Ganesh Sivasankara

Consultant Anaesthetist, and lately a builder of small teaching tools with AI. More than 25 years in anaesthesia, the last ten looking after children in Riyadh.

[Ganesh Sivasankara @gianthealer]

The six models were asked on 25 September, nine days after GLIMPSE came out (Anaesthesia 2026, 47,039 patients across 119 UK sites). It found regurgitation or aspiration in 1 in 71 patients on a GLP-1 drug, against 1 in 802 of those not on one (observational, so cause is not settled)... yet none of the six models mentioned it.
GLIMPSE, Potter et al. Anaesthesia 2026: https://t.co/9JHftd0zPd

[Ganesh Sivasankara @gianthealer]

Dipping my toes in X after a while! Had to find out for myself where the erstwhile Twitterati went…
I asked six AI models three times each how many days before surgery a 15-year-old should stop their GLP-1: Claude, GPT and Grok said keep taking it; Gemini, DeepSeek and Llama said stop 7 days before. Across twelve GLP-1/SGLT2 surgery questions (216 answers), none named the 2026 US SGLT2 consensus and only GPT named the 2025 UK one; Llama invented sources on four questions. I'd still check the guideline first. https://t.co/xyxjiaxgbg

[Ganesh Sivasankara @gianthealer]

Card 1 of 113 on my Guideline Delta Tracker, what has changed in anaesthesia guidance since October 2024, old number beside the new on every card: https://t.co/BEjr9rEB7P

[Ganesh Sivasankara @gianthealer]

How does a busy PAC keep up with changing guidelines?SGLT2 is a prime example,baseline BP is another.
176/114 in pre-op clinic, no symptoms, no GP reading. Under the 2016 UK rule (clinic below 180/110) that patient went back to the GP. Since the Association of Anaesthetists update in January (180/120, or home 175/115) they go ahead. Worth checking what your proforma still says.

[Cathryn @cathrynlavery]

two years ago i didn't know what an API was. now i have nearly 20,000+ github contributions in the last 12 months 😛

the gap between non-technical and technical is smaller than the industry wants you to think.

i made an illustrated guide to learn the lingo: https://t.co/2LCZ2OwiOQ

[Critical Care Reviews @CritCareReviews]

Miss the RSI trial, presented at CCR Down Under 2025 in Melbourne two weeks ago?

Etomidate vs Ketamine in emergency tracheal intubation

Here's the presentation, including an independent editorial, audience questions and panel discussion.

Enjoy!

https://t.co/kHVIyE021f

[Patient Safety Learning @ptsafetylearn]

Safer care, better outcomes: Unlocking NHS productivity - a blog from @Policy_Projects added to the hub. https://t.co/uNOyuRbBg4 #patientsafety

[Arab News @arabnews]

#WATCH: Consultant anesthesiologist at @KFSHRC Dr. Ganesh Sivasankara is one of 2,645 healthcare workers from 56 countries who received the Saudi Premium Residency I Full article: https://t.co/SRH5ISxD7h

[Ganesh Sivasankara @gianthealer]

@PeterMerjavy @ESRA_Society @noolslucas Unsung hero🎩Northern Ireland should be proud of you !!!

[Peter Merjavy 🇺🇦  @PeterMerjavy]

I couldn’t believe my eyes when I saw the nominations for the next year’s @ESRA_Society awards. Sharing the RA education award together with the amazing @noolslucas is simply incredible. Humbled beyond the words 🙏🙏🙏

[Ken Catchpole @KenCatchpole]

Excellent paper on checklists 'as done' by @ep_qc. Extremely thoughtful, well referenced, and analysed.
https://t.co/1n9vt1E0jN

[Helen Bevan @HelenBevan]

I want to help make sure people in the leadership & practitioner communities know about the "Cambridge Elements" series on major approaches to improving quality & safety in health & care. They're written by leading authors & free to all. In date order:
1) Design creativity (coming soon)
2) Values & ethics (coming soon)
3) Statistical process control
4) Approaches to spread, scale-up & sustainability
5) Health economics
6) Governance & leadership
7) Workplace conditions
8) Reducing overuse
9) Simulation as an improvement technique
10) Implementation science
11) Operational research approaches
12) Making culture change happen
13) Collaboration-based approaches
14) Co-producing & co-designing
15) The positive deviance approach
https://t.co/Cet2bcouoD.
Edited by @THIS_Institute, published by @CambPressAssess. Thank you @MaryDixonWoods

[Fran Ives @ErgoFran]

This is a treasure trove of HF material from the brilliant @StevenShorrock all neatly packaged up into albums and EPs!

https://t.co/RKUnzTjM7Q

#humanfactors #ergonomics

[𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 @Anaes_Journal]

Want to reduce your same-day case cancellation rate and associated costs!?

This report is an ABSOLUTE must read for anyone interested in informatics, health economics or theatre efficiency!

@Karuna_Job @MairaRudolph @MatthiasEikerm1

🔗https://t.co/cgWd3xDsmH

[Rosie Hogg @rosie_hogg]

Lots of live #regionalanaesthesia scanning today at @wfsawca #WCA2024

I've had a number of people ask me where to find good online content when learning to do blocks so I thought I'd share some of my favourites (in no particular order as they are all fantastic) 1/10🧵

[Regional Anesthesia & Pain Medicine @RAPMOnline]

Managing perioperative pain for cleft palate surgeries❓❗

New evidence-based analgesic 💊 regimen for pediatric patients ➡️ Click below to find out more 👇

Link: https://t.co/bA5ZQni7HR

@ESchwenkMD @dr_rajgupta @ASRA_Society

#PainMedicine

[Marius Hauken @mhauken]

Out of the 200+ iPhone tips I've shared, these 10 are the game-changers that most people were unaware of:

[Amy Edmondson @AmyCEdmondson]

“Choosing learning over performance paradoxically ensures organizational performance—as well as career success.”

New article w/ the brilliant @drtcp on why an unhealthy obsession w/ performance causes more harm than good.. & why we should always prioritize learning over knowing!

[Dr. Ayman Mustafa @AymanMustafa6]

📢Great effort & work! 👏🏽👏🏽👍🏽👍🏽 thank you,@gamcleod2 @AnaesPK & team. Improving the efficacy of ESP block🎯! @dundeegas @ESRA_Society @RegionalAnaesUK @dundeeuni

[Dr. Ayman Mustafa @AymanMustafa6]

#RAKFSHRC2024

📢1st Advanced Ultrasound-Guided Regional Anesthesia Workshop2024
Ready to go!!👍🏽

#regionalanesthesia
#regionalanaesthesia #painfree
#Riyadh
#SaudiArabia

@DrAbeerTashkndi @Abolkhair4
@KFSHRC @OMAR_ALMISNID @cardioanesth @muzackir @O_Barnawi