Brenton Sanderson

Anaesthetist with an interest in health IT integration currently completing a PhD on decision support for Massive Transfusion

[Brenton Sanderson @Doc_Brenton]

@CRUDEOIL231 Thank you for always sharing your insights and trades. Too often X is filled with cherry picked correlations without trades to back up their assertions, nor any admission of trades that don’t work out.

[Brenton Sanderson @Doc_Brenton]

@BULLReturns Where’s the best source for discount to cost curves?

[Brenton Sanderson @Doc_Brenton]

@DarioCpx So you expect these SHFE shorts to close before holiday closure to avoid a squeeze with further price recovery?

[Brenton Sanderson @Doc_Brenton]

@DarioCpx How do you access a trend of CVOL?

[Brenton Sanderson @Doc_Brenton]

@TFMetals Not enough time to come up with new rhymes

[Brenton Sanderson @Doc_Brenton]

@TFMetals Also if everyone knows about it, it’s already priced in.

[Brenton Sanderson @Doc_Brenton]

@Oliver_MSA Price is king

[Brenton Sanderson @Doc_Brenton]

@TFMetals @KingKong9888 What about gold options?

[Brenton Sanderson @Doc_Brenton]

@SilverSurfer_23 Thanks for sharing your thoughts

[Brenton Sanderson @Doc_Brenton]

@SilverSurfer_23 Thanks, we all await this reversal in metals that appears to defy gravity.

[Harry Eccles @Heccles94]

The British establishment have all ready covered this new Banksy up.

Can we get it Retweeted 10,000 times to show that they can never cover up their complicity in war crimes??

Protect the right to protest! RT!

[𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 @Anaes_Journal]

When VL was used as the first-choice device:
⬇️ patients experiencing at least 1 complication (5.5% vs. 9.7%)
⬇️ 3+ intubation attempts (1.2% v 2%)
⬇️ need to change operator (1.8% vs. 4.9%)
⬇️ oesophageal intubation (0.5% vs. 1.4%)

#anaesthesia #MedTwitter

https://t.co/f10XvyQRSi

[Brenton Sanderson @Doc_Brenton]

@Anaes_Journal The dose of the low dose group that demonstrated reduced delirium also worked out to be about 20mg over total procedure. I don’t see anyone using such a small dose and suspect the other confounders you have identified to have perhaps caused a false signal.

[Tim Cook @doctimcook]

Avoiding unrecognised oesophageal intubation

The @RCoA & @dasairway have agreed to drop ‘no trace wrong place’

The message now is that we need to exclude oesophageal intubation by identifying SUSTAINED EXHALED CO2

This requires 4 elements
-CO2 rises & falls with respiration
-sustained (non-fading, >7 cycles)
-amplitude >1 KPa
-clinically appropriate

It replaces ‘no trace wrong place’ which is insufficient & therefore inadequate

See these two updated webpages

Sustained exhaled CO2
https://t.co/ZAdO23sHil

Prevention of future deaths
https://t.co/goxZZEcCzu

@AAGBI @AndyHiggsGAA @NicholasChrimes

[Brenton Sanderson @Doc_Brenton]

@Anaes_Journal The lower total intraop dose of <0.35mg/kg would for a 70kg of only end up as 24.5mg. It surprises me that anyone would even consider giving such a small amount. Clearly a prospective trial would be warranted to account for the many confounders of this retrospective analysis.

[Brenton Sanderson @Doc_Brenton]

@Anaes_Journal Just use pressure support and PEEP with the mask instead of wasting equipment and time doing HFNO. I easily get ETO2 > 90% in obese pts.

[Brenton Sanderson @Doc_Brenton]

@feelingsplain Teach a man to fish

[Brenton Sanderson @Doc_Brenton]

@doctimcook @dasairway @SOBAuk PreO2 using pressure support (I use 4/4cmH2O) means you don’t need to mess about with HFNP. Helps a lot with obese pts to prolong apnoea time prior to desat.

[Brenton Sanderson @Doc_Brenton]

@Anaes_Journal I ask myself what would I want to be intubated using?

VL every time, therefore I use it for all my patients.