Check out the British Journal of Anaesthesia mini flip-book edition, FREE to view during April. ow.ly/Mgym50Iy46t 8 original articles on #hypotension, #anaemia, #lidocaine, #guidelines, #vitamin-c, #opioids and #cancer survival, & #intraoperative #ketamine.

Tune in for our late breaking session at #ASM22PER: TxA POISE-3 Australia and New Zealand results by Tom Painter; RELIEF genomics results by Chris Bain; inclusion characteristics & outcomes in female & male trial participants by Kate Leslie &; importance of post-operative anaemia by Paul Myles ANZCA

Sobering stats Not the time for mask removal or holding back on vaccination imo.

We measured immunity against the #Omicron BA.4 and BA.5 variants by people infected with the original (BA.1) Omicron sub-lineage. Results consistent with these variants forming next infection wave. Manuscript submitted to medRxiv and available here: sigallab.net

Solomon Aronson Duke Anesthesiology speaks at #ASM22PER Preoperative medical and lifestyle optimisation is a value proposition for patients. Reduces cost of care. It's a teachable moment to motivate care. ANZCA #Anesthesia

Prof Leslie Kate Leslie presents the perioperative clinical trials of the ANZCA Clinical Trials Network Ketamine to prevent chronic post surgical pain, lidocaine to prevent pain after breast cancer surgery, anaesthesia type to reduce cancer recurrence after surgery #ASMS2022 ANZCA #pain

BA4 BA5 #Omicron just enough immune escape from BA1 to give us another wave

In the year after recovering from #COVID19, Increased cardiovascular risks* seen even among those who weren’t hospitalized! Gentle reminder than #LongCovid is real. *arrhythmia, heart muscle inflammation, blood clots, strokes, heart attacks, heart failure jamanetwork.com/journals/jama/…

Intraoperative normothermia of 37 degrees, compared with 35.5 degrees, provided no clinical benefit (cardiac, wound infection). Large RCT from Dan Sessler in The Lancet. #surgery #hypothermia #cardiac thelancet.com/journals/lance…

Paul Myles presents adverse effects of anaemia after surgery. 50% increased prevalence of death or disability by 90 days, more ICU admissions, longer length of hospitalisation. Need to find the best way to manage. #ASM22PER #Anesthesia #surgery #anaemia #transfusion ANZCA

Excellent review of the risk to healthcare workers exposed to airborne infection during patient care procedures (endotracheal intubation, mask ventilation). Highest risk is coughing and shouting. Risk at intubation seems overrated. #Anesthesia bmj.com/content/378/bm…

Duration of COVID infectivity. Real world study of household contacts shows 2/3 of people are still infectious at five days. Implications for isolation of confirmed case of COVID. Australia has just shortened isolation period from 7 to 5 days. #COVID19 thelancet.com/journals/lanre…

🆕 Nature Medicine Heart manifestations of #LongCovid A prospective MRI study of 346 people with mild Covid, and controls, demonstrated myocardial inflammation at 3 months, worse w/ symptoms, and edema at ~1 year by @v_puntmann and colleagues GoetheCVI nature.com/articles/s4159…

Australian national cabinet scraps any COVID isolation requirements. Meanwhile in NSW, 1000 patients are in hospital with COVID, and 18,000 people are waiting to get into hospital to get their overdue surgery done. #COVID19 #publichealth #surgery

Few older patients having elective surgery have a documented advanced care plan, even amongst those going to ICU postop. A missed opportunity. #surgery #geriatrics JAMA Surgery. jamanetwork.com/journals/jamas…

Good review of the treatments that have been validated for Covid nature.com/articles/s4158… by Naoka Murakami David Leaf and colleagues @BWHKidney Nature Reviews Nephrology

Measurement of exercise capacity is reduced in people with long COVID. VO2max reduced on cardiopulmonary exercise testing #LongCovid #exercise jamanetwork.com/journals/jaman…

Cochrane review of video laryngoscopy shows benefits #anesthesia

With new interns starting next week here are some words of wisdom for us all in healthcare to consider. Don't wait for someone else to fix the system, we are the system - we all need to take a role. theguardian.com/commentisfree/…