Cheery Littlebottom
@cherrylittlebottom.bsky.social
Anaesthetist. TIVA leaning (Eleveld if available, Schnider if not). Here to learn, do please teach me. I read much more than I post.
Love Jake & Amy and Gomez & Morticia, but my cartoon pairing would be Bandit & Chilli (Bluey and Bingo's parents).
November 12, 2025 at 9:28 PM
Love Jake & Amy and Gomez & Morticia, but my cartoon pairing would be Bandit & Chilli (Bluey and Bingo's parents).
Is it more to do with apathy though?
The RCoA data is damning, but also obvious to those in the NHS from their own experience.
They know morale is in the floor and the service is crumbling.
There seems no political willpower or ability to do anything about it though
The RCoA data is damning, but also obvious to those in the NHS from their own experience.
They know morale is in the floor and the service is crumbling.
There seems no political willpower or ability to do anything about it though
November 1, 2025 at 9:14 AM
Is it more to do with apathy though?
The RCoA data is damning, but also obvious to those in the NHS from their own experience.
They know morale is in the floor and the service is crumbling.
There seems no political willpower or ability to do anything about it though
The RCoA data is damning, but also obvious to those in the NHS from their own experience.
They know morale is in the floor and the service is crumbling.
There seems no political willpower or ability to do anything about it though
Reposted by Cheery Littlebottom
please enjoy Discworld Elysium, everyone
this was clearly written for me personally but I think a lot of you will also like it
this was clearly written for me personally but I think a lot of you will also like it
October 2, 2025 at 6:20 PM
please enjoy Discworld Elysium, everyone
this was clearly written for me personally but I think a lot of you will also like it
this was clearly written for me personally but I think a lot of you will also like it
I do a normal RSI then once intubated start my pump low at around Cet 2 and titrate up over the case to BIS.
The effect of the initial bolus on the model being inaccurate becomes decreasingly relevant as the case goes on
The effect of the initial bolus on the model being inaccurate becomes decreasingly relevant as the case goes on
October 3, 2025 at 2:30 AM
I do a normal RSI then once intubated start my pump low at around Cet 2 and titrate up over the case to BIS.
The effect of the initial bolus on the model being inaccurate becomes decreasingly relevant as the case goes on
The effect of the initial bolus on the model being inaccurate becomes decreasingly relevant as the case goes on
Do your patients get a bairhugger preop? If so that's amazing, I can barely get this done with the patients getting colorectal cancers preop.
September 27, 2025 at 9:04 AM
Do your patients get a bairhugger preop? If so that's amazing, I can barely get this done with the patients getting colorectal cancers preop.
The one which really interests me is the theory that it might reduce postoperative delirium being studied in WHITELIT
www.fundingawards.nihr.ac.uk/award/NIHR20...
www.fundingawards.nihr.ac.uk/award/NIHR20...
September 26, 2025 at 3:41 PM
The one which really interests me is the theory that it might reduce postoperative delirium being studied in WHITELIT
www.fundingawards.nihr.ac.uk/award/NIHR20...
www.fundingawards.nihr.ac.uk/award/NIHR20...
I like it for propofol sting.
For analgesia I think it's low on my list of marginal gains of multimodal. Regional, ketamine and clonidine are higher up my list of adjuncts.
The data on reduced ileus means I sometimes do for open abdominal surgery.
For analgesia I think it's low on my list of marginal gains of multimodal. Regional, ketamine and clonidine are higher up my list of adjuncts.
The data on reduced ileus means I sometimes do for open abdominal surgery.
September 26, 2025 at 3:39 PM
I like it for propofol sting.
For analgesia I think it's low on my list of marginal gains of multimodal. Regional, ketamine and clonidine are higher up my list of adjuncts.
The data on reduced ileus means I sometimes do for open abdominal surgery.
For analgesia I think it's low on my list of marginal gains of multimodal. Regional, ketamine and clonidine are higher up my list of adjuncts.
The data on reduced ileus means I sometimes do for open abdominal surgery.
And Lu-tze and the yeti hunters when he introduces them to Rule 1
September 17, 2025 at 6:16 PM
And Lu-tze and the yeti hunters when he introduces them to Rule 1
My favourite one off is The Truth. Small Gods is pretty good too.
The first two of the Moist trilogy (Going Postal and Making Money) are fabulous.
Obviously I would recommend the Watch series (with Night Watch often being agreed as Pterry's finest), but the backstory makes it less accessible
The first two of the Moist trilogy (Going Postal and Making Money) are fabulous.
Obviously I would recommend the Watch series (with Night Watch often being agreed as Pterry's finest), but the backstory makes it less accessible
September 17, 2025 at 10:17 AM
My favourite one off is The Truth. Small Gods is pretty good too.
The first two of the Moist trilogy (Going Postal and Making Money) are fabulous.
Obviously I would recommend the Watch series (with Night Watch often being agreed as Pterry's finest), but the backstory makes it less accessible
The first two of the Moist trilogy (Going Postal and Making Money) are fabulous.
Obviously I would recommend the Watch series (with Night Watch often being agreed as Pterry's finest), but the backstory makes it less accessible
GA and nerve block is my default
The main outcomes in #NOF improve with orthogeries input and timely ASAP surgery. Unnecessary delay is bad.
(I will confess I'm not great at lateral spinals and worry about positioning patients with #NOF with just a block and a bit of ketamine/fentanyl)
The main outcomes in #NOF improve with orthogeries input and timely ASAP surgery. Unnecessary delay is bad.
(I will confess I'm not great at lateral spinals and worry about positioning patients with #NOF with just a block and a bit of ketamine/fentanyl)
September 14, 2025 at 9:05 AM
Enormous leap apart
The "robot" in your surgery was being controlled entirely by a human. The robot is used is that the joints can move in a way that a hand can't and get to difficult to reach angles better.
There's nothing really automated about your robot surgery.
The "robot" in your surgery was being controlled entirely by a human. The robot is used is that the joints can move in a way that a hand can't and get to difficult to reach angles better.
There's nothing really automated about your robot surgery.
August 21, 2025 at 1:54 PM
Enormous leap apart
The "robot" in your surgery was being controlled entirely by a human. The robot is used is that the joints can move in a way that a hand can't and get to difficult to reach angles better.
There's nothing really automated about your robot surgery.
The "robot" in your surgery was being controlled entirely by a human. The robot is used is that the joints can move in a way that a hand can't and get to difficult to reach angles better.
There's nothing really automated about your robot surgery.
And slightly more depressingly, I can't imagine any AI component willing to take on the huge liabilities involved with diagnosis and misdiagnosis
We're seeing similar issues with apportionment of blame in driverless semi-autonomous cars
We're seeing similar issues with apportionment of blame in driverless semi-autonomous cars
August 21, 2025 at 8:28 AM
And slightly more depressingly, I can't imagine any AI component willing to take on the huge liabilities involved with diagnosis and misdiagnosis
We're seeing similar issues with apportionment of blame in driverless semi-autonomous cars
We're seeing similar issues with apportionment of blame in driverless semi-autonomous cars
Not just our procedural specialties either
I'm not convinced that an AI in any near years will be able to take a history from a patient who meanders off topic, throws in lots of irrelevant talents, and had key non verbal clues to what's actually going on. Never mind the skill of examination
I'm not convinced that an AI in any near years will be able to take a history from a patient who meanders off topic, throws in lots of irrelevant talents, and had key non verbal clues to what's actually going on. Never mind the skill of examination
August 21, 2025 at 8:25 AM
Not just our procedural specialties either
I'm not convinced that an AI in any near years will be able to take a history from a patient who meanders off topic, throws in lots of irrelevant talents, and had key non verbal clues to what's actually going on. Never mind the skill of examination
I'm not convinced that an AI in any near years will be able to take a history from a patient who meanders off topic, throws in lots of irrelevant talents, and had key non verbal clues to what's actually going on. Never mind the skill of examination
Is this a comparison between bluesky now and peak twitter before enshittification though?
Peak twitter took years to build organically to grow a community that educated and interacted.
Bluesky had a relatively fast development following spacebaby's nazification so might not be as ready
Peak twitter took years to build organically to grow a community that educated and interacted.
Bluesky had a relatively fast development following spacebaby's nazification so might not be as ready
August 20, 2025 at 5:40 AM
Is this a comparison between bluesky now and peak twitter before enshittification though?
Peak twitter took years to build organically to grow a community that educated and interacted.
Bluesky had a relatively fast development following spacebaby's nazification so might not be as ready
Peak twitter took years to build organically to grow a community that educated and interacted.
Bluesky had a relatively fast development following spacebaby's nazification so might not be as ready
Might try this video though because I'd only seen colleagues user a 25G needle with higher volumes so thought the pain didn't outweigh sting unless big cannula
August 20, 2025 at 5:37 AM
Might try this video though because I'd only seen colleagues user a 25G needle with higher volumes so thought the pain didn't outweigh sting unless big cannula
Only for 16G and 14G.
August 20, 2025 at 4:47 AM
Only for 16G and 14G.
What's the smallest gauge cannula that doesn't need local infiltration?
August 19, 2025 at 8:55 AM
What's the smallest gauge cannula that doesn't need local infiltration?
Four consecutive weeks off guaranteed over summer?
Nights and weekends double time back?
Is Sweden hiring anaesthetic consultants? Asking for a friend (and several thousand NHS consultants)?
(Admittedly language skills might be a challenge, time to hit Duolingo)
Nights and weekends double time back?
Is Sweden hiring anaesthetic consultants? Asking for a friend (and several thousand NHS consultants)?
(Admittedly language skills might be a challenge, time to hit Duolingo)
August 15, 2025 at 12:25 PM
Four consecutive weeks off guaranteed over summer?
Nights and weekends double time back?
Is Sweden hiring anaesthetic consultants? Asking for a friend (and several thousand NHS consultants)?
(Admittedly language skills might be a challenge, time to hit Duolingo)
Nights and weekends double time back?
Is Sweden hiring anaesthetic consultants? Asking for a friend (and several thousand NHS consultants)?
(Admittedly language skills might be a challenge, time to hit Duolingo)
As long as parent is (relatively) calm, I find their presence can be helpful for routine IV or inhalational inductions in kids.
I normally have them out of the room for RSIs as I want them gone as soon as I'm pushing propofol and that doesn't already happen speedily otherwise
I normally have them out of the room for RSIs as I want them gone as soon as I'm pushing propofol and that doesn't already happen speedily otherwise
August 15, 2025 at 11:27 AM
As long as parent is (relatively) calm, I find their presence can be helpful for routine IV or inhalational inductions in kids.
I normally have them out of the room for RSIs as I want them gone as soon as I'm pushing propofol and that doesn't already happen speedily otherwise
I normally have them out of the room for RSIs as I want them gone as soon as I'm pushing propofol and that doesn't already happen speedily otherwise
Common in decent size Chinese supermarkets, or if you can get cheap prawns and put them in a dehydrator till they're tiny and dry, they keep really well at room temperature or keep forever in the freezer
August 10, 2025 at 3:03 AM
Common in decent size Chinese supermarkets, or if you can get cheap prawns and put them in a dehydrator till they're tiny and dry, they keep really well at room temperature or keep forever in the freezer