Jack Cafferkey

Anaesthetist & PhD candidate @ University of Edinburgh

[Jack Cafferkey @Jack_Cafferkey]

@archiecurium @lightfootsj @BJAJournals Variable throughout the literature though!

I made this chart for journal club yet forgot to include the Crimmins study.

They got ~ 1 in 59835. Roughly the same as NAP6 in 2016.

I worry rates have increased since, and am not particularly reassured by this study…

[Jack Cafferkey @Jack_Cafferkey]

@StevenMAlderson @GongGasGirl Don’t quite understand the rationale here: can you help?
Et[AA] as a surrogate of PA[AA] confirms anaesthetic delivery, but age-adj-MAC as a predictor of unawareness is famously imprecise for an individual.
Surely the problem of “does this number mean unaware for my pt” remains?

[SQuARes Network @SQuAResNet]

How many capnography variants do you encounter every day?

We show worrying variation across the UK, between and within hospitals, with at least 36 variants in use. This has a big impact on patient safety. We should urgently implement the SALG standard.
https://t.co/HGpJCsne4r

[𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 @Anaes_Journal]

The Safe Anaesthesia Liaison Group recommends standardising waveform capnography as a white solid filled-in graph at the bottom of the monitor display.

Is there compliance with the SALG standard in the UK?

#anaesthesia

https://t.co/HLfjd7qys8

[𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 @Anaes_Journal]

Adductor canal block for knee arthroplasty

• What local anaesthetic do you use?
• What concentration?
• What volume?

Findlay et al did a survey!

Check out the answers from 134 UK-based anaesthetists.

Are you surprised by any of the responses?

🔗https://t.co/aFzOsofkV9

[Alex Warren @alexfwarren]

📢📢📢
Our new systematic review on sex differences in cardiogenic shock is available @Crit_Care today

Including >1,600,000 patients from 81 studies

We found:
➡️ 35% higher raw mortality in ♀️ with CS.
➡️ Women 1/3 *less* likely to get MCS

⬇️ 🧵 1/n

https://t.co/6kJoIDIVg9

[Sam Ghali, M.D. @EM_RESUS]

Here’s the Chest X-Ray of an actual farmer

What’s the diagnosis?

[Stuart Edwardson @scotgasdoc]

The Exit Interviews

The shape of our training, its rotations, recruitment, and workplace structure tend to be moulded by those who have thrived within the formal training pathway and made it to the top (1/3)

Promo link: https://t.co/zoVptr5lV5

[Jack Cafferkey @Jack_Cafferkey]

@CaitlinBrenna16 RIE doesn't have any warming specific guidance as far as I can tell, but anecdotally practice is largely in keeping with NICE CG65 and the good (if a bit anaesthetic-y) article here https://t.co/2wZiWkXvEd

Have been told that lo-flow hi-temp is most eco choice. No idea if true!

[Vapourologist @Vapourologist]

The legendary @altgm taking about the DAS ATI guidelines. Has there been a more animated, passionate presenter today, I don’t think so #GAMC2023

[Jack Cafferkey @Jack_Cafferkey]

@EddCarlton Preprint!
Of very little use for you now, but I had a good experience using JICS for a trial protocol.

[𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 𝘙𝘦𝘱𝘰𝘳𝘵𝘴 @Anaes_Reports]

We talk a lot about inability to intubate, but what if you can't EXtubate!?

You'll likely need a multi-disciplinary team to work through this one!

@deirdsconway

https://t.co/csgLmgLIgb

[Jack Cafferkey @Jack_Cafferkey]

@lmsem 🎉🎉🎉 massive congrats!!

[Jack Cafferkey @Jack_Cafferkey]

@AnaestheticsApp Ah thanks - will have a look at that!

[Jack Cafferkey @Jack_Cafferkey]

@AnaestheticsApp Ideally there'd be a way of accessing the logbook's data automatically within the R code.
Downloading the xlsx file each time is a bit clunky.
I don't know if that is possible (or whether I am computer literate enough to make it work!)
Thanks for all your work on this Simon!

[Jack Cafferkey @Jack_Cafferkey]

@AnaestheticsApp Existing pdf report is good but busy.
I've been trying to make a reproducible report (i.e. customisable pdf via RMarkdown for upload ahead of ARCP) from the xlsx download - but that doesn't contain the hospital/location field.
Is there a way of downloading all data?

[Simon Bluhm @AnaestheticsApp]

Like and RT if you are using the most advanded logbook to date!

☑️Offline first
☑️Works on all platforms
☑️Secure & password-less login using passkeys
☑️User-friendly forms
☑️Custom form items
☑️Powerful summary reports
☑️PDF summary for @RCoANews LLP

https://t.co/CPH5OOm3yh

[Jack Cafferkey @Jack_Cafferkey]

@thomaswoodcock Thanks! Very interesting

[Jack Cafferkey @Jack_Cafferkey]

@thomaswoodcock Trying to get my head around this - sorry if basic… is it the test of difference misleading because clinicians would use “one bottle” as a unit of treatment (titrated to given endpoint), rather than the volume?
Should trials like this be based on “n boluses”rather than volumes?

[Jack Cafferkey @Jack_Cafferkey]

@ali1m CO2 alarm on some laboratory incubator had the same pitch and pattern as a TOFscan today. Yet another manufacturer in the pocket of Big Rocuronium…