Heart of happiness. Local anaesthetic surrounding popliteal nerve just at bifurcation .

CIVA. Ankle orif trauma. Propofol infusion Marsh in this case. In conjunction with sevoflurane low mac 0.4/0.5.

Amazing combo. Papers out there . Not often done in UK.
Advantages over tiva. No remi needed. Virtually guaranteed no awareness. Simple. Nausea rate same as tiva low.

The 1st exoplanet was found just a few decades ago; now we know they are the rule, not the exception. Celebrate the 6000th confirmed exoplanet, with @NASAJPL's Dr. Eric Mamajek and the Small Steps, Giant Leaps podcast. https://go.nasa.gov/3W1vQPj https://pbs.twimg.com/media/G1eLCs7WcAEoWCG.jpg

Rectus sheath dual catheter following low BKA surgery to do popliteal in plane catheter and then turn supine for fem triangle block and catheter . Pain free with infusion today. Will leave in 4 days

CIVA propofol infusion( eleveld ) with low dose sevoflurane (0.4 mac for age)

Better stability, less BIS variability
• Many clinicians notice:
• Smoother BIS trends
• Fewer swings during stimulation
• This reflects multi-mechanism hypnosis, not necessarily deeper anesthesia.

The great Schutte Scurr Alisdair
The black Cullins. Not sure if going up better or worse than descent

Pretty much fun on the trauma lists

Got toddlers or young children. Just had a great 4 nights here.

www.beeksebergen.nl/en/stay-the-...

Completely unethical study.

Non-anaemic iron deficiency: good news, bad news or no news at all?

Klein concludes "we need bigger prospective studies with more patients undergoing different surgical procedures and studying different outcomes".

#AnSky #MedSky #HemeSky

https://buff.ly/3BEMZaT

Better than any textbook chapter I’ve read.

Superb illustrations. Great videos, pro-cons, troubleshooting steps, special considerations ✅

Chapeau authors!👌 M. Patel, A. Wilson, C. Ong
@gstt-nhs.bsky.social

Day case hip arthroplasy I use 0.33% Bupivacaine plain. Lasts a bit longer than prilocaine and takes away anxiety of it not lasting the course.
Prilocaine anxiety seems similar to driving an EV with 12% charge left and you searching for a solution.
Any comments or tips welcome!

MAGA
Make America grate again.

Our lovely cheese in UK compared to USA processed cheese

This pool in Iceland. We accidentally found it and had a swim. Minus 16 outside 37 degrees in the water

So as I am starting all over again here, I thought I’d look back on some of my previous work/content.

Let’s begin with a Plan A Block

The Interscalene Brachial Plexus Block

Useful for shoulder/Proximal humerus surgery/Pain

Check out the video

#AnSky #RASky

youtu.be/fX_uupfw-Lw?...