Felix Bartelke

Anesthesiologist and eARTh - photographer - searching for peace & light.

[𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 @Anaes_Journal]

There is a risk that awake tracheal intubation is becoming increasingly viewed as a 'high acuity, low occurrence' (HALO) event.

This is likely due to a self-reinforcing cycle of reduced awareness of indications and guidelines + reduced exposure and practice + VL.

#anaesthesia #MedTwitter

@VirtueOfNothing @MZanaesthetist

https://t.co/r1NrgkQwbL

[𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 @Anaes_Journal]

Awake tracheal intubation - a survey

• 96.5% believed that ATI was a core competence for anaesthetists
• 76.2% reported performing the procedure
• 64.5% maintained their skills with <10 ATIs per year

@IreneSteinberg @SorbelloMax @dr_imranahmad @SheilaMyatra

#anaesthesia #airway #MedTwitter

https://t.co/wT1JqLxrrO

[𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 @Anaes_Journal]

The 0.00015 degree problem: learning from the environmental debates around desflurane

#anaesthesia #climate #MedTwitter

https://t.co/2R5J3nvDxY

[Anesthesiology Journals @_Anesthesiology]

Outside the operating room, airway emergencies are frequently due to complications with existing tracheostomies or laryngectomies. A new Clinical Focus Review by Talan et al. outlines the most common complications and their management.

Read the article: https://t.co/HQ6YoEWhz2

[Anesthesiology Journals @_Anesthesiology]

Images in #Anesthesiology - Dynamic Laryngeal Obstruction by Reinke’s Edema 📷 https://t.co/S4FoP0HKMa

[Anesthesiology Journals @_Anesthesiology]

Read a summary of "Sedation vs. general anesthesia for endovascular therapy in acute ischemic stroke: The SEGA randomized clinical trial," in the March 2026 Science, Medicine, and Anesthesiologist: https://t.co/fvYZcfPUIG

[JAMA @JAMA_current]

In 2024, approximately 58 450 individuals were diagnosed with oral cavity and pharynx cancer and 12 650 were diagnosed larynx cancer in the US. These head and neck cancers accounted for 3.6% of all US cancer diagnoses and 2.6% of cancer-related deaths.

This Review summarizes the epidemiology, clinical presentation, diagnosis, and treatment of head and neck squamous cell carcinomas (#HNSCC) of the upper aerodigestive tract.

https://t.co/O4gJGdVThX

[Tim Cook @doctimcook]

Great to see this published

Emergency Front of Neck Airway registry (eFONAr)

Coming to the UK soon

@elboghdadly @dr_imranahmad @altgm (@NicholasChrimes)

https://t.co/2siBvGoU4c

[British Journal of Anaesthesia @BJAJournals]

More around #GLP-1RA’s and #fasting – does an overly restrictive regime introduce unintended harm? What #factors affect #pulmonaryaspiration risk?

https://t.co/TqGYdlYNJm

[Tim Cook @doctimcook]

A really important study on CAPNOGRAPHY TRACES DURING OESOPHAGEAL INTUBATION

Important for three reasons

1
It provides important support for needing to satisfy the criteria for sustained exhaled CO2* to exclude oesophageal intubation

2
The morphological differences in CO2 trace from oesophageal and tracheal intubation offer technological opportunity for monitoring solutions to rapidly detect unrecognised oesophageal intubation

3
Sadly, they report a >10% unrecognised oesophageal intubation rate and all out of hospital services should be monitoring theirs and making changes (capnography, capnography interpretation, VL and if this doesn’t work stopping intubating and using SGAs or changing personnel) to make sure the rate is well below this

*Sustained exhaled CO2
- rises and falls with ventilation
- sustained (>7 breaths)
- amplitude > 1kPa
- clinically appropriate

https://t.co/vYYnB5UW70

[M Velia Antonini @FOAMecmo]

Alveolar gas equation and its clinical implications
🧮 derivation &amp; application of AGE
💨 fraction of inspired O2
💨 atmospheric pressure
🩸PaCO2 &amp; respiratory exchange ratio
🫁 PAO2 &amp; A–a gradient in the approach of hypoxemia &amp; pulmonary shunt
#FOAMcc
🔓 https://t.co/LqmYQt1cht

[Science News @SciencNews]

Ten simple rules for developing good reading habits during graduate school and beyond (1/4)

@PLOSCompBiol #paperwriting #PhD #PhDlife #academics #AcademicChatter #AcademicTwitter

[Tim Cook @doctimcook]

@RCoANews @RAFTrainees @Assoc_Anaes @dasairway IN: sustained exhaled CO2
OUT: no trace wrong place

Key link here
https://t.co/KxeiTT1wi8

[Critical Care Reviews @CritCareReviews]

Today's Paper of the Day is:

Basing intubation of acutely hypoxemic patients on physiologic principles

https://t.co/JKgcYjlUQ5

Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2025

[Partha S Kar 🇮🇳🇬🇧🏏🎥 @parthaskar]

From Professor Nicola Cooper.

"The mismatch between physician assistants and doctors in confidence and competence"

Via @bmj_latest

National guidelines are needed.

Has the @RCPhysicians started work yet? @BDChadwick @HilaryWMedic

Or just more of the same inertia?

@djnicholl @mmamas1973 please ask at the AGM 🙂

https://t.co/SYqxUcAAEH

[Critical Care Reviews @CritCareReviews]

Today's Paper of the Day is:

Advanced and Invasive Cardiopulmonary Resuscitation Techniques as an Adjunct to Advanced Cardiac Life Support

https://t.co/JKgcYjlUQ5

Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2025

[British Journal of Anaesthesia @BJAJournals]

Trauma Coagulopathy: More Than Just Clotting
Trauma-induced coagulopathy needs a multifaceted approach—hypothermia, acidosis &amp; hypocalcaemia worsen bleeding risks. Learn how to correct &amp; prevent these deadly complications. #TraumaCare
🔗Read more: https://t.co/dfgUVGcb4v

[Tim Cook @doctimcook]

Dr Stuart Gold describing our approach to airway management at @RUHBath @RUHAnaesthesia

1
Follow the evidence (use kit most likely to work)
2
Follow the guidelines (use kits supporting transition through guidelines)
3
Strip away choices
4
What remains is what you need

We have
Universal VL (one manufacturer, Mac & HAVL)
2nd gen SGA (2 choices only)
FONA box

We have no “difficult airway trolley” (everything we need is already on our induction trolley)

We do have an ATI trolley

That’s all folks!!

We no longer have

[CardiacCritCare @cardiac_crit]

Relationship of coronary arteries to the valves.

It's a great one to save and keep in your favorites.

#CardioTwitter #FOAMed #MedTwitter

[British Journal of Anaesthesia @BJAJournals]

The ‘Diamond of Death’ in Trauma
⚠️ Hypothermia, acidosis, coagulopathy &amp; hypocalcaemia create a lethal cycle in trauma patients. Early correction of these factors is essential for survival. Learn how to break the cycle. #ICU #TraumaCare
📖Read more: https://t.co/dfgUVGcb4v