M.D.Hulgur

Consultant Anaesthetist

[M.D.Hulgur @MDHulgur18]

@ajaydharamsingh Happy Independence Day Ajay !

[M.D.Hulgur @MDHulgur18]

@ajaydharamsingh Hi Ajay ,
Nice to see u 👋
I am in UK .
Please feel free to catch up

[Anesthesiology News @anesthesianews]

Study: In outpatient hip & knee replacement, spinal anesthesia was linked to less pain, lower opioid use and fewer 90-day readmissions—with no rise in urinary retention or PONV. https://t.co/EJGIju4aY3 #Anesthesia #Orthopedics

[Hans Huitink @AirwayMxAcademy]

Sugammadex versus neostygmine

Lancet

📖 https://t.co/P7YLuPwQQp

[M.D.Hulgur @MDHulgur18]

@ajaydharamsingh Hi Ajay ,
Nice to see you after long time !
It's Mutya , Giri 's neighbour.
Hope you're well 👍

[𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 @Anaes_Journal]

Optimal intrathecal morphine dosing for revision hip arthroplasty: an observational study

#anaesthesia #MedTwitter

https://t.co/IheCsqKEli

[The British Society of Orthopaedic Anaesthetists @Bsoa_org_uk]

There is still chance to catch up on 2025 before signing up to 2026.

Scan QR code below or visit BSOA website for more information

[Tim Cook @doctimcook]

Lots of interest in RSI recently. This includes 2 PFDs to the College in the last year (with possibly more to come)

The College, Association & DAS have put out a statement on RSI

It won’t be the last word on the topic

https://t.co/uVOrWSSuV5

[Dr Balaji Balagani @BalaganiBalaji]

🫀 CT Calcium Score – A Simple Test That Can Save Lives

Did you know that heart disease can be present even before symptoms appear?

A CT Coronary Calcium Score (CAC Score) is a quick, non-invasive CT scan that measures calcium deposits in your heart's arteries. It helps identify hidden coronary artery disease and estimates your future risk of heart attack.

Who should consider it?
✅ Adults aged 40–75 years with intermediate cardiovascular risk
✅ People with diabetes, high cholesterol, high blood pressure, smoking history, or a family history of early heart disease (after consulting their doctor)

Calcium Score Interpretation:
🟢 0 – Very low risk
🟡 1–99 – Mild plaque
🟠 100–399 – Moderate plaque
🔴 ≥400 – High risk; needs further evaluation

Remember:
A calcium score of 0 does not guarantee zero risk, but it strongly suggests a very low likelihood of significant calcified coronary artery disease.

❤️ Early detection can help prevent future heart attacks through timely lifestyle changes and appropriate treatment.

Dr Balaji Balagani
Cardiologist

#CTCalciumScore #HeartHealth #PreventiveCardiology #CoronaryArteryDisease #HeartDiseasePrevention #Cardiology #HealthyHeart #DrBalajiBalagani

[M.D.Hulgur @MDHulgur18]

@LewisHamilton Common Champ , we can do it !
Believe 👍

[Anil Hormis @anilhormis]

Registration is open for the British Society of Orthopaedic Anaesthetists (BSOA) Annual Conference 2026 in Oxford.

Dates are 3rd and 4th December 2026.

To register for early bird rates and to find out more information, please visit :

https://t.co/84TSbkTkbr

[Dr. Vishal Uppal MBBS, FRCA 🇨🇦🇮🇳🏴󠁧󠁢󠁳󠁣󠁴󠁿 @Ropivacaine]

Sharing the infographic from our latest @BJAJournals publication comparing QLB, intrathecal morphine (ITM), & ITM+QLB for Caesarean analgesia

✅QLB reduced early resting pain vs ITM
✅ITM+QLB provided the best early analgesia
✅Similar opioid use & PONV
👇https://t.co/jOQxSbCoQK

[The British Society of Orthopaedic Anaesthetists @Bsoa_org_uk]

🌟 Our first speaker reveal for BSOA 2026!

We're thrilled to welcome Dr Rachel Pollard to the BSOA 2026 speaker line-up.

🎟️ Early bird registration is now open: 🔗 https://t.co/mFFnOA4z6s

Stay tuned for more speaker announcements coming soon!

#BSOA26

[Regional Anesthesia & Pain Medicine @RAPMOnline]

🦵 Mapping the Knee's Pain Pathways

🔍 A new narrative review in RAPM mapped the sensory anatomy of the human knee by analyzing 32 studies spanning 80 years.

Key findings:
🦴 The anterior capsule contains the highest density of nociceptors.

📖 https://t.co/cGTmp4qBYU

#RAPM

[The British Society of Orthopaedic Anaesthetists @Bsoa_org_uk]

📣The wait is over📣

Registration for the BSOA Scientific Meeting is now OPEN!

📍Rhodes House, Oxford
🗓️3rd & 4th December, 2026

Register now for early bird rates🐦
https://t.co/ePo2PHYvkx

#BSOA26

[M.D.Hulgur @MDHulgur18]

Organised our tenth WRAIG course (EDRA approved) with our team at Wrightington hospital .
Very positive feedback from both candidates and faculty 👍

[British Journal of Anaesthesia @BJAJournals]

General or spinal for total knee arthroplasty? This review compares the techniques, their risks and benefits, and how to individualise the choice. 🤔 https://t.co/7g7PfYwxs0 #BJAEd

[British Journal of Anaesthesia @BJAJournals]

Individualised intraoperative blood pressure management reduces #hypotension, but does it improve outcomes? This new meta-analysis of 10 RCTs by Shalabi et al. found no significant reduction in postop #AKI, #myocardial injury, or #mortality, with a possible benefit for #delirium.

[Anesthesiology News @anesthesianews]

A nonopioid option showing real promise. Researchers reported strong patient-rated pain control and minimal rescue opioid use with suzetrigine following surgery. Could this reshape postoperative pain care? https://t.co/VGBs35fN1J #PainManagement #Suzetrigine

[M.D.Hulgur @MDHulgur18]

@hicasamadim 15