Helen
@nhsgas.bsky.social
Anaesthetist . perioperative medicine fan . CPET guru . iPOETTS secretary . wild swimmer . powered by coffee . sharing useful stuff . thoughts mine or those of others
Perioperative Quality Initiative consensus statement on goal-directed haemodynamic therapy - British Journal of Anaesthesia www.bjanaesthesia.org/article/S000...
Perioperative Quality Initiative consensus statement on goal-directed haemodynamic therapy
Perioperative goal-directed haemodynamic therapy (GDHT) includes a variety of protocolised
approaches to the assessment and management of the circulatory system and blood flow
for patients undergoing ...
www.bjanaesthesia.org
October 4, 2025 at 7:08 AM
Perioperative Quality Initiative consensus statement on goal-directed haemodynamic therapy - British Journal of Anaesthesia www.bjanaesthesia.org/article/S000...
Reposted by Helen
Major trauma is shifting. 🚑 The “typical” patient is now in their 60s, often with frailty & comorbidities. How should anaesthetists adapt to this new reality of silver trauma? Read more in #BJAEd: www.bjaed.org/article/S205...
Major trauma in the elderly: unique challenges and considerations
In England there are around 60 cases of major trauma (Injury Severity Score (ISS) > 15) daily.1 Trauma continues to be the leading cause of death in children and adults aged <40 years and has…
www.bjaed.org
October 3, 2025 at 9:15 AM
Major trauma is shifting. 🚑 The “typical” patient is now in their 60s, often with frailty & comorbidities. How should anaesthetists adapt to this new reality of silver trauma? Read more in #BJAEd: www.bjaed.org/article/S205...
Home-based prehabilitation: a systematic review and meta-analysis of randomised trials - British Journal of Anaesthesia www.bjanaesthesia.org/article/S000...
April 9, 2025 at 8:58 PM
Home-based prehabilitation: a systematic review and meta-analysis of randomised trials - British Journal of Anaesthesia www.bjanaesthesia.org/article/S000...
Reposted by Helen
Can we optimise #perioperative team performance using 'team flow'? New single-centre qualitative study by Coss et al #humanfactors #performance #teamdynamics
www.bjanaesthesia.org/article/S000...
www.bjanaesthesia.org/article/S000...
March 4, 2025 at 9:10 PM
Can we optimise #perioperative team performance using 'team flow'? New single-centre qualitative study by Coss et al #humanfactors #performance #teamdynamics
www.bjanaesthesia.org/article/S000...
www.bjanaesthesia.org/article/S000...
February 9, 2025 at 4:07 PM
Reposted by Helen
Mythbusting!
My favorite.
My favorite.
January 30, 2025 at 1:28 AM
Mythbusting!
My favorite.
My favorite.
Reposted by Helen
The NHS planning guidance - it's marching orders for the year - is out. More than a dozen national priorities have been dropped and the NHS faces more spending cuts.
As many in the NHS know, what matters is what is counted.
Read the guidance here: www.england.nhs.uk/operational-...
As many in the NHS know, what matters is what is counted.
Read the guidance here: www.england.nhs.uk/operational-...
NHS England » NHS operational planning and contracting guidance
2025/26 priorities and operational planning guidance In line with the Government Mandate, the 2025/26 priorities and operational planning guidance sets out a focused, smaller number of national prior...
www.england.nhs.uk
January 30, 2025 at 5:45 PM
The NHS planning guidance - it's marching orders for the year - is out. More than a dozen national priorities have been dropped and the NHS faces more spending cuts.
As many in the NHS know, what matters is what is counted.
Read the guidance here: www.england.nhs.uk/operational-...
As many in the NHS know, what matters is what is counted.
Read the guidance here: www.england.nhs.uk/operational-...
www.bmj.com/content/388/...
Systematic review and meta-analysis of 186 Prehabilitation RCTs. (15684 participants).
Combined exercise, psychosocial and nutritional interventions reduce LOS and complications
Systematic review and meta-analysis of 186 Prehabilitation RCTs. (15684 participants).
Combined exercise, psychosocial and nutritional interventions reduce LOS and complications
Relative efficacy of prehabilitation interventions and their components: systematic review with network and component network meta-analyses of randomised controlled trials
Objective To estimate the relative efficacy of individual and combinations of prehabilitation components (exercise, nutrition, cognitive, and psychosocial) on critical outcomes of postoperative compli...
www.bmj.com
January 23, 2025 at 5:05 PM
www.bmj.com/content/388/...
Systematic review and meta-analysis of 186 Prehabilitation RCTs. (15684 participants).
Combined exercise, psychosocial and nutritional interventions reduce LOS and complications
Systematic review and meta-analysis of 186 Prehabilitation RCTs. (15684 participants).
Combined exercise, psychosocial and nutritional interventions reduce LOS and complications
www.sciencedirect.com/science/arti...
Turning evidence into actions
Turning evidence into actions
Global consensus on optimal exercise recommendations for enhancing healthy longevity in older adults (ICFSR)
Aging, a universal and inevitable process, is characterized by a progressive accumulation of physiological alterations and functional decline over tim…
www.sciencedirect.com
January 21, 2025 at 10:14 AM
www.sciencedirect.com/science/arti...
Turning evidence into actions
Turning evidence into actions
Reposted by Helen
Join our monthly webinars at lunchtime on Prehabilitation and Rehabilitation every last Tuesday of the month from 1-2pm
Next one 28 January about the 'we are undefeatable campaign'
Join for free 👇
cpoc.org.uk/events/perio...
In collaboration with Macmillan and the Wessex Cancer Alliance
Next one 28 January about the 'we are undefeatable campaign'
Join for free 👇
cpoc.org.uk/events/perio...
In collaboration with Macmillan and the Wessex Cancer Alliance
Perioperative Care – Prehabilitation Group webinars
CPOC in collaboration with Macmillan and the Wessex Cancer Alliance to provide a monthly webinar series
cpoc.org.uk
January 17, 2025 at 2:41 PM
Join our monthly webinars at lunchtime on Prehabilitation and Rehabilitation every last Tuesday of the month from 1-2pm
Next one 28 January about the 'we are undefeatable campaign'
Join for free 👇
cpoc.org.uk/events/perio...
In collaboration with Macmillan and the Wessex Cancer Alliance
Next one 28 January about the 'we are undefeatable campaign'
Join for free 👇
cpoc.org.uk/events/perio...
In collaboration with Macmillan and the Wessex Cancer Alliance
Reposted by Helen
We partnered with Joe Wicks to create fitness videos for people to get active before surgery to help reduce complications
cpoc.org.uk/news/joe-wic... 💪
@thebodycoach.bsky.social @jkdhesi.bsky.social @gerisoc.bsky.social and @gstt-nhs.bsky.social
cpoc.org.uk/news/joe-wic... 💪
@thebodycoach.bsky.social @jkdhesi.bsky.social @gerisoc.bsky.social and @gstt-nhs.bsky.social
January 17, 2025 at 2:59 PM
We partnered with Joe Wicks to create fitness videos for people to get active before surgery to help reduce complications
cpoc.org.uk/news/joe-wic... 💪
@thebodycoach.bsky.social @jkdhesi.bsky.social @gerisoc.bsky.social and @gstt-nhs.bsky.social
cpoc.org.uk/news/joe-wic... 💪
@thebodycoach.bsky.social @jkdhesi.bsky.social @gerisoc.bsky.social and @gstt-nhs.bsky.social
Definition and diagnostic criteria of clinical obesity - The Lancet Diabetes & Endocrinology www.thelancet.com/journals/lan...
January 15, 2025 at 11:28 AM
Definition and diagnostic criteria of clinical obesity - The Lancet Diabetes & Endocrinology www.thelancet.com/journals/lan...
cpoc.org.uk/get-involved...
A great opportunity to get involved in many different ways in the evolution of Perioperative medicine
A great opportunity to get involved in many different ways in the evolution of Perioperative medicine
CPOC Fellowship 2025-2026
Recruitment open for the CPOC Fellowship 2025-2026
cpoc.org.uk
January 15, 2025 at 11:24 AM
cpoc.org.uk/get-involved...
A great opportunity to get involved in many different ways in the evolution of Perioperative medicine
A great opportunity to get involved in many different ways in the evolution of Perioperative medicine
Reposted by Helen
From 2012-22, the prevalence of smoking amongst elective CABG patients was surprisingly low (9% vs. 13% in the UK population). Why are we seeing this difference? Are patients successfully quitting before surgery? tinyurl.com/ywcmds7e #Ansky #Medsky @ronellemouton.bsky.social @alexisted.bsky.social
Prevalence of smoking and postoperative outcomes in people undergoing coronary artery bypass grafting: a UK registry analysis
Click on the article title to read more.
associationofanaesthetists-publications.onlinelibrary.wiley.com
January 14, 2025 at 2:14 PM
From 2012-22, the prevalence of smoking amongst elective CABG patients was surprisingly low (9% vs. 13% in the UK population). Why are we seeing this difference? Are patients successfully quitting before surgery? tinyurl.com/ywcmds7e #Ansky #Medsky @ronellemouton.bsky.social @alexisted.bsky.social
Reposted by Helen
Thank you @iainmoppett.bsky.social for this really helpful summary thread of the first major publication from SNAP-3. We are really grateful to all the local investigators and patients who contributed the study, thank you!
@rcoa-cri.bsky.social @bjajournals.bsky.social @anaesresidents.bsky.social
@rcoa-cri.bsky.social @bjajournals.bsky.social @anaesresidents.bsky.social
SNAP3:
We are delighted to share the first major publication from SNAP3: Characteristics of older patients undergoing surgery in UK @claireswarbrick.bsky.social @rcoanews.bsky.social @cri.bsky.social @uniofnottingham.bsky.social What does it tell us? 🧵 1/
pubmed.ncbi.nlm.nih.gov/39765405/ #AnSky
We are delighted to share the first major publication from SNAP3: Characteristics of older patients undergoing surgery in UK @claireswarbrick.bsky.social @rcoanews.bsky.social @cri.bsky.social @uniofnottingham.bsky.social What does it tell us? 🧵 1/
pubmed.ncbi.nlm.nih.gov/39765405/ #AnSky
Characteristics of older patients undergoing surgery in the UK: SNAP-3, a snapshot observational study - PubMed
In the UK, one in five older patients undergoing surgery is living with frailty, and almost two-thirds of older patients are living with multimorbidity. These data highlight the importance of frailty ...
pubmed.ncbi.nlm.nih.gov
January 13, 2025 at 8:27 AM
Thank you @iainmoppett.bsky.social for this really helpful summary thread of the first major publication from SNAP-3. We are really grateful to all the local investigators and patients who contributed the study, thank you!
@rcoa-cri.bsky.social @bjajournals.bsky.social @anaesresidents.bsky.social
@rcoa-cri.bsky.social @bjajournals.bsky.social @anaesresidents.bsky.social
pubmed.ncbi.nlm.nih.gov/39775660/
A review supporting the reality I see in my practice. How do we reach those in the greatest need?
A review supporting the reality I see in my practice. How do we reach those in the greatest need?
The inequalities and challenges of prehabilitation before cancer surgery: a narrative review - PubMed
Prehabilitation must be implemented carefully to avoid widening inequalities. More research is needed, both in terms of the impact of interventions and to understand how prehabilitation should account...
pubmed.ncbi.nlm.nih.gov
January 12, 2025 at 6:23 PM
pubmed.ncbi.nlm.nih.gov/39775660/
A review supporting the reality I see in my practice. How do we reach those in the greatest need?
A review supporting the reality I see in my practice. How do we reach those in the greatest need?
academic.oup.com/eurheartj/ad...
Morning coffee drinking is the way forward for health benefits
Morning coffee drinking is the way forward for health benefits
Coffee drinking timing and mortality in US adults
AbstractBackground and Aims. To identify the patterns of coffee drinking timing in the US population and evaluate their associations with all-cause and cau
academic.oup.com
January 12, 2025 at 2:13 PM
academic.oup.com/eurheartj/ad...
Morning coffee drinking is the way forward for health benefits
Morning coffee drinking is the way forward for health benefits
bjsm.bmj.com/content/earl...
Optimisation opportunities whilst on a surgical preparation list
Optimisation opportunities whilst on a surgical preparation list
Impact of resistance training on cardiometabolic health-related indices in patients with type 2 diabetes and overweight/obesity: a systematic review and meta-analysis of randomised controlled trials
Objective To evaluate the effects of resistance training on cardiometabolic health-related outcomes in patients with type 2 diabetes mellitus (T2DM) and overweight/obesity.
Design Systematic review a...
bjsm.bmj.com
January 12, 2025 at 1:22 PM
bjsm.bmj.com/content/earl...
Optimisation opportunities whilst on a surgical preparation list
Optimisation opportunities whilst on a surgical preparation list
associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/...
Perioperative management of patients with XS alcohol use
Perioperative management of patients with XS alcohol use
Peri‐operative identification and management of patients with unhealthy alcohol intake
Introduction This consensus statement gives practical advice for the safe management of patients with harmful alcohol intake undergoing elective and emergency surgery. The wide spectrum of alcohol-r...
associationofanaesthetists-publications.onlinelibrary.wiley.com
January 10, 2025 at 8:06 AM
associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/...
Perioperative management of patients with XS alcohol use
Perioperative management of patients with XS alcohol use
Reposted by Helen
Word of the day is one I mention often. To have the ‘mubble-fubbles’, in the 16th century, was to experience a fit of despondency or low spirits - another name for the Sunday blues.
January 5, 2025 at 7:51 PM
Word of the day is one I mention often. To have the ‘mubble-fubbles’, in the 16th century, was to experience a fit of despondency or low spirits - another name for the Sunday blues.
associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/abs/10.1...
Shared decision making
Shared decision making
To operate or not? Uncertainty, regret and the art of conversation
Click on the article title to read more.
associationofanaesthetists-publications.onlinelibrary.wiley.com
January 5, 2025 at 11:18 PM
associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/abs/10.1...
Shared decision making
Shared decision making