and 44% of reactions
• Atracurium accounted for 41% of usage and only 12% of POHRs
#AnSky
doi.org/10.1111/anae...
November 24, 2025 at 8:47 AM
Hypersensitivity reactions to NMDBs in Aotearoa New Zealand
• Suxamethonium accounted for 14% of usage but was responsible for 40% of POHRs
• Rocuronium accounted for 34% of usage and 44% of reactions
• Atracurium accounted for 41% of usage and only 12% of POHRs
#AnSky
doi.org/10.1111/anae...
• Suxamethonium accounted for 14% of usage but was responsible for 40% of POHRs
• Rocuronium accounted for 34% of usage and 44% of reactions
• Atracurium accounted for 41% of usage and only 12% of POHRs
#AnSky
doi.org/10.1111/anae...
What is "enhanced care"?
Post-anaesthetic care unit (PACU) and overnight intensive recovery units.
What is the impact?
It builds surgical capacity and system resilience.
#AnSky #ICUSky
doi.org/10.1111/anae...
Post-anaesthetic care unit (PACU) and overnight intensive recovery units.
What is the impact?
It builds surgical capacity and system resilience.
#AnSky #ICUSky
doi.org/10.1111/anae...
November 21, 2025 at 7:59 AM
What is "enhanced care"?
Post-anaesthetic care unit (PACU) and overnight intensive recovery units.
What is the impact?
It builds surgical capacity and system resilience.
#AnSky #ICUSky
doi.org/10.1111/anae...
Post-anaesthetic care unit (PACU) and overnight intensive recovery units.
What is the impact?
It builds surgical capacity and system resilience.
#AnSky #ICUSky
doi.org/10.1111/anae...
Target-controlled infusions have been criticised as too slow for RSI, due primarily to the maximum infusion rate of most pumps (~1200 ml/h).
Effect-site concentrations at time-to-peak effect were nearly identical between target-controlled and manual infusions.
#AnSky
doi.org/10.1111/anae...
Effect-site concentrations at time-to-peak effect were nearly identical between target-controlled and manual infusions.
#AnSky
doi.org/10.1111/anae...
November 19, 2025 at 3:00 PM
Target-controlled infusions have been criticised as too slow for RSI, due primarily to the maximum infusion rate of most pumps (~1200 ml/h).
Effect-site concentrations at time-to-peak effect were nearly identical between target-controlled and manual infusions.
#AnSky
doi.org/10.1111/anae...
Effect-site concentrations at time-to-peak effect were nearly identical between target-controlled and manual infusions.
#AnSky
doi.org/10.1111/anae...
One-year follow-up of survival and health-related quality of life in patients with medical conditions admitted acutely to hospital in Malawi and Tanzania
#AnSky #MedSky
doi.org/10.1111/anae...
#AnSky #MedSky
doi.org/10.1111/anae...
November 19, 2025 at 1:32 PM
One-year follow-up of survival and health-related quality of life in patients with medical conditions admitted acutely to hospital in Malawi and Tanzania
#AnSky #MedSky
doi.org/10.1111/anae...
#AnSky #MedSky
doi.org/10.1111/anae...
Rapid sequence induction with target-controlled infusions: a technical simulation study
#AnSky #MedSky
doi.org/10.1111/anae...
#AnSky #MedSky
doi.org/10.1111/anae...
November 19, 2025 at 1:22 PM
Rapid sequence induction with target-controlled infusions: a technical simulation study
#AnSky #MedSky
doi.org/10.1111/anae...
#AnSky #MedSky
doi.org/10.1111/anae...
Reposted by Anaesthesia
This one’s for @drmikeclifford.bsky.social
Cricoid pressure has been selectively vilified out of RSI in many settings, yet it has less risks, a better rationale & more evidence for efficacy than any other cited component of RSI
Why aren’t we doing it routinely for all adult tracheal intubations?
Cricoid pressure has been selectively vilified out of RSI in many settings, yet it has less risks, a better rationale & more evidence for efficacy than any other cited component of RSI
Why aren’t we doing it routinely for all adult tracheal intubations?
Cricoid force: therapeutic, prophylactic or routine
Click on the article title to read more.
associationofanaesthetists-publications.onlinelibrary.wiley.com
November 15, 2025 at 9:00 AM
This one’s for @drmikeclifford.bsky.social
Cricoid pressure has been selectively vilified out of RSI in many settings, yet it has less risks, a better rationale & more evidence for efficacy than any other cited component of RSI
Why aren’t we doing it routinely for all adult tracheal intubations?
Cricoid pressure has been selectively vilified out of RSI in many settings, yet it has less risks, a better rationale & more evidence for efficacy than any other cited component of RSI
Why aren’t we doing it routinely for all adult tracheal intubations?
Reposted by Anaesthesia
In a highly unusual turn of events anaesthetists are arguing about the role of cricoid. bsky.app/profile/anae... Blow me down with a feather!
"It is perverse that cricoid force has been abandoned selectively by many clinicians for not representing evidence-based practice when, compared with [other RSI elements], it is cost-free, better reasoned, has less potential for harm & more evidence of efficacy."
#AnSky
doi.org/10.1111/anae...
#AnSky
doi.org/10.1111/anae...
Cricoid force: therapeutic, prophylactic or routine
Click on the article title to read more.
doi.org
November 18, 2025 at 1:24 PM
In a highly unusual turn of events anaesthetists are arguing about the role of cricoid. bsky.app/profile/anae... Blow me down with a feather!
Reposted by Anaesthesia
The crunch question for the AI-guided-laryngosopist is of course what its firmly held evidence view is regarding cricoid force. bsky.app/profile/anae... #AnSky
November 18, 2025 at 1:28 PM
The crunch question for the AI-guided-laryngosopist is of course what its firmly held evidence view is regarding cricoid force. bsky.app/profile/anae... #AnSky
Reposted by Anaesthesia
But why?
Artificial intelligence-assisted tracheal intubation in humans: a prospective observational study of diagnostic accuracy
#AnSky #MedSky #AI
doi.org/10.1111/anae...
#AnSky #MedSky #AI
doi.org/10.1111/anae...
November 18, 2025 at 3:56 PM
But why?
The following are associated with a reduced incidence of postoperative neurocognitive complications: dexmedetomidine; esketamine; remimazolam; acupuncture; cerebral monitoring; sleep interventions; corticosteroids; antipsychotics; & peripheral nerve blocks.
#AnSky #MedSky
doi.org/10.1111/anae...
#AnSky #MedSky
doi.org/10.1111/anae...
November 18, 2025 at 3:00 PM
The following are associated with a reduced incidence of postoperative neurocognitive complications: dexmedetomidine; esketamine; remimazolam; acupuncture; cerebral monitoring; sleep interventions; corticosteroids; antipsychotics; & peripheral nerve blocks.
#AnSky #MedSky
doi.org/10.1111/anae...
#AnSky #MedSky
doi.org/10.1111/anae...
Reported cases of sugammadex hypersensitivity in the French national pharmacovigilance database
#AnSky #MedSky #sugammadex
doi.org/10.1111/anae...
#AnSky #MedSky #sugammadex
doi.org/10.1111/anae...
November 18, 2025 at 1:00 PM
Reported cases of sugammadex hypersensitivity in the French national pharmacovigilance database
#AnSky #MedSky #sugammadex
doi.org/10.1111/anae...
#AnSky #MedSky #sugammadex
doi.org/10.1111/anae...
Artificial intelligence-assisted tracheal intubation in humans: a prospective observational study of diagnostic accuracy
#AnSky #MedSky #AI
doi.org/10.1111/anae...
#AnSky #MedSky #AI
doi.org/10.1111/anae...
November 18, 2025 at 11:02 AM
Artificial intelligence-assisted tracheal intubation in humans: a prospective observational study of diagnostic accuracy
#AnSky #MedSky #AI
doi.org/10.1111/anae...
#AnSky #MedSky #AI
doi.org/10.1111/anae...
It's happening!!
Artificial intelligence-assisted tracheal intubation in humans: a prospective observational study of diagnostic accuracy
#AnSky #AI #MedSky
doi.org/10.1111/anae...
Artificial intelligence-assisted tracheal intubation in humans: a prospective observational study of diagnostic accuracy
#AnSky #AI #MedSky
doi.org/10.1111/anae...
November 18, 2025 at 9:27 AM
It's happening!!
Artificial intelligence-assisted tracheal intubation in humans: a prospective observational study of diagnostic accuracy
#AnSky #AI #MedSky
doi.org/10.1111/anae...
Artificial intelligence-assisted tracheal intubation in humans: a prospective observational study of diagnostic accuracy
#AnSky #AI #MedSky
doi.org/10.1111/anae...
"We found that both very low and very high body weight increase the chance of losing independence after surgery. People with mild obesity seemed to recover better and were more likely to keep living on their own."
#AnSky #MedSky
doi.org/10.1111/anae...
#AnSky #MedSky
doi.org/10.1111/anae...
doi.org
November 17, 2025 at 3:02 PM
"We found that both very low and very high body weight increase the chance of losing independence after surgery. People with mild obesity seemed to recover better and were more likely to keep living on their own."
#AnSky #MedSky
doi.org/10.1111/anae...
#AnSky #MedSky
doi.org/10.1111/anae...
Among 73,813 patients, 9495 (12.9%) lost the ability to live independently after surgery.
Patients who were classified as underweight or living with obesity class 3 or 4 had an increased likelihood of adverse discharge.
#AnSky #MedSky
doi.org/10.1111/anae...
Patients who were classified as underweight or living with obesity class 3 or 4 had an increased likelihood of adverse discharge.
#AnSky #MedSky
doi.org/10.1111/anae...
November 17, 2025 at 1:01 PM
Among 73,813 patients, 9495 (12.9%) lost the ability to live independently after surgery.
Patients who were classified as underweight or living with obesity class 3 or 4 had an increased likelihood of adverse discharge.
#AnSky #MedSky
doi.org/10.1111/anae...
Patients who were classified as underweight or living with obesity class 3 or 4 had an increased likelihood of adverse discharge.
#AnSky #MedSky
doi.org/10.1111/anae...
Effect of body mass index on postoperative recovery to independent living: a retrospective cohort study
#AnSky #MedSky #BMI
doi.org/10.1111/anae...
#AnSky #MedSky #BMI
doi.org/10.1111/anae...
November 17, 2025 at 12:10 PM
Effect of body mass index on postoperative recovery to independent living: a retrospective cohort study
#AnSky #MedSky #BMI
doi.org/10.1111/anae...
#AnSky #MedSky #BMI
doi.org/10.1111/anae...