George Zhong
@propofoldreams.bsky.social
love . death . anaesthesia
propofoldreams.org
#AnSky #TIVASky
propofoldreams.org
#AnSky #TIVASky
Pinned
George Zhong
@propofoldreams.bsky.social
· Nov 19
Do you TIVA patients at the extremes of BMI and age? Eleveld not available, numbers don't fit Schnider and not sure what input weight to use for Marsh?
We came up with a way of replicating the Eleveld model using the Marsh model on your pump by simply adjusting the input weight! 1/4
We came up with a way of replicating the Eleveld model using the Marsh model on your pump by simply adjusting the input weight! 1/4
Reposted by George Zhong
It’s the start of the Antipodean weekend and that means #AnSkyMedSkyDebate time. Here’s the question: TIVA: bees knees or emperor’s new clothes? What do you think? What would you choose for you? Why? @anzca.bsky.social @rcoanews.bsky.social @assocanaes.bsky.social @maffygirl.medsky.social
This weekend’s #AnSkyMedSkydebate is being hosted by Iain Moppett, Editor at @anaesjournal.bsky.social.
Please feel free to debate vigorously his topic.
I will be at #ASM25CNS in Cairns.
Thank you @iainmoppett.bsky.social
@anzca.bsky.social
Please feel free to debate vigorously his topic.
I will be at #ASM25CNS in Cairns.
Thank you @iainmoppett.bsky.social
@anzca.bsky.social
a man says that 's really up for debate
ALT: a man says that 's really up for debate
media.tenor.com
May 2, 2025 at 7:29 AM
It’s the start of the Antipodean weekend and that means #AnSkyMedSkyDebate time. Here’s the question: TIVA: bees knees or emperor’s new clothes? What do you think? What would you choose for you? Why? @anzca.bsky.social @rcoanews.bsky.social @assocanaes.bsky.social @maffygirl.medsky.social
Spot on!
The crux of the problem of performing RSI with a TCI pump is whether the maximum pump rate suffices for the given induction dose
For an old frail smaller patient, probably suffices
For an young healthy larger patient, grossly inadequate
It's about the pt not one size fit all technique.
The crux of the problem of performing RSI with a TCI pump is whether the maximum pump rate suffices for the given induction dose
For an old frail smaller patient, probably suffices
For an young healthy larger patient, grossly inadequate
It's about the pt not one size fit all technique.
The term "TIVA RSI" misrepresents the issue.
All RSIs are IV. Whether it's a TIVA anaesthetic depends on whether the subseq maintenance agent is inhaled or IV (& irrelevant to the process of RSI).
The question is whether IV induction agents should be administered by an infusion pump during RSI.
All RSIs are IV. Whether it's a TIVA anaesthetic depends on whether the subseq maintenance agent is inhaled or IV (& irrelevant to the process of RSI).
The question is whether IV induction agents should be administered by an infusion pump during RSI.
Do you use TIVA when you are doing a rapid sequence induction in theatre?
#AnSky #AirwaySky #MedSky
doi.org/10.1111/anae...
#AnSky #AirwaySky #MedSky
doi.org/10.1111/anae...
April 11, 2025 at 6:53 AM
Spot on!
The crux of the problem of performing RSI with a TCI pump is whether the maximum pump rate suffices for the given induction dose
For an old frail smaller patient, probably suffices
For an young healthy larger patient, grossly inadequate
It's about the pt not one size fit all technique.
The crux of the problem of performing RSI with a TCI pump is whether the maximum pump rate suffices for the given induction dose
For an old frail smaller patient, probably suffices
For an young healthy larger patient, grossly inadequate
It's about the pt not one size fit all technique.
Reposted by George Zhong
Feature preview: RSI mode coming soon to simtiva.app! How do you do RSI with TIVA? The algorithm suggests a bolus dose based on user-defined CE target at a specified time point (e.g. 60s). It also predicts a CE overshoot & when to resume infusion. Also testing live preview feature...
#ansky
#ansky
April 4, 2025 at 6:18 AM
Feature preview: RSI mode coming soon to simtiva.app! How do you do RSI with TIVA? The algorithm suggests a bolus dose based on user-defined CE target at a specified time point (e.g. 60s). It also predicts a CE overshoot & when to resume infusion. Also testing live preview feature...
#ansky
#ansky
Reposted by George Zhong
April 4, 2025 at 6:15 AM
Reposted by George Zhong
Check out the new BJA Special Issue on #sustainability in anaesthesia. Guest-edited by Prof Jodi Sherman.
#anaesthesia #Ansky #environment
www.bjanaesthesia.org/current#Spec...
#anaesthesia #Ansky #environment
www.bjanaesthesia.org/current#Spec...
December 4, 2024 at 4:32 PM
Check out the new BJA Special Issue on #sustainability in anaesthesia. Guest-edited by Prof Jodi Sherman.
#anaesthesia #Ansky #environment
www.bjanaesthesia.org/current#Spec...
#anaesthesia #Ansky #environment
www.bjanaesthesia.org/current#Spec...
Check out the new BJA Special Issue on #sustainability in anaesthesia. Guested edited by Prof Jodi Sherman. #anaesthesia #Ansky #environment
www.bjanaesthesia.org/current#Spec...
www.bjanaesthesia.org/current#Spec...
December 1, 2024 at 7:01 PM
Reposted by George Zhong
Wishing the Elsevier editors who desk-accepted this all the best for their next career moves.
doi.org/10.1016/j.ij...
doi.org/10.1016/j.ij...
November 22, 2024 at 2:49 PM
Wishing the Elsevier editors who desk-accepted this all the best for their next career moves.
doi.org/10.1016/j.ij...
doi.org/10.1016/j.ij...
Reposted by George Zhong
First post here!
Simtiva.app is a web-based simulator for TCI/TIVA. It allows the use of Eleveld model (the latest one!) for propofol in "CE targeting", so you may use the suggested scheme on any syringe pump without TCI Eleveld functionality.
Other drugs and models also available for simulation...
Simtiva.app is a web-based simulator for TCI/TIVA. It allows the use of Eleveld model (the latest one!) for propofol in "CE targeting", so you may use the suggested scheme on any syringe pump without TCI Eleveld functionality.
Other drugs and models also available for simulation...
November 14, 2024 at 6:52 AM
First post here!
Simtiva.app is a web-based simulator for TCI/TIVA. It allows the use of Eleveld model (the latest one!) for propofol in "CE targeting", so you may use the suggested scheme on any syringe pump without TCI Eleveld functionality.
Other drugs and models also available for simulation...
Simtiva.app is a web-based simulator for TCI/TIVA. It allows the use of Eleveld model (the latest one!) for propofol in "CE targeting", so you may use the suggested scheme on any syringe pump without TCI Eleveld functionality.
Other drugs and models also available for simulation...
Do you TIVA patients at the extremes of BMI and age? Eleveld not available, numbers don't fit Schnider and not sure what input weight to use for Marsh?
We came up with a way of replicating the Eleveld model using the Marsh model on your pump by simply adjusting the input weight! 1/4
We came up with a way of replicating the Eleveld model using the Marsh model on your pump by simply adjusting the input weight! 1/4
November 19, 2024 at 9:57 PM
Do you TIVA patients at the extremes of BMI and age? Eleveld not available, numbers don't fit Schnider and not sure what input weight to use for Marsh?
We came up with a way of replicating the Eleveld model using the Marsh model on your pump by simply adjusting the input weight! 1/4
We came up with a way of replicating the Eleveld model using the Marsh model on your pump by simply adjusting the input weight! 1/4