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Essential microskill for airway assistants! When intubating over a bougie, the bougie is placed into the trachea and the assistant places the tube over the bougie Because bougies are straight and tracheal tubes have a curve, there is a tendency for the bougie to hit against the

And on the 27th day of #Blocktober24 my fav block! Ankle ankle whoop whoop! Easy and really helpful in our oh so sick vascular patients. (ps can't believe only a few days left for #blocktober ... sheesh Jeff Gadsden you must be knackered - as in tired, not without clothes 😬)

Relationship between residual gastric content and peri-operative semaglutide use assessed by gastric ultrasound: a prospective observational study buff.ly/3AorB9e

Ozempic and fasting time for anaesthesia - another piece in the puzzle? Gastric ultrasound study showed a massive 40% of patients having an 8 hr fast or more had residual gastric content if semaglutide taken within last 10 days. They were all postponed. …-publications.onlinelibrary.wiley.com/doi/10.1111/an…

Paper demonstrating the feasibility, acceptability & perceived benefits of a 2-person check for intubation (as recommended in the @UniversalAirway consensus guidelines for preventing unrecognised oesophageal intubation) in British Journal of Anaesthesia sciencedirect.com/science/articl…

1/ New paper out. Good study, adds to the evidence base. But WHAT IS the current evidence base? A thread 🧵on GLP-1 RAs, delayed gastric emptying, and aspiration risk in the #Anaesthesia #Surgery #Anesthesiology context. x.com/Anaes_Journal/…

4/ Guidelines endorsed by ANZCA in June this year were notable for stating that all patients on GLP-1 RAs should be treated as unfasted. Anecdotally, this has not been adopted widely. Here is a thread I wrote at the time. Tanya David Scott x.com/DrNavSidhu/sta…

10/ If it were up to me, this would be the guideline for patients on GLP-1 receptor agonists. The first time I articulated this was at a bar in London, with Dr Amit Pawa💉🎙️

TWO PERSON CHECKING TO LESSEN RISK OF OESOPHAGEAL INTUBATION is feasible & acceptable Great to see this paper in early access in British Journal of Anaesthesia A simple feasibility study supported both 2-person checking of capnograph trace (sustained exhaled CO2) & 2-person checking of

Dr. Anaesthetic SpR 🤓 British Journal of Anaesthesia Unfortunately cases of unrecognised oesophageal intubation are consistent for doctors being entirely confident they have intubated successfully when they have not. This leads to confirmation bias & anchoring bias. Numerous entirely preventable deaths have occurred. Around

Nilesh Vasan Al May Dr. Anaesthetic SpR 🤓 British Journal of Anaesthesia Fairly strong disagree There’s a tendency for some doctors to cast themselves as hero: who by dint of their special heroism will rise above the norm and do things others can’t do. It tallies with not following guidelines and directives, going off script, eschewing advice etc

Impressive work across all domains of practice: training, performance & auditing of outcomes to close the loop & inform future care. Well done to the whole team.

Full free text in British Journal of Anaesthesia available via this link authors.elsevier.com/c/1jykY1dCDuqlB

Save the date for #SAS2025, our annual airway education event, at the Sofitel Resort in Noosa Heads, Queensland next year. Workshops Fri 12th Sep PM All day interactive plenaries Sat 13th Sep All faculty LIVE. No virtuals allowed 🚫 Details in the New Year. Grade 1 view...

Ping Louise Ellard 😉

Not too late to join us in London for #DAS2024 at beautiful Guildhall on Nov 28 to 29th! Always a great meeting 👍 Difficult Airway Society (DAS) @dastrainees Imran Ahmad alistair mcnarry

Wow!