@doctimcook.bsky.social
Reposted
Bougie or stylet: what to use when the chips are down?
Is it truly possible to consistently and deliberately shape a bougie to fit a hyperangulated blade?
@doctimcook.bsky.social @janhansel.bsky.social
#AnSky #AirwaySky #MedSky
doi.org/10.1111/anae...
Is it truly possible to consistently and deliberately shape a bougie to fit a hyperangulated blade?
@doctimcook.bsky.social @janhansel.bsky.social
#AnSky #AirwaySky #MedSky
doi.org/10.1111/anae...
September 3, 2025 at 8:06 AM
Bougie or stylet: what to use when the chips are down?
Is it truly possible to consistently and deliberately shape a bougie to fit a hyperangulated blade?
@doctimcook.bsky.social @janhansel.bsky.social
#AnSky #AirwaySky #MedSky
doi.org/10.1111/anae...
Is it truly possible to consistently and deliberately shape a bougie to fit a hyperangulated blade?
@doctimcook.bsky.social @janhansel.bsky.social
#AnSky #AirwaySky #MedSky
doi.org/10.1111/anae...
Reposted
Thinking of implementing default videolaryngoscopy in your department?
Here are some common themes encountered & practical advice & strategies recommended by 5 UK hospitals that have made such a change!
#AnSky
@fionafionakel.bsky.social @doctimcook.bsky.social
doi.org/10.1111/anae...
Here are some common themes encountered & practical advice & strategies recommended by 5 UK hospitals that have made such a change!
#AnSky
@fionafionakel.bsky.social @doctimcook.bsky.social
doi.org/10.1111/anae...
August 22, 2025 at 1:20 PM
Thinking of implementing default videolaryngoscopy in your department?
Here are some common themes encountered & practical advice & strategies recommended by 5 UK hospitals that have made such a change!
#AnSky
@fionafionakel.bsky.social @doctimcook.bsky.social
doi.org/10.1111/anae...
Here are some common themes encountered & practical advice & strategies recommended by 5 UK hospitals that have made such a change!
#AnSky
@fionafionakel.bsky.social @doctimcook.bsky.social
doi.org/10.1111/anae...
Reposted
Hello my name is…..needs rebooting with name, title & role
: badges & introductions
Without it
-too much confusion
-too much uncertainty
-too much rom for obfuscation
I like to think Dr Kate Grainger would agree
www.bmj.com/content/388/...
: badges & introductions
Without it
-too much confusion
-too much uncertainty
-too much rom for obfuscation
I like to think Dr Kate Grainger would agree
www.bmj.com/content/388/...
“Hello, my name is” introductions and badges need updating to include full name, title, and role
Staff should introduce themselves with their title, name, and role and have badges clearly detailing this to avoid confusion and misdirection, writes Tim Cook
The “Hello, my name is” campaign, set up...
www.bmj.com
March 27, 2025 at 7:22 PM
Hello my name is…..needs rebooting with name, title & role
: badges & introductions
Without it
-too much confusion
-too much uncertainty
-too much rom for obfuscation
I like to think Dr Kate Grainger would agree
www.bmj.com/content/388/...
: badges & introductions
Without it
-too much confusion
-too much uncertainty
-too much rom for obfuscation
I like to think Dr Kate Grainger would agree
www.bmj.com/content/388/...
Reposted
5 years ago I complained that w HAVL “I can see but I can’t get the tube in”.
@doctimcook.bsky.social pointed out “that’s a prob w the operator, not the device”.
Having since learned HAVL I’ve used it routinely for 5 years w 100% FPS & never
![]()
@doctimcook.bsky.social pointed out “that’s a prob w the operator, not the device”.
Having since learned HAVL I’ve used it routinely for 5 years w 100% FPS & never
March 28, 2025 at 10:03 PM
5 years ago I complained that w HAVL “I can see but I can’t get the tube in”.
@doctimcook.bsky.social pointed out “that’s a prob w the operator, not the device”.
Having since learned HAVL I’ve used it routinely for 5 years w 100% FPS & never
@doctimcook.bsky.social pointed out “that’s a prob w the operator, not the device”.
Having since learned HAVL I’ve used it routinely for 5 years w 100% FPS & never
Reposted
Time to retire ‘no trace, wrong place’ @doctimcook.bsky.social
Many UOI do have ‘a trace’
It is all about sustained exhaled carbon dioxide @universalairway.org
Many UOI do have ‘a trace’
It is all about sustained exhaled carbon dioxide @universalairway.org
March 28, 2025 at 3:46 PM
Time to retire ‘no trace, wrong place’ @doctimcook.bsky.social
Many UOI do have ‘a trace’
It is all about sustained exhaled carbon dioxide @universalairway.org
Many UOI do have ‘a trace’
It is all about sustained exhaled carbon dioxide @universalairway.org
Reposted
I agree
Even as someone who had previously worked in the NHS, I found the new roles, titles and acronyms confusing at first
which prompted me to get a #HelloMyNameIs badge!
Roles should be
a) clearly visible
b) clearly stated
Even as someone who had previously worked in the NHS, I found the new roles, titles and acronyms confusing at first
which prompted me to get a #HelloMyNameIs badge!
Roles should be
a) clearly visible
b) clearly stated
March 28, 2025 at 3:15 PM
I agree
Even as someone who had previously worked in the NHS, I found the new roles, titles and acronyms confusing at first
which prompted me to get a #HelloMyNameIs badge!
Roles should be
a) clearly visible
b) clearly stated
Even as someone who had previously worked in the NHS, I found the new roles, titles and acronyms confusing at first
which prompted me to get a #HelloMyNameIs badge!
Roles should be
a) clearly visible
b) clearly stated
Reposted
Absolutely agree with this. I have a standard patter. “Hello I’m Dr Sullivan I’m a consultant anaesthetist. What do I call you?” I think it speaks to credibility. Do you want to be anaesthetised by “ Gav” or “Dr Sullivan” ?
Hello my name is…..needs rebooting with name, title & role
: badges & introductions
Without it
-too much confusion
-too much uncertainty
-too much rom for obfuscation
I like to think Dr Kate Grainger would agree
www.bmj.com/content/388/...
: badges & introductions
Without it
-too much confusion
-too much uncertainty
-too much rom for obfuscation
I like to think Dr Kate Grainger would agree
www.bmj.com/content/388/...
“Hello, my name is” introductions and badges need updating to include full name, title, and role
Staff should introduce themselves with their title, name, and role and have badges clearly detailing this to avoid confusion and misdirection, writes Tim Cook
The “Hello, my name is” campaign, set up...
www.bmj.com
March 28, 2025 at 9:17 AM
Absolutely agree with this. I have a standard patter. “Hello I’m Dr Sullivan I’m a consultant anaesthetist. What do I call you?” I think it speaks to credibility. Do you want to be anaesthetised by “ Gav” or “Dr Sullivan” ?
Reposted
“No trace = wrong place” should be retired & replaced by the requirement to exclude oesophageal intubation if ‘sustained exhaled CO2’ is not detected.
From @doctimcook.bsky.social, Andy Higgs & me.
🔑🔓Free full text in @bjajournals.bsky.social : kwnsfk27.r.eu-west-1.awstrack.me/L0/https:%2F...
From @doctimcook.bsky.social, Andy Higgs & me.
🔑🔓Free full text in @bjajournals.bsky.social : kwnsfk27.r.eu-west-1.awstrack.me/L0/https:%2F...
January 24, 2025 at 5:19 PM
“No trace = wrong place” should be retired & replaced by the requirement to exclude oesophageal intubation if ‘sustained exhaled CO2’ is not detected.
From @doctimcook.bsky.social, Andy Higgs & me.
🔑🔓Free full text in @bjajournals.bsky.social : kwnsfk27.r.eu-west-1.awstrack.me/L0/https:%2F...
From @doctimcook.bsky.social, Andy Higgs & me.
🔑🔓Free full text in @bjajournals.bsky.social : kwnsfk27.r.eu-west-1.awstrack.me/L0/https:%2F...
Hello my name is…..needs rebooting with name, title & role
: badges & introductions
Without it
-too much confusion
-too much uncertainty
-too much rom for obfuscation
I like to think Dr Kate Grainger would agree
www.bmj.com/content/388/...
: badges & introductions
Without it
-too much confusion
-too much uncertainty
-too much rom for obfuscation
I like to think Dr Kate Grainger would agree
www.bmj.com/content/388/...
“Hello, my name is” introductions and badges need updating to include full name, title, and role
Staff should introduce themselves with their title, name, and role and have badges clearly detailing this to avoid confusion and misdirection, writes Tim Cook
The “Hello, my name is” campaign, set up...
www.bmj.com
March 27, 2025 at 7:22 PM
Hello my name is…..needs rebooting with name, title & role
: badges & introductions
Without it
-too much confusion
-too much uncertainty
-too much rom for obfuscation
I like to think Dr Kate Grainger would agree
www.bmj.com/content/388/...
: badges & introductions
Without it
-too much confusion
-too much uncertainty
-too much rom for obfuscation
I like to think Dr Kate Grainger would agree
www.bmj.com/content/388/...
Reposted
AIRWAY RESEARCHERS!!
We’re researching WHICH FACTORS SHOULD BE REPORTED IN ANAESTHETIC AIRWAY STUDIES (the core outcome set)
A 15 min survey now & again in a month (Delphi)
RESEARCHERS please complete
Recruitment ends this week
Link
redcap03.gsttdms.co.uk/redcap/surve...
Pass it on!
Thanks
We’re researching WHICH FACTORS SHOULD BE REPORTED IN ANAESTHETIC AIRWAY STUDIES (the core outcome set)
A 15 min survey now & again in a month (Delphi)
RESEARCHERS please complete
Recruitment ends this week
Link
redcap03.gsttdms.co.uk/redcap/surve...
Pass it on!
Thanks
redcap03.gsttdms.co.uk
February 4, 2025 at 7:36 PM
AIRWAY RESEARCHERS!!
We’re researching WHICH FACTORS SHOULD BE REPORTED IN ANAESTHETIC AIRWAY STUDIES (the core outcome set)
A 15 min survey now & again in a month (Delphi)
RESEARCHERS please complete
Recruitment ends this week
Link
redcap03.gsttdms.co.uk/redcap/surve...
Pass it on!
Thanks
We’re researching WHICH FACTORS SHOULD BE REPORTED IN ANAESTHETIC AIRWAY STUDIES (the core outcome set)
A 15 min survey now & again in a month (Delphi)
RESEARCHERS please complete
Recruitment ends this week
Link
redcap03.gsttdms.co.uk/redcap/surve...
Pass it on!
Thanks
Reposted
EVER HAD AN ANAESTHETIC?
What matters to PATIENTS?
We’re researching WHICH FACTORS SHOULD BE REPORTED IN ANAESTHETIC AIRWAY STUDIES
A 15 min survey now & again in a month
Looking for PATIENTS
Recruitment ends this week
Link
redcap03.gsttdms.co.uk/redcap/surve...
Thanks. Pass it on!
What matters to PATIENTS?
We’re researching WHICH FACTORS SHOULD BE REPORTED IN ANAESTHETIC AIRWAY STUDIES
A 15 min survey now & again in a month
Looking for PATIENTS
Recruitment ends this week
Link
redcap03.gsttdms.co.uk/redcap/surve...
Thanks. Pass it on!
https://redcap03.gsttdms.co.uk/redcap/surveys…
February 4, 2025 at 7:32 PM
EVER HAD AN ANAESTHETIC?
What matters to PATIENTS?
We’re researching WHICH FACTORS SHOULD BE REPORTED IN ANAESTHETIC AIRWAY STUDIES
A 15 min survey now & again in a month
Looking for PATIENTS
Recruitment ends this week
Link
redcap03.gsttdms.co.uk/redcap/surve...
Thanks. Pass it on!
What matters to PATIENTS?
We’re researching WHICH FACTORS SHOULD BE REPORTED IN ANAESTHETIC AIRWAY STUDIES
A 15 min survey now & again in a month
Looking for PATIENTS
Recruitment ends this week
Link
redcap03.gsttdms.co.uk/redcap/surve...
Thanks. Pass it on!
AIRWAY RESEARCHERS!!
We’re researching WHICH FACTORS SHOULD BE REPORTED IN ANAESTHETIC AIRWAY STUDIES (the core outcome set)
A 15 min survey now & again in a month (Delphi)
RESEARCHERS please complete
Recruitment ends this week
Link
redcap03.gsttdms.co.uk/redcap/surve...
Pass it on!
Thanks
We’re researching WHICH FACTORS SHOULD BE REPORTED IN ANAESTHETIC AIRWAY STUDIES (the core outcome set)
A 15 min survey now & again in a month (Delphi)
RESEARCHERS please complete
Recruitment ends this week
Link
redcap03.gsttdms.co.uk/redcap/surve...
Pass it on!
Thanks
redcap03.gsttdms.co.uk
February 4, 2025 at 7:36 PM
AIRWAY RESEARCHERS!!
We’re researching WHICH FACTORS SHOULD BE REPORTED IN ANAESTHETIC AIRWAY STUDIES (the core outcome set)
A 15 min survey now & again in a month (Delphi)
RESEARCHERS please complete
Recruitment ends this week
Link
redcap03.gsttdms.co.uk/redcap/surve...
Pass it on!
Thanks
We’re researching WHICH FACTORS SHOULD BE REPORTED IN ANAESTHETIC AIRWAY STUDIES (the core outcome set)
A 15 min survey now & again in a month (Delphi)
RESEARCHERS please complete
Recruitment ends this week
Link
redcap03.gsttdms.co.uk/redcap/surve...
Pass it on!
Thanks
EVER HAD AN ANAESTHETIC?
What matters to PATIENTS?
We’re researching WHICH FACTORS SHOULD BE REPORTED IN ANAESTHETIC AIRWAY STUDIES
A 15 min survey now & again in a month
Looking for PATIENTS
Recruitment ends this week
Link
redcap03.gsttdms.co.uk/redcap/surve...
Thanks. Pass it on!
What matters to PATIENTS?
We’re researching WHICH FACTORS SHOULD BE REPORTED IN ANAESTHETIC AIRWAY STUDIES
A 15 min survey now & again in a month
Looking for PATIENTS
Recruitment ends this week
Link
redcap03.gsttdms.co.uk/redcap/surve...
Thanks. Pass it on!
https://redcap03.gsttdms.co.uk/redcap/surveys…
February 4, 2025 at 7:32 PM
EVER HAD AN ANAESTHETIC?
What matters to PATIENTS?
We’re researching WHICH FACTORS SHOULD BE REPORTED IN ANAESTHETIC AIRWAY STUDIES
A 15 min survey now & again in a month
Looking for PATIENTS
Recruitment ends this week
Link
redcap03.gsttdms.co.uk/redcap/surve...
Thanks. Pass it on!
What matters to PATIENTS?
We’re researching WHICH FACTORS SHOULD BE REPORTED IN ANAESTHETIC AIRWAY STUDIES
A 15 min survey now & again in a month
Looking for PATIENTS
Recruitment ends this week
Link
redcap03.gsttdms.co.uk/redcap/surve...
Thanks. Pass it on!
PAEDIATRIC DEATHS DURING ANESTHESIA & SURGERY - LESSONS FROM NAP7
Great to see this published
Link attached
www.bjanaesthesia.org/article/S000...
Great to see this published
Link attached
www.bjanaesthesia.org/article/S000...
NAP7: high mortality risk in neonates and very low risk in children
Editor—We congratulate Lyne and colleagues1 on their initiative to explore and improve
consent around perioperative mortality in children. Providing such data for families
and clinicians is a key purp...
www.bjanaesthesia.org
January 28, 2025 at 9:47 AM
PAEDIATRIC DEATHS DURING ANESTHESIA & SURGERY - LESSONS FROM NAP7
Great to see this published
Link attached
www.bjanaesthesia.org/article/S000...
Great to see this published
Link attached
www.bjanaesthesia.org/article/S000...
Reposted
Frequency gambling vs severity gambling - from @doctimcook.bsky.social, Andy Higgs & me in @bjajournals.bsky.social
kwnsfk27.r.eu-west-1.awstrack.me/L0/https:%2F...
kwnsfk27.r.eu-west-1.awstrack.me/L0/https:%2F...
January 24, 2025 at 1:16 PM
Frequency gambling vs severity gambling - from @doctimcook.bsky.social, Andy Higgs & me in @bjajournals.bsky.social
kwnsfk27.r.eu-west-1.awstrack.me/L0/https:%2F...
kwnsfk27.r.eu-west-1.awstrack.me/L0/https:%2F...
@AnaesUnited is challenging the expansion of & arguing for the need of a national scope of practice & regulation for Anaesthesia Associates
This is how the legal cases is going.
Big step take already.
anaesthetistsunited.com/court-gives-...
This is how the legal cases is going.
Big step take already.
anaesthetistsunited.com/court-gives-...
Court gives us the go-ahead - Anaesthetists United
Court gives us the go-ahead
anaesthetistsunited.com
January 24, 2025 at 2:02 PM
@AnaesUnited is challenging the expansion of & arguing for the need of a national scope of practice & regulation for Anaesthesia Associates
This is how the legal cases is going.
Big step take already.
anaesthetistsunited.com/court-gives-...
This is how the legal cases is going.
Big step take already.
anaesthetistsunited.com/court-gives-...
The issue of the expansion, scope of practice & regulation of MAPs, & for anaesthetists AAs, remains front & centre of the agenda.
@AnaesUnited continue to pursue a legal challenge
This is worth reading
anaesthetistsunited.com/our-legal-ca...
@AnaesUnited continue to pursue a legal challenge
This is worth reading
anaesthetistsunited.com/our-legal-ca...
Our legal case - Anaesthetists United
We are less than four months away from the final hearing in our fight against the GMC’s failure to set proper standards for Physician Associates (PAs) and Anaesthesia Associates (AAs) to treat patient...
anaesthetistsunited.com
January 24, 2025 at 1:56 PM
The issue of the expansion, scope of practice & regulation of MAPs, & for anaesthetists AAs, remains front & centre of the agenda.
@AnaesUnited continue to pursue a legal challenge
This is worth reading
anaesthetistsunited.com/our-legal-ca...
@AnaesUnited continue to pursue a legal challenge
This is worth reading
anaesthetistsunited.com/our-legal-ca...
Where it started, where it going
A million of anything is….lots
Very proud
A million of anything is….lots
Very proud
January 18, 2025 at 6:47 PM
Where it started, where it going
A million of anything is….lots
Very proud
A million of anything is….lots
Very proud
Reposted
The PUMA guidelines for prevention of oesophageal intubation are supported by
-RCOA
-AoA
-FICM
-ICS
-CODP
-DAS
This is true of no other airway guidance I am aware of & make them the de facto UK National guidance
associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/...
Preventing unrecognised oesophageal intubation: a consensus guideline from the Project for Universal Management of Airways and international airway societies*
Across multiple disciplines undertaking airway management globally, preventable episodes of unrecognised oesophageal intubation result in profound hypoxaemia, brain injury and death. These events occ....
associationofanaesthetists-publications.onlinelibrary.wiley.com
January 5, 2025 at 9:23 AM
The PUMA guidelines for prevention of oesophageal intubation are supported by
-RCOA
-AoA
-FICM
-ICS
-CODP
-DAS
This is true of no other airway guidance I am aware of & make them the de facto UK National guidance
associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/...
Reposted
Tube removal (+ FM/SGA ventilation) is the default action to exclude OI, not only if OI can't be excluded with FB. Tube removal + vent also necessary if desat occurs or sustained exhaled CO2 can't be restored (even if removing tube dangerous or OI apparently excluded w alternative technique).
January 8, 2025 at 8:34 AM
Tube removal (+ FM/SGA ventilation) is the default action to exclude OI, not only if OI can't be excluded with FB. Tube removal + vent also necessary if desat occurs or sustained exhaled CO2 can't be restored (even if removing tube dangerous or OI apparently excluded w alternative technique).
Reposted
For my Canadian colleagues, PUMA guidance was developed in collaboration with the Canadian Airway Focus Group.
The PUMA guidelines for prevention of oesophageal intubation are supported by
-RCOA
-AoA
-FICM
-ICS
-CODP
-DAS
This is true of no other airway guidance I am aware of & make them the de facto UK National guidance
associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/...
Preventing unrecognised oesophageal intubation: a consensus guideline from the Project for Universal Management of Airways and international airway societies*
Across multiple disciplines undertaking airway management globally, preventable episodes of unrecognised oesophageal intubation result in profound hypoxaemia, brain injury and death. These events occ....
associationofanaesthetists-publications.onlinelibrary.wiley.com
January 5, 2025 at 11:51 AM
For my Canadian colleagues, PUMA guidance was developed in collaboration with the Canadian Airway Focus Group.
Reposted
If I hear chest rising, tube misting from trainees again, I might vaporise.
I say sustained exhaled C02 is the only accurate indicator according to @doctimcook.bsky.social
I say sustained exhaled C02 is the only accurate indicator according to @doctimcook.bsky.social
a picture of an owl with the words say what written below it
ALT: a picture of an owl with the words say what written below it
media.tenor.com
January 5, 2025 at 11:52 AM
If I hear chest rising, tube misting from trainees again, I might vaporise.
I say sustained exhaled C02 is the only accurate indicator according to @doctimcook.bsky.social
I say sustained exhaled C02 is the only accurate indicator according to @doctimcook.bsky.social
Responding to an article about consent for anaesthesia in children we analysed (all cause) PAEDIATRIC PERIOPERATIVE MORTALITY in NAP7
Really low for older children
Low for infants
High for neonates (80x)
(Small numbers & wide CIs)
www.bjanaesthesia.org/article/S000...
1/n
Really low for older children
Low for infants
High for neonates (80x)
(Small numbers & wide CIs)
www.bjanaesthesia.org/article/S000...
1/n
January 8, 2025 at 4:13 PM
Responding to an article about consent for anaesthesia in children we analysed (all cause) PAEDIATRIC PERIOPERATIVE MORTALITY in NAP7
Really low for older children
Low for infants
High for neonates (80x)
(Small numbers & wide CIs)
www.bjanaesthesia.org/article/S000...
1/n
Really low for older children
Low for infants
High for neonates (80x)
(Small numbers & wide CIs)
www.bjanaesthesia.org/article/S000...
1/n
The PUMA guidelines for prevention of oesophageal intubation are supported by
-RCOA
-AoA
-FICM
-ICS
-CODP
-DAS
This is true of no other airway guidance I am aware of & make them the de facto UK National guidance
associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/...
Preventing unrecognised oesophageal intubation: a consensus guideline from the Project for Universal Management of Airways and international airway societies*
Across multiple disciplines undertaking airway management globally, preventable episodes of unrecognised oesophageal intubation result in profound hypoxaemia, brain injury and death. These events occ....
associationofanaesthetists-publications.onlinelibrary.wiley.com
January 5, 2025 at 9:23 AM
The PUMA guidelines for prevention of oesophageal intubation are supported by
-RCOA
-AoA
-FICM
-ICS
-CODP
-DAS
This is true of no other airway guidance I am aware of & make them the de facto UK National guidance
associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/...
English
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