Pádraig Ó Scanaill

Husband | Dad | Runner | Anaesthetist.
Periop Med. Trauma. High-risk surgery.
UCD AssProf. Views=own

[British Journal of Anaesthesia @BJAJournals]

New #editorial discussing ‘exercise snacking’, #prehabilitation and #exerkines

https://t.co/3Nv5SUhCWs

[Pádraig Ó Scanaill @padoscan]

Full house at the Regional Anaesthesia for Trauma (RAFT) course in Dublin at the @ThePillarDublin @MaterTrauma

National and international faculty discussing all things RA in Trauma

@RLH_TAG @RLH_RAfT @TraumaCareIrl @ISRA_Ireland @Matersurgery @AnaesTrainees

#RAFTDublin

[Pádraig Ó Scanaill @padoscan]

@philohalloran @MaterTrauma @timburgD @DocSBroderick @Matersurgery @tipp_jo Great results - well done to all involved

[𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 @Anaes_Journal]

Safe Vascular Access 2025

"We support strongly the principle that ultrasound improves safety and should be used whenever feasible. However, a blanket requirement for its use in all settings risks unintended harm in the unique context of prehospital trauma."

#anaesthesia #MedTwitter

https://t.co/Nlbt1fmsV8

[BJS @BJSurgery]

Epidemiology of trauma deaths across a mature regional trauma system: patterns of pre-hospital and in-hospital fatalities
➡️https://t.co/V9DNnJpjEt

🔪 In a mature trauma system, 77% of deaths occur pre-hospital, often within minutes—before surgical intervention is possible.
🩸 Haemorrhage dominates early mortality (96% pre-hospital), reinforcing the critical importance of immediate bleeding control and system response.
🧠 Traumatic brain injury drives in-hospital deaths (84%), shaping priorities for neurosurgical and critical care management.
🎯 Key message: Further survival gains will come less from in-hospital advances and more from optimizing pre-hospital care and trauma system performance.

Work by Aditi Nijhawan , Ewoud ter Avest , Callum J Twohig , Stacey J Webster , Jason Morris , Robbie Lendrum , Virginia Fitzpatrick-Swallow , David J Lockey , Zane B Perkins

#SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos @SEIQuirurgica @iss_sic #MedicalTechniques @BJSAcademy @young_bjs @BJSOpen @evanscolorectal @robhinchliffe1 @bplwijn @MalinASund @nfmkok @TejedorPat @paulo_sutt @PVaughanShaw @JJEarnshaw @juliomayol @ksoreide #SoMe4Trauma #emgensurg @WSESurgery @NELANews

[𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 @Anaes_Journal]

Here is some great news for the environment!

Presenting the new consensus guidelines on the use of sterile gowns for single-shot spinal anaesthesia.

@Assoc_Anaes
@RCoANews
@RegionalAnaesUK

#AnSky #climate #MedTwitter

https://t.co/xkPsOR4dCD

[Pádraig Ó Scanaill @padoscan]

@NEJM Targets of 1.4 or 1.8mmol/L?

[Pádraig Ó Scanaill @padoscan]

@JTraumAcuteSurg Cornerstone of trauma anaesthesia, definitive airway should follow enough resuscitation to survive induction of anaesthesia, positive-pressure ventilation and continued maintenance of anaestheisa with ongoing resuscitation

[Critical Care Reviews @CritCareReviews]

Today's Paper of the Day is:

Pulmonary atelectasis in anaesthesia and critical care

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 2026

[Pádraig Ó Scanaill @padoscan]

Applications open for the Regional Anaesthesia for Trauma (RAFT) course 2026!

🗓️ Wednesday 13th May 2026
📍Pillar Centre, Mater Hospital, Dublin

✉️Email [email protected] to apply!

6 CPD by CAI

@ISRA_Ireland @AnaesTrainees @ESRA_Society @ThePillarDublin @NDTP_HSE @TraumaCareIrl

[𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 @Anaes_Journal]

Recommendations on antihypertensives in the peri-operative period

Here are some questions to the authors of the hypertension guidelines from the Association of Anaesthetists and British and Irish Hypertension Society!

#anaesthesia #MedTwitter

https://t.co/ot0rROe7tZ

[Critical Care @Crit_Care]

🧊New in #CriticalCare:
On-scene selective brain cooling in ventricular fibrillation cardiac arrest: pilot results from the PRINCESS2 randomised trial
https://t.co/6La52qRe95
#CritCare #BrainCooling #CardiacArrest

[British Journal of Anaesthesia @BJAJournals]

#Secondaryanalysis from the #STOP-or-NOT trial finding a significant #heterogeneityoftreatmenteffect for #hypotension in the patient population

https://t.co/fedgCzK89j

[NEJM @NEJM]

Original Article: Prehospital Whole Blood in Traumatic Hemorrhage — a Randomized Controlled Trial (phase 3 SWiFT trial) https://t.co/FG6O9LuVGa

#ISICEM | @ISICEM

[𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 @Anaes_Journal]

The B-APNEIC score has been proposed as an alternative to the STOP-BANG questionnaire.

Here's some debate on the topic!

https://t.co/1Ys51PO7jz
https://t.co/i3aq4QiPs9

And check out the original paper here! ➡️ https://t.co/tpjPXcV5J1

#anaesthesia #MedTwitter

[Alasdair MacLullich @A_MacLullich]

Do you say "acute confusion" or "acutely confused" instead of delirium?

If so, why?

[British Journal of Anaesthesia @BJAJournals]

⚠️ In persistent air leak, more suction is not always better. Excessive suction can increase flow across the defect and delay healing. Use the least suction necessary to maintain pleural apposition.
Read more: https://t.co/7V9wV24arP
#RespiratoryMedicine #ChestDrain

[Pádraig Ó Scanaill @padoscan]

Really key in perioperative trauma care

[𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 @Anaes_Journal]

Plan A blocks in regional anaesthesia

Key components to increase patient access to regional anaesthesia:
• select high value blocks
• widespread competence
• ⬆️ patient access
• pathway implementation

#anaesthesia #regionalanaesthesia #regionalanesthesia #pain #MedTwitter

https://t.co/BHb9RopP7d

[Pádraig Ó Scanaill @padoscan]

@Obidoc Transoesophageal echo is not without its complications

[Anesthesiology Journals @_Anesthesiology]

Infographic in #Anesthesiology - Climbing the MET Ladder to Survival 🎨 https://t.co/5cRWmXSDPI