Dan Paul
@sebringdp.bsky.social
Anaesthetic Registrar (Wessex). Interests in Regional, Vascular, PoM and Healthcare Improvement (QI, HF&E & Patient Safety). Classic Car Restoration and Motorsport. #AnSky #RASky #QIsky
Reposted by Dan Paul
Are motor-sparing approaches universally advantageous or are their benefits more limited and contingent on careful patient selection?
Here is a tiered, patient-centred decision model about prioritising function or analgesia.
#AnSky #RASky
doi.org/10.1111/anae...
Here is a tiered, patient-centred decision model about prioritising function or analgesia.
#AnSky #RASky
doi.org/10.1111/anae...
October 23, 2025 at 10:03 AM
Are motor-sparing approaches universally advantageous or are their benefits more limited and contingent on careful patient selection?
Here is a tiered, patient-centred decision model about prioritising function or analgesia.
#AnSky #RASky
doi.org/10.1111/anae...
Here is a tiered, patient-centred decision model about prioritising function or analgesia.
#AnSky #RASky
doi.org/10.1111/anae...
Reposted by Dan Paul
🚨We have retired "no trace, wrong place" to align with PUMA guidelines.
Instead, with @assocanaes.bsky.social and @dasairway.bsky.social, our message is that if sustained exhaled CO2 is not detected, then oesophageal intubation must be ruled out.
See our dedicated webpage👉 ow.ly/vOZs50WA03r
Instead, with @assocanaes.bsky.social and @dasairway.bsky.social, our message is that if sustained exhaled CO2 is not detected, then oesophageal intubation must be ruled out.
See our dedicated webpage👉 ow.ly/vOZs50WA03r
August 14, 2025 at 12:14 PM
🚨We have retired "no trace, wrong place" to align with PUMA guidelines.
Instead, with @assocanaes.bsky.social and @dasairway.bsky.social, our message is that if sustained exhaled CO2 is not detected, then oesophageal intubation must be ruled out.
See our dedicated webpage👉 ow.ly/vOZs50WA03r
Instead, with @assocanaes.bsky.social and @dasairway.bsky.social, our message is that if sustained exhaled CO2 is not detected, then oesophageal intubation must be ruled out.
See our dedicated webpage👉 ow.ly/vOZs50WA03r
Reposted by Dan Paul
We welcome the publication of the Review of patient safety across the health and care landscape undertaken by Dr Penny Dash.
Anaesthesia has always been at the forefront of patient safety and our mission is to keep both patients and anaesthetists safe 👉 buff.ly/hS4MWhZ
Anaesthesia has always been at the forefront of patient safety and our mission is to keep both patients and anaesthetists safe 👉 buff.ly/hS4MWhZ
July 10, 2025 at 11:00 AM
We welcome the publication of the Review of patient safety across the health and care landscape undertaken by Dr Penny Dash.
Anaesthesia has always been at the forefront of patient safety and our mission is to keep both patients and anaesthetists safe 👉 buff.ly/hS4MWhZ
Anaesthesia has always been at the forefront of patient safety and our mission is to keep both patients and anaesthetists safe 👉 buff.ly/hS4MWhZ
Reposted by Dan Paul
I’ve uploaded a new video on the Suprainguinal Fascia iliaca (SIFI) Block
It is meant to simulate the teaching you may receive on a scanning workshop
#RAsky #AnSky #POCUSky
Please do check out the full link here:
youtu.be/fHgO4dczWFk?...
It is meant to simulate the teaching you may receive on a scanning workshop
#RAsky #AnSky #POCUSky
Please do check out the full link here:
youtu.be/fHgO4dczWFk?...
July 5, 2025 at 11:26 PM
I’ve uploaded a new video on the Suprainguinal Fascia iliaca (SIFI) Block
It is meant to simulate the teaching you may receive on a scanning workshop
#RAsky #AnSky #POCUSky
Please do check out the full link here:
youtu.be/fHgO4dczWFk?...
It is meant to simulate the teaching you may receive on a scanning workshop
#RAsky #AnSky #POCUSky
Please do check out the full link here:
youtu.be/fHgO4dczWFk?...
Reposted by Dan Paul
The Bluesky Anaesthesia feed has been updated to include posts matching common anaesthetic keywords from a list of accounts from anaesthetists/anesthesiologists.
Still using the Hacker News algorithm to balance sorting by popularity/recency.
Let me know what you think
#ansky
bsky.app/profile/did:...
Still using the Hacker News algorithm to balance sorting by popularity/recency.
Let me know what you think
#ansky
bsky.app/profile/did:...
June 12, 2025 at 7:48 AM
The Bluesky Anaesthesia feed has been updated to include posts matching common anaesthetic keywords from a list of accounts from anaesthetists/anesthesiologists.
Still using the Hacker News algorithm to balance sorting by popularity/recency.
Let me know what you think
#ansky
bsky.app/profile/did:...
Still using the Hacker News algorithm to balance sorting by popularity/recency.
Let me know what you think
#ansky
bsky.app/profile/did:...
Reposted by Dan Paul
Our new guidance supports departments in calculating safe staffing levels for overall and daily service delivery and in adjusting services to protect patient safety.
📖 Read our Safer Staffing guidance, produced in partnership with @assocanaes.bsky.social.
👉 ow.ly/ZmST50W4bpO
📖 Read our Safer Staffing guidance, produced in partnership with @assocanaes.bsky.social.
👉 ow.ly/ZmST50W4bpO
June 4, 2025 at 3:20 PM
Our new guidance supports departments in calculating safe staffing levels for overall and daily service delivery and in adjusting services to protect patient safety.
📖 Read our Safer Staffing guidance, produced in partnership with @assocanaes.bsky.social.
👉 ow.ly/ZmST50W4bpO
📖 Read our Safer Staffing guidance, produced in partnership with @assocanaes.bsky.social.
👉 ow.ly/ZmST50W4bpO
Reposted by Dan Paul
How should we teach junior anaesthetists to perform regional anaesthesia? What educational approaches work and how will new technologies affect it?
New paper just out by Walter Eppich and me.
#MedSky #AnSky
@bjajournals.bsky.social @dr-amit-pawa.bsky.social
www.sciencedirect.com/science/arti...
New paper just out by Walter Eppich and me.
#MedSky #AnSky
@bjajournals.bsky.social @dr-amit-pawa.bsky.social
www.sciencedirect.com/science/arti...
Aspiring to mastery clinical skills learning in regional anaesthesia
The process of novices becoming proficient and independent in performing complex technical skills has been investigated in depth. It is clear that a m…
www.sciencedirect.com
May 22, 2025 at 1:33 PM
How should we teach junior anaesthetists to perform regional anaesthesia? What educational approaches work and how will new technologies affect it?
New paper just out by Walter Eppich and me.
#MedSky #AnSky
@bjajournals.bsky.social @dr-amit-pawa.bsky.social
www.sciencedirect.com/science/arti...
New paper just out by Walter Eppich and me.
#MedSky #AnSky
@bjajournals.bsky.social @dr-amit-pawa.bsky.social
www.sciencedirect.com/science/arti...
Well worth a watch
It appears there was an issue with the first link
Please find updated link here!!
@anz-ra.bsky.social #RAsky #AnSky
youtu.be/uPvt_aSv1KA?...
Please find updated link here!!
@anz-ra.bsky.social #RAsky #AnSky
youtu.be/uPvt_aSv1KA?...
May 19, 2025 at 2:49 PM
Well worth a watch
Thank you to all my ODP colleagues for all the incredible things you do #NationalODPday
May 14, 2025 at 7:22 AM
Thank you to all my ODP colleagues for all the incredible things you do #NationalODPday
Reposted by Dan Paul
'Anaesthesia explained' is our new animation for patients that explains:
☑️ The different types of anaesthetic
☑️ What to expect when you have surgery
☑️ How you can prepare
☑️ Discharge and recovery
Watch and share 👉 ow.ly/PzZ650VREPp
Produced with @wearecognitive.bsky.social
☑️ The different types of anaesthetic
☑️ What to expect when you have surgery
☑️ How you can prepare
☑️ Discharge and recovery
Watch and share 👉 ow.ly/PzZ650VREPp
Produced with @wearecognitive.bsky.social
May 13, 2025 at 1:37 PM
'Anaesthesia explained' is our new animation for patients that explains:
☑️ The different types of anaesthetic
☑️ What to expect when you have surgery
☑️ How you can prepare
☑️ Discharge and recovery
Watch and share 👉 ow.ly/PzZ650VREPp
Produced with @wearecognitive.bsky.social
☑️ The different types of anaesthetic
☑️ What to expect when you have surgery
☑️ How you can prepare
☑️ Discharge and recovery
Watch and share 👉 ow.ly/PzZ650VREPp
Produced with @wearecognitive.bsky.social
Reposted by Dan Paul
No Place for Peripheral Nerve Catheters
YouTube video by Dr Amit Pawa
youtu.be
May 10, 2025 at 1:57 PM
1) Thief of Time (and all Discworld would be top)
2) Dune
3) Driving over Lemons
4) The City of Brass (and rest of trilogy)
5) Kitchen Confidential
2) Dune
3) Driving over Lemons
4) The City of Brass (and rest of trilogy)
5) Kitchen Confidential
On the subject: what are people’s top five books?
1) Captain Correllis Mandolin
2) the Time Traveler’s wife
3) Children of Time
4) Project Hail Mary
5) The Humans
1) Captain Correllis Mandolin
2) the Time Traveler’s wife
3) Children of Time
4) Project Hail Mary
5) The Humans
May 5, 2025 at 4:37 PM
1) Thief of Time (and all Discworld would be top)
2) Dune
3) Driving over Lemons
4) The City of Brass (and rest of trilogy)
5) Kitchen Confidential
2) Dune
3) Driving over Lemons
4) The City of Brass (and rest of trilogy)
5) Kitchen Confidential
Reposted by Dan Paul
Saline nasal sprays show great promise as a public health intervention.
www.southampton.ac.uk/news/2024/07...
www.southampton.ac.uk/news/2024/07...
Over-counter nasal sprays could keep colds and flu at bay, study finds
Over-counter nasal sprays could keep colds and flu at bay, study finds
www.southampton.ac.uk
May 3, 2025 at 6:08 AM
Saline nasal sprays show great promise as a public health intervention.
www.southampton.ac.uk/news/2024/07...
www.southampton.ac.uk/news/2024/07...
Reposted by Dan Paul
One of the differences between Twitter and Bluesky is that 'likes' don't count for anything other than encouraging the person who wrote the post. It doesn't boost views or 'upvote' the post on followers TLs. If you want to disseminate, you have to retweet or quote tweet.
April 28, 2025 at 8:11 AM
One of the differences between Twitter and Bluesky is that 'likes' don't count for anything other than encouraging the person who wrote the post. It doesn't boost views or 'upvote' the post on followers TLs. If you want to disseminate, you have to retweet or quote tweet.
Reposted by Dan Paul
Surely this just reflects 'absence of evidence' rather than 'evidence of absence', given the extremely low incidence of aspiration (1 in 4K in elective surgery).
The authors acknowledge that risk could have increased by up to 1 in 2K cases. A 200% increase in risk of commonest cause of anaes death.
The authors acknowledge that risk could have increased by up to 1 in 2K cases. A 200% increase in risk of commonest cause of anaes death.
April 24, 2025 at 2:53 AM
Surely this just reflects 'absence of evidence' rather than 'evidence of absence', given the extremely low incidence of aspiration (1 in 4K in elective surgery).
The authors acknowledge that risk could have increased by up to 1 in 2K cases. A 200% increase in risk of commonest cause of anaes death.
The authors acknowledge that risk could have increased by up to 1 in 2K cases. A 200% increase in risk of commonest cause of anaes death.
Reposted by Dan Paul
Editorial: It's not (all) about the bike: making pre-operative risk stratification equitable
@mikecharlesworth.bsky.social
#AnSky
associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/...
@mikecharlesworth.bsky.social
#AnSky
associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/...
March 11, 2025 at 7:03 AM
Editorial: It's not (all) about the bike: making pre-operative risk stratification equitable
@mikecharlesworth.bsky.social
#AnSky
associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/...
@mikecharlesworth.bsky.social
#AnSky
associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/...
Reposted by Dan Paul
Working together, we identified the five principles that made the most difference to small-scale surgical improvements. THIS summary: ths.im/4bybq7I Full paper: ths.im/41zBlay
Five principles to prioritise in small-scale surgical quality improvement: a qualitative study of the views of surgical improvement leaders
Ko CY, Giusti A, Martin G, Dixon-Woods M. Five principles to prioritise in small-scale surgical quality improvement: a qualitative study of the views of surgical improvement leaders. BMJ Open Qual.…
ths.im
March 6, 2025 at 3:58 PM
Working together, we identified the five principles that made the most difference to small-scale surgical improvements. THIS summary: ths.im/4bybq7I Full paper: ths.im/41zBlay
Reposted by Dan Paul
NEW guidance in partnership with @ra-uk.org ow.ly/IIgo50V20nf
🔷Helps trainers support anaesthetists in training to meet regional anaesthesia capabilities when clinical training opportunities are limited.
🔷Straightforward process that aims to increase fairness.
🔷Helps trainers support anaesthetists in training to meet regional anaesthesia capabilities when clinical training opportunities are limited.
🔷Straightforward process that aims to increase fairness.
February 18, 2025 at 3:46 PM
NEW guidance in partnership with @ra-uk.org ow.ly/IIgo50V20nf
🔷Helps trainers support anaesthetists in training to meet regional anaesthesia capabilities when clinical training opportunities are limited.
🔷Straightforward process that aims to increase fairness.
🔷Helps trainers support anaesthetists in training to meet regional anaesthesia capabilities when clinical training opportunities are limited.
🔷Straightforward process that aims to increase fairness.
Reposted by Dan Paul
Are you a QI leader of the future? If so take a look at our newly launched @rcoanews.bsky.social Quality Network Career Development Programme for residents, fellows, specialty doctors - build QI leadership skills and join the national conversation on QI
www.rcoa.ac.uk/safety-stand...
www.rcoa.ac.uk/safety-stand...
Career Development Programme and QI Training Resources
Building quality improvement leaders for the future who will undertake local, regional and national QI leadership roles.
www.rcoa.ac.uk
February 10, 2025 at 3:02 PM
Are you a QI leader of the future? If so take a look at our newly launched @rcoanews.bsky.social Quality Network Career Development Programme for residents, fellows, specialty doctors - build QI leadership skills and join the national conversation on QI
www.rcoa.ac.uk/safety-stand...
www.rcoa.ac.uk/safety-stand...
Reposted by Dan Paul
The "messy middle" of change: gap in the change process between intent/ambition & the ability of a system/org/team to make progress. Without methods to motivate people to work towards something new, we may never get past it.
benholliday.com/2025/01/28/t...
@benholliday.com. Graphics:Tash Willcocks
benholliday.com/2025/01/28/t...
@benholliday.com. Graphics:Tash Willcocks
February 8, 2025 at 10:32 AM
The "messy middle" of change: gap in the change process between intent/ambition & the ability of a system/org/team to make progress. Without methods to motivate people to work towards something new, we may never get past it.
benholliday.com/2025/01/28/t...
@benholliday.com. Graphics:Tash Willcocks
benholliday.com/2025/01/28/t...
@benholliday.com. Graphics:Tash Willcocks
Reposted by Dan Paul
Recommendations for the peri-operative management of patients taking GLP-1 RAs and GIPs
#AnSky #MedSky #GLP1
https://buff.ly/4ak4pa0
#AnSky #MedSky #GLP1
https://buff.ly/4ak4pa0
January 30, 2025 at 3:00 PM
Recommendations for the peri-operative management of patients taking GLP-1 RAs and GIPs
#AnSky #MedSky #GLP1
https://buff.ly/4ak4pa0
#AnSky #MedSky #GLP1
https://buff.ly/4ak4pa0
Reposted by Dan Paul
Should we worry about the stomach being full?
CPOC has launched a 'Sip Til Send' webpage
Read our patient info, blog and protocols, plus great examples from colleagues 👇
cpoc.org.uk/guidelines-a...
Share how your hospital implements Sip To Send by sending your SOP/guidelines to cpoc@rcoa.ac.uk
CPOC has launched a 'Sip Til Send' webpage
Read our patient info, blog and protocols, plus great examples from colleagues 👇
cpoc.org.uk/guidelines-a...
Share how your hospital implements Sip To Send by sending your SOP/guidelines to cpoc@rcoa.ac.uk
January 28, 2025 at 2:00 PM
Should we worry about the stomach being full?
CPOC has launched a 'Sip Til Send' webpage
Read our patient info, blog and protocols, plus great examples from colleagues 👇
cpoc.org.uk/guidelines-a...
Share how your hospital implements Sip To Send by sending your SOP/guidelines to cpoc@rcoa.ac.uk
CPOC has launched a 'Sip Til Send' webpage
Read our patient info, blog and protocols, plus great examples from colleagues 👇
cpoc.org.uk/guidelines-a...
Share how your hospital implements Sip To Send by sending your SOP/guidelines to cpoc@rcoa.ac.uk
@cpoc.bsky.social SipTilSend guidance. Fab news!! tinyurl.com/23jzj2vk
Sip Til Send
Dedicated webpage on 'Sip Til Send', including policy, blog and shared learning
tinyurl.com
January 31, 2025 at 10:01 AM
@cpoc.bsky.social SipTilSend guidance. Fab news!! tinyurl.com/23jzj2vk
Reposted by Dan Paul
Small-scale, local quality improvement doesn't often get as much of a look-in as big programmes, but it's vitally important. Here's five principles that those who've led local improvement in surgery settings identify as key: bmjopenquality.bmj.com/content/14/1...
Five principles to prioritise in small-scale surgical quality improvement: a qualitative study of the views of surgical improvement leaders
Objective Variations in the quality and safety of surgical care remain persistent. Efforts to improve are needed, but are themselves variably effective, with often disappointing impacts. When compared...
bmjopenquality.bmj.com
January 25, 2025 at 10:21 AM
Small-scale, local quality improvement doesn't often get as much of a look-in as big programmes, but it's vitally important. Here's five principles that those who've led local improvement in surgery settings identify as key: bmjopenquality.bmj.com/content/14/1...