Julian Rex

Anaesthetist and intensive care doc, interested primarily in perioperative medicine.

[Association of Anaesthetists @Assoc_Anaes]

Anaesthetists must be familiar with the symptoms and signs of acute adrenal insufficiency so that inadequate supplementation or undiagnosed adrenal insufficiency can be detected and treated, as delays may prove fatal.

New guidelines available now

https://t.co/VfzYPYsIGI

[Salim R. Rezaie, MD @srrezaie]

Why Does #FOAMed Keep You Up to Date?

Textbooks = Content 5yrs old
Journals = Content 2yrs old
Conference = Content 1yr old; Expensive; Takes Time
FOAM = Current & Up to Date; Use Critical Thinking

#WEMSA2019 @WEMSA

[Anna Rosling Rönnlund | Speaker @AnnaGapminder]

Still overwhelmed: @BillGates gave our book Factfulness to all college graduates in US https://t.co/EfbUIN682t and it was one of @BarackObama five recommended summer reads https://t.co/BWFzVADSiV. Now available in 10 languages, soon in 25 more languages! #Factfulness #gapminder

[Frederic Michard, MD 🇨🇭😷 @MichardFrederic]

Combining hemodynamic and depth of anesthesia monitoring helps to improve outcome https://t.co/IGSLyTg4F7 #patientsafety #anesthesia #hemodynamicmonitoring

[Julian Rex @jubius]

Great lunch symposium hosted by @GetingeGlobal on advanced monitoring in the OR. Will apply the MERCI approach by @MichardFrederic as soon as I get home to convince the skeptics to invest in haemodynamic monitoring! #EA18

[𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 @Anaes_Journal]

Nerve blocks such as FIB for the elderly hip fracture patient should be integrated into routine multi‐modal acute pain management protocols.

This narrative review is essential reading for all who care for such patients.

https://t.co/uvHjDeBIFV

[Julian Rex @jubius]

Lecture by @GicoBellani confirms low Vt and driving&plateau pressures good both in ICU and OR, but minimal PEEP enough in the OR. Is titrating PEEP to optimal compliance not beneficial in healthy lungs as long as DP <14 then? #EA18

[Maurizio Cecconi @DrMCecconi]

Great start of the joint @ESICM @ESA_HQ session on ventilation #EA18 #
@GicoBellani It's not good that a baby lung does the whole work. We need to protect the lungs by the effect of ventilation. In the OR should also ventilate carefully. Let's be gentle in OR & ICU.

[Julian Rex @jubius]

@scruff888 Those masks are pretty damn scary...

[Julian Rex @jubius]

Extremely interesting and inspiring talk on MINS by @OutcomesRC. I'm looking forward to discussing this with the cardiologists back home and hopefully improve our protocols! #EA18

[Julian Rex @jubius]

Anaemia threshold should be the same irrespective of age #EA18

[Dr. Ruthi Landau @ruthi_landau]

#EA18 Frederic Mercier on phenylephrine vs norepinephrine for spinal hypotension prevention
↔️ because of rapid onset & offset of norepinephrine it might be a better choice to prevent overshoot hypertension, particularly if used with closed-loop system
https://t.co/KAJ1pYZCu8

[Kariem @elboghdadly]

@amit_pawa @IcostacheIoana @Faraj_RegAnesth @Anaes_Journal @Anaes_Journal — breaking barriers as always. Keep your eye on the fusion of social media and high quality research, lots of exciting progress on the way!

[Julian Rex @jubius]

@GasboardChloe I'm a man, but had the same thoughts as you. It was cringeworthy. But sure, it's better that they raised the issues at all rather than not, I guess.

[Julian Rex @jubius]

Fascinating prospects for the future according to @MichardFrederic #EA18

[Hans Huitink @AirwayMxAcademy]

Airway training should be implemented in anaesthesia training for trainees AND consultants says Alistair McNarry #EA18 @euroanaesthesia @doctimcook but how to do assessment? @french9a

[Julian Rex @jubius]

'...atrophy of the human spirit..." but will that stop AI from being used to replace human beings? Doubt it... #ea18

[Dr. Ruthi Landau @ruthi_landau]

#EA18 #ESA2018 @CarvalB Words of wisdom to reduce local anesthetics for labor neuraxial analgesia
1️⃣ add an opioid
2️⃣ increase volume
3️⃣ use bolus techniques (PCEA/PIEB)
4️⃣ minimise background

[Anders Silfver @silfvret]

Alexandre Mebazza on cardiogenic shock #EA18

[ESAIC @ESAIC_org]

A new research @Squeezestudy on #vasopressor therapy was introduced this morning at #EA18 by Clinical trials network grant winners @IbJammer & @drbencb Find out how to join the study at @ESA_HQ booth or https://t.co/iieku6Ry26