Joel Tochie

Anesthesia

[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 Reviews @CritCareReviews]

2026 Guideline for the Early Management of Patients With Acute Ischemic Stroke: A Guideline From the American Heart Association/American Stroke Association

CCR Journal Watch 
https://t.co/Sp06oA6IDG

[𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 @Anaes_Journal]

Does the time of day your cardiac surgery is performed affect how likely you are to die post-operatively?

Apparently yes!

The highest risk is seen in late morning procedures.

#anaesthesia #MedTwitter

https://t.co/v6pK4UfkJ2

[𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 @Anaes_Journal]

The chance of having an allergic reaction to a neuromuscular blocking drug is:
• suxamethonium: ~1 in 1500 people
• rocuronium: ~1 in 3300 people
• atracurium: ~1 in 15,000 people

Women were up to eight times more likely to have a reaction than men.

#anaesthesia #MedTwitter #allergy

https://t.co/YVDmrFZ3PO

[Joel Tochie @tochie_joel]

Bad news for ketamine in GIT surgery.

[British Journal of Anaesthesia @BJAJournals]

What impact can #perioperative #ketamine have on hospital #LOS in adult elective abdominal surgeries? New from the IMPAKT ERAS trial #anaesthesia

https://t.co/ksE4xgzDct

[𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 @Anaes_Journal]

Complications associated with central venous catheters are widely known.

Less is known about arterial catheter-related complications.

Here's a systematic review which quantifies the incidence of arterial catheter-related complications and failure in ICU.

#ICU #Anaesthesia #MedTwitter

https://t.co/0PISNTUn2r

[AFSRA @AFSRA10]

This year we having a real champion for #RegionalAnaesthesia in #Cameroon with her imminent efforts and dedication continue to inspire excellence and innovation across the continent.
We look forward to her valuable contributions @LionelleTc

[Critical Care Reviews @CritCareReviews]

Today's Paper of the Day is:

The application of mechanical circulatory support in special conditions

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 2025

[British Journal of Anaesthesia @BJAJournals]

Perioperative renin-angiotensin system inhibitor management remains a debate: stopping reduces hypotension but increases hypertension, with no clear effect on mortality and major cardiovascular events or mortality. https://t.co/5uUtqvW4Cm

[Critical Care Reviews @CritCareReviews]

Today's Paper of the Day is:

Navigating Hypoxemic Respiratory Failure in Critically Ill Cardiac Patients

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 2025

[Critical Care Reviews @CritCareReviews]

British societies guideline on the management of emergencies in patients on extracorporeal membrane oxygenation

CCR Journal Watch - tracking the critical care literature daily
https://t.co/Sp06oA6IDG

[British Journal of Anaesthesia @BJAJournals]

🌍 Ventilator-associated pneumonia (VAP) varies widely between regions — but why? Definitions, diagnosis & practice all play a role. A must-read review in BJA Education. #BJAEd https://t.co/RbEMLPOQ86

[British Journal of Anaesthesia @BJAJournals]

Patients with adult congenital heart disease (ACHD) are living longer 🫀➡️ increasing presentations for non-cardiac surgery. What does this mean for perioperative risk, planning & anaesthesia? 📘 New #BJAEd review. https://t.co/FAc3XKvaxo

[𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 @Anaes_Journal]

Hypnosis & anaesthesia

Despite 142 identified studies describing 9238 patients, of which 59 were RCTs, the overall quality of the retrieved studies was weak and the level of evidence of the impact of hypnosis in this setting ranges from absent to moderate.

#anaesthesia #MedTwitter

https://t.co/swbeYJAyQA

[𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 @Anaes_Journal]

Oooh, this is interesting!

"Surgical start timing was an independent risk factor for increased short- and long-term postoperative mortality, morbidity and healthcare resource utilisation."

#anaesthesia #MedTwitter

https://t.co/CdQylJjGN8

[Critical Care Reviews @CritCareReviews]

Today's Paper of the Day is:

Personalized antiseizure medication therapy in critically ill adult patients

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 2025

[British Journal of Anaesthesia @BJAJournals]

🔍 Identify unique features of ICU airway management.
Critically ill patients have physiologically difficult airways due to hypoxaemia, shock, and poor reserve—very different from elective theatres.
Full article 👉 https://t.co/QrJhXRltSM
#ICU #AirwayManagement

[𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 @Anaes_Journal]

Yay it's a new guideline!!

Association of Anaesthetists guidelines: safe vascular access 2025

Get reading!

#anaesthesa #MedTwitter

https://t.co/2QKLPWOYXl

[𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 @Anaes_Journal]

When VL was used as the first-choice device:
⬇️ patients experiencing at least 1 complication (5.5% vs. 9.7%)
⬇️ 3+ intubation attempts (1.2% v 2%)
⬇️ need to change operator (1.8% vs. 4.9%)
⬇️ oesophageal intubation (0.5% vs. 1.4%)

#anaesthesia #MedTwitter

https://t.co/f10XvyQRSi