Rural Anaesthetist | Regional Enthusiast | Researching Anaesthesia History | 🇦🇺🇯🇵
Portland (Vic.), Victoria
Joined January 2018
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I thank @SAMHQglobal for their interest in our article and supporting our recommendations from Portland.
Pediatric anesthesia morbidity predominantly results from respiratory issues, and a simple system may be helpful in limiting the morbidity.
Gosh, it’s already been 3yrs! – at Portland (Vic.), Victoria
This is tremendously important & relevant: "Setting up a Universal Pediatric Airway Trolley for anesthesia departments in nonpediatric centers bit.ly/38YsR1i " @ASALifeline @APSForg
Always nice to see your article published. Confident this article will interest anyone interested in the history of anaesthesia or #RegionalAnaesthesia.
#PublishedWithSage
#Anaesthesia
#JamesMoore
doi.org/10.1177/0310057X2614…
Published on March 2026 issue of Journal of the Japan Society of Medical History, this article summarizes the historical development of brachial plexus blocks in pre-World War II Japan. Anyone with an interest in the hx of regional anesthesia may find it interesting. #anesthesia
Jun Parker, MBBS MSc ESRA-DRA retweeted
Ovsak & Gan look at Huang et al.’s analysis around #GLP-1RA’s and #gastricemptying and ask who qualifies as ‘high risk’ enough to require a 24h liquid diet preoperatively?
bjanaesthesia.org/article/S0…
For those who add a2 agonists to their PNBs.
Never been too keen on perineural adjuvants, but it’s interesting that when dexmedetomidine is given IV, it may offer “neuroprotection” to the brain - “central nervous system”. But, can be paradoxically “neurotoxic” to the nerves🤔
α2-adrenergic receptor agonists are safe at clinical doses on healthy nerves but can increase neurotoxicity in compromised nerves – new #systematicreview from #BJA
bjanaesthesia.org/article/S0…
Very helpful perioperative discussion points with patients who are breastfeeding.
These discussion points will complement any patient info sheet we may hand out to patients. Any recommended ones?
The Australian Society of Anaesthetists has a good one.
Pre-operative considerations for patients who require surgery and are breastfeeding.
#anaesthesia #MedTwitter #breastfeeding
doi.org/10.1111/anae.70128
To midaz or not to midaz🤔
#Benzodiazepines do not improve #pain or quality of recovery & have an uncertain effect on #patientsatisfaction in this new #systematicreview and #meta-analysis
bjanaesthesia.org/article/S0…
I need to step up!
A great guide.
✋Can regional anesthesia preserve finger movement during hand surgery?
Motor-sparing forearm blocks allow intraoperative motor testing while providing surgical anesthesia supporting better functional outcomes.
🔗 doi.org/10.1136/rapm-2025-10…
#RegionalAnesthesia #HandSurgery #RAPM
An interesting study that adds useful perspectives to Propofol vs Sevoflurane debate.
To me, it reinforces the msg that the choice of anaesthesia needs to be personalized to the needs of your patient.
Could the findings be extrapolated outside of cardiac surgery patients?
Propofol can attenuate the #renoprotective effects of remote ischaemic preconditioning (#RIPC) compared with #sevoflurane – new from the #HypnoRenalRIP
bjanaesthesia.org/article/S0…
1. RA + opioid-free > RA + opioids
2. Effective RA >>>>> intravenous analgesia
The meteanalysis confirms impressions most of us probably have instinctively noticed in daily practice.
Concerns about opioid-related adverse effects have increased interest in opioid-free anaesthesia, BUT the benefits compared with opioid-inclusive techniques, especially in the presence of regional anaesthesia, remain uncertain.
Want to learn more?
#anaesthesia #regionalanaesthesia #regionalanesthesia #MedTwitter
doi.org/10.1111/anae.70121
This msg is very important.
The magnitude of analgesia derived from any IV analgesia cannot compete with effective RA.
The cornerstone of effective intra- and post-op analgesia = RA
Effective transition from RA-based to non-RA analgesia post-op is the next key phase.
When regional anaesthesia provides effective coverage of the expected pain trajectory with appropriate duration, intra-op opioid use may offer limited additional benefits for pain control.
Regional techniques also minimised postoperative opioid requirements.
#anaesthesia #regionalanaesthesia #regionalanesthesia #pain #MedTwitter
doi.org/10.1111/anae.70121
Ingeniously attempted. The plot thickens with anaphylaxis during NMB reversal.
These guys administered rocuronium, then sugammadex, then the patient developed severe anaphylaxis unresponsive to usual therapies, was in extremis, so they treated the patient with another dose of rocuronium.
onlinelibrary.wiley.com/doi/…
Australian data on incidence of peripheral nerve injuries under anaesthesia analyzing over 5 million admissions!
0.014% was the rate from this dataset.
Incidence of peri-operative peripheral nerve injuries associated with general and regional anaesthesia: an observational study
#anaesthesia #regionalanaesthesia #regionalanesthesia
doi.org/10.1111/anae.70081
Excellent talk by @AdamRutherford today @UniMelb . Eugenics was amplified through lies and fabrications.
Yet its founders, like Pearson and Fisher, also laid the foundations of modern statistics, which we still rely on for medical research. It’s a difficult truth to reconcile.
It will be important to understand why this is the case and how to remedy the difference.
Lignocaine is used across a broader spectrum of health practitioners and settings, and education definitely is a key component.
Deaths from local anesthetic systemic toxicity have declined for long-acting agents, but remain steady for #lidocaine. Findings highlight the need for broader education and vigilance in lidocaine use across specialties.
bjanaesthesia.org/article/S0…
It'd be nice to know how this translates to the complications from short-term use of peripheral arterial lines in operative anaesthesia setting, inserted and removed shortly after the end of surgery.
8–12 million arterial catheters are inserted each year.
Non-infectious complications represent the greater burden of arterial catheter failure in ICUs.
This translates to up to 2.6 million non-infectious failures annually.
#anaesthesia #ICU
doi.org/10.1111/anae.70074
Worth comparing the new DAS guidelines against your local guidelines
2025 DAS guidelines for the management of unanticipated difficult airway published today in the British Journal of Anaesthesia. #airway #difficultairway #intubation #anaesthesia #anesthesia
bjanaesthesia.org/article/S0…
Jun Parker, MBBS MSc ESRA-DRA retweeted
What strategies can be used to reduce the incidence of post operative sore throat?
• Cuff pressure ≤ 30 cmH2O
• IV/topical corticosteroids
• Nebulised/topical ketamine
• Topical NSAIDs
• Smaller tube: 7.0 mm (male); 6.0 mm female
• Use a SAD instead
#anaesthsia #MedTwitter
doi.org/10.1111/anae.70048
As you are taking your last breath, you would want to be in control of your final thoughts. This conclusion certainly raises important questions.
Patients on propofol in ICU often report negative & disturbing experiences, with distorted perceptions of reality, delusions & hallucinations.
Propofol is unlikely to achieve reliable unconsciousness and may contribute to a negative dying experience.
#anaesthesia
doi.org/10.1111/anae.70047
A nice short historical reading written by Dr Christine Ball about the fateful event back in 1846. The World Anaesthesia Day (October 16th) comes from this date in 1846.
open.substack.com/pub/chrisb…
Will motivate you to read around the topic more!
#WorldAnaesthesiaDay
#History
This is interesting
🔬 Phentolamine: More Than an α-Blocker?
📚Phentolamine preferentially blocks C-fibers—key nerves in pain & itch—across mice, pigs, and humans. A potential tool for studying pain pathways and developing targeted analgesics.
@Ryan_S_DSouzaMD
🔗 doi.org/10.1136/rapm-2025-10…
#RAPM
