Dr Helgi Jóhannsson
@doctorhelgi.bsky.social
Doctor, #medsky, Anaesthesiologist at Imperial, RCOA council member, but also a human who likes nature, music, fitness and getting to know people. 🇪🇺🇮🇸🇫🇴🇬🇧🏳️🌈
Good morning from Portugal’s doctors updates conference (as featured in some national publications).
Expect some geeky anaesthesia tweets but let’s start with the morning beach run. Only 2km to get my feet used to barefoot sand running.
Expect some geeky anaesthesia tweets but let’s start with the morning beach run. Only 2km to get my feet used to barefoot sand running.
September 29, 2025 at 8:05 AM
Good morning from Portugal’s doctors updates conference (as featured in some national publications).
Expect some geeky anaesthesia tweets but let’s start with the morning beach run. Only 2km to get my feet used to barefoot sand running.
Expect some geeky anaesthesia tweets but let’s start with the morning beach run. Only 2km to get my feet used to barefoot sand running.
The sunset has nearly reached its autumn/winter position. Happy weekend everyone
September 19, 2025 at 8:41 PM
The sunset has nearly reached its autumn/winter position. Happy weekend everyone
Good morning everyone.
I’m at the #BGSconf this morning talking about delirium.
Caught @cswarbrick1’s excellent talk on the impact of delirium and the results of Snap3.
Delirium increases length of stay, mortality and all complications.
I’m at the #BGSconf this morning talking about delirium.
Caught @cswarbrick1’s excellent talk on the impact of delirium and the results of Snap3.
Delirium increases length of stay, mortality and all complications.
September 11, 2025 at 9:55 AM
Good morning everyone.
I’m at the #BGSconf this morning talking about delirium.
Caught @cswarbrick1’s excellent talk on the impact of delirium and the results of Snap3.
Delirium increases length of stay, mortality and all complications.
I’m at the #BGSconf this morning talking about delirium.
Caught @cswarbrick1’s excellent talk on the impact of delirium and the results of Snap3.
Delirium increases length of stay, mortality and all complications.
Thunder and lightning, very very frightening…
June 13, 2025 at 9:38 PM
Thunder and lightning, very very frightening…
Turns out targeting a particular blood pressure while under anaesthesia doesn’t make much difference, and the permissive group actually had less atrial fibrillation.
#rcoaupdates
#rcoaupdates
June 11, 2025 at 1:55 PM
Turns out targeting a particular blood pressure while under anaesthesia doesn’t make much difference, and the permissive group actually had less atrial fibrillation.
#rcoaupdates
#rcoaupdates
The @RCoANews ‘s college tutor meeting in full flow. Our new vice president elect @drmumsjt introduces some of the new guidance for training progression. More flexibility, better appreciation of training obtained in “locally employed” posts.
Faster progression through training
Faster progression through training
June 4, 2025 at 9:49 AM
The @RCoANews ‘s college tutor meeting in full flow. Our new vice president elect @drmumsjt introduces some of the new guidance for training progression. More flexibility, better appreciation of training obtained in “locally employed” posts.
Faster progression through training
Faster progression through training
Exercise and training reduces the surgical stress response and prevents complications.
Why are we not doing this for every patient having a major operation?
#ea25
Why are we not doing this for every patient having a major operation?
#ea25
May 26, 2025 at 11:03 AM
Exercise and training reduces the surgical stress response and prevents complications.
Why are we not doing this for every patient having a major operation?
#ea25
Why are we not doing this for every patient having a major operation?
#ea25
Hello everyone,
Reporting from #ea25 in Lisbon.
It makes sense that pre-op physical training reduces post-op complications, did you know that brain training does too?
#prehabilitation
Reporting from #ea25 in Lisbon.
It makes sense that pre-op physical training reduces post-op complications, did you know that brain training does too?
#prehabilitation
May 26, 2025 at 11:01 AM
Hello everyone,
Reporting from #ea25 in Lisbon.
It makes sense that pre-op physical training reduces post-op complications, did you know that brain training does too?
#prehabilitation
Reporting from #ea25 in Lisbon.
It makes sense that pre-op physical training reduces post-op complications, did you know that brain training does too?
#prehabilitation
The anaesthetic national audit projects are some of the most powerful in the UK.
We have a sneak peek at #SNAP3, looking at our older surgical patients, their frailty and any delirium experienced.
#Anaesthesia2025
We have a sneak peek at #SNAP3, looking at our older surgical patients, their frailty and any delirium experienced.
#Anaesthesia2025
May 22, 2025 at 10:42 AM
The anaesthetic national audit projects are some of the most powerful in the UK.
We have a sneak peek at #SNAP3, looking at our older surgical patients, their frailty and any delirium experienced.
#Anaesthesia2025
We have a sneak peek at #SNAP3, looking at our older surgical patients, their frailty and any delirium experienced.
#Anaesthesia2025
At #Anaesthesia2025 we are discussing the case of Oliver McGowan and communicating with people with learning disabilities. Many of us will have done the e-learning on his case (which I found very powerful).
May 22, 2025 at 8:49 AM
At #Anaesthesia2025 we are discussing the case of Oliver McGowan and communicating with people with learning disabilities. Many of us will have done the e-learning on his case (which I found very powerful).
Discussion at the end about the abandonment of Rowe v Wade and reproductive health.
Hospitals are mainly refusing to hand over records to the authorities hoping to pursue and prosecute women who wanted to access abortion care. #Anaesthesia2025
Hospitals are mainly refusing to hand over records to the authorities hoping to pursue and prosecute women who wanted to access abortion care. #Anaesthesia2025
May 22, 2025 at 8:40 AM
Discussion at the end about the abandonment of Rowe v Wade and reproductive health.
Hospitals are mainly refusing to hand over records to the authorities hoping to pursue and prosecute women who wanted to access abortion care. #Anaesthesia2025
Hospitals are mainly refusing to hand over records to the authorities hoping to pursue and prosecute women who wanted to access abortion care. #Anaesthesia2025
More difficult objections -
Do we say these objections are incompatible with medicine? (Incompatibility thesis)
Do we try to accommodate within limits - patient has to be referred so they get the care they need. #anaesthesia2025
Do we say these objections are incompatible with medicine? (Incompatibility thesis)
Do we try to accommodate within limits - patient has to be referred so they get the care they need. #anaesthesia2025
May 22, 2025 at 8:26 AM
More difficult objections -
Do we say these objections are incompatible with medicine? (Incompatibility thesis)
Do we try to accommodate within limits - patient has to be referred so they get the care they need. #anaesthesia2025
Do we say these objections are incompatible with medicine? (Incompatibility thesis)
Do we try to accommodate within limits - patient has to be referred so they get the care they need. #anaesthesia2025
Good morning everyone and welcome to #Anaesthesia2025 day 3.
We start with Gail Van Norman talking on conscientious objection.
What happens if a colleague will not transfuse blood for religious reasons?
We start with Gail Van Norman talking on conscientious objection.
What happens if a colleague will not transfuse blood for religious reasons?
May 22, 2025 at 8:26 AM
Good morning everyone and welcome to #Anaesthesia2025 day 3.
We start with Gail Van Norman talking on conscientious objection.
What happens if a colleague will not transfuse blood for religious reasons?
We start with Gail Van Norman talking on conscientious objection.
What happens if a colleague will not transfuse blood for religious reasons?
Good morning and welcome to day 2 of #Anaesthesia2025.
Starting with @GJvanVelze on high performance teams.
Clear processes, safe environment, stretch the team, but not so far to cause burnout.
Starting with @GJvanVelze on high performance teams.
Clear processes, safe environment, stretch the team, but not so far to cause burnout.
May 21, 2025 at 8:14 AM
Good morning and welcome to day 2 of #Anaesthesia2025.
Starting with @GJvanVelze on high performance teams.
Clear processes, safe environment, stretch the team, but not so far to cause burnout.
Starting with @GJvanVelze on high performance teams.
Clear processes, safe environment, stretch the team, but not so far to cause burnout.
Simple things make a difference to efficiency and safety. If a laparoscopic monitor is positioned badly the error rate and response time goes up.
Get the feng sui right.
#Anaesthesia2025
Get the feng sui right.
#Anaesthesia2025
May 20, 2025 at 1:26 PM
Simple things make a difference to efficiency and safety. If a laparoscopic monitor is positioned badly the error rate and response time goes up.
Get the feng sui right.
#Anaesthesia2025
Get the feng sui right.
#Anaesthesia2025
Direct quote from a surgeon:
“Tell my colleagues to stop spending money on robots and spend it instead on something that makes a difference”.
Team training, education, system improvement. #Anaesthesia2025
“Tell my colleagues to stop spending money on robots and spend it instead on something that makes a difference”.
Team training, education, system improvement. #Anaesthesia2025
May 20, 2025 at 1:15 PM
Direct quote from a surgeon:
“Tell my colleagues to stop spending money on robots and spend it instead on something that makes a difference”.
Team training, education, system improvement. #Anaesthesia2025
“Tell my colleagues to stop spending money on robots and spend it instead on something that makes a difference”.
Team training, education, system improvement. #Anaesthesia2025
Did you know that mechanical thrombectomy for stroke is 7 times more effective than thrombolysis for MI? It saves lives, reduces disability. Much of the UK still doesn’t have 24hrs access to thrombectomy and only 4% of stroke patients get one. #anaesthesia2025
May 20, 2025 at 9:51 AM
Did you know that mechanical thrombectomy for stroke is 7 times more effective than thrombolysis for MI? It saves lives, reduces disability. Much of the UK still doesn’t have 24hrs access to thrombectomy and only 4% of stroke patients get one. #anaesthesia2025
Summary of our paed regional talk:
Kids are very sensitive to opioids so regional anaesthesia is ideal.
Use the ultrasound
Be careful about maximum doses.
#anaesthesia2025
Kids are very sensitive to opioids so regional anaesthesia is ideal.
Use the ultrasound
Be careful about maximum doses.
#anaesthesia2025
May 20, 2025 at 9:38 AM
Summary of our paed regional talk:
Kids are very sensitive to opioids so regional anaesthesia is ideal.
Use the ultrasound
Be careful about maximum doses.
#anaesthesia2025
Kids are very sensitive to opioids so regional anaesthesia is ideal.
Use the ultrasound
Be careful about maximum doses.
#anaesthesia2025
First up is @anilhormis on nociception monitoring. Getting the pain relief right is one of the bigger challenges in anaesthesia. Too little and your patient wakes up in agony, too much and they take ages to wake, remain drowsy and vomit more.
#anaesthesia2025
#anaesthesia2025
May 20, 2025 at 9:07 AM
First up is @anilhormis on nociception monitoring. Getting the pain relief right is one of the bigger challenges in anaesthesia. Too little and your patient wakes up in agony, too much and they take ages to wake, remain drowsy and vomit more.
#anaesthesia2025
#anaesthesia2025
Good morning from Belfast.
We kick off #anaesthesia2025 this morning so expect geeky work related posts, although in honour of Eurovision I did have an Espresso Macchiato this morning.
We kick off #anaesthesia2025 this morning so expect geeky work related posts, although in honour of Eurovision I did have an Espresso Macchiato this morning.
May 20, 2025 at 8:36 AM
Good morning from Belfast.
We kick off #anaesthesia2025 this morning so expect geeky work related posts, although in honour of Eurovision I did have an Espresso Macchiato this morning.
We kick off #anaesthesia2025 this morning so expect geeky work related posts, although in honour of Eurovision I did have an Espresso Macchiato this morning.
Hello Belfast!
Here for three days for #anaesthesia2025
Expect some educational nuggets and some general banter.
The dry spring has made the fields look like the south of England in August!
Here for three days for #anaesthesia2025
Expect some educational nuggets and some general banter.
The dry spring has made the fields look like the south of England in August!
May 19, 2025 at 7:03 PM
Hello Belfast!
Here for three days for #anaesthesia2025
Expect some educational nuggets and some general banter.
The dry spring has made the fields look like the south of England in August!
Here for three days for #anaesthesia2025
Expect some educational nuggets and some general banter.
The dry spring has made the fields look like the south of England in August!
Last evening back home in Reykjavik and the harbour provided a little light display.
April 15, 2025 at 11:10 PM
Last evening back home in Reykjavik and the harbour provided a little light display.
Today we repaired 14 hernias. Started on time, finished on time. Even stopped briefly for lunch. One operating theatre, no expensive technology.
Last list for a while as all extra sessions to reduce waiting lists have been stopped for now due to lack of money. #nhs #waitinglists
Last list for a while as all extra sessions to reduce waiting lists have been stopped for now due to lack of money. #nhs #waitinglists
March 15, 2025 at 9:48 PM
Today we repaired 14 hernias. Started on time, finished on time. Even stopped briefly for lunch. One operating theatre, no expensive technology.
Last list for a while as all extra sessions to reduce waiting lists have been stopped for now due to lack of money. #nhs #waitinglists
Last list for a while as all extra sessions to reduce waiting lists have been stopped for now due to lack of money. #nhs #waitinglists
