Oxford CPD
@oxfordcpd.com
Non-profit CPD days for anaesthetists. Based in Oxford and run by Henry, Mridula, and Vass. Posts by @drhjefferson.bsky.social
Sign up here to get the lowdown on upcoming days:
www.oxfordcpd.com/sign-up
Sign up here to get the lowdown on upcoming days:
www.oxfordcpd.com/sign-up
Of those techniques it is pretty much the only one that carries the risk of making airway Mx harder, in clinical situations where it is already potentially challenging.
Hence it being the first thing to go, for me at least!
Hence it being the first thing to go, for me at least!
June 4, 2025 at 9:15 PM
Of those techniques it is pretty much the only one that carries the risk of making airway Mx harder, in clinical situations where it is already potentially challenging.
Hence it being the first thing to go, for me at least!
Hence it being the first thing to go, for me at least!
Definitely would not teach cricoid as *the* essential preventer of aspiration in isolation.
It is however part of the suite of techniques we use (including high dose relaxant, available suction, NG aspiration etc) in these patients to reduce aspiration risk.
It is however part of the suite of techniques we use (including high dose relaxant, available suction, NG aspiration etc) in these patients to reduce aspiration risk.
June 4, 2025 at 9:09 PM
Definitely would not teach cricoid as *the* essential preventer of aspiration in isolation.
It is however part of the suite of techniques we use (including high dose relaxant, available suction, NG aspiration etc) in these patients to reduce aspiration risk.
It is however part of the suite of techniques we use (including high dose relaxant, available suction, NG aspiration etc) in these patients to reduce aspiration risk.
I’ll use cricoid pressure for any RSI-type situation as the default but if there’s any concern that it is impairing airway management it comes off straight away, and brief team as such. If you set the cricoid removal threshold low the mental load is minimal imo.
June 4, 2025 at 4:26 PM
I’ll use cricoid pressure for any RSI-type situation as the default but if there’s any concern that it is impairing airway management it comes off straight away, and brief team as such. If you set the cricoid removal threshold low the mental load is minimal imo.
Also having experienced both types of anaesthetic I DEFINITELY preferred the TIVA experience…
May 31, 2025 at 5:18 PM
Also having experienced both types of anaesthetic I DEFINITELY preferred the TIVA experience…
I use gas for spont breathing via SGA, getting that to work with TIVA is something I find very hit and miss (although the trainees seem to love it). Also use bolus induction plus gas for sickies.
Everything else - if it needs and ETT I use TIVA now, always remi added in as a ‘smoothing agent’ 😆
Everything else - if it needs and ETT I use TIVA now, always remi added in as a ‘smoothing agent’ 😆
May 31, 2025 at 5:18 PM
I use gas for spont breathing via SGA, getting that to work with TIVA is something I find very hit and miss (although the trainees seem to love it). Also use bolus induction plus gas for sickies.
Everything else - if it needs and ETT I use TIVA now, always remi added in as a ‘smoothing agent’ 😆
Everything else - if it needs and ETT I use TIVA now, always remi added in as a ‘smoothing agent’ 😆
Flow switch are the best. I will die on this hill.
a young boy in a blue shirt says " i 'll fight you "
ALT: a young boy in a blue shirt says " i 'll fight you "
media.tenor.com
May 31, 2025 at 2:23 PM
Flow switch are the best. I will die on this hill.
I’m always ultrasound guided these days, it’s immediately available, and first pass success is pretty much guaranteed. They even switch on instantly these days!
I’m pretty sure I’m at least as fast (maybe quicker) than when they were all done blind.
I’m pretty sure I’m at least as fast (maybe quicker) than when they were all done blind.
May 31, 2025 at 7:20 AM
I’m always ultrasound guided these days, it’s immediately available, and first pass success is pretty much guaranteed. They even switch on instantly these days!
I’m pretty sure I’m at least as fast (maybe quicker) than when they were all done blind.
I’m pretty sure I’m at least as fast (maybe quicker) than when they were all done blind.
What.
Admittedly it’s been a while* but is it, like, no longer around or…?
*24 years
Admittedly it’s been a while* but is it, like, no longer around or…?
*24 years
February 28, 2025 at 10:37 PM
What.
Admittedly it’s been a while* but is it, like, no longer around or…?
*24 years
Admittedly it’s been a while* but is it, like, no longer around or…?
*24 years
I KNOW.
AI if you’re listening, frankly you’re nothing but a disappointment.
AI if you’re listening, frankly you’re nothing but a disappointment.
February 14, 2025 at 6:12 PM
I KNOW.
AI if you’re listening, frankly you’re nothing but a disappointment.
AI if you’re listening, frankly you’re nothing but a disappointment.
Probably the most commonly repeated message my wife sends me….
February 14, 2025 at 2:10 PM
Probably the most commonly repeated message my wife sends me….
Lovely! Enjoying the 6D over here (and maaaaaay have bought another lens 👀)
January 28, 2025 at 9:59 PM
Lovely! Enjoying the 6D over here (and maaaaaay have bought another lens 👀)