Hawn Trinh
@drhawntrinh.bsky.social
Anaesthetist with a passion for Regional Anaesthesia and Education 💉🩺💊💡
Conjoint Lecturer UNSW
Conjoint Lecturer UNSW
Great interview and subject. Huge amounts of crossover from managing peri-procedural anxiety in paediatric patients.
Organisations across the world specialising in teaching this: POEMS (UK), NPHTI (US), EPIC (Aus/NZ).
I’ve learnt a whole host of skills that translate into my adult practice.
Organisations across the world specialising in teaching this: POEMS (UK), NPHTI (US), EPIC (Aus/NZ).
I’ve learnt a whole host of skills that translate into my adult practice.
November 12, 2025 at 5:10 AM
Great interview and subject. Huge amounts of crossover from managing peri-procedural anxiety in paediatric patients.
Organisations across the world specialising in teaching this: POEMS (UK), NPHTI (US), EPIC (Aus/NZ).
I’ve learnt a whole host of skills that translate into my adult practice.
Organisations across the world specialising in teaching this: POEMS (UK), NPHTI (US), EPIC (Aus/NZ).
I’ve learnt a whole host of skills that translate into my adult practice.
Thank for the warm welcome!
@dr-amit-pawa.bsky.social got me on to this platform (I avoided bluebird/X like the plague before!).
Enjoyable keeping up with the chats!
@dr-amit-pawa.bsky.social got me on to this platform (I avoided bluebird/X like the plague before!).
Enjoyable keeping up with the chats!
July 25, 2025 at 11:16 AM
Thank for the warm welcome!
@dr-amit-pawa.bsky.social got me on to this platform (I avoided bluebird/X like the plague before!).
Enjoyable keeping up with the chats!
@dr-amit-pawa.bsky.social got me on to this platform (I avoided bluebird/X like the plague before!).
Enjoyable keeping up with the chats!
Reposted by Hawn Trinh
This would seem to be the essence of it…
July 23, 2025 at 3:06 PM
This would seem to be the essence of it…
Reposted by Hawn Trinh
July 23, 2025 at 1:12 AM
Reposted by Hawn Trinh
Still do GA with clopidogrel onboard despite UK guidelines.
If severe lung disease and Pulm HTN, I might reconsider, but otherwise inhaled nitric oxide is super useful!
If severe lung disease and Pulm HTN, I might reconsider, but otherwise inhaled nitric oxide is super useful!
July 25, 2025 at 11:04 AM
Still do GA with clopidogrel onboard despite UK guidelines.
If severe lung disease and Pulm HTN, I might reconsider, but otherwise inhaled nitric oxide is super useful!
If severe lung disease and Pulm HTN, I might reconsider, but otherwise inhaled nitric oxide is super useful!
FIB is effective to help position for spinal.
Typically use a touch of alfentanil and propofol for the turn.
Dexmedetomidine infusion 0.3mcg/kg/hr works nice too if you are patient.
Bad side up, plain bupivacaine 0.5% + fent. 1.8-2.5mls depending on pt and exact surgery.
Typically use a touch of alfentanil and propofol for the turn.
Dexmedetomidine infusion 0.3mcg/kg/hr works nice too if you are patient.
Bad side up, plain bupivacaine 0.5% + fent. 1.8-2.5mls depending on pt and exact surgery.
July 25, 2025 at 11:01 AM
FIB is effective to help position for spinal.
Typically use a touch of alfentanil and propofol for the turn.
Dexmedetomidine infusion 0.3mcg/kg/hr works nice too if you are patient.
Bad side up, plain bupivacaine 0.5% + fent. 1.8-2.5mls depending on pt and exact surgery.
Typically use a touch of alfentanil and propofol for the turn.
Dexmedetomidine infusion 0.3mcg/kg/hr works nice too if you are patient.
Bad side up, plain bupivacaine 0.5% + fent. 1.8-2.5mls depending on pt and exact surgery.
FIB + GA (SGA) with a-line. Classic- maintain preload, low-normal HR and vasoconstrictors running.
For the severe lung disease one- CSE (5mg isobaric bupivaine bad side up with some fent). Titrate up epidural with lidocaine/adr as required.
If severe Pulm HTN and they doing cement - now that’s 🔥
For the severe lung disease one- CSE (5mg isobaric bupivaine bad side up with some fent). Titrate up epidural with lidocaine/adr as required.
If severe Pulm HTN and they doing cement - now that’s 🔥
July 10, 2025 at 9:42 AM
FIB + GA (SGA) with a-line. Classic- maintain preload, low-normal HR and vasoconstrictors running.
For the severe lung disease one- CSE (5mg isobaric bupivaine bad side up with some fent). Titrate up epidural with lidocaine/adr as required.
If severe Pulm HTN and they doing cement - now that’s 🔥
For the severe lung disease one- CSE (5mg isobaric bupivaine bad side up with some fent). Titrate up epidural with lidocaine/adr as required.
If severe Pulm HTN and they doing cement - now that’s 🔥
20+ per year is not going to be achievable, unless you do it as practice on those not needing it.
Just like crisis management, I think perhaps regular simulation to maintain the skill set is the way to go.
All anaesthetists should be able to do some form of AFOI/ATI-FB. Else phone a friend!
Just like crisis management, I think perhaps regular simulation to maintain the skill set is the way to go.
All anaesthetists should be able to do some form of AFOI/ATI-FB. Else phone a friend!
July 3, 2025 at 8:53 PM
20+ per year is not going to be achievable, unless you do it as practice on those not needing it.
Just like crisis management, I think perhaps regular simulation to maintain the skill set is the way to go.
All anaesthetists should be able to do some form of AFOI/ATI-FB. Else phone a friend!
Just like crisis management, I think perhaps regular simulation to maintain the skill set is the way to go.
All anaesthetists should be able to do some form of AFOI/ATI-FB. Else phone a friend!
No need for Desflurane.
Certainly can make do with sevoflurane/propofol +/- remi.
Best place for propofol- into the patient. Otherwise, we use this product so it doesn’t go into wastewater:
drugwaste.com.au/product/
Certainly can make do with sevoflurane/propofol +/- remi.
Best place for propofol- into the patient. Otherwise, we use this product so it doesn’t go into wastewater:
drugwaste.com.au/product/
DrugWaste bins | Product guide | Drug Waste International
DrugWaste International provides fully compliant and environmentally responsible drugwaste bins to Australian and New Zealand healthcare organisations.
drugwaste.com.au
June 24, 2025 at 3:49 AM
No need for Desflurane.
Certainly can make do with sevoflurane/propofol +/- remi.
Best place for propofol- into the patient. Otherwise, we use this product so it doesn’t go into wastewater:
drugwaste.com.au/product/
Certainly can make do with sevoflurane/propofol +/- remi.
Best place for propofol- into the patient. Otherwise, we use this product so it doesn’t go into wastewater:
drugwaste.com.au/product/
Thanks for sharing Amit. As always, expertly presented!
Nice balanced view.
Similarly we rarely do perineural catheters in elective surgery settings. Aggressive scheduled MMA!
Majority of the ones placed at our institution are for rib fractures, palliative NOF pts, amputations + chronic pain pts.
Nice balanced view.
Similarly we rarely do perineural catheters in elective surgery settings. Aggressive scheduled MMA!
Majority of the ones placed at our institution are for rib fractures, palliative NOF pts, amputations + chronic pain pts.
May 11, 2025 at 5:52 AM
Thanks for sharing Amit. As always, expertly presented!
Nice balanced view.
Similarly we rarely do perineural catheters in elective surgery settings. Aggressive scheduled MMA!
Majority of the ones placed at our institution are for rib fractures, palliative NOF pts, amputations + chronic pain pts.
Nice balanced view.
Similarly we rarely do perineural catheters in elective surgery settings. Aggressive scheduled MMA!
Majority of the ones placed at our institution are for rib fractures, palliative NOF pts, amputations + chronic pain pts.
Reposted by Hawn Trinh
Imprecision of BIS terminology reminds me of what @airwaycam.bsky.social always says about the gum elastic bougie.
Not made of gum
Not elastic
Not a bougie
#ASM25CNS
Not made of gum
Not elastic
Not a bougie
#ASM25CNS
May 4, 2025 at 11:23 PM
Imprecision of BIS terminology reminds me of what @airwaycam.bsky.social always says about the gum elastic bougie.
Not made of gum
Not elastic
Not a bougie
#ASM25CNS
Not made of gum
Not elastic
Not a bougie
#ASM25CNS
Yes it was definitely a blast! Filled with humorous banter - the best way to teach and learn 😂.
Shame it didn’t work out to catch up this time - until the next opportunity!
Shame it didn’t work out to catch up this time - until the next opportunity!
April 12, 2025 at 1:09 PM
Yes it was definitely a blast! Filled with humorous banter - the best way to teach and learn 😂.
Shame it didn’t work out to catch up this time - until the next opportunity!
Shame it didn’t work out to catch up this time - until the next opportunity!