Al May

Anaesthetist Paisley. @ScotSimCentre FacDev. @RCoANews Simulation Unplugged. @Assoc_Anaes QRH. Interested in: Origami. he/him

[Al May @TheRealAlMay]

@Steve_Coppens @WHarropG @BelgianBara @RegionalAnaesUK I use the example Right is correct and incorrect is wrong to open conversation about communication and standardised language

[Al May @TheRealAlMay]

@coollyndz @VCIproject I agree CL grade is virtually useless when graded on video of VL- which is why I document VCI

[Al May @TheRealAlMay]

@coollyndz @VCIproject That’s literally what VCI score is

[Al May @TheRealAlMay]

@coollyndz @VCIproject It doesn’t matter what blade used, how much of the hole you saw and whether it was easy or difficult to put the tube in it?

[Al May @TheRealAlMay]

@coollyndz Genuinely not getting why VCI isn’t used more widely @VCIproject

[★ metajournal @themetajournal]

V interesting study out of Brisbane, revising previous estimates that suggested sugammadex hypersensitivity could be as high as 1 in 2,500. Crimmins et al. found in their data the incidence was 5-20 times less common (95% CI). → https://t.co/YJkfZpIkxx

[Al May @TheRealAlMay]

@coollyndz VCI score surely? Not CL

[Al May @TheRealAlMay]

@NicholasChrimes @doctimcook @anaes_spr @BJAJournals Yes exactly. But work as done 2 person check is the reality. A 2 person check is 2 one person checks but in practice i don’t think that happens as often as it needs to be effective (in general).

[Al May @TheRealAlMay]

@JoannaCoates1 @Anaes_Journal @NAPs_RCoA @RCoANews @JerryPNolan @jas_soar @adk300 @IainMoppett @drrichstrong @emirakur @doctimcook In many cases suspending DNACPR just means you don’t do CPR based on clinical judgement, instead of based on DNACPR.
To me the function of DNACPR is to avoid a harmful intervention when someone who can make that decision isn’t standing right next to you with all the information

[Al May @TheRealAlMay]

@nosecglasses @Gasman_J @FearneHill @maureviv @AMPAdocs @jasumback @TschautscherMD @LawnerBen @laertezz GCS3 no raised ICP what is hypnotic adding?

[Al May @TheRealAlMay]

@blikethecheese @AMPAdocs @jasumback @TschautscherMD @LawnerBen @laertezz Although NAP found all the problems as post intubation

[Al May @TheRealAlMay]

@AirwayLegend @AMPAdocs @jasumback @TschautscherMD @LawnerBen @laertezz GCS 3 Benzodiazpine overdose
GCS 3 Propofol overdose
GCS 3 Ketamine overdose
GCS 3 no raised ICP

[Al May @TheRealAlMay]

@andymoz78 Presumably the premise for the original thing is a far more widespread omission of induction which clearly sounds a bit odd. I’m just saying it’s not a never (but it is a hardly ever). Obvious eg. Diazepam overdose GCS 3

[Al May @TheRealAlMay]

@t0uchgrasss @XelenX1 @JatinderHayre_ @ponteepon @CarolJFW @Dr_Done_ @Xeon4f145d96s1 @ExplosiveEnema2 @medicalmodelbri @TomStocks1982 @parthaskar @doctor_oxford @ItsnotrightUK @SocialistHealth @Britain_People It’s interesting but it’s a bit like Can u get a passport if you can sign your name: but u haven’t filled in all the stuff on the application first. But I can sign my name-can I have a passport?

[Al May @TheRealAlMay]

@andymoz78 @NickTriggle I’ll opt out please: where’s the form for that 😂😂😂😂😂😂😂😂😂💀

[Al May @TheRealAlMay]

@IJOA_Journal @Ropivacaine What’s the conclusion?

[Al May @TheRealAlMay]

@DrEilidhMaria They’re need to be trained with the driving model though

[𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 @Anaes_Journal]

In its clinical practice guideline @Assoc_Anaes recommends that it is usually appropriate to suspend a DNACPR recommendation during the peri-op period.

In contrast, only one-third of DNACPR recommendations are formally suspended pre-op.

https://t.co/tj7NFKnsBN

[Al May @TheRealAlMay]

@Anaes_Journal @NAPs_RCoA @RCoANews @JerryPNolan @jas_soar @adk300 @IainMoppett @drrichstrong @emirakur @doctimcook I generally suspend but that doesn’t mean CPR will occur