Looking forward to talking about aging brains, pEEG and one of my favourite topics - SUPERAGERS! #AAACONF Age Anaesthesia Medtronic Narcotrend Mediplus Anaesthesia @BBraunUK

Good morning, have a brilliant day. From 1984 Moira Stewart reads some of the names of the seventeen candidates for the Chesterfield by-election in 1984.

It’s here! 📣 Our trainee-led webinar to welcome new trainees to anaesthesia and demystify those intimidating first few weeks ☕️💉🧠 August 6th from 7pm, free for members. Register here: t.ly/AElp0

If you haven’t managed to cast your vote…there’s only a few hours left.😬😉 There is a very strong field of candidates for 2024 election. I am very privileged to be amongst them. #FOAMed #POCUS #FOAMcc #MedEd #medtwitter Intensive Care Society 💙 Association of Anaesthetists Royal College of Anaesthetists

when I held family discussions on ICU, I always felt that being upfront—& even _blunt_—about a pt’s outlook/risk of dying was the kindest thing I could do. giving false hope by omission, and denying loved ones the ability & time to say goodbye, might feel nice, but is so unkind.

We recently encountered a patient with non cirrhotic hyperammonemia. Found a review article. Made a thing. See what you think. Helpful? More?

Using TIVA? Use Flows of 6L In the UK flows of 6L are best for the environment and to save money. This was a nice poster / infographic presented at SIVA a few years ago. Have you started making your infographics? There's not long left!

If you’re an NHS consultant based in England please search your email for the BMA job planning survey, it’s one of the biggest issues for most of us, we need to measure your experience! Only open for a couple of weeks, please do this weekend if possible,-) takes 10-15 min. Pls RT

ICYMI (& have just received a dreaded brown envelope) I did a webinar last night 👇 To get the full experience grab your RPSS, a pen & print: bit.ly/TGMcCloudTriage More info: bit.ly/MazarsGoldston…… Sign up: bit.ly/MazarsGoldstone Pls share/RT youtube.com/live/zlcFZjv_J…

When you are feeling underappreciated by your trainees - you get this as a sign of appreciation #thanks CriticalCareNGH

Lots of learning points here on SGLT2 inhibitor-associated ketoacidosis! • withhold SGLT2 inhibitors for 72 h before elective surgery to allow 5 half-lives to elapse • SGLT2 inhibitors should only be resumed after resumption of full oral diet in the absence of ketosis

This festive season follow safe sleep practices to prevent sudden & unexpected infant deaths. The safest place for baby is in their own clear, flat, separate sleep space, such as a cot or Moses basket in the same room as you. Visit the Lullaby Trust bit.ly/3uMzXkE

Suggested New Year's Resolution: more mindful prescribing of IV fluids 🫧 Far too often I see IV fluids thrown around with minimal consideration; meanwhile, we'll deliberate for hours about a dose of lasix 🤦‍♀️ Here are the 10 most common fluid prescription mistakes I see 🧵

(1/x) Intubating a critically ill patients is the most dangerous procedure we do in the ICU (3.1% cardiac arrest rate) not because of hypoxia or tube placement, but hemodynamic collapse 🫀 (Russotto et al. JAMA 2021) A 🧵on making high risk hemodynamic intubations as safe as

SUDC UK offers support and guidance to bereaved families and the professionals caring for the families who have suddenly and unexpectedly lost their child. ⁠ ⁠For family support, professional guidance or to make a donation, visit sudc.org.uk 💙⭐️⁠ #SUDCSupport ⁠

Thank you George and crew for creating this propofol wake up app, and giving it to everyone for free. 💪🏼

Does mechanical ventilation always improve gas exchange? 🔹 PEEP improves lung recruitment 🔹 Overdistension increases dead space 🔹 Low cardiac output worsens shunt Managing the delicate balance of ventilation in ICU is an art & a science! 🫁 📖 Read: bjaed.org/article/S2058-…

Lasix is NOT nephrotoxic 🫘 Please retweet so we can end this myth once and for all 🦄 Rising creatinine is more often an indicator of inadequate Lasix dosing than excessive!! Lasix can only harm the kidneys if it decreases cardiac output by dropping preload to the point of

This systematic review updates existing recommendations for postoperative pain management after elective caesarean section performed under neuraxial anaesthesia. #anaesthesia #obstetrics #MedTwitter doi.org/10.1111/anae.7…