Worried about the renal effects of using NSAIDs perioperatively? Read our article in this month’s #BJAEd to find out more on the risks and doses to consider. #NSAID #Surgery #BJAJournals #perioperative bjaed.org/article/S2058-… Ed Halvey Ed Mariano, MD, MAS, FASA, FASRA 🇺🇸🇵🇭 Nat Haslam

Unsure which NSAID is best for your patient? This month’s #BJAEd article helps you make an informed decision. #NSAID #Healthcare #BJAJournals #perioperative #anaesthesia Ed Halvey Ed Mariano, MD, MAS, FASA, FASRA 🇺🇸🇵🇭 Nat Haslam bjaed.org/article/S2058-…

Hot off the press from the twice yearly WASORA newsletter is a review of the top 3 RA articles of the last 6 months. Kicking off is Dr Ed Halvey Ed Halvey of SCGH summarising a paper examining neurological injury post block

Our APS nurses have been tracking (from the medical record) various conditions that have been suggested to be caused by the epidural! Enjoy! ⁦ASRA Pain Medicine⁩ ⁦ESRA | European Society of Regional Anaesthesia⁩ ⁦Ed Mariano, MD, MAS, FASA, FASRA 🇺🇸🇵🇭⁩ ⁦Samer Narouze,MD,PhD,MMM⁩

Cardiac micro-emboli in hip fracture surgery can be observed with echo. Not a far stretch to think this contributes to post-op cognitive dysfunction. Nadia Hernandez, MD, FASA at #WCA2024 #Anaesthesia #Anesthesiology

Mark Toshner Accountant now in NHS management thinks doctors need less training Been doctoring myself for 36yrs I see no sign of it getting easier I see no sign of patients getting less complex I see no sign of expectations falling Indeed all the evidence points in the other direction

Alan Macfarlane talking about optimal dosing of dexamethasone from an upcoming article in a BJA special issue. Also highlights that PROSPECT guidelines for joint replacement suggests we should give everyone at least 10mg IV #ASRASPRING24

DL is not dead

Biannual WASORA Journal Club Meeting is taking place next month host by Perth Children's Hospital. Looking forward to a great evening with some excellent speakers lined up!

Excited to share that I've just started as a consultant at Sir Charles Gairdner Hospital in Perth, Western Australia! 🏥 Thrilled to join this amazing team at North Metropolitan Health Service. Also, check out our new article on perioperative care for total hip arthroplasty in British Journal of Anaesthesia:

British Journal of Anaesthesia Excellent work by RA-UK ‘s new president Nat Haslam and Dra Halvey & Scott! Congratulations 🙌🏽 #RegionalAnaesthesia #RegionalAnesthesia

Read this excellent new #BJAEd article from Haslam and colleagues, to learn about the benefits and key components of Enhanced Recovery Programmes for Hip Arthroplasty: bjaed.org/article/S2058-…

Researchers tested whether combined intravenous dexamethasone and intravenous dexmedetomidine would increase the duration of #analgesia provided by peripheral nerve blocks more than placebo or dexamethasone alone. See Anesthesiology: ow.ly/s5vh50Sj57E #anesthesiology

📢 Do ESP catheters stay in place? This retrospective cohort investigated the position of indwelling ESP catheters with CT-scan. ⚠️ 89% of ESP catheters migrated outside the intended fascial plane! 🔗 Read it all here: bit.ly/4byeyyG @maylynwu Carlos Guerra L

When should we be concerned about motor block following a spinal anaesthetic? As >50% of patients had a significant motor block at 4h, Shippam et al have extended the trigger time for review to 6h. Instead of 63% of patients, they now review 23%! 🔗…-publications.onlinelibrary.wiley.com/doi/10.1111/an…

⚡PNB and previous neuropathy⚡ 🎯 The study showed that US-guided PNBs can be safely used in patients with pre-existing ulnar neuropathy undergoing decompressive surgery, with the added benefit of reduced persistent neuropathic pain. 🔗 Read more ➡️ bit.ly/4fTiBZA

Brilliant review. Excellent infographics

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🥸 4️⃣ Tirzepatide reduced the composite outcome of cardiovascular death or worsening HF events by 38%. Event rates were 9.9% (tirzepatide) vs. 15.3% (placebo), HR: 0.62; 95% CI: 0.41–0.95; P=0.026.

Images in #Anesthesiology - Intracranial Nasogastric Tube Placement in a Nontrauma Patient 📷 Revisit the October 2023 article: ow.ly/fJ8X50VFFkv