Delighted to meet back my ex-colleague turned good friend from Dublin, who is now a Consultant Cardiac Anaesthetist. When I first arrived in Ireland I received many good career advice and he is one of them.

Pain management after open thoracotomy 2025: procedure-specific postoperative pain management (PROSPECT) recommendations

#AnSky #PainSky #MedSky

doi.org/10.1111/anae...

It is all 'feel good' factor it happened in the past so I'm still cautiously optimistic on my team.

A very entertaining Super Sunday !

This single-centre double-blind #RCT showed #argipressin infusion vs #placebo did not affect blood loss or transfusion requirements in #hepaticresection, but did lower #postoperativecomplications

https://www.bjanaesthesia.org/article/S0007-0912(25)00672-5/fulltext

Does obstructive sleep disordered breathing (#oSDB) severity predict post-adenotonsillectomy pain? Frigon et al. found three distinct pain trajectories related to oSDB severity and early pain scores

https://www.bjanaesthesia.org/article/S0007-0912(25)00665-8/fulltext

🧠✨ NACCS at Brain Conference 2025 ✨🧠
Catch NACCS Council Member Dr. Timothy Faccini presenting his multicentre SSNAP-shot of anaesthesia for Mechanical Thrombectomy in London!
🔬 #BrainConference2025
🏥 #NACCS #NeuroAnaesthesia #StrokeCare #MedicalResearch

A new Focal Point article by Perry highlights a critical but oftentimes overlooked skill of anesthesiologists: standing back. By standing back by the anesthesia cart, anesthesiologists can take in the OR in its entirety.

Read the full Focal Point: ow.ly/Hhs150Y0LCj

www.researchgate.net/publication/...

Abstract case report on management of parturient with suspected Brugada Syndrome.

Everything has first time. Today I attended ARCP online while safe guarding my daughter in her play room because I totally forgot about the date. But all well, outcome 1!

⏱️ Thrombectomy: Time vs Arterial Lines
Dr. Rebecca Campbell: Most patients don’t need an arterial line—it didn’t reduce hypotension. Every 10-min delay reduces disability-free survival. Move fast, safely. 🧠💉
#StrokeCare #Thrombectomy #TimeIsBrain #PatientSafety #NACCS

Is it cost effective for the NHS to transition from volatile anaesthesia to TIVA?

✅ Desflurane ➡️ TIVA
✅ Sevoflurane without EEG ➡️ TIVA
❌ Sevoflurane WITH EEG ➡️ TIVA

#AnSky #climate

First choice treatments to control pain after thoracotomy:
• thoracic epidural analgesia - delivers medicine near the spinal cord to block pain
• paravertebral blockade - numbs the nerves next to the spine that send pain signals from the chest

#AnSky #MedSky #PainSky

doi.org/10.1111/anae...

Here is some really useful information on transfer to breastmilk of medicines used peri-operatively.

Of note are drugs to:
⚠️ use with caution - tramadol, oxycodone, codeine and pethidine
❌ avoid - aspirin in analgesic doses

#AnSky #breastfeeding #MedSky #SurgSky #ObSky

doi.org/10.1111/anae...

Reminder: Aspirin should not be used in analgesic doses in breastfeeding patients!

This is due to the risk of Reye's syndrome in the child.

If indicated, low-dose aspirin taken for its antiplatelet effects can be used in patients who are breastfeeding.

#AnSky #ObSky

doi.org/10.1111/anae...

Time to reconnect with my fellow friends!