Irish Perioperative Medicine Society (IPOMS)

IPOMS is an educational collaborative for all healthcare professionals interested in expanding Perioperative Medicine in Ireland. Retweet ≠Endorsement

[RCoA Centre for Research & Improvement @RCoA_CRI]

Another #NAP8 milestone! Over 2500 anaesthetists and physician assistants in anaesthesia have now taken part in the NAP8 Individual Baseline Survey - please take 10-20 minutes to fill out yours and help us make #NAP8 count!

[British Journal of Anaesthesia @BJAJournals]

Adolescent idiopathic scoliosis affects 0.5–5.2% of 10–18 yr olds and can lead to cardiopulmonary issues, chronic back pain and psychosocial impact if untreated 🧍‍♀️🫁🧠
Surgery is usually considered once Cobb angle >40°. 📏🩻 Read more: https://t.co/QXTas1OUH0

[Irish Perioperative Medicine Society (IPOMS) @IPOMS4]

The scariest thing about MINS (Myocardial Injury after Noncardiac Surgery) isn't the mortality rate: it's the silence 🤫

>90% of patients have no chest pain

Consider screening high-risk patients with postop troponin (HScTn). Don't always ignore MINS

#periopmed
#MedTwitter

[Irish Perioperative Medicine Society (IPOMS) @IPOMS4]

We monitor patients closely in theatre (millisecond-level data), then send to ward for checks every 4 - 6 hours

Thats a massive data blind spot 📉

Future of periop safety isn't more ICU beds; it's continuous wearable monitoring. "Failure to Rescue" should be a thing of the past

[Irish Perioperative Medicine Society (IPOMS) @IPOMS4]

The hardest part of periop medicine isn't deciding what to hold preop

It is the "resume" plan at discharge 📝

Restarting SGLT2s, ACEis & anticoagulants in patients recovering from AKI or ileus is an art form

"Copy/Paste" discharge summary is a readmission waiting to happen 😮

[JAMA @JAMA_current]

Superficial vein thrombosis (SuVT) is characterized by thrombus in the superficial veins, typically in the lower or upper extremities.

This Review summarizes the diagnosis and treatment of SuVT.

https://t.co/Dj6oVz2YQi

[British Journal of Anaesthesia @BJAJournals]

#Preoperative GLP-1 RA use is associated with fewer perioperative #respiratorycomplications in people living with type 2 #diabetesmellitus

https://t.co/dEzstUssW5

[Anesthesia&Analgesia @IARS_Journals]

How can we use #ArtificialIntelligence to improve patient preoperative optimization?

✅ Predict post-op anemia 🩸
✅ Opioid dependence 💊
✅ Diabetes complications ✖️
✅ Mortality risks ☠️

@IARS_journals highlights #AI in this narrative review: https://t.co/gZexaTL5qK

[NEJM Clinician @NEJMClinician]

Should you recommend YouTube videos for inhaler instruction?

Researchers compared 96 videos to the National Asthma Council Australia (@asthmacouncilau) recommendations for use of metered-dose inhalers. Read more: https://t.co/wJuW3221os

#asthma #MedTwitter

[Irish Perioperative Medicine Society (IPOMS) @IPOMS4]

The most effective tool in the perioperative physician’s kit isn’t the stethoscope or the ultrasound...

It’s the phone call to the surgeon to discuss the physiological trade-offs 📞🤝

Shared decision making > Guidelines in a vacuum

#periopmed
#medtwitter
#surgery

[Irish Perioperative Medicine Society (IPOMS) @IPOMS4]

If creatinine bumps, we panic about the kidneys 🚨

If troponin leaks, we call cardiology ❤️

But if the patient is delirious for days? We often shrug & say "It's just the hospital environment"

Delirium is brain failure.

Needs to be treated with urgency: like AKI or NSTEMI 🧠

[Irish Perioperative Medicine Society (IPOMS) @IPOMS4]

We wouldn't let an athlete run a marathon without training. Why let patients undergo major abdominal surgery without prehab? 🏃‍♂️🏥

Treating frailty & anaemia preop yields higher ROI than almost any intra-op intervention

Surgery is the event. Preparation determines finish time 💪

[Irish Perioperative Medicine Society (IPOMS) @IPOMS4]

"Keep MAP >65mmHg" is a safety net, not a physiological law 📉

For an 80year-old with chronic HTN, a MAP of 65 might effectively be shock

The future is Personalized Hemodynamics

We need to defend the patient's specific baseline, not just the population average 🎯

#periopmed

[Irish Perioperative Medicine Society (IPOMS) @IPOMS4]

The new frontier in PeriopMed isn't a new gas or block - its navigating the GLP-1 agonist explosion 💊

Balancing metabolic benefits against gastric residual volume risks is the new "beta-blocker" debate

Are you team "hold for a week" or team "POCUS the antrum"? 🧐

#periopmed

[Irish Perioperative Medicine Society (IPOMS) @IPOMS4]

It’s time to retire "Cleared for Surgery" from our vocabulary 🛑

We aren’t gatekeepers; we are risk managers. The goal isn't just surviving the operation, it's returning to baseline function after discharge

Shift the mindset: Don't just clear. Optimize. 📈

#PeriopMed #Surgery

[Irish Perioperative Medicine Society (IPOMS) @IPOMS4]

🧡 Today is International Day for the Elimination of Violence against Women

In Perioperative Medicine, recognizing the signs of gender-based violence (GBV) is crucial. Trauma impacts surgical outcomes and recovery

We must provide compassionate, trauma-informed periop care

[Irish Perioperative Medicine Society (IPOMS) @IPOMS4]

Is perineural or IV dexamethasone better for pain after shoulder surgery?

This SR & MA finds perineural administration modestly prolongs analgesia (~2 hours) for single-shot interscalene block & explores overall clinical importance

➡️https://t.co/0Yq9pz27OX

#periopmed
#RA

[𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 @Anaes_Journal]

What is "enhanced care"?

Post-anaesthetic care unit (PACU) and overnight intensive recovery units.

What is the impact?

It builds surgical capacity and system resilience.

#anaesthesia #MedTwitter #ICU

https://t.co/cz8RD40znJ

[Irish Perioperative Medicine Society (IPOMS) @IPOMS4]

Important points on Ultra processed foods and the impact on long term health

Key themes for @HSELive to embed into care pathways

#periopmed

[The Lancet @TheLancet]

Ultra-processed foods – what’s the impact?

In a new Lancet Series, experts warn a global rise in #UPFs presents a growing public health threat.

Read the evidence & policy recommendations ⬇️
https://t.co/cKavYNYlcQ

[Irish Perioperative Medicine Society (IPOMS) @IPOMS4]

💨 Today is World COPD Day! 💙

"Short of Breath, Think COPD"

Chronic Obstructive Pulmonary Disease (COPD) is often underdiagnosed. If you experience persistent shortness of breath, cough or wheezing- talk to your doctor. Early diagnosis is 🔑 for better management

#ThinkCOPD