Lee Zimmer

Anaesthetist. Regional and 'Green' Anaesthesia, Dad, Eco Champ, Runner (ish), Spurs fan. (Not in priority order)

[Lee Zimmer @LeroyZimmer]

My favourite meme to date...

[Javier Vera @vera_reganest]

A special Dad Joke:

[Lee Zimmer @LeroyZimmer]

@mjoldman @J0elSh4piro That’s fascinating Matt. Are you saying the whole arm is rolling / shaking - so the movement is from the shoulder and above the block??

[Lee Zimmer @LeroyZimmer]

@bobfunn @DrRobbieErskine “Bobs on tour” - that’s very funny!! 🤣

[Lee Zimmer @LeroyZimmer]

@amit_pawa @BlockIt_Hot_Pod @ajrmacfarlane @RegionalAnaesUK @GSTTanaesthesia Is that a gold-plated ash tray on the left?!!

[Lee Zimmer @LeroyZimmer]

@lightfootsj @ANZCA @amit_pawa @RegionalAnaesUK Can they though?! What was the answer…?(asking for a friend…)

[Lee Zimmer @LeroyZimmer]

@Andyrooz22 @lotusgav

[Lee Zimmer @LeroyZimmer]

@amit_pawa @GSTTanaesthesia @DrBruceWMYoung1 @ann_barron1 @LouisaWoollard @SKoAnaes @lianazucco @GideonSamuel @CobainCharlotte @Tompotter1 @Tom_G_Woj @pjbose Padowans or Pawadans? Well deserved Amit. 👏👏

[Lee Zimmer @LeroyZimmer]

@lotusgav Yes, I’d describe the post op sedation and elation with Propofol as a feature rather than a fault. A drug to turn it off would have huge merit in some emergency scenarios (CICO?) but not imo in a standard anaesthetic. Which is quite different from NMBD reversal.

[Lee Zimmer @LeroyZimmer]

@lotusgav @GongGasGirl PPH

[Lee Zimmer @LeroyZimmer]

@Andyrooz22 @jeffgadsden Yeah, for sure. But it sounds like you saw that on USS and decided to ahead anyway? Was that because the volume didn’t appear worrisome or because the scope meant you could suction anyway. Hard to know the right call. Although one thing we can conclude - lap bands are not great!

[Lee Zimmer @LeroyZimmer]

@Andyrooz22 @jeffgadsden Were you doing it just out of interest because it was a gastroscopy and you could confirm accuracy.

[Lee Zimmer @LeroyZimmer]

@Andyrooz22 @lotusgav @amit_pawa @TJQPNI I think that’s right - some people are extremely sensitive. It’s not uncommon to only need very low Remi infusions. If those same people got 2-3mcg/kg bolus at induction, is that the cohort who collapse? Elderly and opioid naive - I stay away. MP3 - avoid. Others - meh.

[Lee Zimmer @LeroyZimmer]

@APSForg @AmyPearsonMD And… standard removal of nail polish caries a non zero threat of encouraging hospitals to stock acetone in clinical areas. Acetone on the labour ward: an accident waiting to happen - International Journal of Obstetric Anesthesia https://t.co/gTdaarseAx

[Lee Zimmer @LeroyZimmer]

@APSForg @AmyPearsonMD Almost no nail polish/shelac/gel makes a clinical difference to pulse oximetry. 90 degree turn is always effective in the very rare cases of any doubt. Asking people to remove them is pointless, stressful (weird but true) and amazingly expensive.

[Lee Zimmer @LeroyZimmer]

@bobfunn

[Lee Zimmer @LeroyZimmer]

@amit_pawa @CobainCharlotte @GSTTanaesthesia @DrRobbieErskine @tfbendtsen Thanks Amit. I watched Dr Bendsten’s presentation & live demo at the e-ESRA, hence the question. Siska Bjorn also did an amazing job presenting the anatomy and distribution of each nerve and suggested that maybe the anterior branch of medial was ‘most’ relevant for TKA incision?

[Lee Zimmer @LeroyZimmer]

@scruff888 @GongGasGirl The message from the talk seems to be: Your achievements are inadequate, so lets go backwards.