Dr Pieter Peach
@pieterpeach.com
Anaesthesiologist, paediatric and adult | MPH | Royal Children’s Hospital, Melbourne rch.org.au
Also mastodon.social/@pieterpeach
#AnSky #MedSky
Also mastodon.social/@pieterpeach
#AnSky #MedSky
Pinned
Dr Pieter Peach
@pieterpeach.com
· Dec 19
A reminder of a solid framework that has existed for social media engagement since well before social media was a thing.
Reposted by Dr Pieter Peach
Liberal transfusion after major surgery did not reduce death or major cardiac event rates compared to restrictive thresholds in high-risk patients.
#AHA25 @ahascience.bsky.social
ja.ma/43koXNj
#AHA25 @ahascience.bsky.social
ja.ma/43koXNj
November 8, 2025 at 10:15 PM
Liberal transfusion after major surgery did not reduce death or major cardiac event rates compared to restrictive thresholds in high-risk patients.
#AHA25 @ahascience.bsky.social
ja.ma/43koXNj
#AHA25 @ahascience.bsky.social
ja.ma/43koXNj
Reposted by Dr Pieter Peach
We probably went overboard on withholding perioperative transfusion in the wake of TRICC, but there’s still little to be gained setting a generous transfusion trigger (100 g/L).
Liberal transfusion after major surgery did not reduce death or major cardiac event rates compared to restrictive thresholds in high-risk patients.
#AHA25 @ahascience.bsky.social
ja.ma/43koXNj
#AHA25 @ahascience.bsky.social
ja.ma/43koXNj
November 8, 2025 at 10:47 PM
We probably went overboard on withholding perioperative transfusion in the wake of TRICC, but there’s still little to be gained setting a generous transfusion trigger (100 g/L).
Reposted by Dr Pieter Peach
2025 DAS guidelines for the management of unanticipated difficult airway published today in the British Journal of Anaesthesia. #airway #difficultairway #intubation #anaesthesia #anesthesia
https://www.bjanaesthesia.org/article/S0007-0912(25)00693-2/fulltext
https://www.bjanaesthesia.org/article/S0007-0912(25)00693-2/fulltext
November 7, 2025 at 2:15 PM
2025 DAS guidelines for the management of unanticipated difficult airway published today in the British Journal of Anaesthesia. #airway #difficultairway #intubation #anaesthesia #anesthesia
https://www.bjanaesthesia.org/article/S0007-0912(25)00693-2/fulltext
https://www.bjanaesthesia.org/article/S0007-0912(25)00693-2/fulltext
Reposted by Dr Pieter Peach
There are now > 13,000 incidents reported to @webairs.com, the largest anaesthetic incident reporting & learning database. Built by anaesthetists & supported by ANZCA, @asa-australia.bsky.social & @thenzsa.bsky.social. Join the growing community of anaesthetists making a difference: www.anztadc.net
November 7, 2025 at 2:34 AM
There are now > 13,000 incidents reported to @webairs.com, the largest anaesthetic incident reporting & learning database. Built by anaesthetists & supported by ANZCA, @asa-australia.bsky.social & @thenzsa.bsky.social. Join the growing community of anaesthetists making a difference: www.anztadc.net
Ok 3D printing anaesthesia nerds, give me suggestions of exciting and pointless objects we can print with one of these.
#3Dprinting #Ansky
#3Dprinting #Ansky
November 6, 2025 at 8:39 PM
Ok 3D printing anaesthesia nerds, give me suggestions of exciting and pointless objects we can print with one of these.
#3Dprinting #Ansky
#3Dprinting #Ansky
Reposted by Dr Pieter Peach
The Cook Islands are looking for Anaesthetic locum cover for Rarotonga Hospital asap or in a weeks time.
If you or someone you know is available and interested please contact the NZSA at nzsa@anaesthesia.nz and we’ll put you in touch.
If you or someone you know is available and interested please contact the NZSA at nzsa@anaesthesia.nz and we’ll put you in touch.
November 5, 2025 at 6:48 PM
The Cook Islands are looking for Anaesthetic locum cover for Rarotonga Hospital asap or in a weeks time.
If you or someone you know is available and interested please contact the NZSA at nzsa@anaesthesia.nz and we’ll put you in touch.
If you or someone you know is available and interested please contact the NZSA at nzsa@anaesthesia.nz and we’ll put you in touch.
Reposted by Dr Pieter Peach
I do love the fact that over the years we've kept up with the science by going from "something something oil/gas partition" via "something something lipid bilayer" to "something something microtubules quantum mechanics"
November 3, 2025 at 10:07 AM
I do love the fact that over the years we've kept up with the science by going from "something something oil/gas partition" via "something something lipid bilayer" to "something something microtubules quantum mechanics"
Reposted by Dr Pieter Peach
Why does intravenous #dexamethasone prevent rebound pain after regional anaesthesia in some, but not others? This new study by Touil et al. uncovers key individual factors affecting rebound pain after axillary plexus block. https://www.bjanaesthesia.org/article/S0007-0912(25)00388-5/fulltext
November 2, 2025 at 11:00 AM
Why does intravenous #dexamethasone prevent rebound pain after regional anaesthesia in some, but not others? This new study by Touil et al. uncovers key individual factors affecting rebound pain after axillary plexus block. https://www.bjanaesthesia.org/article/S0007-0912(25)00388-5/fulltext
Reposted by Dr Pieter Peach
Join us for our exciting webinar, "Integrating AI into Anaesthesia Education: Opportunities and Challenges". Don’t miss this chance to explore how AI could transform anaesthesia education!
🗓️ 26th November 2025
⏰ 18:00
🎟️Register here: register.gotowebinar.com/register/418...
🗓️ 26th November 2025
⏰ 18:00
🎟️Register here: register.gotowebinar.com/register/418...
October 24, 2025 at 2:44 PM
Join us for our exciting webinar, "Integrating AI into Anaesthesia Education: Opportunities and Challenges". Don’t miss this chance to explore how AI could transform anaesthesia education!
🗓️ 26th November 2025
⏰ 18:00
🎟️Register here: register.gotowebinar.com/register/418...
🗓️ 26th November 2025
⏰ 18:00
🎟️Register here: register.gotowebinar.com/register/418...
Reposted by Dr Pieter Peach
Bed-Up-Head-Elevated (BUHE) positioning is an easy, effective way to increase safe apneic time and reduce intubation related complications PMID: 26866753
youtube.com/shorts/BnZz0...
#EMIMCC
youtube.com/shorts/BnZz0...
#EMIMCC
Head of Bed Elevated for Airway Management #emergencymedicine #criticalcare #intubation
YouTube video by EMSwami
youtube.com
October 20, 2025 at 1:31 PM
Bed-Up-Head-Elevated (BUHE) positioning is an easy, effective way to increase safe apneic time and reduce intubation related complications PMID: 26866753
youtube.com/shorts/BnZz0...
#EMIMCC
youtube.com/shorts/BnZz0...
#EMIMCC
Reposted by Dr Pieter Peach
hard cosign on this👇
Also, for patients at risk of aspiration, it's often wise to intubate in a bolt upright position
This was difficult with direct laryngoscopy, but with indirect video-laryngoscopy, it's not hard to intubate patients who are steeply angulated
(you may need to stand on a stool)
Also, for patients at risk of aspiration, it's often wise to intubate in a bolt upright position
This was difficult with direct laryngoscopy, but with indirect video-laryngoscopy, it's not hard to intubate patients who are steeply angulated
(you may need to stand on a stool)
Bed-Up-Head-Elevated (BUHE) positioning is an easy, effective way to increase safe apneic time and reduce intubation related complications PMID: 26866753
youtube.com/shorts/BnZz0...
#EMIMCC
youtube.com/shorts/BnZz0...
#EMIMCC
Head of Bed Elevated for Airway Management #emergencymedicine #criticalcare #intubation
YouTube video by EMSwami
youtube.com
October 20, 2025 at 2:52 PM
hard cosign on this👇
Also, for patients at risk of aspiration, it's often wise to intubate in a bolt upright position
This was difficult with direct laryngoscopy, but with indirect video-laryngoscopy, it's not hard to intubate patients who are steeply angulated
(you may need to stand on a stool)
Also, for patients at risk of aspiration, it's often wise to intubate in a bolt upright position
This was difficult with direct laryngoscopy, but with indirect video-laryngoscopy, it's not hard to intubate patients who are steeply angulated
(you may need to stand on a stool)
Reposted by Dr Pieter Peach
With such a diverse discipline, anaesthetists need to have not only clinical expertise but also the ability to communicate effectively, manage anxiety, & build trust to help reassure patients. Join us to celebrate National Anaesthesia Day #NAD25 this Thursday! #insafehands #AnSky bit.ly/42lfpB8
October 13, 2025 at 5:04 AM
With such a diverse discipline, anaesthetists need to have not only clinical expertise but also the ability to communicate effectively, manage anxiety, & build trust to help reassure patients. Join us to celebrate National Anaesthesia Day #NAD25 this Thursday! #insafehands #AnSky bit.ly/42lfpB8
Reposted by Dr Pieter Peach
Always happy to drone on about my favourite topics - safety and safety science. National Anaesthesia Day is as good an excuse as any 😜
“We have a very proud history over the nearly 200 years of our specialty of improving safety. Indeed, we're really a model for safety.” – A/Prof Stu Marshall @hypoxicchicken.medsky.social. Join us next week to celebrate #NAD25 and the miracle of anaesthesia: bit.ly/42lfpB8 #InSafeHands #AnSky
October 10, 2025 at 10:45 PM
Always happy to drone on about my favourite topics - safety and safety science. National Anaesthesia Day is as good an excuse as any 😜
Reposted by Dr Pieter Peach
Patient education as the bridge to meaningful consent in anaesthesia
"Materials that classify risks by category with brief illustrative examples, supported by simple numerical explanations, can give patients a clearer framework for discussion."
#AnSky
doi.org/10.1111/anae...
"Materials that classify risks by category with brief illustrative examples, supported by simple numerical explanations, can give patients a clearer framework for discussion."
#AnSky
doi.org/10.1111/anae...
doi.org
October 9, 2025 at 11:53 AM
Patient education as the bridge to meaningful consent in anaesthesia
"Materials that classify risks by category with brief illustrative examples, supported by simple numerical explanations, can give patients a clearer framework for discussion."
#AnSky
doi.org/10.1111/anae...
"Materials that classify risks by category with brief illustrative examples, supported by simple numerical explanations, can give patients a clearer framework for discussion."
#AnSky
doi.org/10.1111/anae...
Reposted by Dr Pieter Peach
Don’t forget the cricoid, because nothing makes the situation better than a performative dance that makes the intubation more difficult, and ties one of the hands of your skilled assistant 🙃🙃
October 5, 2025 at 8:03 PM
Don’t forget the cricoid, because nothing makes the situation better than a performative dance that makes the intubation more difficult, and ties one of the hands of your skilled assistant 🙃🙃
Reposted by Dr Pieter Peach
Dr. Jane Goodall filmed an interview with Netflix in March 2025 that she understood would only be released after her death.
October 5, 2025 at 9:08 AM
Dr. Jane Goodall filmed an interview with Netflix in March 2025 that she understood would only be released after her death.
Reposted by Dr Pieter Peach
“I am an eighty-four-year-old, self-confessed slightly crazy (actions possibly defined as such by the majority) retired consultant having a very happy and fulfilling retirement”
Read ‘From anaesthetics and aeroplanes to narrowboats and autogyros’ in Anaesthesia News September buff.ly/dfOfH5W
Read ‘From anaesthetics and aeroplanes to narrowboats and autogyros’ in Anaesthesia News September buff.ly/dfOfH5W
September 28, 2025 at 12:01 PM
“I am an eighty-four-year-old, self-confessed slightly crazy (actions possibly defined as such by the majority) retired consultant having a very happy and fulfilling retirement”
Read ‘From anaesthetics and aeroplanes to narrowboats and autogyros’ in Anaesthesia News September buff.ly/dfOfH5W
Read ‘From anaesthetics and aeroplanes to narrowboats and autogyros’ in Anaesthesia News September buff.ly/dfOfH5W
Reposted by Dr Pieter Peach
@sthjournalclub.bsky.social #RCoAUpdates TIVA vs volatile - patient centred outcomes definitely better. Less sick +sore. (Sorry can’t do alt text quick enough)
September 23, 2025 at 9:03 AM
@sthjournalclub.bsky.social #RCoAUpdates TIVA vs volatile - patient centred outcomes definitely better. Less sick +sore. (Sorry can’t do alt text quick enough)
Reposted by Dr Pieter Peach
Reposted by Dr Pieter Peach
The application of cricoid force remains controversial in modern practice. A new review by Sotiriou et al. critically assesses the anatomic, physiologic, and contemporary clinical evidence of cricoid force application: ow.ly/Mkx350WY3Zy
September 19, 2025 at 7:58 PM
The application of cricoid force remains controversial in modern practice. A new review by Sotiriou et al. critically assesses the anatomic, physiologic, and contemporary clinical evidence of cricoid force application: ow.ly/Mkx350WY3Zy
Reposted by Dr Pieter Peach
Ji et al. assessed whether the combination of dexmedetomidine and remifentanil, by reducing sevoflurane exposure, has any differential effect on neurodevelopmental outcomes in young children compared with sevoflurane alone. Read the new cover study: ow.ly/btn050WU27p
September 10, 2025 at 2:28 PM
Ji et al. assessed whether the combination of dexmedetomidine and remifentanil, by reducing sevoflurane exposure, has any differential effect on neurodevelopmental outcomes in young children compared with sevoflurane alone. Read the new cover study: ow.ly/btn050WU27p
Reposted by Dr Pieter Peach
There is some new content up at the site - a quick bit on providing anaesthesia for CT scans in kids. You can find it nestled around here. www.justlittleadults.com/imagingandir #ansky #pedsanes
Just Little Adults
www.justlittleadults.com
September 8, 2025 at 11:35 PM
There is some new content up at the site - a quick bit on providing anaesthesia for CT scans in kids. You can find it nestled around here. www.justlittleadults.com/imagingandir #ansky #pedsanes
Reposted by Dr Pieter Peach
I have always been guided by the Bouvet study. I use propofol 2 mg/kg and remi 5 mcg/kg together on induction as my base. between 45-60 s after induction you see the HR drop, reflecting sympatholysis and you go.
associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/...
associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/...
Optimal remifentanil dosage for providing excellent intubating conditions when co‐administered with a single standard dose of propofol
This dose–response study aimed to determine the dose of remifentanil combined with propofol 2.5 mg.kg−1 which provided excellent intubation conditions in 95% of patients. Ninety premedicated female A...
associationofanaesthetists-publications.onlinelibrary.wiley.com
September 7, 2025 at 4:25 PM
I have always been guided by the Bouvet study. I use propofol 2 mg/kg and remi 5 mcg/kg together on induction as my base. between 45-60 s after induction you see the HR drop, reflecting sympatholysis and you go.
associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/...
associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/...
Reposted by Dr Pieter Peach
Tip of the day (via Annual Queenstown update in anaesthesia) and @anzca-fpm.bsky.social use of celecoxib perioperatively. As in we probably don’t use it enough or appropriately #ansky
www.anzca.edu.au
August 28, 2025 at 9:14 PM
Tip of the day (via Annual Queenstown update in anaesthesia) and @anzca-fpm.bsky.social use of celecoxib perioperatively. As in we probably don’t use it enough or appropriately #ansky
Reposted by Dr Pieter Peach
I agree with this. Given that EVERY anaesthetist gives a different anaesthetic, and all our outcomes are pretty much the same, does how we give our anaesthetic matter? There’s no evidence that one technique is better than the other. Claiming superiority with no evidence is unsound.
August 25, 2025 at 11:07 PM
I agree with this. Given that EVERY anaesthetist gives a different anaesthetic, and all our outcomes are pretty much the same, does how we give our anaesthetic matter? There’s no evidence that one technique is better than the other. Claiming superiority with no evidence is unsound.