@sivatrainees.bsky.social
Reposted
"... a ‘RSI–TCI’ mode with a pre-programmed manual bolus offers a pragmatic solution for those who wish to preserve an intact pharmacokinetic model for accurate propofol delivery, while allowing the rapid induction clinicians expect from a manual bolus."
#AnSky #MedSky
doi.org/10.1111/anae...
#AnSky #MedSky
doi.org/10.1111/anae...
October 1, 2025 at 8:06 AM
"... a ‘RSI–TCI’ mode with a pre-programmed manual bolus offers a pragmatic solution for those who wish to preserve an intact pharmacokinetic model for accurate propofol delivery, while allowing the rapid induction clinicians expect from a manual bolus."
#AnSky #MedSky
doi.org/10.1111/anae...
#AnSky #MedSky
doi.org/10.1111/anae...
Reposted
Eleveld et al.'s #pharmacokinetic - #pharmacodynamic model of #remimazolam begins to pave the way for its widespread use in #sedation and anaesthesia. #BJA #model #simulation
www.bjanaesthesia.org/article/S000...
www.bjanaesthesia.org/article/S000...
June 13, 2025 at 11:02 AM
Eleveld et al.'s #pharmacokinetic - #pharmacodynamic model of #remimazolam begins to pave the way for its widespread use in #sedation and anaesthesia. #BJA #model #simulation
www.bjanaesthesia.org/article/S000...
www.bjanaesthesia.org/article/S000...
Reposted
I don’t think anyone considers thio part of RSI anymore but I’m certain most who’ve abandoned cricoid are still using sux/roc & many aren’t FMV. It’s definitely singled out.
Again, I qtn whether the rationale for RSI is sound.
This is my fav evidence FOR cricoid. journals.lww.com/anesthesia-a...
Again, I qtn whether the rationale for RSI is sound.
This is my fav evidence FOR cricoid. journals.lww.com/anesthesia-a...
The Effectiveness of Cricoid Pressure for Occluding the... : Anesthesia & Analgesia
al entrance with and without CP in anesthetized and paralyzed adult patients.
METHODS:
One hundred seven, nonobese ASA physical status I and II patients were recruited for the study. A cricoid forc...
journals.lww.com
June 4, 2025 at 4:29 PM
I don’t think anyone considers thio part of RSI anymore but I’m certain most who’ve abandoned cricoid are still using sux/roc & many aren’t FMV. It’s definitely singled out.
Again, I qtn whether the rationale for RSI is sound.
This is my fav evidence FOR cricoid. journals.lww.com/anesthesia-a...
Again, I qtn whether the rationale for RSI is sound.
This is my fav evidence FOR cricoid. journals.lww.com/anesthesia-a...
Reposted
Interestingly while cricoid pressure gets mocked by those wanting to practice EBM, there’s no more evidence for any other aspect of RSI? Why has cricoid been singled out as the component to ditch when the whole thing is entirely rationale-based & incls many opportunities to cause harm.
Cricoid pressure until they're back on the ward. Burden on proof is on the doubters to prove it doesn't reduce aspiration.
June 4, 2025 at 3:42 PM
Interestingly while cricoid pressure gets mocked by those wanting to practice EBM, there’s no more evidence for any other aspect of RSI? Why has cricoid been singled out as the component to ditch when the whole thing is entirely rationale-based & incls many opportunities to cause harm.
Reposted
Background reading for this week’s debate - this excellent editorial by @sthjournalclub.bsky.social & Craig Lyons in @anaesjournal.bsky.social
associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/epdf/10....
associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/epdf/10....
June 4, 2025 at 10:10 AM
Background reading for this week’s debate - this excellent editorial by @sthjournalclub.bsky.social & Craig Lyons in @anaesjournal.bsky.social
associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/epdf/10....
associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/epdf/10....
Reposted
Ok it’s time for the very first Midweek #AnSkyMedSkyDebate, which I will call the #VortexDebate after the wonderful @chrimesy.com.
Come on let’s get our opinions out and have a good robust discussion.
See next comment for the topic.
#AnSky #MedSky
Come on let’s get our opinions out and have a good robust discussion.
See next comment for the topic.
#AnSky #MedSky
June 4, 2025 at 10:03 AM
Ok it’s time for the very first Midweek #AnSkyMedSkyDebate, which I will call the #VortexDebate after the wonderful @chrimesy.com.
Come on let’s get our opinions out and have a good robust discussion.
See next comment for the topic.
#AnSky #MedSky
Come on let’s get our opinions out and have a good robust discussion.
See next comment for the topic.
#AnSky #MedSky
1st SIVATrainee - BlueSky Thread!
pEEG and ketamine
If youve spent any time around TIVA and EEG
You'll know that ketamine can increase the BIS number - Perhaps you never use ketamine because every time you do your processed EEG keeps telling you the patient's 'awake'
1/12
pEEG and ketamine
If youve spent any time around TIVA and EEG
You'll know that ketamine can increase the BIS number - Perhaps you never use ketamine because every time you do your processed EEG keeps telling you the patient's 'awake'
1/12
December 7, 2024 at 2:31 PM
1st SIVATrainee - BlueSky Thread!
pEEG and ketamine
If youve spent any time around TIVA and EEG
You'll know that ketamine can increase the BIS number - Perhaps you never use ketamine because every time you do your processed EEG keeps telling you the patient's 'awake'
1/12
pEEG and ketamine
If youve spent any time around TIVA and EEG
You'll know that ketamine can increase the BIS number - Perhaps you never use ketamine because every time you do your processed EEG keeps telling you the patient's 'awake'
1/12
Reposted
Are you interested in #Sustainability in #Anesthesiology and how reusing TIVA lines could help reduce greenhouse gas emissions? Per Werner Moller, originally an expert in #AppliedPhysiology and #VenousReturn, discusses their environmental paper on the #EJA podcast.
open.spotify.com/episode/2RCa...
open.spotify.com/episode/2RCa...
December 3, 2024 at 9:36 PM
Are you interested in #Sustainability in #Anesthesiology and how reusing TIVA lines could help reduce greenhouse gas emissions? Per Werner Moller, originally an expert in #AppliedPhysiology and #VenousReturn, discusses their environmental paper on the #EJA podcast.
open.spotify.com/episode/2RCa...
open.spotify.com/episode/2RCa...
SALG Patient Safety Update has released
One case reports stood out
Relevant after our 'TIVA in a hyperbaric chamber' by Craig Holdstock
#SIVA24
One of the few NHS funded indications for hyperbaric oxygen therapy. Delaying can be detrimental
🔗 tinyurl.com/5564rezu
#salgpatientsafety @RCoANews
One case reports stood out
Relevant after our 'TIVA in a hyperbaric chamber' by Craig Holdstock
#SIVA24
One of the few NHS funded indications for hyperbaric oxygen therapy. Delaying can be detrimental
🔗 tinyurl.com/5564rezu
#salgpatientsafety @RCoANews
December 2, 2024 at 4:12 PM
SALG Patient Safety Update has released
One case reports stood out
Relevant after our 'TIVA in a hyperbaric chamber' by Craig Holdstock
#SIVA24
One of the few NHS funded indications for hyperbaric oxygen therapy. Delaying can be detrimental
🔗 tinyurl.com/5564rezu
#salgpatientsafety @RCoANews
One case reports stood out
Relevant after our 'TIVA in a hyperbaric chamber' by Craig Holdstock
#SIVA24
One of the few NHS funded indications for hyperbaric oxygen therapy. Delaying can be detrimental
🔗 tinyurl.com/5564rezu
#salgpatientsafety @RCoANews
December 2, 2024 at 3:22 PM
Reposted
The always wonderful, and dear friend @nickopotamus.co.uk speaking about TCI as a means of making adequate sedation more likely in critically ill transfers.
Expert talk, as always. Also, he and I have just spent lunch talking about dogs, so he gets extra applause from me!
#SIVA24
Expert talk, as always. Also, he and I have just spent lunch talking about dogs, so he gets extra applause from me!
#SIVA24
November 29, 2024 at 2:10 PM
The always wonderful, and dear friend @nickopotamus.co.uk speaking about TCI as a means of making adequate sedation more likely in critically ill transfers.
Expert talk, as always. Also, he and I have just spent lunch talking about dogs, so he gets extra applause from me!
#SIVA24
Expert talk, as always. Also, he and I have just spent lunch talking about dogs, so he gets extra applause from me!
#SIVA24
Reposted
J. Robert Sneyd speaking about Remimazolam. A very entertaining talk!
Remimazolam potentially has the advantages of an offset not dissimilar to propofol, with the CVS stability and reversibility of Midazolam. The best of both worlds, possibly.
There is a niche for this, I suspect.
#SIVA24
Remimazolam potentially has the advantages of an offset not dissimilar to propofol, with the CVS stability and reversibility of Midazolam. The best of both worlds, possibly.
There is a niche for this, I suspect.
#SIVA24
November 29, 2024 at 2:41 PM
J. Robert Sneyd speaking about Remimazolam. A very entertaining talk!
Remimazolam potentially has the advantages of an offset not dissimilar to propofol, with the CVS stability and reversibility of Midazolam. The best of both worlds, possibly.
There is a niche for this, I suspect.
#SIVA24
Remimazolam potentially has the advantages of an offset not dissimilar to propofol, with the CVS stability and reversibility of Midazolam. The best of both worlds, possibly.
There is a niche for this, I suspect.
#SIVA24
3rd and finally @cannula_service
"Mirror mirror on the wall, which TCI model is the fairest of them all?"
"Mirror mirror on the wall, which TCI model is the fairest of them all?"
November 29, 2024 at 11:47 AM
3rd and finally @cannula_service
"Mirror mirror on the wall, which TCI model is the fairest of them all?"
"Mirror mirror on the wall, which TCI model is the fairest of them all?"
November 29, 2024 at 11:46 AM
November 29, 2024 at 11:46 AM
Some great questions coming through in the panel discussion
BAS (UK Antarctica society) do not require and appendicectomy. Aus & US do!
#SIVA24
BAS (UK Antarctica society) do not require and appendicectomy. Aus & US do!
#SIVA24
November 29, 2024 at 10:39 AM
Some great questions coming through in the panel discussion
BAS (UK Antarctica society) do not require and appendicectomy. Aus & US do!
#SIVA24
BAS (UK Antarctica society) do not require and appendicectomy. Aus & US do!
#SIVA24
Next up AntarcTIVA? Katherine Gamly on TIVA and the history of anaesthesia in the Antarctic.
@katganly
@katganly
November 29, 2024 at 10:06 AM
Next up AntarcTIVA? Katherine Gamly on TIVA and the history of anaesthesia in the Antarctic.
@katganly
@katganly
November 28, 2024 at 4:57 PM
Kate Lesley dialling in remotely for the John Sear lecture on
Female sex, Propofol pharmacology and awareness
Female sex, Propofol pharmacology and awareness
November 28, 2024 at 4:54 PM
Kate Lesley dialling in remotely for the John Sear lecture on
Female sex, Propofol pharmacology and awareness
Female sex, Propofol pharmacology and awareness
November 28, 2024 at 4:41 PM
