Bougie or stylet: what to use when the chips are down?

Is it truly possible to consistently and deliberately shape a bougie to fit a hyperangulated blade?

@doctimcook.bsky.social @janhansel.bsky.social

#AnSky #AirwaySky #MedSky

doi.org/10.1111/anae...

Thinking of implementing default videolaryngoscopy in your department?

Here are some common themes encountered & practical advice & strategies recommended by 5 UK hospitals that have made such a change!

#AnSky

@fionafionakel.bsky.social @doctimcook.bsky.social

doi.org/10.1111/anae...

Hello my name is…..needs rebooting with name, title & role

: badges & introductions

Without it
-too much confusion
-too much uncertainty
-too much rom for obfuscation

I like to think Dr Kate Grainger would agree
www.bmj.com/content/388/...

Time to retire ‘no trace, wrong place’ @doctimcook.bsky.social
Many UOI do have ‘a trace’
It is all about sustained exhaled carbon dioxide @universalairway.org

I agree

Even as someone who had previously worked in the NHS, I found the new roles, titles and acronyms confusing at first

which prompted me to get a #HelloMyNameIs badge!

Roles should be
a) clearly visible
b) clearly stated

Absolutely agree with this. I have a standard patter. “Hello I’m Dr Sullivan I’m a consultant anaesthetist. What do I call you?” I think it speaks to credibility. Do you want to be anaesthetised by “ Gav” or “Dr Sullivan” ?

Hello my name is…..needs rebooting with name, title & role

: badges & introductions

Without it
-too much confusion
-too much uncertainty
-too much rom for obfuscation

I like to think Dr Kate Grainger would agree
www.bmj.com/content/388/...

AIRWAY RESEARCHERS!!

We’re researching WHICH FACTORS SHOULD BE REPORTED IN ANAESTHETIC AIRWAY STUDIES (the core outcome set)

A 15 min survey now & again in a month (Delphi)

RESEARCHERS please complete

Recruitment ends this week

Link
redcap03.gsttdms.co.uk/redcap/surve...

Pass it on!

Thanks

EVER HAD AN ANAESTHETIC?
What matters to PATIENTS?

We’re researching WHICH FACTORS SHOULD BE REPORTED IN ANAESTHETIC AIRWAY STUDIES

A 15 min survey now & again in a month

Looking for PATIENTS

Recruitment ends this week

Link
redcap03.gsttdms.co.uk/redcap/surve...

Thanks. Pass it on!

AIRWAY RESEARCHERS!!

We’re researching WHICH FACTORS SHOULD BE REPORTED IN ANAESTHETIC AIRWAY STUDIES (the core outcome set)

A 15 min survey now & again in a month (Delphi)

RESEARCHERS please complete

Recruitment ends this week

Link
redcap03.gsttdms.co.uk/redcap/surve...

Pass it on!

Thanks

EVER HAD AN ANAESTHETIC?
What matters to PATIENTS?

We’re researching WHICH FACTORS SHOULD BE REPORTED IN ANAESTHETIC AIRWAY STUDIES

A 15 min survey now & again in a month

Looking for PATIENTS

Recruitment ends this week

Link
redcap03.gsttdms.co.uk/redcap/surve...

Thanks. Pass it on!

PAEDIATRIC DEATHS DURING ANESTHESIA & SURGERY - LESSONS FROM NAP7

Great to see this published
Link attached

www.bjanaesthesia.org/article/S000...

@AnaesUnited is challenging the expansion of & arguing for the need of a national scope of practice & regulation for Anaesthesia Associates

This is how the legal cases is going.
Big step take already.

anaesthetistsunited.com/court-gives-...

The issue of the expansion, scope of practice & regulation of MAPs, & for anaesthetists AAs, remains front & centre of the agenda.

@AnaesUnited continue to pursue a legal challenge

This is worth reading

anaesthetistsunited.com/our-legal-ca...

Where it started, where it going

A million of anything is….lots

Very proud

A new resource from @rcoanews.bsky.social

Good get better

rcoa.ac.uk/patients/pat...

It’s clearly described in the paper….

The PUMA guidelines for prevention of oesophageal intubation are supported by

-RCOA
-AoA
-FICM
-ICS
-CODP
-DAS

This is true of no other airway guidance I am aware of & make them the de facto UK National guidance

associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/...

Glad that your only regret…..you’re a lucky man

I would alter “Assume no sustained exhaled CO2 = OI unless proven otherwise (by repeat VL/FOB/US/ODD)”
to
“Assume no sustained exhaled CO2 = OI. Remove tube inks unsafe. If unsafe exclude OI (by repeat VL/ & one of FOB/US/ODD)”

Current wording misrepresents the guideline.

I would change “Assume no sustained exhaled CO2” to
“Assume lack of sustained exhaled CO2” (or “failure to meet the criteria for….”) to avoid any possibly of conflating with “NO trace”

(Gestalt notwithstanding!)