Anthony Lewis
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antlewis.bsky.social
Anthony Lewis
@antlewis.bsky.social
Dad, husband, dogs, anaesthetist, techy nerd, medical education disruptor.
🧍🏽‍♂️❤️🦮🐕‍🦺😷💻🎓
Northern Beaches, Sydney.
🏝️🇦🇺
Proud supporter of my hometown football club - Merthyr Town FC ⚫️⚪️⚽️🏴󠁧󠁢󠁷󠁬󠁳󠁿
Just been to a few days of #asm25cns
Workshops as ever were excellent.
But what was great was the chatting to colleagues I have known for either decades or sometimes minutes about being an anaesthetist.
It’s the same thing every time - we constantly worry about the patient experience and….
May 5, 2025 at 2:20 AM
All change for GLP-1

Do not stop taking the medications

24 hours of clear fluids and a 6 hour fast pre procedure.

www.anzca.edu.au/getContentAs...
www.anzca.edu.au
April 4, 2025 at 11:27 AM
Reposted by Anthony Lewis

The PUMA guidelines for prevention of oesophageal intubation are supported by

-RCOA
-AoA
-FICM
-ICS
-CODP
-DAS

This is true of no other airway guidance I am aware of & make them the de facto UK National guidance

associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/...
Preventing unrecognised oesophageal intubation: a consensus guideline from the Project for Universal Management of Airways and international airway societies*
Across multiple disciplines undertaking airway management globally, preventable episodes of unrecognised oesophageal intubation result in profound hypoxaemia, brain injury and death. These events occ....
associationofanaesthetists-publications.onlinelibrary.wiley.com
January 5, 2025 at 9:23 AM
Reposted by Anthony Lewis
Quick video update from the ASA on the cluster of failures of laparoscopic insufflation equipment in Australia leading to potential patient harm.
#ansky
Reports can be submitted to Webairs at Webairs.com or directly to Safer Care Victoria at forms.office.com/Pages/Respon...
December 5, 2024 at 10:32 PM
Reposted by Anthony Lewis
A very important video for all Australian anaesthetists
#AnSky #MedSky
Quick video update from the ASA on the cluster of failures of laparoscopic insufflation equipment in Australia leading to potential patient harm.
#ansky
Reports can be submitted to Webairs at Webairs.com or directly to Safer Care Victoria at forms.office.com/Pages/Respon...
December 6, 2024 at 12:35 AM
Reposted by Anthony Lewis
Got a fire in the fireplace, turkey in the oven, parade on tv, I deleted twitter, family gathered around, cinnamon rolls for breakfast…
November 28, 2024 at 3:25 PM
Reposted by Anthony Lewis
When you’re in the operating theatre and they want to take some X-Rays but not everyone remembered to put lead on…

#AnSky #MedSky
November 28, 2024 at 10:55 PM
Reposted by Anthony Lewis
8/ Longer-term, I hope we see iterative changes in equipment design, to prevent the more common errors currently associated with TIVA.

In the meantime, we MUST check our working and identify errors before pressing go.

If you are using TIVA, consider using #PERUSEbeforeYouInfuse.
November 9, 2024 at 3:42 PM
Reposted by Anthony Lewis
It is time for a thread on cholesterol, lipids and how the triple GIP/GLP-1/Glucagon agonist retatrutide is going to revolutionize medicine. Not just through weight loss, but also cardiovascular risk reduction, sit back, let's find out why, this is unreal. Tagging #cardiosky too they'll like this.
November 26, 2024 at 11:28 PM
Reposted by Anthony Lewis
Trainee posts in Emergency Medicine in our ED at Northern Beaches Hospital in Sydney available 2025

Closing date 29 Nov 2024

jobs.health.nsw.gov.au/JMO-int/via/...

Enquiries to Tayia.Yeates[at]health.nsw.gov.au
November 25, 2024 at 3:58 AM
November 24, 2024 at 8:23 AM
‘Perhaps the greatest Perioperative medicine trial (n)ever undertaken’
Amazing 🤣
November 24, 2024 at 8:19 AM
Reposted by Anthony Lewis
This great lab study from 2020 surprised me at the time - challenging our assumptions about fresh gas flow rates and economic/environmental costs. #AnSky

[ Higher FGF (~6L/min) during TIVA reduces costs without sig environmental impact. ]

Summary → www.metajournal.com/articles/103...
November 24, 2024 at 12:57 AM
Reposted by Anthony Lewis
As an anaesthetist called into emergency situations the amount of information to process while responding in a time critical manner requires calm, a fresh mindset, a rapid assessment of what’s happened, what’s been tried & what needs to happen now. Key is how the team is functioning & leadership
Being a 'good rescuer' is:

• counterintuitive eg the advice to stand back & analyse rather than pile in & do something
• counter-cultural eg using checklists rather than relying on memory

Specific rescuer training would reinforce these skills.

#AnSky #MedSky #HFESky

https://buff.ly/3COBTjM
November 23, 2024 at 7:41 AM
Reposted by Anthony Lewis
First ever image of another multi-planet solar system captured by ESO Telescope
November 23, 2024 at 10:42 AM
Reposted by Anthony Lewis
Learned from @nmay.bsky.social via @emmanchester.bsky.social that blueark.app will move all your old tweets across for a fee

I've given this a go

Don't know how threads will turn out but ten bucks for 15 years of Tweets seems very reasonable

So many priceless Dad jokes - too precious to waste
November 23, 2024 at 6:25 AM
Reposted by Anthony Lewis
We want to grow our 🦋 community and welcome those who are joining the #Xodus! ❤️

Follow our 'Anaesthesia Authors' and reply with a link to your publication so we can add you to our starter pack!

go.bsky.app/Gp85YCx
November 21, 2024 at 8:49 AM
Reposted by Anthony Lewis
Here's my take on #COVID-19 (the disease not the pandemic).

It's not what you think it is ...

A thread 👇
1/23
November 22, 2024 at 12:40 AM
Reposted by Anthony Lewis
The #CivilitySavesLives push shouldn’t be seen as a gimmick - in a stretched system and particularly heading into winter this needs to be a priority - the numbers are mind blowing
November 22, 2024 at 9:55 AM
Reposted by Anthony Lewis
Did you know that by substituting your morning coffee with green tea, you can eliminate up to 93% of what little joy you have left?
November 21, 2024 at 9:17 AM
Reposted by Anthony Lewis
Kicking off #Resuscitology15 in Manly with an explanation of the Zero Point Survey (from author @cliffreid.bsky.social)
You can check out the video here to find more youtu.be/rGa_CLKCIMo?...

#FOAMed #MedSky #EMSky
Zero Point Survey Conceptual Map
YouTube video by Cliff Reid
youtu.be
November 18, 2024 at 11:14 PM
Reposted by Anthony Lewis
What is the effect of intravenous lidocaine on the brain at a systems level? New functional MRI study by Vogt et al #pain #fMRI #lidocaine #brain #Ansky

www.bjanaesthesia.org/article/S000...
November 21, 2024 at 12:56 PM
Reposted by Anthony Lewis
CPR training as a gender and rights-based healthcare issue | Health Promotion International | Oxford Academic @healthpromint.bsky.social

academic.oup.com/heapro/artic...
academic.oup.com
November 21, 2024 at 10:08 AM
Typical. You wait for a Superman villain for ages, then 3 come along at once.

Zod’s law.
November 21, 2024 at 3:22 AM