Dennis Reichert
@dennisreichert.bsky.social
Anaesthetist. Came to Bluesky to find something like old Medtwitter
Reposted by Dennis Reichert
„Waren sie in einem MRT oder CT?“ (Pat u40) „Keine Ahnung.“ „Ging es schnell und leise oder hat es lange gedauert und sie haben dabei Scooter gehört?“
November 25, 2025 at 2:27 PM
„Waren sie in einem MRT oder CT?“ (Pat u40) „Keine Ahnung.“ „Ging es schnell und leise oder hat es lange gedauert und sie haben dabei Scooter gehört?“
Reposted by Dennis Reichert
November 13, 2025 at 8:56 PM
Reposted by Dennis Reichert
Comment on ‘Postoperative bilateral visual loss after a single dose of tranexamic acid’
#AnSky
doi.org/10.1002/anr3...
#AnSky
doi.org/10.1002/anr3...
October 23, 2025 at 9:00 AM
Comment on ‘Postoperative bilateral visual loss after a single dose of tranexamic acid’
#AnSky
doi.org/10.1002/anr3...
#AnSky
doi.org/10.1002/anr3...
Reposted by Dennis Reichert
This weeks #MedSkyDebate was a clinical dilemma I encountered recently.
Is it safe to use spinal anaesthesia for someone with a history of Guillain Barre Syndrome?
I thought no but there is a study that disputes this.
What do you think?
#AnSky #MedSky
Is it safe to use spinal anaesthesia for someone with a history of Guillain Barre Syndrome?
I thought no but there is a study that disputes this.
What do you think?
#AnSky #MedSky
October 18, 2025 at 7:52 AM
This weeks #MedSkyDebate was a clinical dilemma I encountered recently.
Is it safe to use spinal anaesthesia for someone with a history of Guillain Barre Syndrome?
I thought no but there is a study that disputes this.
What do you think?
#AnSky #MedSky
Is it safe to use spinal anaesthesia for someone with a history of Guillain Barre Syndrome?
I thought no but there is a study that disputes this.
What do you think?
#AnSky #MedSky
Reposted by Dennis Reichert
October 3, 2025 at 1:45 AM
Reposted by Dennis Reichert
#RCoAUpdates
Eligibility for glp-1’s - half of all US adults!!!
Lots of people taking them without prescription.
>>100 billion USD market, 300 different agents in the making.
Eligibility for glp-1’s - half of all US adults!!!
Lots of people taking them without prescription.
>>100 billion USD market, 300 different agents in the making.
September 25, 2025 at 10:49 AM
#RCoAUpdates
Eligibility for glp-1’s - half of all US adults!!!
Lots of people taking them without prescription.
>>100 billion USD market, 300 different agents in the making.
Eligibility for glp-1’s - half of all US adults!!!
Lots of people taking them without prescription.
>>100 billion USD market, 300 different agents in the making.
Reposted by Dennis Reichert
#RCoAUpdates GI symptoms bare no relation to gastric contents…
Looks like gastric USS is going to become core practice.
Looks like gastric USS is going to become core practice.
September 25, 2025 at 10:56 AM
#RCoAUpdates GI symptoms bare no relation to gastric contents…
Looks like gastric USS is going to become core practice.
Looks like gastric USS is going to become core practice.
Reposted by Dennis Reichert
#RCoAUpdates
This expert thinks the guidelines on GLP-1’s and aspiration are bunkum!
The data is flawed in his opinion.
Certainly don’t stop them… hyperglycaemia is well demonstrated to be harmful.
This expert thinks the guidelines on GLP-1’s and aspiration are bunkum!
The data is flawed in his opinion.
Certainly don’t stop them… hyperglycaemia is well demonstrated to be harmful.
September 25, 2025 at 10:53 AM
#RCoAUpdates
This expert thinks the guidelines on GLP-1’s and aspiration are bunkum!
The data is flawed in his opinion.
Certainly don’t stop them… hyperglycaemia is well demonstrated to be harmful.
This expert thinks the guidelines on GLP-1’s and aspiration are bunkum!
The data is flawed in his opinion.
Certainly don’t stop them… hyperglycaemia is well demonstrated to be harmful.
Reposted by Dennis Reichert
Reminder: The existence of these in most Scottish supermarkets and corner shops is proof that anyone shilling for the notion that multiculturalism can't work on this island is a charlatan
September 17, 2025 at 8:10 PM
Reminder: The existence of these in most Scottish supermarkets and corner shops is proof that anyone shilling for the notion that multiculturalism can't work on this island is a charlatan
Reposted by Dennis Reichert
I’m beginning to think they lied about liking free speech…
The late-night show has been pulled 'indefinitely' over comments its host made about the man accused of killing the conservative activist on.ft.com/4mpJxSN
September 18, 2025 at 6:59 AM
I’m beginning to think they lied about liking free speech…
Reposted by Dennis Reichert
Yes, I see your point. I think the ability to use an algorithm rather than just follow it comes with experience.
August 31, 2025 at 7:46 AM
Yes, I see your point. I think the ability to use an algorithm rather than just follow it comes with experience.
Reposted by Dennis Reichert
If you're a surgeon and your anaesthetic colleagues annoy you, just walk into a governance meeting and ask them what the general opinion on cricioid pressure is, then leave.
They won't notice you've gone, I promise.
They won't notice you've gone, I promise.
August 20, 2025 at 5:35 PM
If you're a surgeon and your anaesthetic colleagues annoy you, just walk into a governance meeting and ask them what the general opinion on cricioid pressure is, then leave.
They won't notice you've gone, I promise.
They won't notice you've gone, I promise.
Reposted by Dennis Reichert
I saw an infographic a couple years ago about how to remove source identifiers from links and why it's important, but I can't find it again and too many people I know are sending me links with them so here's an infographic straight from the oven
July 11, 2025 at 10:22 PM
I saw an infographic a couple years ago about how to remove source identifiers from links and why it's important, but I can't find it again and too many people I know are sending me links with them so here's an infographic straight from the oven
Reposted by Dennis Reichert
So
If you were reading a medical textbook would you expect a patient to be described as “Obese” or “Living with obesity”
Genuinely interested as they seem to mean slightly different things to me??
If you were reading a medical textbook would you expect a patient to be described as “Obese” or “Living with obesity”
Genuinely interested as they seem to mean slightly different things to me??
August 12, 2025 at 8:29 PM
So
If you were reading a medical textbook would you expect a patient to be described as “Obese” or “Living with obesity”
Genuinely interested as they seem to mean slightly different things to me??
If you were reading a medical textbook would you expect a patient to be described as “Obese” or “Living with obesity”
Genuinely interested as they seem to mean slightly different things to me??
Reposted by Dennis Reichert
There should be a prompt on the machine if mechanical ventilator is selected and no volatile is detected:
TIVA running adequately? / Turn on vaporiser!
TIVA running adequately? / Turn on vaporiser!
August 11, 2025 at 8:07 AM
There should be a prompt on the machine if mechanical ventilator is selected and no volatile is detected:
TIVA running adequately? / Turn on vaporiser!
TIVA running adequately? / Turn on vaporiser!
Reposted by Dennis Reichert
So, to this biased, UK-based anaesthetist, my interpretation of the same evidence as seen by the US-based orthopaedic surgeons (no doubt just as keen to do the best for their patients) is that perioperative nerve blocks improve short-term, humanitarian outcomes with few disadvantages.
a picture of a bald man with the words " i would very much like to hear your thoughts "
Alt: a picture of a bald man Jean-Luc Picard, with the words " i would very much like to hear your thoughts "
media.tenor.com
August 5, 2025 at 7:57 AM
So, to this biased, UK-based anaesthetist, my interpretation of the same evidence as seen by the US-based orthopaedic surgeons (no doubt just as keen to do the best for their patients) is that perioperative nerve blocks improve short-term, humanitarian outcomes with few disadvantages.
Reposted by Dennis Reichert
What do (US) orthopaedic surgeons think about perioperative peripheral nerve blocks for hip fracture? Inconsistent ‘requests’, beneficial for early pain but want more research #AnSky #OrthoSky 🧵 journals.lww.com/otainternati...
Orthopaedic surgeons' perspectives on peripheral nerve... : OTA International
private practice.
Participants:
One hundred twenty-nine orthopaedic surgeons.
Intervention:
A 24-question survey assessed PNB usage, perceived advantages and disadvantages.
Main Outcome Measure...
journals.lww.com
August 5, 2025 at 7:57 AM
What do (US) orthopaedic surgeons think about perioperative peripheral nerve blocks for hip fracture? Inconsistent ‘requests’, beneficial for early pain but want more research #AnSky #OrthoSky 🧵 journals.lww.com/otainternati...
Reposted by Dennis Reichert
Who routinely consents patients for the risk of awareness?
What risks of anaesthesia do you routinely consent for & why? How do you communicate the likelihood of complications? What factors influence whether/how you conduct the consent process?
#MedSkyDebate #MedSky #AnSky
#MedSkyDebate #MedSky #AnSky
This is the weekend #MedSkyDebate.
As usual the flamboyant Nick Chrimes @chrimesy.com describes it perfectly.
Supported as usual by @hypoxicchicken.medsky.social and @maryannturner.bsky.social.
Bravo team it is a wonderful editorial. #MedSky #AnSky
As usual the flamboyant Nick Chrimes @chrimesy.com describes it perfectly.
Supported as usual by @hypoxicchicken.medsky.social and @maryannturner.bsky.social.
Bravo team it is a wonderful editorial. #MedSky #AnSky
August 3, 2025 at 12:57 PM
Who routinely consents patients for the risk of awareness?
Reposted by Dennis Reichert
Ok let's unpack this. How often does awareness occur other than where either
1) there's a known risk of awareness (e.g. GA C-section, emergency surgery, morbid obesity etc.) i.e. you'd be primed to discuss it
2)you deserve to be sued because it's reasonable for pts to assume they will be asleep?
1) there's a known risk of awareness (e.g. GA C-section, emergency surgery, morbid obesity etc.) i.e. you'd be primed to discuss it
2)you deserve to be sued because it's reasonable for pts to assume they will be asleep?
August 3, 2025 at 1:41 PM
Ok let's unpack this. How often does awareness occur other than where either
1) there's a known risk of awareness (e.g. GA C-section, emergency surgery, morbid obesity etc.) i.e. you'd be primed to discuss it
2)you deserve to be sued because it's reasonable for pts to assume they will be asleep?
1) there's a known risk of awareness (e.g. GA C-section, emergency surgery, morbid obesity etc.) i.e. you'd be primed to discuss it
2)you deserve to be sued because it's reasonable for pts to assume they will be asleep?
Reposted by Dennis Reichert
Another thing I hear often in the ICU is this:
The patient is on high-flow nasal cannula (HFNC) (or high-flow oxymask)
When I specifically ask "how many liters?", often the answer is: 6 or 7 l/min
HFNC is a respiratory support system delivering heated-humidified O2 @
The patient is on high-flow nasal cannula (HFNC) (or high-flow oxymask)
When I specifically ask "how many liters?", often the answer is: 6 or 7 l/min
HFNC is a respiratory support system delivering heated-humidified O2 @
August 2, 2025 at 2:29 PM
Reposted by Dennis Reichert
They used different dosages for both blocks. Peng was 0,375% of levobupi and FICB was 0,25%. Imo this is a major issue, that is not discussed by the authors. Yes they used 75mg in total in both blocks, bc FICB needs more volume, but a higher concentration will always act faster and stronger.
July 30, 2025 at 8:30 AM
They used different dosages for both blocks. Peng was 0,375% of levobupi and FICB was 0,25%. Imo this is a major issue, that is not discussed by the authors. Yes they used 75mg in total in both blocks, bc FICB needs more volume, but a higher concentration will always act faster and stronger.
Reposted by Dennis Reichert
I never place a cannula without local first (30g needle)
Even my Ametopped patients get local (just in case!)😊
Even my Ametopped patients get local (just in case!)😊
July 28, 2025 at 7:47 AM
I never place a cannula without local first (30g needle)
Even my Ametopped patients get local (just in case!)😊
Even my Ametopped patients get local (just in case!)😊
Reposted by Dennis Reichert
Yes..honest, factual but positive.
Eg “Small injection to numb the area”
(Best not go down the “little prick with a needle” route…for which there is only one response🤪)
Eg “Small injection to numb the area”
(Best not go down the “little prick with a needle” route…for which there is only one response🤪)
July 28, 2025 at 7:46 AM
Yes..honest, factual but positive.
Eg “Small injection to numb the area”
(Best not go down the “little prick with a needle” route…for which there is only one response🤪)
Eg “Small injection to numb the area”
(Best not go down the “little prick with a needle” route…for which there is only one response🤪)
Reposted by Dennis Reichert
If I said I was going to sting you with a bee, would you like the idea of that?
Probably not. Then why say it just before you are injecting local anaesthetic?
What other phrases need more consideration?
Probably not. Then why say it just before you are injecting local anaesthetic?
What other phrases need more consideration?
July 27, 2025 at 5:19 PM
If I said I was going to sting you with a bee, would you like the idea of that?
Probably not. Then why say it just before you are injecting local anaesthetic?
What other phrases need more consideration?
Probably not. Then why say it just before you are injecting local anaesthetic?
What other phrases need more consideration?
Reposted by Dennis Reichert
You could say a small pinch then it goes numb. Language is important
July 27, 2025 at 5:28 PM
You could say a small pinch then it goes numb. Language is important