Iain Moppett
@iainmoppett.bsky.social
Human, doctor, anaesthetist, academic - in that order. Director Centre for Research & Improvement at RCoA. Editor Anaesthesia. #HipFracture #AnSky #PatientSafety Views own. Work for University of Nottingham and Nottingham University Hospitals.
NAP8 will be collecting data around complications of regional anaesthesia next year covering all UK for 12 months. Here’s hoping serious complications are really unusual but sadly we know they happen @rcoa-cri.bsky.social #AnSky
November 18, 2025 at 3:08 PM
NAP8 will be collecting data around complications of regional anaesthesia next year covering all UK for 12 months. Here’s hoping serious complications are really unusual but sadly we know they happen @rcoa-cri.bsky.social #AnSky
More seriously, perhaps AI and smarter technology might be of benefit in reducing the risk of fatal local anaesthetic toxicity. This reporting database study from the US highlights this rare but potentially catastrophic complication still occurs. #AnSky bsky.app/profile/bjaj...
US #FDA local anaesthetic-associated deaths statistics from long-acting #localanaesthetics decreased in the last decade but remain unchanged for #lidocaine
https://www.bjanaesthesia.org/article/S0007-0912(25)00493-3/fulltext
https://www.bjanaesthesia.org/article/S0007-0912(25)00493-3/fulltext
November 18, 2025 at 1:32 PM
More seriously, perhaps AI and smarter technology might be of benefit in reducing the risk of fatal local anaesthetic toxicity. This reporting database study from the US highlights this rare but potentially catastrophic complication still occurs. #AnSky bsky.app/profile/bjaj...
The crunch question for the AI-guided-laryngosopist is of course what its firmly held evidence view is regarding cricoid force. bsky.app/profile/anae... #AnSky
November 18, 2025 at 1:28 PM
The crunch question for the AI-guided-laryngosopist is of course what its firmly held evidence view is regarding cricoid force. bsky.app/profile/anae... #AnSky
In a highly unusual turn of events anaesthetists are arguing about the role of cricoid. bsky.app/profile/anae... Blow me down with a feather!
"It is perverse that cricoid force has been abandoned selectively by many clinicians for not representing evidence-based practice when, compared with [other RSI elements], it is cost-free, better reasoned, has less potential for harm & more evidence of efficacy."
#AnSky
doi.org/10.1111/anae...
#AnSky
doi.org/10.1111/anae...
Cricoid force: therapeutic, prophylactic or routine
Click on the article title to read more.
doi.org
November 18, 2025 at 1:24 PM
In a highly unusual turn of events anaesthetists are arguing about the role of cricoid. bsky.app/profile/anae... Blow me down with a feather!
How frustrating for you (understatement klaxon). Let’s see what you might have missed… #AnSky
a cartoon cat with a sad look on its face and the words `` missed you '' .
Alt: a cartoon cat with a sad look on its face and the words `` missed you '' .
media.tenor.com
November 18, 2025 at 1:24 PM
How frustrating for you (understatement klaxon). Let’s see what you might have missed… #AnSky
‘Anaesthesia was the most frequent provider (36% of cases) but also with delivery by proceduralists and on wards (Fig. 5b).’ Without knowing the context of frequency of LA use (especially with potential for higher doses) difficult to ascribe any concept of relative risk #AnSky
November 18, 2025 at 9:32 AM
‘Anaesthesia was the most frequent provider (36% of cases) but also with delivery by proceduralists and on wards (Fig. 5b).’ Without knowing the context of frequency of LA use (especially with potential for higher doses) difficult to ascribe any concept of relative risk #AnSky
Sorry to see you go. We’ll miss you and hopefully we’ll still be here when you come back. #MedSkyDebatesWillBeBack
a baby groot from guardians of the galaxy is sitting on a person 's back and waving .
Alt: a baby groot from guardians of the galaxy is sitting on a person 's back and waving .
media.tenor.com
November 15, 2025 at 8:35 PM
Sorry to see you go. We’ll miss you and hopefully we’ll still be here when you come back. #MedSkyDebatesWillBeBack
There’s lots we don’t know about delirium. To help researchers ask the right questions, not necessarily the ones we think of, it is really valuable to have the input of clinicians, patients, carers and others. So click the link and tell us what you think. #AnSky www.surveymonkey.com/r/WTHNBZK
Research priorities for Delirium in the UK: A James Lind Alliance Priority Setting Partnership
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www.surveymonkey.com
November 12, 2025 at 8:38 PM
There’s lots we don’t know about delirium. To help researchers ask the right questions, not necessarily the ones we think of, it is really valuable to have the input of clinicians, patients, carers and others. So click the link and tell us what you think. #AnSky www.surveymonkey.com/r/WTHNBZK
The term ‘pleasantly confused’ is still used. Please stop. It’s delirium. And it’s not pleasant. And it is recalled. @amaclullich.bsky.social #AnSky #SurgSky @rcoanews.bsky.social onlinelibrary.wiley.com/doi/abs/10.1...
Measuring the distress related to delirium in older surgical patients and their relatives
Objectives Delirium is a common postoperative complication with implications on morbidity and mortality. Less is known about the psychological impact of delirium in patients and relatives. This stud...
onlinelibrary.wiley.com
November 12, 2025 at 8:38 PM
The term ‘pleasantly confused’ is still used. Please stop. It’s delirium. And it’s not pleasant. And it is recalled. @amaclullich.bsky.social #AnSky #SurgSky @rcoanews.bsky.social onlinelibrary.wiley.com/doi/abs/10.1...
Our UK SNAP3 cohort of older surgical patients reported delirium occurred in around 1 in 16 overall and 1 in 5 for those living with frailty. It’s not just those with hip fracture either. Older age, emergency surgery have higher risks #AnSky #SurgSky www.bjanaesthesia.org/article/S000...
www.bjanaesthesia.org
November 12, 2025 at 8:38 PM
Our UK SNAP3 cohort of older surgical patients reported delirium occurred in around 1 in 16 overall and 1 in 5 for those living with frailty. It’s not just those with hip fracture either. Older age, emergency surgery have higher risks #AnSky #SurgSky www.bjanaesthesia.org/article/S000...
At the risk of sounding like a cracked record, #Delirium is a common but frequently under-recognised and under-appreciated complication of surgery. #AnSky #SurgSky
Postoperative outcomes in older patients living with frailty and multimorbidity in the UK: SNAP-3, a snapshot observational study
Older surgical patients experience longer hospital stays and a higher risk of morbidity
and mortality than their younger counterparts. Frailty (19.6% of cohort) and multimorbidity
(63.1% of cohort) in...
www.bjanaesthesia.org
November 12, 2025 at 8:38 PM