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Henry Jason @hjas18anes.bsky.social · Aug 29

Out of plane rocks! 😁

Henry Jason @hjas18anes.bsky.social · Aug 29

ummmmm .. I don't get it .. my brain is trained in following straight lines at ✌️

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Reposted by Henry Jason

Dr Mary-Ann Fox BMBS FANZCA GChPOM @maffygirl.medsky.social · Aug 26

Following on the weekend #MedSkyDebate is a continuation of the Regional theme.
“What do you do to improve the experience of regional anaesthesia for your patients?”
Thanks again to @benmoran.bsky.social for this really interesting topic.
Music? Sedation? Chatter? GA?
It can be scary for patients.

a young man says i 'm scared in front of his face

ALT: a young man says i 'm scared in front of his face

media.tenor.com

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Henry Jason @hjas18anes.bsky.social · Aug 27

I found that a teeny bit of sedation and music (patient's request), works best.

I find myself enjoying the experience, especially when they sing along .. and they amazed that "it was not what they thought it would be".

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Reposted by Henry Jason

Safe Airway Society @safeairwaysociety.org · Jul 26

We’ve followed @anzca.bsky.social‘s lead & will no longer be posting on Twitter.

Bluesky all the way!

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Henry Jason @hjas18anes.bsky.social · Jul 16

Yes! I work here way up here, in the mountains. I don't know how hospital classifications go there, but here, we're a level 2 hospital. As with other 3rd world countries, funding for public hospitals is difficult.

So, we make do with what we can 😁

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Henry Jason @hjas18anes.bsky.social · Jul 16

Wow, discussions like this is an eye opener. In our setting, we have 4 OT but only 2 capnographs. As with other techs, those things are a bit pricey here, hence most of our GA cases don't use one. Most of the time, we go clinically ..

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Reposted by Henry Jason

Dr Mary-Ann Fox BMBS FANZCA GChPOM @maffygirl.medsky.social · Jul 16

Midweek #MedSkyDebate is here!!

Thanks to Manu @nitrousman75.bsky.social

"Do we need capnography monitoring in Recovery/PACU, like in the NHS where it’s part of standard monitoring in PACU”

No where I work does, what do your workplace do???

Guaranteed to stimulate discussion!!

a man says let 's talk about it in front of a wall of paintings

ALT: a man says let 's talk about it in front of a wall of paintings

media.tenor.com

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Henry Jason @hjas18anes.bsky.social · Jul 14

In our setting, the emergency drugs (ephedrine, atropine, sux, etc.) are usually drawn up on the 1st case of the day and refilled accordingly as the cases go by. Each anes has their own tray / box for these.

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Henry Jason @hjas18anes.bsky.social · Jul 10

oh I see! I thought you were trying something else as you've already posted some videos before ..

anyway, great work! thanks again! always refreshing to see your videos!

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Henry Jason @hjas18anes.bsky.social · Jul 9

Wonderful video Amit! 👏👏 Thanks for keeping RA alive and kicking!

Just a suggestion, maybe you can blend a video or pic (side by side maybe?) of an actual block being done?

So novices (like me 😁) can have a better see of where the needle should go?

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Reposted by Henry Jason

Amit Pawa @dr-amit-pawa.bsky.social · Jul 8

I have just uploaded a new scanning tutorial on the Quadratus Lumborum Blocks.

Please check it out here:

youtu.be/kA5mc4n6qh8?...
#RegionalAnaesthesia #RegionalAnesthesia #RAsky #AnSky
Teaser below 👇🏼🔉

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Reposted by Henry Jason

Dr Mary-Ann Fox BMBS FANZCA GChPOM @maffygirl.medsky.social · Jul 9

Here is the midweek #AnSkyMedSkyDebate from @fromthemountain.bsky.social
Describe your anesthetic management of a 90-year old woman with a hip fracture and a known severe aortic stenosis. Would you wager a cheeky spinal, or opt for GA instead?

Let's hear what you have to say!!
AnSky MedSky

a man in a black shirt is standing in front of a door and looking at the camera .

ALT: a man in a black shirt is standing in front of a door and looking at the camera .

media.tenor.com

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Henry Jason @hjas18anes.bsky.social · Jul 9

We do hips via a posterolat approach .. did a 97 y/o recently but AS not that severe:

Bit of prop+ket (the one Jeff Gagsden does) ➡️

Fem OOP (I've grown to liking Ki Jinn Chin's approach) ➡️

turn the px to the side ➡️

Place a bit of QLB to cover the T12 - L1 dermatome ➡️

TCI low dose

Reposted by Henry Jason

Bob Funnekotter @bobfunn.bsky.social · Jun 29

I start with 2% Sevo and build up every two breaths by 2% to max 8%. If you have N2O you could (not should) use it to make things smoother.

DONT rush it.
Keep talking & reassuring

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Henry Jason @hjas18anes.bsky.social · Jun 30

Nice! We do too! We also "prime" the mask with a fruity scent, usually with a marker. Sometimes we let the kids choose the marker. The citrus is a favorite for the adults. Someone once asked for a beer scent but I don't think they make those.

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Reposted by Henry Jason

Ed Mariano, MD, MAS, FASA, FASRA @emarianomd.bsky.social · Jun 28

I'm very happy to share that our new letter has been published - a great collaboration with @ajrmacfarlane.bsky.social and @dr-amit-pawa.bsky.social to improve patient safety in regional anesthesia

kwnsfk27.r.eu-west-1.awstrack.me/L0/https:%2F...

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Reposted by Henry Jason

Anaesthesia Reports @anaesthesiareports.bsky.social · Jun 27

Have you heard of the psoas sheath block?

It is a novel approach to the lumbar plexus.

Local anaesthetic goes into the potential space between the psoas major muscle and its surrounding fascia.

#AnSky #RASky #MedSky

doi.org/10.1002/anr3...

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Henry Jason @hjas18anes.bsky.social · Jun 20

Same too! ENT case, thought the patient was awake, tried to deepen the anesthesia. Senior came in, gave me the eyebrow, and told me to read more on Halothane 😅

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Henry Jason @hjas18anes.bsky.social · Jun 20

loved the smell 😅

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Reposted by Henry Jason

Amit Pawa @dr-amit-pawa.bsky.social · May 31

Tomorrow - next Episode of @bilih.bsky.social #BILIH #BlockItLikeItsHot

Another one from #ASRASpring25

@jeffgadsden.bsky.social is a machine with these!

A big thanks to Andrej from Germany for a great audio tip too!

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Reposted by Henry Jason

Jonny Wilkinson @nottheflyhalf.bsky.social · Nov 21

My latest ultrasound cheat sheet - starvation and gastric ultrasound! Download it here http://criticalcarenorthampton.com/pocusgrams/ Ready for the @AAGBI meeting where we teach you this and more! @Anaes_Journal @rosie_hogg @elboghdadly #POCUS @amit_pawa #FOAMcc...

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Reposted by Henry Jason

Jonny Wilkinson @nottheflyhalf.bsky.social · Nov 18

Today’s Tweetorial is Gastric ultrasound!

A potentially rewarding #POCUS skill to learn.

Great 📄 from my good friends @shaskinsMD and @JanBoublikMDPhD #FOAMed #FOAMcc #foamus

https://rapm.bmj.com/content/43/7/689

👍 to assess NPO status and minimise post op pulmonary...

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Henry Jason @hjas18anes.bsky.social · May 15

Thank you!

Henry Jason @hjas18anes.bsky.social · May 15

If you see this, post a beach photo from your phone. (✌️ the beach is somewhere there 😁)

Boats ready to journey to the Hundred Islands National Park (Alaminos, Pangasinan, Philippines)

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