This was a temporary transvenous pacing wire inserted during a minimally invasive cardiac case.
It didn't capture reliably and was found to be knotted in the post-op CXR.
There was resistance in withdrawing it and had to be removed en bloc with its introducer sheath.
#ansky #cardiosky #medsky
Join the RCoA-CR&I Research Leaders Scheme
Are you thinking of leading your own research project?
The RCoA Centre for Research & Improvement team can help you grow & connect you with mentors. Successful applicants will engage in training & activities.
Apply by 20 March 👉 https://www.rcoa.ac.uk/research-leaders-scheme
#Ansky #Medsky
Murphy's law in medicine, no 34:
Any intravascular wire or catheter can inadvertently kink, invalidating its original purpose and making its removal challenging.
#ansky #cardiosky #medsky
As a lipophilic compound, propofol may accumulate in aquatic organisms, posing a risk to the ecosystem.
Remimazolam is hydrolysed rapidly by tissue esterases into a carboxylic acid metabolite - the environmental impact of this is not well understood.
#AnSky #climate
doi.org/10.1111/anae...
Does PEEP matter?
"... individualised positive end-expiratory pressure ⬇️ driving pressures & improved intra-operative oxygenation but did not decrease the incidence of postoperative pulmonary complications in older adults undergoing lung cancer surgery."
#AnSky #MedSky
doi.org/10.1111/anae...
Anaesthetist-in-Training Updates event
Join us tomorrow for our Anaesthetist-in-Training Updates event!
Dive into key themes including:
➡️AI
➡️Women’s health
➡️Cultural differences.
Earn 5 CPD credits 🪙
Use code EARLY10 at checkout.
Book now 👉 https://ow.ly/ibFK50XSTGR
#Ansky #Medsky
Children and appendicectomy
Children who developed complications were more likely to:
• undergo imaging
• have opioids prescribed & IV fluids administered
BUT
• less likely to be reviewed every day by a consultant surgeon postop
#AnSky #MedSky #SurgSky
doi.org/10.1111/anae...
Appendicitis in children
"Many hospitals followed the care rules well, but some things still need to improve. Doctors need to get better at finding appendicitis early, giving pain relief and making sure children do not wait too long for surgery. "
#AnSky
doi.org/10.1111/anae...
How often did healthcare providers comply with evidence-based standards of care for children undergoing appendicectomy?
#AnSky #MedSky #SurgSky
doi.org/10.1111/anae...
Reminder that Ethicon Biopatch used as an adjunct in central line dressings is chlorhexidine (CHG) impregnated.
The effort in avoiding a chlorhexidine impregnated CVC in a patient with chlorhexidine anaphylaxis can easily be undone.
www.jnjmedtech.com/en-EMEA/prod...
#ansky #anaphylaxis
Update to my PENG block Video out now on my YouTube channel!
Great for Hip Arthroplasty, Arthroscopy & Fracture!
Link Here👇🏽👇🏽👇🏽
youtu.be/ghKuVxQR1bQ?...
#RegionalAnaesthesia #RegionalAnesthesia #RAsky #AnSky
The B-APNEIC score has been proposed as an alternative to the STOP-BANG questionnaire.
Here's some debate on the topic!
doi.org/10.1111/anae...
doi.org/10.1111/anae...
And check out the original paper here! ➡️ doi.org/10.1111/anae...
#AnSky #MedSky
The 0.00015 degree problem: learning from the environmental debates around desflurane
#AnSky #climate #MedSky
doi.org/10.1111/anae...
During caesarean delivery under spinal anaesthesia, maintaining maternal systolic BP > 90% of baseline, compared with > 80% of baseline, with boluses of noradrenaline reduces the incidence of neonatal acidaemia, maternal hypotension and nausea and vomiting.
#AnSky #ObsAnSky
doi.org/10.1111/anae...
Done a whole scope list with only one on HFNO2 😵💫 it is possible… (Aussie’s will get it…) #ansky saving the planet me 😊
Women in Anaesthesia Research webinar
Less than 2 weeks to go!
Join our Women in Anaesthesia Research webinar, where we’ll spotlight amazing achievements and inspiring stories with BJA guest editors.
Meet brilliant speakers and network with colleagues online from across the globe.
Book 👉 https://ow.ly/cZAQ50Y1Jzb
#Ansky #Medsky
Incidence of peri-operative peripheral nerve injuries associated with general and regional anaesthesia
#AnSky #RASky
doi.org/10.1111/anae...
Proposed Plan A blocks and their approximate anatomical areas of relevance!
#AnSky #PainSky #RASky #MedSky
@lloydturbitt.bsky.social @elboghdadly.bsky.social @emarianomd.bsky.social
doi.org/10.1111/anae...
What is considered a high-value basic ultrasound-guided regional anaesthetic technique?
#AnSky #RASky #PainSky #MedSky
@lloydturbitt.bsky.social @elboghdadly.bsky.social @emarianomd.bsky.social
doi.org/10.1111/anae...
Working to avoid #LookAlikeDrugs 👏to Fresenius Kabi for changing their labelling of rocuronium after input from Hospital Trust🤩 Had meetings with pharma industry and Hospital trust procurement committee, all positive, but we need international partners! Wanna join? #ansky #anesthesia #patientsafety
How do you determine the value of a nerve block?
• ease of performance
• safety
• versatility
• ease of learning
• efficacy
• resource requirement
#AnSky #RASky #MedSky
doi.org/10.1111/anae...
Plan A blocks in regional anaesthesia
Key components to increase patient access to regional anaesthesia:
• select high value blocks
• widespread competence
• ⬆️ patient access
• pathway implementation
#AnSky #RASky #PainSky
doi.org/10.1111/anae...
Core Topics: Plan A blocks in regional anaesthesia
#AnSky #RASky #PainSky
@lloydturbitt.bsky.social @elboghdadly.bsky.social @emarianomd.bsky.social
doi.org/10.1111/anae...
Become an FRCA Examiner. Recruitment for the academic year 2026/2027 will open on Monday, 2 February.
Thinking about becoming an FRCA Examiner?
Don’t miss your chance—applications for 2026/2027 close this Friday, 13 March!
Find out what’s involved and see if you’re eligible by visiting our website 👉 https://ow.ly/3KuG50Y4cUR
#Ansky #Medsky
Anaesthetist-in-Training Updates event
One week to go! 🚀
Join our Anaesthetist-in-Training Updates event on 17 March 2026—earn 5 CPD credits and explore key themes including: AI, women’s health, & cultural differences.
Use code EARLY10 for early bird booking 👉 https://ow.ly/ibFK50XSTGR
#Ansky #Medsky
Congratulations to Sulis Hospital, the only independent UK hospital accredited by ACSA 👏 https://ow.ly/L0jr50YrGQf #Ansky #Medsky
Check out the March issue of the BJA #miniflipbook, which showcases all of our #FREE articles on topics including: #HFNO #noveldrugs #TIVA #protaminereversal #myocardialinjury #anaestheticinducedneurotoxicity and #TAVIs #AnSky #MedSky
https://ow.ly/x7AC50YlUr6
Identifying postoperative pain trajectories and pre-operative risk factors may support preventative measures and enhance pain management in children.
#AnSky #MedSky #PaedsAnSky #PedsAnSky
doi.org/10.1111/anae...
Explaining to my registrar that we used to wash and sterilise LMAs between patients and reuse them 30 times.
#Ansky
