Nic B Foss
@nicolaibangfoss.bsky.social
Anaesthesia. Research in perioperative medicine, haemodynamics. Denmark. Here for medical talk and the state of the world.
Washington Post sub cancelled today
Some personal news:
I've been fired from the Washington Post in the aftermath of the Charlie Kirk shooting.
Thread incoming.
substack.com/@karenattiah...
I've been fired from the Washington Post in the aftermath of the Charlie Kirk shooting.
Thread incoming.
substack.com/@karenattiah...
The Washington Post Fired Me — But My Voice Will Not Be Silenced.
I spoke out against hatred and violence in America — and it cost me my job.
substack.com
September 15, 2025 at 3:58 PM
Washington Post sub cancelled today
Reposted by Nic B Foss
I am here to say vaccines are awesome because guess what Denmark is close to completely eliminating the two most dangerous HPV strains (serotype 16 and 18) and with the cervical cancer.I think that is bloody AMAZING!!!!
bit.ly/4pbHxjT
bit.ly/4pbHxjT
Denmark close to wiping out leading cancer-causing HPV strains after vaccine roll-out
A nationwide study suggests infections with human papillomavirus (HPV) types 16 and 18 have been virtually eliminated since vaccination began in 2008 – protecting even unvaccinated women.
bit.ly
September 8, 2025 at 9:52 PM
I am here to say vaccines are awesome because guess what Denmark is close to completely eliminating the two most dangerous HPV strains (serotype 16 and 18) and with the cervical cancer.I think that is bloody AMAZING!!!!
bit.ly/4pbHxjT
bit.ly/4pbHxjT
Does anyything that sedates a patient actually prevent delirium, or are we simply masking symptoms of hyperactive delirium?
Postoperative delirium is a common complication following cardiac surgery.
This Bayesian network meta-analysis of RCTs assessed the effect of pharmacological interventions.
It found dexmedetomidine with melatonin was the most effective.
#AnSky #MedSky
doi.org/10.1111/anae...
This Bayesian network meta-analysis of RCTs assessed the effect of pharmacological interventions.
It found dexmedetomidine with melatonin was the most effective.
#AnSky #MedSky
doi.org/10.1111/anae...
September 9, 2025 at 8:56 AM
Does anyything that sedates a patient actually prevent delirium, or are we simply masking symptoms of hyperactive delirium?
Reposted by Nic B Foss
Australians putting up our hands re anaphylaxis with rocuronium.
We see in multiple times a year just at my institution.
We are all absolute experts at diagnosis and management.
I have assisted in at least 6 in the past 10 years.
The rapid administration of adrenaline saves lives.
We see in multiple times a year just at my institution.
We are all absolute experts at diagnosis and management.
I have assisted in at least 6 in the past 10 years.
The rapid administration of adrenaline saves lives.
a woman is waving her hand in front of a purple background and saying `` oh pick me '' .
ALT: a woman is waving her hand in front of a purple background and saying `` oh pick me '' .
media.tenor.com
September 8, 2025 at 11:40 PM
Australians putting up our hands re anaphylaxis with rocuronium.
We see in multiple times a year just at my institution.
We are all absolute experts at diagnosis and management.
I have assisted in at least 6 in the past 10 years.
The rapid administration of adrenaline saves lives.
We see in multiple times a year just at my institution.
We are all absolute experts at diagnosis and management.
I have assisted in at least 6 in the past 10 years.
The rapid administration of adrenaline saves lives.
Reposted by Nic B Foss
As right-wing oligarchs were buying up mainstream and social media, the mistake everyone else made was thinking that these purchases were based on a normal assessment of value. Remember when Elon Musk “overpayed” for Twitter?
They understood that controlling the message and narrative is priceless.
They understood that controlling the message and narrative is priceless.
Make no mistake, everything that’s happening in the United States is being significantly enabled by the right wing oligarch capture of media.
Every other country needs to do everything possible to keep that from happening where they are.
Including protecting the CBC from Poilievre here in Canada.
Every other country needs to do everything possible to keep that from happening where they are.
Including protecting the CBC from Poilievre here in Canada.
September 1, 2025 at 4:11 AM
As right-wing oligarchs were buying up mainstream and social media, the mistake everyone else made was thinking that these purchases were based on a normal assessment of value. Remember when Elon Musk “overpayed” for Twitter?
They understood that controlling the message and narrative is priceless.
They understood that controlling the message and narrative is priceless.
We did an editorial for anesthesia on the new meta analysis on the incidence and outcome of non-operative hip fracture management. Surgery should often be a part of the palliative pathway.
Too unfit not to have surgery: is non-operative care for hip fracture patients a viable option?
@nicolaibangfoss.bsky.social
#AnSky #MedSky
doi.org/10.1111/anae...
@nicolaibangfoss.bsky.social
#AnSky #MedSky
doi.org/10.1111/anae...
August 29, 2025 at 3:12 PM
We did an editorial for anesthesia on the new meta analysis on the incidence and outcome of non-operative hip fracture management. Surgery should often be a part of the palliative pathway.
Reposted by Nic B Foss
Reposted by Nic B Foss
I need you to understand that if you heard a song you liked in the 80s, you couldn’t Shazam it. You couldn’t Google the lyrics. You had to sing it to the guy at Tower Records.
August 16, 2025 at 11:07 PM
I need you to understand that if you heard a song you liked in the 80s, you couldn’t Shazam it. You couldn’t Google the lyrics. You had to sing it to the guy at Tower Records.
Reposted by Nic B Foss
Fascism - rule by dictator
Oligarchy - gvt by wealthy few
Theocracy - ruled by religion
Kakistocracy - gvt by least qualified
America has produced a most unique system of government
A theofascoligkakracy
Oligarchy - gvt by wealthy few
Theocracy - ruled by religion
Kakistocracy - gvt by least qualified
America has produced a most unique system of government
A theofascoligkakracy
August 5, 2025 at 4:48 PM
Fascism - rule by dictator
Oligarchy - gvt by wealthy few
Theocracy - ruled by religion
Kakistocracy - gvt by least qualified
America has produced a most unique system of government
A theofascoligkakracy
Oligarchy - gvt by wealthy few
Theocracy - ruled by religion
Kakistocracy - gvt by least qualified
America has produced a most unique system of government
A theofascoligkakracy
Reposted by Nic B Foss
Once again demonstrating the futility of trying to convert actual physiological effects to clinical outcomes with the pragmatic trial design.....
June 12, 2025 at 3:41 PM
Once again demonstrating the futility of trying to convert actual physiological effects to clinical outcomes with the pragmatic trial design.....
Reposted by Nic B Foss
Almost all Nobel Prizes are awarded for work that is exploratory, or absolutely basic science with no obvious commercial or medical benefit.
You cannot predict where advancements come from, so you have to invest in science and scientists.
Targeted (corporate) science investment will never do this.
You cannot predict where advancements come from, so you have to invest in science and scientists.
Targeted (corporate) science investment will never do this.
Reminder: Nobel-prize winning PCR (1983), used in basically all genetic tech today, was only possible because of extremophile bacterium discovered in 1964 in Yellowstone funded by a small ~$80k NSF grant with no obvious application at the time. #science 🧪
www.richmondscientific.com/how-a-discov...
www.richmondscientific.com/how-a-discov...
How a discovery in Yellowstone National Park led to the development of PCR - Richmond Scientific
A discovery in Yellowstone National Park led to the development of PCR, the gold-standard COVID-19 tests used to fight the global pandemic.
www.richmondscientific.com
June 8, 2025 at 10:26 PM
Almost all Nobel Prizes are awarded for work that is exploratory, or absolutely basic science with no obvious commercial or medical benefit.
You cannot predict where advancements come from, so you have to invest in science and scientists.
Targeted (corporate) science investment will never do this.
You cannot predict where advancements come from, so you have to invest in science and scientists.
Targeted (corporate) science investment will never do this.
Reposted by Nic B Foss
What should we call it when the number of meta-analyses start exceeding the number of RCTs performed?
Meta-analytic incontinence?
Meta-analytic diarrhea?
(Since these are mostly 💩)
Meta-analytic overflow
Any other suggestions? @mikejohansenmd.medsky.social
#EpiSky
#MedSky
Meta-analytic incontinence?
Meta-analytic diarrhea?
(Since these are mostly 💩)
Meta-analytic overflow
Any other suggestions? @mikejohansenmd.medsky.social
#EpiSky
#MedSky
June 5, 2025 at 4:31 PM
What should we call it when the number of meta-analyses start exceeding the number of RCTs performed?
Meta-analytic incontinence?
Meta-analytic diarrhea?
(Since these are mostly 💩)
Meta-analytic overflow
Any other suggestions? @mikejohansenmd.medsky.social
#EpiSky
#MedSky
Meta-analytic incontinence?
Meta-analytic diarrhea?
(Since these are mostly 💩)
Meta-analytic overflow
Any other suggestions? @mikejohansenmd.medsky.social
#EpiSky
#MedSky
Great editorial by Joshi in the EJA, recounting the current litterature on perioperative glucocorticoids. It gives an overview of the line of recent research from our group, with the works of Nielsen and Springborg on high-pain responders as well as Cihoric´s on emergency laparotomy. #AnSky #SurgSky
Peri-operative glucocorticoids: A panacea for postoperative ... : European Journal of Anaesthesiology | EJA
An abstract is unavailable.
journals.lww.com
June 6, 2025 at 9:40 AM
Great editorial by Joshi in the EJA, recounting the current litterature on perioperative glucocorticoids. It gives an overview of the line of recent research from our group, with the works of Nielsen and Springborg on high-pain responders as well as Cihoric´s on emergency laparotomy. #AnSky #SurgSky
Reposted by Nic B Foss
I dare not count the number of missed diagnosis with serious implications that I have seen in my career in ICU and the OR because of lack of contrast on first exam.
#AnSky
#AnSky
This was a fun article to work on. Hope you enjoy it.
Things We Do for No Reason™: Avoiding IV iodinated contrast material in patients with acute kidney injury or chronic kidney disease Journal of Hospital Medicine
shmpublications.onlinelibrary.wiley.com/doi/10.1002/...
Things We Do for No Reason™: Avoiding IV iodinated contrast material in patients with acute kidney injury or chronic kidney disease Journal of Hospital Medicine
shmpublications.onlinelibrary.wiley.com/doi/10.1002/...
Things We Do for No Reason™: Avoiding intravenous iodinated contrast material in patients with acute kidney injury or chronic kidney disease
Click on the article title to read more.
shmpublications.onlinelibrary.wiley.com
June 2, 2025 at 7:56 PM
I dare not count the number of missed diagnosis with serious implications that I have seen in my career in ICU and the OR because of lack of contrast on first exam.
#AnSky
#AnSky
I agree - there is no almost no difference between regular and RSI - especialy when you just use prop/remi for both without NMB in most cases.
A long overdue (but topical), nuanced and thorough discussion of "RSI" whose final conclusion I happen to entirely agree with. Well done @sthjournalclub.bsky.social
Editorial: Rapid sequence induction: a modern-day example of Theseus' Paradox?
Stept and Safar described ‘rapid induction/intubation’ in 1970.
PUMA recently issued a consensus statement on RSI.
Let's compare.
@sthjournalclub.bsky.social
#AnSky #AirwaySky
doi.org/10.1111/anae...
Stept and Safar described ‘rapid induction/intubation’ in 1970.
PUMA recently issued a consensus statement on RSI.
Let's compare.
@sthjournalclub.bsky.social
#AnSky #AirwaySky
doi.org/10.1111/anae...
June 2, 2025 at 8:47 AM
I agree - there is no almost no difference between regular and RSI - especialy when you just use prop/remi for both without NMB in most cases.
I agree - just put the tube in: "After half a century of circular arguments regarding how RSI should be performed, and the benefits and harms of each element, this meaningless term should be abandoned." associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/full/10....
#Ansky
#Ansky
June 2, 2025 at 8:45 AM
I agree - just put the tube in: "After half a century of circular arguments regarding how RSI should be performed, and the benefits and harms of each element, this meaningless term should be abandoned." associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/full/10....
#Ansky
#Ansky
It's the surgical inflammation, not the depth of anaesthesia......
Perioperative neurocognitive disorders #POCD are common in older adults. Extracellular vesicles from peripheral surgical trauma may be a signalling mechanism causing neurological changes that could underlie POCD www.bjanaesthesia.org/article/S000...
May 23, 2025 at 5:58 AM
It's the surgical inflammation, not the depth of anaesthesia......
Interesting, but how to compare with this - is there really a fixed LLA? pubmed.ncbi.nlm.nih.gov/29339351/
May 23, 2025 at 5:55 AM
Interesting, but how to compare with this - is there really a fixed LLA? pubmed.ncbi.nlm.nih.gov/29339351/
Reposted by Nic B Foss
I am determined to get AnSky and MedSky resuscitated.
Nothing better than our old favourite, the VL vs DL debate.
Thanks to @sethina.bsky.social for the idea.
Comes on guys let’s all have our say.
Oh I am right though 😂
Nothing better than our old favourite, the VL vs DL debate.
Thanks to @sethina.bsky.social for the idea.
Comes on guys let’s all have our say.
Oh I am right though 😂
Ok @sethina.bsky.social and @chrimesy.com let’s get this Easter party going!!
I only use VL for intubation, every single time now.
I am not sticking my face near anyone’s mouth.
It’s better for engagement and DL is dead IMO.
Even the dreadful McGrath is better than DL.
I only use VL for intubation, every single time now.
I am not sticking my face near anyone’s mouth.
It’s better for engagement and DL is dead IMO.
Even the dreadful McGrath is better than DL.
a woman with red hair wearing glasses says i 'm right all the time
ALT: a woman with red hair wearing glasses says i 'm right all the time
media.tenor.com
April 19, 2025 at 3:25 AM
I am determined to get AnSky and MedSky resuscitated.
Nothing better than our old favourite, the VL vs DL debate.
Thanks to @sethina.bsky.social for the idea.
Comes on guys let’s all have our say.
Oh I am right though 😂
Nothing better than our old favourite, the VL vs DL debate.
Thanks to @sethina.bsky.social for the idea.
Comes on guys let’s all have our say.
Oh I am right though 😂
Reposted by Nic B Foss
What’s up? Who’s there? Is anyone on this thing?
a man in a suit is standing in a room holding a jacket and asking where you are .
ALT: a man in a suit is standing in a room holding a jacket and asking where you are .
media.tenor.com
April 19, 2025 at 5:52 AM
What’s up? Who’s there? Is anyone on this thing?
Reposted by Nic B Foss
MORE MEDICAL SOCIETIES and publications need to do this.
𝕏 has become a cesspool and I’m surprised more physicians, scientists and academics aren’t fully on BlueSky yet.
Bravo @anzca.bsky.social
👏🏽👏🏽👏🏽👏🏽👏🏽
#medsky #academicsky #sciencesky
𝕏 has become a cesspool and I’m surprised more physicians, scientists and academics aren’t fully on BlueSky yet.
Bravo @anzca.bsky.social
👏🏽👏🏽👏🏽👏🏽👏🏽
#medsky #academicsky #sciencesky
The Australian and New Zealand College of Anaesthetists @anzca.bsky.social announced in its most recent e-newsletter that it was dumping X in favour of @bsky.app.
👍🏽👍🏽 #MedSky #AnSky
👍🏽👍🏽 #MedSky #AnSky
April 18, 2025 at 3:19 PM
MORE MEDICAL SOCIETIES and publications need to do this.
𝕏 has become a cesspool and I’m surprised more physicians, scientists and academics aren’t fully on BlueSky yet.
Bravo @anzca.bsky.social
👏🏽👏🏽👏🏽👏🏽👏🏽
#medsky #academicsky #sciencesky
𝕏 has become a cesspool and I’m surprised more physicians, scientists and academics aren’t fully on BlueSky yet.
Bravo @anzca.bsky.social
👏🏽👏🏽👏🏽👏🏽👏🏽
#medsky #academicsky #sciencesky
An incredible discrepancy between the massive funding and the lack of meaningful innovation....
Now here's something a bit different!
These private anaesthesia companies attracted £42.0 (US$53.0, €50.8) billion in venture capital funding!
Is it time to quit our day jobs?! 😆
#AnSky
doi.org/10.1111/anae...
These private anaesthesia companies attracted £42.0 (US$53.0, €50.8) billion in venture capital funding!
Is it time to quit our day jobs?! 😆
#AnSky
doi.org/10.1111/anae...
March 28, 2025 at 7:31 AM
An incredible discrepancy between the massive funding and the lack of meaningful innovation....