Robbie Erskine
@drrobbieerskine.bsky.social
Consultant Anæsthetist Derby
UK 31 years BADS ESRA/RAUK.
Ambulatory Spinals, Regional Anæsthesia. Family
Rugby
UK 31 years BADS ESRA/RAUK.
Ambulatory Spinals, Regional Anæsthesia. Family
Rugby
It was a joy to spend time with you Jenny😘
November 4, 2025 at 7:42 PM
It was a joy to spend time with you Jenny😘
It WAS Thio, sux, tube in the olden days. V predictable but a little brutal 🤣
October 6, 2025 at 6:09 PM
It WAS Thio, sux, tube in the olden days. V predictable but a little brutal 🤣
My fave spinal drug
September 28, 2025 at 6:14 PM
My fave spinal drug
Sadly not available like in Europe
September 28, 2025 at 6:14 PM
Sadly not available like in Europe
Chloroprocaine is fine for 1hour
The benefit of Prilocaine is its hyperbaric so you can use a small volume to get a saddle block for 1 ½ to 2hrs
The benefit of Prilocaine is its hyperbaric so you can use a small volume to get a saddle block for 1 ½ to 2hrs
September 27, 2025 at 8:59 AM
Chloroprocaine is fine for 1hour
The benefit of Prilocaine is its hyperbaric so you can use a small volume to get a saddle block for 1 ½ to 2hrs
The benefit of Prilocaine is its hyperbaric so you can use a small volume to get a saddle block for 1 ½ to 2hrs
I’ve had to rescue far too many trainees who don’t understand exactly what Bob said above
The patients are often beefy guys/smokers/reflux.
I would often tube them to be safe before I realised that spinal Prilocaine is a safer option
(Heavy Bupi is good too)
The patients are often beefy guys/smokers/reflux.
I would often tube them to be safe before I realised that spinal Prilocaine is a safer option
(Heavy Bupi is good too)
September 27, 2025 at 8:54 AM
I’ve had to rescue far too many trainees who don’t understand exactly what Bob said above
The patients are often beefy guys/smokers/reflux.
I would often tube them to be safe before I realised that spinal Prilocaine is a safer option
(Heavy Bupi is good too)
The patients are often beefy guys/smokers/reflux.
I would often tube them to be safe before I realised that spinal Prilocaine is a safer option
(Heavy Bupi is good too)
Never been an IV Lidocaine person (apart from 100mg bolus to sort VF!)
Bum stuff:
I give a slug if Alfentanil, a little bit of Midazolam (for pain and anxiety)
Sit(usually a bit wonky on on the less painful cheek)
Prilocaine 0.5-1ml spinal every time ..pain free and chilled and safe in 2-3minutes.
Bum stuff:
I give a slug if Alfentanil, a little bit of Midazolam (for pain and anxiety)
Sit(usually a bit wonky on on the less painful cheek)
Prilocaine 0.5-1ml spinal every time ..pain free and chilled and safe in 2-3minutes.
September 27, 2025 at 8:52 AM
Never been an IV Lidocaine person (apart from 100mg bolus to sort VF!)
Bum stuff:
I give a slug if Alfentanil, a little bit of Midazolam (for pain and anxiety)
Sit(usually a bit wonky on on the less painful cheek)
Prilocaine 0.5-1ml spinal every time ..pain free and chilled and safe in 2-3minutes.
Bum stuff:
I give a slug if Alfentanil, a little bit of Midazolam (for pain and anxiety)
Sit(usually a bit wonky on on the less painful cheek)
Prilocaine 0.5-1ml spinal every time ..pain free and chilled and safe in 2-3minutes.
Were the pain management regimes equivalent in all RCTs??
September 23, 2025 at 2:04 PM
Were the pain management regimes equivalent in all RCTs??
Pain score?????
September 23, 2025 at 1:35 PM
Pain score?????
Interesting
1. Black market drugs
2. Sharing large ampoules
3. Lack of physician engagement in planning services
4. Drugs transported unsafely between centres
A good reminder for us not to mix/add other agents (water/saline) if it can possibly be avoided!
1. Black market drugs
2. Sharing large ampoules
3. Lack of physician engagement in planning services
4. Drugs transported unsafely between centres
A good reminder for us not to mix/add other agents (water/saline) if it can possibly be avoided!
September 23, 2025 at 6:32 AM
Interesting
1. Black market drugs
2. Sharing large ampoules
3. Lack of physician engagement in planning services
4. Drugs transported unsafely between centres
A good reminder for us not to mix/add other agents (water/saline) if it can possibly be avoided!
1. Black market drugs
2. Sharing large ampoules
3. Lack of physician engagement in planning services
4. Drugs transported unsafely between centres
A good reminder for us not to mix/add other agents (water/saline) if it can possibly be avoided!
It certainly suggests a worrying lack of judgement
September 20, 2025 at 5:09 PM
It certainly suggests a worrying lack of judgement
I agree ..it’s not our business to comment on his relationship with his wife which is their private business and should not be of interest to anyone else.
However I think one has a right to comment on his lack of judgement with respect to his workplace responsibilities as a medic!
However I think one has a right to comment on his lack of judgement with respect to his workplace responsibilities as a medic!
September 20, 2025 at 12:58 PM
I agree ..it’s not our business to comment on his relationship with his wife which is their private business and should not be of interest to anyone else.
However I think one has a right to comment on his lack of judgement with respect to his workplace responsibilities as a medic!
However I think one has a right to comment on his lack of judgement with respect to his workplace responsibilities as a medic!
Surely one fractured neck of femur does not equal another?
A simple subcapital # has a different pain picture from a complicated inter/subtrochanteric # which has significantly greater bone and soft tissue trauma
A simple subcapital # has a different pain picture from a complicated inter/subtrochanteric # which has significantly greater bone and soft tissue trauma
September 16, 2025 at 7:05 PM
Surely one fractured neck of femur does not equal another?
A simple subcapital # has a different pain picture from a complicated inter/subtrochanteric # which has significantly greater bone and soft tissue trauma
A simple subcapital # has a different pain picture from a complicated inter/subtrochanteric # which has significantly greater bone and soft tissue trauma
Ugh…I’ll contact the rep
September 16, 2025 at 10:34 AM
Ugh…I’ll contact the rep
Yes..I just don’t like that they feel weird..
Alfentanil is “cleaner” and a powerful analgesic with predictable on and offset
Alfentanil is “cleaner” and a powerful analgesic with predictable on and offset
September 16, 2025 at 10:16 AM
Yes..I just don’t like that they feel weird..
Alfentanil is “cleaner” and a powerful analgesic with predictable on and offset
Alfentanil is “cleaner” and a powerful analgesic with predictable on and offset
Nice approach
I do avoid Midazolam completely in this group though
Alf is pretty quick on quick out as an analgesic though
I do avoid Midazolam completely in this group though
Alf is pretty quick on quick out as an analgesic though
September 15, 2025 at 4:59 PM
Nice approach
I do avoid Midazolam completely in this group though
Alf is pretty quick on quick out as an analgesic though
I do avoid Midazolam completely in this group though
Alf is pretty quick on quick out as an analgesic though
Yeah ..I’ve no idea what you just said but hey!🤣
September 14, 2025 at 6:34 PM
Yeah ..I’ve no idea what you just said but hey!🤣
You missed Alfentanil 👌🤪
September 14, 2025 at 3:14 PM
You missed Alfentanil 👌🤪
I think we have to accept that there will not be a meaningful scientific answer…but that’s ok
September 14, 2025 at 2:50 PM
I think we have to accept that there will not be a meaningful scientific answer…but that’s ok
I haven’t used a Q for years
I find a 27g Paramedian Sprotte is pretty consistent
I find a 27g Paramedian Sprotte is pretty consistent
September 14, 2025 at 2:47 PM
I haven’t used a Q for years
I find a 27g Paramedian Sprotte is pretty consistent
I find a 27g Paramedian Sprotte is pretty consistent
Possibly true
I use this approach routinely (albeit with a 27 g)👌
I use this approach routinely (albeit with a 27 g)👌
September 14, 2025 at 2:35 PM
Possibly true
I use this approach routinely (albeit with a 27 g)👌
I use this approach routinely (albeit with a 27 g)👌