Arsh

Anaesthetics 📍 NorthEast

[Arsh @CannulaTech]

@Eksa404 game over pal

[Arsh @CannulaTech]

@simtiva_app Ah, yes. Had a bit of play around with it.
Looks good!

[𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 @Anaes_Journal]

In France:
• incidence of hypersensitivity reactions related to sugammadex appears to be low
• observed clinical presentations & severity are broadly comparable, with cardiovascular symptoms predominating +/- cutaneous & respiratory manifestations

#anaesthesia #allergy #MedTwitter

https://t.co/auj5Pw9V9r

[Arsh @CannulaTech]

I'm a bit iffy about "pay" being a cornerstone for the job profile of being a physician, but job security/progression certainly was.

And over the past year or two, this seems to have completely eroded.

[Arsh @CannulaTech]

Faracial to think that very capable foundation and post foundation docs are left scrambling for training posts, at time when we need more specialists.

I think this issue re: employment/progression needed to (and needs to) be front and centre in public domain.

Most are oblivious

[Arsh @CannulaTech]

@TheSnoozeDoctor Somethings got to break tbh. Question is when and what.

I’ve seen this go parabolic in the past 3-5 years.

[Arsh @CannulaTech]

@_eliffo It’s insane.

If I had to hazard a guess it pushed the baseline up for all IMT applicants.

I wonder if it’ll alleviate competition in other specialities.

[Arsh @CannulaTech]

@JAShuttleworth @rachelgemma90 Sorry to hear that.
Great you’ve made the cut, pretty sure it can only get better.

[Arsh @CannulaTech]

@simtiva_app Thanks for all your work!

[Arsh @CannulaTech]

@simtiva_app Would love to play around with these.

The app massively helps plan for RSIs that I plan to run on volatile but would love to have information from pk/pd modelling to help plan peri-induction period.

Although i hope the current non-infusulator interface will stay as well.

[Arsh @CannulaTech]

@doctimcook I think C&L scores are a bit like ASA gradings. Based on vibes.

[Arsh @CannulaTech]

@Anaes_Journal I find this rather interesting because usual bolus speeds are closer to 7200ml/hr or 2ml/sec

A 2.5mg/kg bolus given via 7200 vs 1200 ml/hr would lead to significantly different time to peak conc and peak effect site, and plasma conc.

Manual rates in this err conservative imo

[Arsh @CannulaTech]

Don’t see why the gov won’t be tempted to espouse an Anaesthetic Care Team model from across the pond.

[Arsh @CannulaTech]

Conclusion?

“More research is needed in this area”

Although if I take my trainee/clinician hat off and put a managerial, cost efficiency hat on - it’s not hard to extrapolate that non-physician providers are largely without significant adverse effects.

[British Journal of Anaesthesia @BJAJournals]

This #RCoA commissioned mixed-methods #systematicreview looks at the role of and working models of non-physician providers of #anaesthesia in high-income countries - what evidence exists in the literature?

https://t.co/trg0PA70YY

[Arsh @CannulaTech]

@Resuspiece @AbbieTBee Gave me a panic the other week.
Dental extraction list on little kiddies

LMA got yanked, kid went from sats 97% to 67% before I could welp D:

They are cute though. Cute and scary.

[Arsh @CannulaTech]

@doctor_oxford me no hablo englais :(

[Anesthesiology Journals @_Anesthesiology]

Guay et al. review frontal EEG signatures organized into an active management framework that integrates traditional drug signatures with the pathophysiology of critical illness to guide active management of critically ill patients. Learn more: https://t.co/4eNDejZVLS

[Arsh @CannulaTech]

@Resuspiece @ACEPNation new guidance looks solid in this regard. Much more trust and reliance on flush rate nasal cannulae, NRBM and bipap in higher risk cases. Thoughts?

[Arsh @CannulaTech]

@jinnieshinnie It’s all A-E exams, which you can teaching to any lay person.

Not a single student has heard of MacLeods or a textbook akin to that.

We have restructured med ed in the UK to train workers to work on conveyer belt of healthcare.

[Arsh @CannulaTech]

@jinnieshinnie Although I do stand with and echo your opinion, having taught medical students in a formal role as recently as two years ago, none of them reading primary texts or referring to basics.

It’s all online question banks for exams and protocols for clinical practice.