๐ผ๐ฃ๐๐๐จ๐ฉ๐๐๐จ๐๐ is the official journal of @Assoc_Anaes with comprehensive coverage in peri-operative medicine, critical care and pain. IF 9.8.
Awake tracheal intubation: the default technique?
Where there is predicted anatomical, pathological and/or physiological difficulty with the primary airway plan and reliability of rescue oxygenation plans, the default technique should be awake, where possible.
#anaesthesia#MedTwitter#MedXdoi.org/10.1111/anae.70429
Delirium is a highly consequential and common condition but there is a paucity of evidence for effective anaesthesia-related strategies for the prevention of delirium after surgery.
#anaesthesia#MedTwitter#MedXdoi.org/10.1111/anae.70451
Also sadly many anaesthetists in the UK did not get a choice reguarding the removal of Des. The enviromental rationale to remove Des has been discredited. Some of the alternatives to Des may not be greener, they could be worse!
NHS Trusts & anaesthetic eco warriors basically guilt-tripped whole departments into banning the use of desflurane
Our Trust went on a โgreenโ crusade a few yrs back when it was โthe latest thingโ & locked all the des away so you had to beg for it - infantilising as per from NHS
An absence of evidence does not prove an absence of effect. V few small studies were included in the NICE review of Desflurane. Des does provide some particular advantages over other agents and I am glad we have kept accsess to it.
๐Desflurane decommissioning: more than meets the eye.
"For the benefit of the โGen Zโ folk who might one day read this, when desflurane was introduced it had a clear โunique selling pointโ: rapid onset and offset."
@rmoonesinghe#FreeForever
๐associationofanaesthetists-pโฆ
Neurolysis of the pericapsular nerve group: a โplan Bโ in palliative care after hip fracture?
"Finding a way of providing sustained analgesia for patients who have chosen/are only suitable for non-operative management remains an important unmet need."
#anaesthesia#MedTwitter#MedXdoi.org/10.1111/anae.70443
In patients aged โฅ 90 years admitted to ICU after elective surgery, frailty was independently associated with:
โข increased in-hospital, 1-year & 5-year mortality
โข prolonged duration of hospital stay
โข reduced likelihood of return to pre-admission residence
#anaesthesia#ICU#MedX#MedTwitterdoi.org/10.1111/anae.70435
Good clear table and from the cardiac side the question we always get before these procedures is what to do with antiplatelets and anticoagulants so a heads up to the cardiologist early saves a lot of cancelled slots
We support @EMARIANOMD in his upcoming bid for Assistant Treasurer.
He is a valuable member of our editorial board and will no doubt be an outstanding contributor to the ASA in this role.
Safe travels to everyone headed to #ANES26!
I'm running for ASA Assistant Treasurer. I've been a Delegate and led ASA projects in education, economics, guidelines and advocacy. We have room to grow. I'll represent our members on the Budget Committee and Administrative Council.
Impact Factors have been revised and we are proud to announce our new IF is 9.8!
A massive thank you to our authors for allowing us to publish and promote their important work!
#anaesthesia#MedX#MedTwitter
The PUMA Extubation guidelines are now free to download in @Anaes_Journal
Incls algorithm linking risk eval to a specific approach to extubation. Also โprotective sequence extubationโ the equivalent of RSI when extubating pts โat riskโ of aspiration.
associationofanaesthetists-pโฆ