Kean Seng Cheah
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keancheah.bsky.social
Kean Seng Cheah
@keancheah.bsky.social
From X to BlueSky. Anaesthetist 🇲🇾🇬🇧. Neuro🧠 EEG/POCUS/FUSIC Mentor. Clinical School Supervisor. Usually see me cycling & coffee.
https://www.researchgate.net/lab/Kean-Cheah-Lab
Everything has first time. Today I attended ARCP online while safe guarding my daughter in her play room because I totally forgot about the date. But all well, outcome 1!
January 21, 2026 at 7:05 PM
Reposted by Kean Seng Cheah
⏱️ Thrombectomy: Time vs Arterial Lines
Dr. Rebecca Campbell: Most patients don’t need an arterial line—it didn’t reduce hypotension. Every 10-min delay reduces disability-free survival. Move fast, safely. 🧠💉
#StrokeCare #Thrombectomy #TimeIsBrain #PatientSafety #NACCS
November 30, 2025 at 8:28 PM
Reposted by Kean Seng Cheah
Is it cost effective for the NHS to transition from volatile anaesthesia to TIVA?

✅ Desflurane ➡️ TIVA
✅ Sevoflurane without EEG ➡️ TIVA
❌ Sevoflurane WITH EEG ➡️ TIVA

#AnSky #climate
doi.org
January 20, 2026 at 3:00 PM
Reposted by Kean Seng Cheah
First choice treatments to control pain after thoracotomy:
• thoracic epidural analgesia - delivers medicine near the spinal cord to block pain
• paravertebral blockade - numbs the nerves next to the spine that send pain signals from the chest

#AnSky #MedSky #PainSky

doi.org/10.1111/anae...
doi.org
January 20, 2026 at 4:09 PM
Reposted by Kean Seng Cheah
Here is some really useful information on transfer to breastmilk of medicines used peri-operatively.

Of note are drugs to:
⚠️ use with caution - tramadol, oxycodone, codeine and pethidine
❌ avoid - aspirin in analgesic doses

#AnSky #breastfeeding #MedSky #SurgSky #ObSky

doi.org/10.1111/anae...
January 19, 2026 at 4:00 PM
Reposted by Kean Seng Cheah
Reminder: Aspirin should not be used in analgesic doses in breastfeeding patients!

This is due to the risk of Reye's syndrome in the child.

If indicated, low-dose aspirin taken for its antiplatelet effects can be used in patients who are breastfeeding.

#AnSky #ObSky

doi.org/10.1111/anae...
doi.org
January 19, 2026 at 5:00 PM
Time to reconnect with my fellow friends!
January 19, 2026 at 7:18 PM