Ed Halvey

Anaesthetist who is mostly on here for the latest in acute pain medicine and regional anaesthesia

[𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 @Anaes_Journal]

Rebound pain after peripheral nerve block

Pre-emptive opioids were not shown to offer meaningful benefit and, based on current evidence, appear to be the least effective among the drugs evaluated.

@SinghNP_23

#anaesthesia #regionalanaesthesia #regionalanesthesia #MedTwitter

https://t.co/409AiHrTtd

[Ed Halvey @EdHalvey]

@NicholasChrimes Fair. It’s meant to stop white‑coat cancellations. It only turns into a cancellation algorithm when systems apply it defensively.

[Tim Cook @doctimcook]

Yes, it was perhaps the area we discussed with the greatest divergence of opinions

As the text from the Frailty& Older age chapter states the majority of the review panel wished to recommend more use of invasive blood pressure monitoring for high risk patients but
-there is an evidence gap
-we therefore decided, with lack of consensus, we could not recommend

We hope that evidence gap will soon be closed & NAP7 will stimulate that process

@adk300 @jas_soar
@RCoA_CRI @RCoANews

[Anesthesiology Journals @_Anesthesiology]

Images in #Anesthesiology - Intracranial Nasogastric Tube Placement in a Nontrauma Patient 📷 Revisit the October 2023 article: https://t.co/CtFTbIPlf8

[Ed Halvey @EdHalvey]

@StanfordPain ??. https://t.co/wjzpxhfnNA

[Ed Halvey @EdHalvey]

@DrShmuk Delirium is so multifactorial that proving an association with burst suppression alone is challenging. Is it causative, or just a marker of vulnerability to deep anaesthesia?

[Abdulla A. Damluji, MD, PhD @DrDamluji]

🥸 4️⃣ Tirzepatide reduced the composite outcome of cardiovascular death or worsening HF events by 38%. Event rates were 9.9% (tirzepatide) vs. 15.3% (placebo), HR: 0.62; 95% CI: 0.41–0.95; P=0.026.

[Ed Halvey @EdHalvey]

💯

[Ed Halvey @EdHalvey]

Brilliant review. Excellent infographics

[British Journal of Anaesthesia @BJAJournals]

Preoperative preparation of children with upper respiratory tract infection: a focussed narrative review by Stepanovic et al #anaesthesia #surgery #paediatrics

https://t.co/2M5r6RbPdw

[Ed Halvey @EdHalvey]

@bhatti_tj @EMARIANOMD @ESRA_Society @ESRA_trainees @mokaeleni @ajrmacfarlane @ThomasVolk16 @DrEAlbrecht @BlocSebastien @conor_skerritt @AndrzejDaszkie3 @Steve_Coppens Criticism is easy, but Amit Pawa’s contributions to regional anaesthesia are recognised by those who know the field. Personal attacks won’t change the respect he’s earned.

[Ed Halvey @EdHalvey]

@criticalgassing Congrats!

[Regional Anesthesia & Pain Medicine @RAPMOnline]

⚡PNB and previous neuropathy⚡

🎯 The study showed that US-guided PNBs can be safely used in patients with pre-existing ulnar neuropathy undergoing decompressive surgery, with the added benefit of reduced persistent neuropathic pain.

🔗 Read more ➡️ https://t.co/DQpAijOwvQ

[𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 @Anaes_Journal]

When should we be concerned about motor block following a spinal anaesthetic?

As >50% of patients had a significant motor block at 4h, Shippam et al have extended the trigger time for review to 6h.

Instead of 63% of patients, they now review 23%!

🔗https://t.co/smGjUAZPjX

[Regional Anesthesia & Pain Medicine @RAPMOnline]

📢 Do ESP catheters stay in place?

This retrospective cohort investigated the position of indwelling ESP catheters with CT-scan.

⚠️ 89% of ESP catheters migrated outside the intended fascial plane!

🔗 Read it all here: https://t.co/uANNIRZ8Aq

@maylynwu @carloseguerral

[ASA® @ASALifeline]

Researchers tested whether combined intravenous dexamethasone and intravenous dexmedetomidine would increase the duration of #analgesia provided by peripheral nerve blocks more than placebo or dexamethasone alone. See @_Anesthesiology: https://t.co/qaoJ9BMIZO

#anesthesiology

[British Journal of Anaesthesia @BJAJournals]

Read this excellent new #BJAEd article from Haslam and colleagues, to learn about the benefits and key components of Enhanced Recovery Programmes for Hip Arthroplasty:

https://t.co/uUhw1vKwac

[Dr Amit Pawa💉🎙️ @amit_pawa]

@BJAJournals Excellent work by @RegionalAnaesUK ‘s new president @nathaslam and Dra Halvey & Scott!

Congratulations 🙌🏽

#RegionalAnaesthesia #RegionalAnesthesia

[Ed Halvey @EdHalvey]

Excited to share that I've just started as a consultant at Sir Charles Gairdner Hospital in Perth, Western Australia! 🏥 Thrilled to join this amazing team at @NMHS_WA. Also, check out our new article on perioperative care for total hip arthroplasty in @BJAJournals:

[British Journal of Anaesthesia @BJAJournals]

Hip surgery updates in #BJAEd June 2024 by Drs. Haslam, Halvey & Scott. Topics covered include #ERAS, regional/local anaesthesia and the nuance of multimodal analgesia. Full details at https://t.co/uUhw1vKwac

[Ed Halvey @EdHalvey]

@Noah_Freelander @BJAJournals Thanks!

[WASORA | WA School of Regional Anaesthesia @WASORAblocks]

Biannual WASORA Journal Club Meeting is taking place next month host by @PerthChildrens. Looking forward to a great evening with some excellent speakers lined up!