๐˜ผ๐™ฃ๐™–๐™š๐™จ๐™ฉ๐™๐™š๐™จ๐™ž๐™– 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 #MedX doi.org/10.1111/anae.70429
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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 #MedX doi.org/10.1111/anae.70451
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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!
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NHS Trusts & anaesthetic eco warriors basically guilt-tripped whole departments into banning the use of desflurane Our Trust went on a โ€˜greenโ€™ crusade a few yrs back when it was โ€œthe latest thingโ€ & locked all the des away so you had to beg for it - infantilising as per from NHS
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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.
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ใ“ใฎ่ซ–ๆ–‡ใฏๆ”ฟ็ญ–ใ‚’ไธปๅฐŽใ—ใŸ็ซ‹ๅ ดใ‹ใ‚‰ใ€ใใฎๅˆ็†ๆ€งใ‚’่ชฌๆ˜Žใ—ใŸ่ซ–่ชฌใงใ‚ใ‚‹ใ€‚ ่‹ฑๅ›ฝใŒใƒ‡ใ‚นใƒ•ใƒซใƒฉใƒณใ‚’้€šๅธธ่จบ็™‚ใ‹ใ‚‰ๅปƒๆญขใ—ใŸ็†็”ฑใฏใ€็’ฐๅขƒไธŠใฎๅ•้กŒใ ใ‘ใงใชใใ€ไปฃๆ›ฟ้บป้…”ๆณ•ใŒๆ™ฎๅŠใ—ใ€่‡จๅบŠ็š„ใชๅฟ…่ฆๆ€งใŒ้™ๅฎš็š„ใซใชใฃใŸใ“ใจใ€‚ ่‡จๅบŠ็š„ใชๅฟ…่ฆๆ€งใŒ้™ๅฎš็š„ใซใชใฃใŸ็†็”ฑใŒไปฅไธ‹ใฎ้€šใ‚Šใ€‚
๐Ÿ”“Desflurane decommissioning: more than meets the eye. "For the benefit of the โ€˜Gen Zโ€™ folk who might one day read this, when desflurane was introduced it had a clear โ€˜unique selling pointโ€™: rapid onset and offset." @rmoonesinghe #FreeForever ๐Ÿ”—associationofanaesthetists-pโ€ฆ
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Neurolysis of the pericapsular nerve group: a โ€˜plan 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 #MedX doi.org/10.1111/anae.70443
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In patients aged โ‰ฅ 90 years admitted to ICU after elective surgery, frailty was independently associated with: โ€ข increased in-hospital, 1-year & 5-year mortality โ€ข prolonged duration of hospital stay โ€ข reduced likelihood of return to pre-admission residence #anaesthesia #ICU #MedX #MedTwitter doi.org/10.1111/anae.70435
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Impact of clinical frailty on mortality after elective surgery in patients aged โ‰ฅโ€‰90 years admitted to critical care: a binational intensive care registry analysis #anaesthesia #MedX #MedTwitter #ICU doi.org/10.1111/anae.70435
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Replying to @Anaes_Journal
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
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A summary of clinical recommendations โ€“ lumbar facet joint procedures From the Canadian evidence-based guidelines on spinal procedures for chronic pain #anaesthesia #MedX #Pain #MedTwitter doi.org/10.1111/anae.70440
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A summary of clinical recommendations โ€“ cervical facet joint procedures From the Canadian evidence-based guidelines on spinal procedures for chronic pain #anaesthesia #MedTwitter #Pain #MedX doi.org/10.1111/anae.70440
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Here is a new guideline out of Canada! ๐Ÿ‡จ๐Ÿ‡ฆ Canadian evidence-based guidelines on spinal procedures for chronic pain #anaesthesia #Pain #MedX #MedTwitter doi.org/10.1111/anae.70440
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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.
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Replying to @Assoc_Anaes
@Assoc_Anaes - I swear you do this to troll me ๐Ÿ˜‚ Another airway scoring system proposed?
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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
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Just in time for #ANES26, our article is free access on @Anaes_Journal: Trends in peripheral nerve block utilisation in total knee arthroplasty: insights from Epic Cosmos associationofanaesthetists-pโ€ฆ @CSAHQ @RKKimMD1 @Siva6faces @nelkassabany @jinlei_li @rljohnsonmd @SLKoppMD
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The PUMA Extubation guidelines are now free to download in @Anaes_Journal Incls algorithm linking risk eval to a specific approach to extubation. Also โ€˜protective sequence extubationโ€™ the equivalent of RSI when extubating pts โ€˜at riskโ€™ of aspiration. associationofanaesthetists-pโ€ฆ
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