Betül Başaran

MD, DESAIC, Professor of Anesthesiology, mom of little princess, opinions expressed are all my own.

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

📖 Our new editorial in @Anaes_Journal: “The Quest to Prevent Rebound Pain: Clarity or Uncertainty?” 😖
🎯 Key message: preventing rebound pain may depend less on finding the single “best” intervention and more on delivering consistent multimodal analgesia
https://t.co/mt4vop2piN

[𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 @Anaes_Journal]

Use of sterile gowns for single-shot spinal anaesthesia: consensus guidelines from the Association of Anaesthetists, Royal College of Anaesthetists, Obstetric Anaesthetists' Association, Regional Anaesthesia UK, College of Anaesthesiologists of Ireland and Australian and New Zealand College of Anaesthetists

#anaesthesia #MedTwitter #climate

https://t.co/OZGxWXpCvz

[Regional Anesthesia & Pain Medicine @RAPMOnline]

NSAIDs + dexamethasone > acetaminophen

New RAPM study (IV analysis, n=23k):
✅ MMA ↓ pain & opioid use
⚠️ Acetaminophen had little effect
🔥 NSAIDs + dexamethasone = top combo

🔗 https://t.co/psajwkPpDE

👥 @lagrahamepi @sherrywren @SMudumbaiDoc

#RAPM #Anesthesia #OpioidFree

[Regional Anesthesia & Pain Medicine @RAPMOnline]

🎧 Music medicine during lumbar blocks?

In this RCT (RAPM), music reduced anxiety but not pain.

👉 Most effective in high catastrophizers
👉 Country was the top genre 🎵

Nonpharmacologic, low-risk — high potential.

🔗 https://t.co/vxcRgJPjl4

@ColumbanoMD

[ASA® @ASALifeline]

A new randomized controlled trial explores whether combining systemic with perineural dexamethasone yields any additive or synergistic effect on the characteristics and analgesic effects of peripheral nerve blocks.

Learn more in @_Anesthesiology: https://t.co/27ag9IhXXt

[𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 @Anaes_Journal]

Adjustment of positive end-expiratory pressure based on body mass index during general anaesthesia: a randomised controlled trial

#anaesthesia #MedTwitter

https://t.co/BdZdeZtLjr

[Regional Anesthesia & Pain Medicine @RAPMOnline]

💡 Is general anesthesia (GA) needed for shoulder arthroscopy?

New RAPM study finds regional anesthesia (RA) alone provided better outcomes than GA+RA:

📉 Hypotension: 13% vs 57%
⏱️ PACU: 22 vs 52 min
🏠 Discharge: 96% vs 75%

🔗 Read more here: https://t.co/scG65gfjy2

[Steve Coppens @Steve_Coppens]

Erector spinae plane block versus intercostal nerve blocks... : Anesthesiology https://t.co/3KMKy01mDS Finally online. ESP local systemic abSorption block? @jeffgadsden @amit_pawa @ESRA_Society @ASRA_Society

[Regional Anesthesia & Pain Medicine @RAPMOnline]

🎮 Can VR help in the OR?

A new RCT in RAPM found that VR didn’t lower pain during regional anesthesia for hand surgery—but it did reduce anxiety during surgery.

😌 Satisfaction with VR? ➡️ 9/10

🔗Read more about this RCT here: https://t.co/WtQ6WDb0ey

[𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 @Anaes_Journal]

Patients living with obesity present specific challenges for airway management

It is hoped that these recommendations will improve the safety and efficacy of airway management in patients living with obesity.

#anaesthesia #MedTwitter #obesity

https://t.co/DmSdDxEd2Y

[Regional Anesthesia & Pain Medicine @RAPMOnline]

🦵💉 Less is more! Optimizing TKA pain relief

New RAPM trial finds 10 mL of 0.15% bupivacaine works just as well as 20 mL of 0.25% for knee surgery pain relief. Same comfort, less drug—smart for safer, tailored anesthesia.

📖 https://t.co/tUed4IIVqk

[Journal of Clinical Anesthesia @JClinAnesth]

Repeated maternal voice orientation effectively reduces the incidence and severity of postoperative emergence agitation among pediatric patients.

Read this new 360 patient #RCT from our June issue!

🔗 https://t.co/uofNc9YKcU

[British Journal of Anaesthesia @BJAJournals]

#Remimazolam is a safe sedative for children with stable #pharmacokinetics. Further research is needed for comparison with existing sedatives, exploring #pharmacogenetics and assessing long-term safety https://t.co/206MaDAVqm

[𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 @Anaes_Journal]

For older people living with frailty ⬆️ risk of death persists further than the immediate postop period.

It is important to identify frailty within emergency laparotomy care.

Further work should explore the holistic implications of surgery.

#anaesthesia #MedTwitter

https://t.co/dAyoxhMXIv

[Ed Mariano, MD, MAS, FASA, FASRA @EMARIANOMD]

Our letter in @BJAJournals is available online!

Time to advocate for continuous interscalene brachial plexus blocks for shoulder surgery

https://t.co/tnR2ve24xf

@nelkassabany @jodyleng @ASRA_Society @ESRA_Society @RegionalAnaesUK @DrEAlbrecht @stanfordanes @UVaAnesthesia

[British Journal of Anaesthesia @BJAJournals]

Impaired pre-op cognition is a risk factor for post-op #delirium and associated with low intraoperative #EEG alpha power. Lower intra-op frontoparietal alpha power was also found to be associated with #delirium https://t.co/mpQC3rqN0O

[British Journal of Anaesthesia @BJAJournals]

#Prehabilitation promotes post-op recovery via pre-op optimisation. A pragmatic prehabilitation programme did not alter length of stay but improved early functional recovery at 6 weeks #ERAS #OpenAccess https://t.co/MOK1tnyqUQ

[British Journal of Anaesthesia @BJAJournals]

#Opioids may influence #cancer course, but preclinical literature is discrepant. In a systematic review of opioids in animal tumour models, 18% of experiments reported a pro-cancer effect of opioids #OpenAccess https://t.co/dIvgUiOspR

[𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 @Anaes_Journal]

Stable chronic heart failure is independently associated with major adverse cardiovascular events, mortality and severe postoperative complications when measured 30 days after non-cardiac surgery.

#anaesthesia #MedTwitter

https://t.co/SUc3UVeO7I

[𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 @Anaes_Journal]

Can the addition of honey to multimodal analgesia improve the recovery trajectory in children following tonsillectomy?

Check out the findings of the BEE PAIN FREE study now!

#anaesthesia #PedsAnes #pain

https://t.co/9YIbI9Jxzv