Does your department have a return to work program for clinicians who have been on a prolonged leave of absence?

Let us know in the comments what made your return to work easier!

🔓Remifentanil for tracheal intubation without neuromuscular blocking drugs in adult patients: a systematic review and meta-analysis

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Two main concerns about using remifentanil for tracheal intubation is bradycardia & hypotension.

This study showed no evidence of an effect between remifentanil and neuromuscular blocking drugs for either of these complications!

More research needed!

🔗…-publications.onlinelibrary.wiley.com/doi/10.1111/an…

The maxim of the RCUK peri-operative anaphylaxis algorithm is ‘if in doubt treat’!

louise savic Jasmeet Soar

🔗…-publications.onlinelibrary.wiley.com/doi/10.1111/an…

x.com/anaes_journal/…

Anaphylaxis: ETCO2 & adrenaline

louise savic Jasmeet Soar et al respond to Yang et al

➡️A single ETCO2 value is unlikely to be helpful to diagnose anaphylaxis

➡️Close monitoring mitigates the risk of adrenaline complications

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x.com/anaes_journal/…

POLL RESULTS: Remifentanil vs neuromuscular blocking drugs (NMBDs)

Read the study 👇

'Use of remifentanil (1.5–4.0 μg.kg-1) showed no evidence of a difference in tracheal intubation success rate compared with NMBDs (RR (95%CI) 0.97 (0.94–1.01).'

🔗…-publications.onlinelibrary.wiley.com/doi/10.1111/an…

Remifentanil vs neuromuscular blocking drugs in adults

Use of remifentanil (1.5–4.0 μg.kg-1) showed no evidence of a difference in tracheal intubation success rate compared with neuromuscular blocking drugs (risk ratio (95%CI) 0.97 (0.94–1.01)

🔗…-publications.onlinelibrary.wiley.com/doi/10.1111/an…

Big shoutout to my friend and colleague @londonsneh for an insightful talk at the DAS Webinar about VL Scoring Systems—smashed it! It’s an honor to lead a team that includes such dedicated professionals. 𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 Difficult Airway Society (DAS) Kariem Difficult Airway Society (DAS) Trainees #VCIproject #VCIscore

This all fits in perfectly with #FUSICblocks 🙌🙌🤜

Forthcoming from Intensive Care Society 💙

Dr Amit Pawa💉🎙️ Monica Jackson aashinee mehta Manpreet Bahra Jennythatcanblock GE HealthCare

🔓Health care professionals' experiences of pain management in the intensive care unit: a qualitative study

Helen Laycock Harriet Kemp

🔗…-publications.onlinelibrary.wiley.com/doi/10.1111/an…

Really important work here

Jonny Wilkinson

Experiences of pain management in the ICU

The main themes found included:

⚡️Pain assessment
⚡️Resource availability
⚡️Importance of pain
⚡️Emotive experience of staff
⚡️Complexity of ICU population

Helen Laycock Harriet Kemp

🔗…-publications.onlinelibrary.wiley.com/doi/10.1111/an…

Today's the day!

Join us at 6pm BST to talk about airway research. Ask the authors and editors!
Matt Wiles Kariem Sneh Shah 𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 Difficult Airway Society (DAS)

Don't miss out, book here:
👉bookcpd.com/course/Anaesth…

Anaesthetists - the anatomy of surgical closure following thyroid surgery is important

Would you know what layers you need to open in order to release a haematoma in a critically obstructed airway?

Here are some handy pointers and intra-op photographs describing the process

Do surgeons close the neck with skin sutures or staples following thyroid surgery?

An anaesthetist may need to reopen the neck wound.

⚠️When glue is used, dissect to open the wound before cutting the subcuticular sutures⚠️

🔗…-publications.onlinelibrary.wiley.com/doi/10.1111/an…

x.com/anaes_journal/…

This will be fantastic!!

Exploring Airway Excellence

TONIGHT 1800 BST

Grab a ticket & join Matt Wiles Kariem Sneh Shah et al to hear about

➡️NEW airway mx in c-spine injury guideline

➡️airway research lessons for trainees/LMIC

➡️high flow nasal oxygen research

➡️VL scoring

Difficult Airway Society (DAS)

How can we improve pain management in intensive care?

Helen Laycock Harriet Kemp et al identify some initiatives that may help!

These include:

⭐️Interdisciplinary training
⭐️Decision-making tools
⭐️Research priorities
⭐️Prioritisation schemes

🔗…-publications.onlinelibrary.wiley.com/doi/10.1111/an…

POLL RESULTS: Rapid sequence intubation in the OT - VL v DL

Read the study 👇

'A comparison of the McGrath videolaryngoscope with direct laryngoscopy for rapid sequence intubation in the operating theatre: a multicentre randomised controlled trial'

🔗…-publications.onlinelibrary.wiley.com/doi/10.1111/an…

Do you regularly use remifentanil for tracheal intubation without neuromuscular blocking drugs in adult patients?

Please explain why or why not in the comments!