Dr Pieter Peach
@pieterpeach.com
Anaesthesiologist, paediatric and adult | MPH | Royal Children’s Hospital, Melbourne rch.org.au
Also mastodon.social/@pieterpeach
#AnSky #MedSky
Also mastodon.social/@pieterpeach
#AnSky #MedSky
Pinned
Dr Pieter Peach
@pieterpeach.com
· Dec 19
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
#ansky Our 25yr review of anaesthetic FGF just published by @anesthesiology.bsky.social. We’ve been banging on about the $ & CO2 savings by avoid waste from hi FGF for a while…Despite >60% TIVA we’ve kept our avg FGF with sevo at 850ml/min. journals.lww.com/anesthesiolo.... 🧵
journals.lww.com
January 17, 2026 at 8:17 AM
#ansky Our 25yr review of anaesthetic FGF just published by @anesthesiology.bsky.social. We’ve been banging on about the $ & CO2 savings by avoid waste from hi FGF for a while…Despite >60% TIVA we’ve kept our avg FGF with sevo at 850ml/min. journals.lww.com/anesthesiolo.... 🧵
Reposted by Dr Pieter Peach
Wow and the rate of pulmonary aspiration is 0.01% !
What is the association between preoperative #GLP-1 receptor agonist use and periop #respiratory complications in #T2DM patients?
Read the full article here: https://www.bjanaesthesia.org.uk/article/S0007-0912(25)00531-8/abstract
Read the full article here: https://www.bjanaesthesia.org.uk/article/S0007-0912(25)00531-8/abstract
January 7, 2026 at 9:27 PM
Wow and the rate of pulmonary aspiration is 0.01% !
Reposted by Dr Pieter Peach
Peri-operative risk of non-cardiac surgery in patients with aortic stenosis
⚠️ Severe aortic stenosis is associated with nearly 10% mortality within 30 days postoperatively
#AnSky
doi.org/10.1111/anae...
⚠️ Severe aortic stenosis is associated with nearly 10% mortality within 30 days postoperatively
#AnSky
doi.org/10.1111/anae...
January 6, 2026 at 12:10 PM
Peri-operative risk of non-cardiac surgery in patients with aortic stenosis
⚠️ Severe aortic stenosis is associated with nearly 10% mortality within 30 days postoperatively
#AnSky
doi.org/10.1111/anae...
⚠️ Severe aortic stenosis is associated with nearly 10% mortality within 30 days postoperatively
#AnSky
doi.org/10.1111/anae...
Reposted by Dr Pieter Peach
New: Scope of practice released for Physician Assistants in Anaesthesia. Note change in terminology to reflect new changes @rcoanews.bsky.social
rcoa.ac.uk/training-car...
rcoa.ac.uk/training-car...
December 20, 2025 at 4:49 PM
New: Scope of practice released for Physician Assistants in Anaesthesia. Note change in terminology to reflect new changes @rcoanews.bsky.social
rcoa.ac.uk/training-car...
rcoa.ac.uk/training-car...
Reposted by Dr Pieter Peach
There’s still room on Pack 5. Who should I add? Don’t spend ages trying to find your anaesthesia types. Just click on these starter packs
100s of accounts - click follow all!
#Ansky #Anaesthesia #Anaesthetist #ICU #Intensivist #PHEM #HEMS
Anaesthesia & ICM Packs
1 go.bsky.app/4N4D7MW
2 go.bsky.app/QEgekcF
3 go.bsky.app/CaeuLtL
4 go.bsky.app/7gHUdmc
5 go.bsky.app/FXJxs91
PHEM 1. go.bsky.app/NWQRhE1
2. go.bsky.app/KhwJfCs
#Ansky #Anaesthesia #Anaesthetist #ICU #Intensivist #PHEM #HEMS
Anaesthesia & ICM Packs
1 go.bsky.app/4N4D7MW
2 go.bsky.app/QEgekcF
3 go.bsky.app/CaeuLtL
4 go.bsky.app/7gHUdmc
5 go.bsky.app/FXJxs91
PHEM 1. go.bsky.app/NWQRhE1
2. go.bsky.app/KhwJfCs
December 20, 2025 at 4:38 PM
There’s still room on Pack 5. Who should I add? Don’t spend ages trying to find your anaesthesia types. Just click on these starter packs
Reposted by Dr Pieter Peach
NZSA, ANZCA and ASA have released a joint statement on decommissioning N2O for medical gas pipeline systems. This statement aims to strengthen patient safety and environmental sustainability. It does not propose to impact or change clinical indications for use of N2O. anaesthesia.nz/news/joint-s...
Joint statement on nitrous oxide | The New Zealand Society of Anaesthetists
Joint statement on nitrous oxide | Read this article and more updates from The New Zealand Society of Anaesthetists .
anaesthesia.nz
December 19, 2025 at 1:00 AM
NZSA, ANZCA and ASA have released a joint statement on decommissioning N2O for medical gas pipeline systems. This statement aims to strengthen patient safety and environmental sustainability. It does not propose to impact or change clinical indications for use of N2O. anaesthesia.nz/news/joint-s...
Reposted by Dr Pieter Peach
Check out the editorial, "Cutting Corners: Is Mixing Remifentanil and Propofol a Bad Idea?" from Drs. Anthony Absalom and Robert Sneyd
journals.lww.com/anesthesia-a...
journals.lww.com/anesthesia-a...
December 18, 2025 at 3:05 PM
Check out the editorial, "Cutting Corners: Is Mixing Remifentanil and Propofol a Bad Idea?" from Drs. Anthony Absalom and Robert Sneyd
journals.lww.com/anesthesia-a...
journals.lww.com/anesthesia-a...
Reposted by Dr Pieter Peach
Why does big pharma pay doctors? It raises an important question about healthcare ethics | Ranjana Srivastava
Why does big pharma pay doctors? It raises an important question about healthcare ethics | Ranjana Srivastava
Transactions are happening outside public scrutiny. It’s galling to think a doctor is being influenced by anything other than a patient’s best interest
If you’re a cancer patient receiving a blockbuster drug, how much should the pharmaceutical company pay your oncologist to prescribe that drug?
What if you want to do something about your obesity and all its emerging complications? How much should big pharma pay your endocrinologist to prescribe a weight-loss drug? Continue reading...
www.theguardian.com
December 16, 2025 at 2:01 PM
Why does big pharma pay doctors? It raises an important question about healthcare ethics | Ranjana Srivastava
Reposted by Dr Pieter Peach
Rob Reiner: I'm going to make a coming of age drama, a fantasy adventure story, a romantic comedy, a psychological horror and then a courtroom drama.
Us: Across your entire career?
Reiner: In a 6 year period.
Us: That sounds-
Reiner: -Each one will be arguably the best movie in that genre.
Us: Across your entire career?
Reiner: In a 6 year period.
Us: That sounds-
Reiner: -Each one will be arguably the best movie in that genre.
December 15, 2025 at 8:04 AM
Rob Reiner: I'm going to make a coming of age drama, a fantasy adventure story, a romantic comedy, a psychological horror and then a courtroom drama.
Us: Across your entire career?
Reiner: In a 6 year period.
Us: That sounds-
Reiner: -Each one will be arguably the best movie in that genre.
Us: Across your entire career?
Reiner: In a 6 year period.
Us: That sounds-
Reiner: -Each one will be arguably the best movie in that genre.
Reposted by Dr Pieter Peach
To be fair it’s going to be very funny when these clowns invent AGI and the super intelligent machine tells everyone to get offline, avoid processed food, stroll in the woods, seek community, eschew racism, pay high marginal rates of tax and ignore the ravings of deranged billionaires.
December 11, 2025 at 10:33 PM
To be fair it’s going to be very funny when these clowns invent AGI and the super intelligent machine tells everyone to get offline, avoid processed food, stroll in the woods, seek community, eschew racism, pay high marginal rates of tax and ignore the ravings of deranged billionaires.
Reposted by Dr Pieter Peach
Propofol for cancer surgery isn’t protective. I think we can say we’ve answered the question now? must be enough trials for a meta-analysis by now 🤔
Surgical resection is a widely used treatment for cancer. In a new study, Bennett-Guerrero et al. assessed the effects of propofol anesthesia versus inhaled anesthesia on cancer-related outcomes in patients undergoing resection of malignancies. Read more: ow.ly/2qya50XGwck
December 11, 2025 at 10:55 PM
Propofol for cancer surgery isn’t protective. I think we can say we’ve answered the question now? must be enough trials for a meta-analysis by now 🤔
Reposted by Dr Pieter Peach
Absolutely amazing chart from @peterkellner.bsky.social's piece in @thenewworldmag.bsky.social today:
www.thenewworld.co.uk/peter-kellne...
www.thenewworld.co.uk/peter-kellne...
December 9, 2025 at 9:58 PM
Absolutely amazing chart from @peterkellner.bsky.social's piece in @thenewworldmag.bsky.social today:
www.thenewworld.co.uk/peter-kellne...
www.thenewworld.co.uk/peter-kellne...
Reposted by Dr Pieter Peach
Thio, sux, cricoid etc. aren't magic. They were thought up by clever people, and new clever people get to think up the next version, and make it better. This is how things move on towards "optimal".
When we are so bound to the past we can't change, we perish, innit?
When we are so bound to the past we can't change, we perish, innit?
November 27, 2025 at 7:26 PM
Thio, sux, cricoid etc. aren't magic. They were thought up by clever people, and new clever people get to think up the next version, and make it better. This is how things move on towards "optimal".
When we are so bound to the past we can't change, we perish, innit?
When we are so bound to the past we can't change, we perish, innit?
Reposted by Dr Pieter Peach
Failed facemask ventilation in a patient with recent dermal filler injections.
Our paper on cosmetic enhancements & potential impact. Lip fillers or angioedema? Modern era of aesthetics & anaesthesia causes new challenges
doi.org/10.1002/anr3...
@anaesjournal.bsky.social
Our paper on cosmetic enhancements & potential impact. Lip fillers or angioedema? Modern era of aesthetics & anaesthesia causes new challenges
doi.org/10.1002/anr3...
@anaesjournal.bsky.social
Failed facemask ventilation in a patient with recent dermal filler injections
The rising popularity of facial cosmetic procedures presents new challenges for peri-operative anaesthetic care. We report a case of failed facemask ventilation in a woman with recent dermal filler i...
doi.org
November 26, 2025 at 12:09 PM
Failed facemask ventilation in a patient with recent dermal filler injections.
Our paper on cosmetic enhancements & potential impact. Lip fillers or angioedema? Modern era of aesthetics & anaesthesia causes new challenges
doi.org/10.1002/anr3...
@anaesjournal.bsky.social
Our paper on cosmetic enhancements & potential impact. Lip fillers or angioedema? Modern era of aesthetics & anaesthesia causes new challenges
doi.org/10.1002/anr3...
@anaesjournal.bsky.social
Reposted by Dr Pieter Peach
Australasian Anaesthesia 2025 (also known as the Blue Book) has landed! You can read a digital version, or order a hard-copy version, here: bit.ly/49JzoxX
November 25, 2025 at 5:46 AM
Australasian Anaesthesia 2025 (also known as the Blue Book) has landed! You can read a digital version, or order a hard-copy version, here: bit.ly/49JzoxX
Reposted by Dr Pieter Peach
We’re gathering the top clinical challenges in anaesthesia, perioperative medicine, and pain management to steer future AI research, investment and collaboration across our specialty.
Suggest your clinical pain points before the survey closes 👉 buff.ly/vBf5CVb
Suggest your clinical pain points before the survey closes 👉 buff.ly/vBf5CVb
November 21, 2025 at 12:00 PM
We’re gathering the top clinical challenges in anaesthesia, perioperative medicine, and pain management to steer future AI research, investment and collaboration across our specialty.
Suggest your clinical pain points before the survey closes 👉 buff.ly/vBf5CVb
Suggest your clinical pain points before the survey closes 👉 buff.ly/vBf5CVb
Just donated to @wikimediafoundation.org.
We often take for granted how valuable a resource it is. Having contributed to it I know how vigorously the Wikipedians donating their time defend the veracity of the content.
donate.wikimedia.org
We often take for granted how valuable a resource it is. Having contributed to it I know how vigorously the Wikipedians donating their time defend the veracity of the content.
donate.wikimedia.org
November 21, 2025 at 8:20 PM
Just donated to @wikimediafoundation.org.
We often take for granted how valuable a resource it is. Having contributed to it I know how vigorously the Wikipedians donating their time defend the veracity of the content.
donate.wikimedia.org
We often take for granted how valuable a resource it is. Having contributed to it I know how vigorously the Wikipedians donating their time defend the veracity of the content.
donate.wikimedia.org
Reposted by Dr Pieter Peach
Here is the first consensus-based core outcome set for airway management research, with agreed definitions and measurement instruments.
This will harmonise evidence synthesis and improve the translatability of findings to improve clinical care.
#AnSky #AirwaySky
doi.org/10.1111/anae...
This will harmonise evidence synthesis and improve the translatability of findings to improve clinical care.
#AnSky #AirwaySky
doi.org/10.1111/anae...
November 14, 2025 at 7:03 AM
Here is the first consensus-based core outcome set for airway management research, with agreed definitions and measurement instruments.
This will harmonise evidence synthesis and improve the translatability of findings to improve clinical care.
#AnSky #AirwaySky
doi.org/10.1111/anae...
This will harmonise evidence synthesis and improve the translatability of findings to improve clinical care.
#AnSky #AirwaySky
doi.org/10.1111/anae...
Reposted by Dr Pieter Peach
Now with 13,000+ reports, webAIRS is the world's largest anaesthetic incident database! Built by AU/NZ anaesthetists, we're turning experiences into collective wisdom for patient safety & continuous improvement. Every report matters. Join us to help shape a safer future. webairs.com #anksy
November 14, 2025 at 2:43 AM
Now with 13,000+ reports, webAIRS is the world's largest anaesthetic incident database! Built by AU/NZ anaesthetists, we're turning experiences into collective wisdom for patient safety & continuous improvement. Every report matters. Join us to help shape a safer future. webairs.com #anksy
Reposted by Dr Pieter Peach
Liberal transfusion after major surgery did not reduce death or major cardiac event rates compared to restrictive thresholds in high-risk patients.
#AHA25 @ahascience.bsky.social
ja.ma/43koXNj
#AHA25 @ahascience.bsky.social
ja.ma/43koXNj
November 8, 2025 at 10:15 PM
Liberal transfusion after major surgery did not reduce death or major cardiac event rates compared to restrictive thresholds in high-risk patients.
#AHA25 @ahascience.bsky.social
ja.ma/43koXNj
#AHA25 @ahascience.bsky.social
ja.ma/43koXNj
Reposted by Dr Pieter Peach
We probably went overboard on withholding perioperative transfusion in the wake of TRICC, but there’s still little to be gained setting a generous transfusion trigger (100 g/L).
Liberal transfusion after major surgery did not reduce death or major cardiac event rates compared to restrictive thresholds in high-risk patients.
#AHA25 @ahascience.bsky.social
ja.ma/43koXNj
#AHA25 @ahascience.bsky.social
ja.ma/43koXNj
November 8, 2025 at 10:47 PM
We probably went overboard on withholding perioperative transfusion in the wake of TRICC, but there’s still little to be gained setting a generous transfusion trigger (100 g/L).
Reposted by Dr Pieter Peach
2025 DAS guidelines for the management of unanticipated difficult airway published today in the British Journal of Anaesthesia. #airway #difficultairway #intubation #anaesthesia #anesthesia
https://www.bjanaesthesia.org/article/S0007-0912(25)00693-2/fulltext
https://www.bjanaesthesia.org/article/S0007-0912(25)00693-2/fulltext
November 7, 2025 at 2:15 PM
2025 DAS guidelines for the management of unanticipated difficult airway published today in the British Journal of Anaesthesia. #airway #difficultairway #intubation #anaesthesia #anesthesia
https://www.bjanaesthesia.org/article/S0007-0912(25)00693-2/fulltext
https://www.bjanaesthesia.org/article/S0007-0912(25)00693-2/fulltext
Reposted by Dr Pieter Peach
There are now > 13,000 incidents reported to @webairs.com, the largest anaesthetic incident reporting & learning database. Built by anaesthetists & supported by ANZCA, @asa-australia.bsky.social & @thenzsa.bsky.social. Join the growing community of anaesthetists making a difference: www.anztadc.net
November 7, 2025 at 2:34 AM
There are now > 13,000 incidents reported to @webairs.com, the largest anaesthetic incident reporting & learning database. Built by anaesthetists & supported by ANZCA, @asa-australia.bsky.social & @thenzsa.bsky.social. Join the growing community of anaesthetists making a difference: www.anztadc.net