Anaesthesia
@anaesjournal.bsky.social
𝘼𝙣𝙖𝙚𝙨𝙩𝙝𝙚𝙨𝙞𝙖 is the official journal of @assocanaes.bsky.social with comprehensive coverage in peri-operative medicine, critical care and pain.
https://buff.ly/3ARJVrz
#AnSky #MedSky #PainSky #ICUSky #RASky #AirwaySky #PedsAnesSky
https://buff.ly/3ARJVrz
#AnSky #MedSky #PainSky #ICUSky #RASky #AirwaySky #PedsAnesSky
Pinned
Reposted by Anaesthesia
Much needed.
Chapeau to the authors.
Chapeau to the authors.
November 14, 2025 at 11:21 AM
Much needed.
Chapeau to the authors.
Chapeau to the authors.
Reposted by Anaesthesia
One year follow up data published with @anaesjournal.bsky.social to round off this piece of work. We've also taken the step of providing open access to the dataset available via a link this publication for investigators in the field.
doi.org/10.1111/anae...
🧪 #medsky #IDsky
doi.org/10.1111/anae...
🧪 #medsky #IDsky
November 15, 2025 at 11:22 AM
One year follow up data published with @anaesjournal.bsky.social to round off this piece of work. We've also taken the step of providing open access to the dataset available via a link this publication for investigators in the field.
doi.org/10.1111/anae...
🧪 #medsky #IDsky
doi.org/10.1111/anae...
🧪 #medsky #IDsky
Airway management research has historically incorporated heterogeneous outcome selection and definitions. This impedes evidence synthesis and hinders advances in patient care.
So - here is a core outcome set to standardise airway management research!
#AnSky
So - here is a core outcome set to standardise airway management research!
#AnSky
doi.org
November 14, 2025 at 9:06 AM
Airway management research has historically incorporated heterogeneous outcome selection and definitions. This impedes evidence synthesis and hinders advances in patient care.
So - here is a core outcome set to standardise airway management research!
#AnSky
So - here is a core outcome set to standardise airway management research!
#AnSky
Here is the first consensus-based core outcome set for airway management research, with agreed definitions and measurement instruments.
This will harmonise evidence synthesis and improve the translatability of findings to improve clinical care.
#AnSky #AirwaySky
doi.org/10.1111/anae...
This will harmonise evidence synthesis and improve the translatability of findings to improve clinical care.
#AnSky #AirwaySky
doi.org/10.1111/anae...
November 14, 2025 at 7:03 AM
Here is the first consensus-based core outcome set for airway management research, with agreed definitions and measurement instruments.
This will harmonise evidence synthesis and improve the translatability of findings to improve clinical care.
#AnSky #AirwaySky
doi.org/10.1111/anae...
This will harmonise evidence synthesis and improve the translatability of findings to improve clinical care.
#AnSky #AirwaySky
doi.org/10.1111/anae...
Cross sensitivity between neuromuscular blocking agents
If a patient has had a POHR to:
• rocuronium, suxamethonium or vecuronium, then atracurium is the lowest risk alternative
• atracurium, then rocuronium and suxamethonium are low risk alternatives
#AnSky
doi.org/10.1111/anae...
If a patient has had a POHR to:
• rocuronium, suxamethonium or vecuronium, then atracurium is the lowest risk alternative
• atracurium, then rocuronium and suxamethonium are low risk alternatives
#AnSky
doi.org/10.1111/anae...
November 13, 2025 at 7:49 PM
Cross sensitivity between neuromuscular blocking agents
If a patient has had a POHR to:
• rocuronium, suxamethonium or vecuronium, then atracurium is the lowest risk alternative
• atracurium, then rocuronium and suxamethonium are low risk alternatives
#AnSky
doi.org/10.1111/anae...
If a patient has had a POHR to:
• rocuronium, suxamethonium or vecuronium, then atracurium is the lowest risk alternative
• atracurium, then rocuronium and suxamethonium are low risk alternatives
#AnSky
doi.org/10.1111/anae...
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.
#AnSky #MedSky
doi.org/10.1111/anae...
• 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.
#AnSky #MedSky
doi.org/10.1111/anae...
November 12, 2025 at 9:06 AM
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.
#AnSky #MedSky
doi.org/10.1111/anae...
• 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.
#AnSky #MedSky
doi.org/10.1111/anae...
• There is a significant difference between the rates of peri-operative hypersensitivity reactions with rocuronium and suxamethonium vs. atracurium.
• Females may be higher risk than males of reacting to neuromuscular blocking drugs.
#AnSky
doi.org/10.1111/anae...
• Females may be higher risk than males of reacting to neuromuscular blocking drugs.
#AnSky
doi.org/10.1111/anae...
November 12, 2025 at 7:03 AM
• There is a significant difference between the rates of peri-operative hypersensitivity reactions with rocuronium and suxamethonium vs. atracurium.
• Females may be higher risk than males of reacting to neuromuscular blocking drugs.
#AnSky
doi.org/10.1111/anae...
• Females may be higher risk than males of reacting to neuromuscular blocking drugs.
#AnSky
doi.org/10.1111/anae...
What is your platelet threshold for vascular access?
There are inconsistent recommendations in recent guidelines for peri-procedural platelet transfusions and a lack of robust clinical evidence to underpin the strength of any recommendations.
#AnSky #HemeSky #HaemSky
doi.org/10.1111/anae...
There are inconsistent recommendations in recent guidelines for peri-procedural platelet transfusions and a lack of robust clinical evidence to underpin the strength of any recommendations.
#AnSky #HemeSky #HaemSky
doi.org/10.1111/anae...
doi.org
November 11, 2025 at 12:10 PM
What is your platelet threshold for vascular access?
There are inconsistent recommendations in recent guidelines for peri-procedural platelet transfusions and a lack of robust clinical evidence to underpin the strength of any recommendations.
#AnSky #HemeSky #HaemSky
doi.org/10.1111/anae...
There are inconsistent recommendations in recent guidelines for peri-procedural platelet transfusions and a lack of robust clinical evidence to underpin the strength of any recommendations.
#AnSky #HemeSky #HaemSky
doi.org/10.1111/anae...
The ‘afternoon effect’ as a proxy for systemic vulnerabilities in surgical care
#AnSky #MedSky
doi.org/10.1111/anae...
#AnSky #MedSky
doi.org/10.1111/anae...
doi.org
November 11, 2025 at 11:02 AM
The ‘afternoon effect’ as a proxy for systemic vulnerabilities in surgical care
#AnSky #MedSky
doi.org/10.1111/anae...
#AnSky #MedSky
doi.org/10.1111/anae...
Reposted by Anaesthesia
“If anaesthetists are to adopt a screening test for an otherwise asymptomatic population, we must be reasonably confident that: the test detects the target condition; detection changes management in a way that improves patient-centred outcomes; and harms are outweighed by benefits”
November 10, 2025 at 1:23 PM
“If anaesthetists are to adopt a screening test for an otherwise asymptomatic population, we must be reasonably confident that: the test detects the target condition; detection changes management in a way that improves patient-centred outcomes; and harms are outweighed by benefits”
Hyperangulated videolaryngoscopy: stylet first until benefit of bougie is shown
"...the current challenge for the wider community of anaesthetists ... is not mastery of HAVL but access to devices, routine use, gaining familiarly and developing competence."
#AnSky
ttps://doi.org/10.1111/anae.70062
"...the current challenge for the wider community of anaesthetists ... is not mastery of HAVL but access to devices, routine use, gaining familiarly and developing competence."
#AnSky
ttps://doi.org/10.1111/anae.70062
November 10, 2025 at 12:16 PM
Hyperangulated videolaryngoscopy: stylet first until benefit of bougie is shown
"...the current challenge for the wider community of anaesthetists ... is not mastery of HAVL but access to devices, routine use, gaining familiarly and developing competence."
#AnSky
ttps://doi.org/10.1111/anae.70062
"...the current challenge for the wider community of anaesthetists ... is not mastery of HAVL but access to devices, routine use, gaining familiarly and developing competence."
#AnSky
ttps://doi.org/10.1111/anae.70062
Reposted by Anaesthesia
Default VL now recommended by multiple guidelines incl CAFG, PUMA & DAS
Narrative review of default VL in @anaesjournal.bsky.social
Discusses the benefits, challenges & myths of VL
Provides the info make a business case for default VL
Describes strategies for addressing implementation challenges
Narrative review of default VL in @anaesjournal.bsky.social
Discusses the benefits, challenges & myths of VL
Provides the info make a business case for default VL
Describes strategies for addressing implementation challenges
Implementation of default videolaryngoscopy instead of direct laryngoscopy for tracheal intubation: a narrative review of evidence and experiences
Introduction Default videolaryngoscopy – use of a videolaryngoscope in preference to a direct laryngoscope – remains a hotly debated topic. High-risk tracheal intubations performed during the COVID-...
associationofanaesthetists-publications.onlinelibrary.wiley.com
November 8, 2025 at 7:25 PM
Default VL now recommended by multiple guidelines incl CAFG, PUMA & DAS
Narrative review of default VL in @anaesjournal.bsky.social
Discusses the benefits, challenges & myths of VL
Provides the info make a business case for default VL
Describes strategies for addressing implementation challenges
Narrative review of default VL in @anaesjournal.bsky.social
Discusses the benefits, challenges & myths of VL
Provides the info make a business case for default VL
Describes strategies for addressing implementation challenges
Reposted by Anaesthesia
Slideset for my talk at #waam2025 celebrating the best airway papers published in @anaesjournal.bsky.social over the past 10 years
sthjournalclub.wordpress.com/2025/11/07/w...
sthjournalclub.wordpress.com/2025/11/07/w...
WAAM 2025: Top Airway Papers 2015-2025
This is the slide set for my talk at WAAM 2025 The aim was to review key publications in Anaesthesia over the past 10 years that were of relevance to airway management. WAAM 2025Download
sthjournalclub.wordpress.com
November 8, 2025 at 9:05 AM
Slideset for my talk at #waam2025 celebrating the best airway papers published in @anaesjournal.bsky.social over the past 10 years
sthjournalclub.wordpress.com/2025/11/07/w...
sthjournalclub.wordpress.com/2025/11/07/w...
Reposted by Anaesthesia
Not so much a criticism of the study but the issue is that because there is no mention of time, the practical implications are limited. The rate of failure and particularly infection are only useful if we know when they occur.
Definitely a "more research please" area.
Definitely a "more research please" area.
November 7, 2025 at 8:55 AM
Not so much a criticism of the study but the issue is that because there is no mention of time, the practical implications are limited. The rate of failure and particularly infection are only useful if we know when they occur.
Definitely a "more research please" area.
Definitely a "more research please" area.
Arterial catheter infection rates remain notably higher than those of peripheral intravenous catheters, which have an incidence of approximately 0.03%.
Why is a higher infection risk in arterial catheters tolerated?
#AnSky #ICUSky
doi.org/10.1111/anae...
Why is a higher infection risk in arterial catheters tolerated?
#AnSky #ICUSky
doi.org/10.1111/anae...
November 7, 2025 at 9:06 AM
Arterial catheter infection rates remain notably higher than those of peripheral intravenous catheters, which have an incidence of approximately 0.03%.
Why is a higher infection risk in arterial catheters tolerated?
#AnSky #ICUSky
doi.org/10.1111/anae...
Why is a higher infection risk in arterial catheters tolerated?
#AnSky #ICUSky
doi.org/10.1111/anae...
Reposted by Anaesthesia
Reminder to discontinue A-lines when they are no longer needed.
Risk of infection is lower than with central lines (since A-lines usually stop working and get pulled relatively soon), but infection risk is real.
Risk of infection is lower than with central lines (since A-lines usually stop working and get pulled relatively soon), but infection risk is real.
Arterial catheter complications:
• 13/100 catheters failed for any reason
• 20/100 catheters failed for reasons not caused by infection
• bloodstream infections - 1/100 catheters
• local infections (around the area where the catheter goes in) - 1/100 cases
#ICUSky #AnSky
doi.org/10.1111/anae...
• 13/100 catheters failed for any reason
• 20/100 catheters failed for reasons not caused by infection
• bloodstream infections - 1/100 catheters
• local infections (around the area where the catheter goes in) - 1/100 cases
#ICUSky #AnSky
doi.org/10.1111/anae...
November 6, 2025 at 3:21 PM
Reminder to discontinue A-lines when they are no longer needed.
Risk of infection is lower than with central lines (since A-lines usually stop working and get pulled relatively soon), but infection risk is real.
Risk of infection is lower than with central lines (since A-lines usually stop working and get pulled relatively soon), but infection risk is real.
Arterial catheter complications:
• 13/100 catheters failed for any reason
• 20/100 catheters failed for reasons not caused by infection
• bloodstream infections - 1/100 catheters
• local infections (around the area where the catheter goes in) - 1/100 cases
#ICUSky #AnSky
doi.org/10.1111/anae...
• 13/100 catheters failed for any reason
• 20/100 catheters failed for reasons not caused by infection
• bloodstream infections - 1/100 catheters
• local infections (around the area where the catheter goes in) - 1/100 cases
#ICUSky #AnSky
doi.org/10.1111/anae...
November 6, 2025 at 9:06 AM
Arterial catheter complications:
• 13/100 catheters failed for any reason
• 20/100 catheters failed for reasons not caused by infection
• bloodstream infections - 1/100 catheters
• local infections (around the area where the catheter goes in) - 1/100 cases
#ICUSky #AnSky
doi.org/10.1111/anae...
• 13/100 catheters failed for any reason
• 20/100 catheters failed for reasons not caused by infection
• bloodstream infections - 1/100 catheters
• local infections (around the area where the catheter goes in) - 1/100 cases
#ICUSky #AnSky
doi.org/10.1111/anae...
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.
#ICUSky #AnSky
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.
#ICUSky #AnSky
doi.org
November 6, 2025 at 7:03 AM
On MRI scans, people with chronic pain often had patterns that were like the patterns seen in people with Alzheimer's disease: less grey brain tissue, weaker white brain tissue, and signs of older brain age in places such as the hippocampus.
#AnSky
doi.org/10.1111/anae...
#AnSky
doi.org/10.1111/anae...
October 31, 2025 at 4:02 PM
On MRI scans, people with chronic pain often had patterns that were like the patterns seen in people with Alzheimer's disease: less grey brain tissue, weaker white brain tissue, and signs of older brain age in places such as the hippocampus.
#AnSky
doi.org/10.1111/anae...
#AnSky
doi.org/10.1111/anae...