Top Tweets for #ModernAnaesthesia
"From Centre to Periphery: The Strategic Shift in Regional Anaesthesia"
#RegionalAnaesthesia #FromCentreToPeriphery
#PrecisionAnaesthesia
#MotorSparingBlocks
#UltrasoundGuidedRA
#EnhancedRecovery #ERAS
#SmartAnaesthesia
#SkillBasedPractice
#ModernAnaesthesia
#PeripheralBlocks
#NeuraxialToPeripheral
#PatientCentricCare #TipoftheDay
#MyRATips
Tip of the Day:
Transitioning from central neuraxial to peripheral regional anaesthesia techniques, especially within the context of modern surgery and ERAS protocols,
Let's see what happens?
Key Trends Along the Centre-to-Periphery Spectrum:
🟢 Analgesic efficacy gradually decreases
🧪 Required volume of LA tends to increase
🧊 Required LA concentration tends to decrease
⏳ Duration of analgesia generally increases
❌ Complication risks tend to decrease
🧠 Motor sparing effect becomes more pronounced
🔁 Laterality shifts from bilateral to unilateral
🎯 Procedure/site specificity is enhanced
🎯 Precision and targeting accuracy increase
🧠 Smartness of approach and skill requirement significantly increase
🏃♂️ Early mobilisation is better supported
✅ Suitability for ERAS protocols is improved
⏱️ Recovery time is reduced
🛡️ Patient safety and comfort are maximised
Bottom Line:
This centre-to-periphery paradigm shift reflects the evolution of RA towards high precision, minimal invasiveness, enhanced safety, and skill-based excellence—perfectly aligning with modern recovery pathways and patient-centric care.
🧵Minimal waste, and of course titration of dose from real time EEG/DSA analysis to achieve alpha/delta dominant pattern, no burst suppression, appropriate SEF95. Disposal in red bag for incineration. Personalised, optimal, objective periop care
#modernanaesthesia
#TIVAisterrific
From the 1917 manual Boyles Anaesthetic machine, there was the gradual development of more accurate electronic control of gas flows, pressures and monitors as seen in the current highly sophisticated anaesthetic machines #historyofanaesthesia #modernanaesthesia #patientsafety
Correct aseptic technique is one of the fundamental principles of infection control in the surgical setting, from dousing the surgical site with vodka / whiskey to evidence-based sterile medical-grade cleaning solutions #historyofanaesthesia #modernanaesthesia #patientsafety
From the 19th century Morton inhaler to the 20th century black mask, to the comfortably fitting transparent face mask, visualisation of ventilation starts with the optimal face mask #historyofanaesthesia #modernanaesthesia #patientsafety #SASA
Ending off January SASA will be sharing how the art of loss of consciousness in the early 1900’s has progressed to a safer more patient-centred science known as Anaesthesiology in 21st century #historyofanaesthesia #modernanaesthesia #patientsafety #SASA
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