dumisani

Consultant ICM & Anaesthesia. pretend 🏃‍♂️. enjoy travelling and good food. 📚-Outliers. 🇿🇼🇬🇧 🇦🇪🌍

[Dr Kevin Fong @Kevin_Fong]

Hmmm. As an anesthetist & someone born in this country, to parents who weren’t, I would *love* the chance to explore this idea with you @RoryStewartUK.

[British Journal of Anaesthesia @BJAJournals]

The optimal anaesthetic strategy for endovascular therapy (#EVT) in acute ischaemic #stroke remains debated. In 734 patients undergoing EVT under a standardised GA protocol with early extubation, 18% had anaesthesia-related complications
https://t.co/jqCa3e94tq

[Association of Anaesthetists @Assoc_Anaes]

New: guideline on Peri-operative management of patients having day surgery

This consensus statement aims to support healthcare providers and institutions with the organisational and clinical peri-operative management of anaesthesia for day surgery 👉️ https://t.co/zJc1QZUvDf

[Tim Cook @doctimcook]

Does someone need to tell the cardiologists 😊😊?

[Tim Cook @doctimcook]

A doctor charged with negligent manslaughter through Unrecognised Oesophageal Intubation

-a tragedy all round
-Cayman islands
-British lawyer
-British medical expert
-sadly inevitable that such a charge would arise somewhere eventually

https://t.co/zJjbDxR7qz

[British Journal of Anaesthesia @BJAJournals]

Talmy et al show that in a large surgical cohort #GLP-1 RA use before #surgery was not associated with increased aspiration-related or broader respiratory #postoperative complications.

https://t.co/wC1rrHujAX

[𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 @Anaes_Journal]

Do you routinely discuss the risk of death as a complication of anaesthesia for your paediatric patients?

Great Ormond Street have increased the rate of discussion of the risk of death from 4/138 (3%) in 2020 to 131/143 (92%) in their most recent audit.

#anaesthesia #MedTwitter

https://t.co/n37i2DUmrH

[British Journal of Anaesthesia @BJAJournals]

Ren et al highlight large differences in anaesthesia costs for hip/knee arthroplasty in the US and show that neuraxial anaesthesia is a high-value, lower-cost option in modern perioperative care.

https://t.co/yq5Gmo2u6v

[British Journal of Anaesthesia @BJAJournals]

#Epidural haematoma is a rare but significant complication of #neuraxial anaesthesia, but Amoroso et al show that the incidence is low in this retrospective analysis of 96,103 cases.

https://t.co/FPhAS9nwio

[𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 @Anaes_Journal]

Should dexmedetomidine be avoided in all patients taking beta blockers?

Nah.

Instead:
• careful pre-op med review
• avoid beta blocker dose escalation immediately pre-op
• consider ↓ dexmed loading/maintenance dose
• promptly treat bradycardia/hypotension

#anaesthesia #MedTwitter

https://t.co/H4NQNER7eb

[British Journal of Anaesthesia @BJAJournals]

71% of non-tertiary hospital responders reported difficulty maintaining paediatric skills, and 50% had concerns about their confidence (APAGBI 2024). Read this review article by Macrow et al. to help close that gap. 📊 #BJAEd
https://t.co/ZgP0sT7I2q

[British Journal of Anaesthesia @BJAJournals]

New #BJA review outlines the occupational stressors that anaesthetists face. Paterson et al highlight #challenges, #opportunities and #resources for managing the psychosocial risks of anaesthetists.

https://t.co/lTRTpxM30t

[The Critical Care Commute Podcast @CriticalCommute]

Your patient is still in VF after 3 shocks. Now what?
50% of shockable OHCA patients fail standard defibrillation. We talked to Prof. Sheldon Cheskes, lead investigator of the DOSE-VF trial, about what actually works. 🧵

[British Journal of Anaesthesia @BJAJournals]

📋 Montgomery reshaped informed consent: materiality is judged from the patient’s perspective, not by what doctors usually disclose. Clinicians must share material risks and reasonable alternatives, including doing nothing.
Read more: https://t.co/ohqYGBOtwg

[British Journal of Anaesthesia @BJAJournals]

Safety-I asks why things go wrong. Safety-II asks why things usually go right. Debriefing on everyday successes, not just errors and near misses, captures insights that retrospective analysis alone can miss.
Read more: https://t.co/wvF4Wjazor

[Ahmed Ata @Ahmedata7777]

Light's Criteria for pleural effusion

[Ross Prager @ross_prager]

https://t.co/5inbAYKy2C

[dumisani @skyhightio]

@SiboLekala @daddyhope Marabastaad is the epicentre of Down Second Avenue. 🙏
Marabastaad is gone but there will always be Marabastaads going…… #EzekielMphahlele

[NEJM Clinician @NEJMClinician]

What is the best strategy for determining when to remove a chest tube after spontaneous pneumothorax? "For now, the decision to perform a clamping trial remains provider-dependent," writes Gerald L. Weinhouse, MD. Full summary and comment: https://t.co/Ako0NvMIJQ

[British Journal of Anaesthesia @BJAJournals]

Make sure you don't miss this excellent new #BJAEd article on the Diagnosis of Death using Neurological Criteria: https://t.co/lSffX4P0zZ