Dennis Reichert @Robowski2000
anaesthesist, interested in FOAMed, regional anaesthesia, intensive care, views my own Bonn, Deutschland Joined October 2013-
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Just nodding with every tweet of this thread.
@AirwayMxAcademy @AntonBooth_SAS @doctimcook Therefore, I would use HA-VL in patients with predictors of difficulty With a slightly lower threshold as I want to use it regularly to refine technique
@surfdoctor @jabberwock951 Decisions about suitability of ICU admission are not about “extubation”. When there is doubt it’s usually about -whether the patient will benefit, long term, from the burden of treatment that ICU imposes -whether exposing the patient to risk of complications from both their…
Happy New Year all, here’s to accidentally writing “2024” in the notes until at least April.
@ProfEllenO @COAIrl @SJ_ACC @Patient_Safety1 @dasairway @WAMM2025 @SAMHQglobal @altgm @AnaesTrainees @CaoiDuffy @PaulBakerORSIM @NicholasChrimes Great to see a national process for this - I think the same in Scotland. Is that right @altgm? Funnily enough we’ve just got rid of ours…… We have all we need for emergencies on each airway trolley in theatre -routine VL -routine use of 2nd gen SGA -box with…
@Robowski2000 @amit_pawa @RAPMOnline Call me old-fashioned if you will (and you will) but for painful lap surgery I tend to pop some diamorphine in the cerebrospinal fluid - it works terribly well.
@Robowski2000 @RAPMOnline You are not alone in this thought process- and between you and I - I agree! That’s kinda why I wanted to see an anterior QL arm as I wondered about visceral analgesia with that! Don’t tell @jeffgadsden !
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
@Anaes_Journal I’ll bite. That conclusion isn’t consistent with the data the paper presents. 👶🏼 HFNO isn’t used to keep oxygen levels high, it’s to stop oxygen levels getting low 👶🏼 the numbers are low - 60 patients in a study of uncommon events is inadequately powered. 1/3
Mark Barley - Moving on from MAC Why does movement occur under anaesthesia despite 'nice numbers' #SIVA24
What happens during Retromolar #intubation? Teaching at the Annual Scientific Meeting in Anesthesiology 2024 Hong Kong #AirwayManagement Workshop
No need to accept a 'compromised' view with HAVL if 2 movements used to expose glottis: 1. Rotational advancement until grade 2 view obtained. 2. Vertical lift (wout further advancement of tip) to optimise view. Generally provides G1 view wout creating problems passing tube.
Word of the day is ‘recrudescence’ (17th century): the return of something terrible after a time of reprieve.
@Duke_Anesthesia @amit_pawa @EMARIANOMD @EM_RESUS @OrlandoRPN @FuzzyMittens @Aidan_Baron @Assoc_Anaes @ASRA_Society @ESRA_Society @GongGasGirl @DrSleep88 @bobfunn @Paul_Wischmeyer @Wilkinsonjonny @iceman_ex @morefluids @ruthi_landau @OBsleepmerchant @ashrafhabib5 @Ron_George @Steve_Coppens @claralexlobo @RegionalAnaesUK @ajrmacfarlane @SCasaer @AmyPearsonMD @mswami001 @drp297 @curromir @emilysharpe @dr_melissabyrne @drchadb @KalagaraHari @Ropivacaine @MKwesiKwofie @dr_rajgupta @James_Kim_MD @nelkassabany @L_D_White @mick_kerr @acopand @nosecglasses @DeepaKattail @deepak_neuro @Ritaagarwal6 @ASALifeline @ASA_Australia @Nadia_Hdz_MD @anesthesiadocmd Speaking of, this is another paper I give out routinely. Very bad outcomes for these parturients. The author questions why we need to go so high, and I agree 💯…go low. L5-S1 is an amazingly big/effective space to target. (No, seriously, why do people want to go to L2-3???)
And anaesthetists shall refer to drug concentrations in mg/mL, unless they are local anaesthetics, when they shall be referred to as percentages, or adrenaline, which shall be expressed as a ratios. Why is that, sir? Nobody knows.
@jeffgadsden @Duke_Anesthesia @amit_pawa @EMARIANOMD @GongGasGirl @maffygirl @DrSleep88 @nosecglasses @FuzzyMittens @sassistheword @ASRA_Society @bobfunn @ESRA_Society @ESRA_trainees @CAREsraPortugal @Steve_Coppens @claralexlobo @Wilkinsonjonny @iceman_ex @morefluids @Assoc_Anaes @galusweegie @Nadia_Hdz_MD @anesthesiadocmd @anesthesianews @ASALifeline @zedunow @RegionalAnaesUK @ajrmacfarlane @AmyPearsonMD @drlauraduggan @mswami001 Perfect timing, did 2 CSA on #NoFs on 28Oct serendipitously!!, first case 4mg Bupivacaine (3 hours surgery)- Prox Femur replacement, second case 2mg Bupivacaine+10mcg Fent- 3.5 hours surgery- complex IM nail We can go really low on dosage.
Ozempic and fasting time for anaesthesia - another piece in the puzzle? Gastric ultrasound study showed a massive 40% of patients having an 8 hr fast or more had residual gastric content if semaglutide taken within last 10 days. They were all postponed. …-publications.onlinelibrary.wiley.com/doi/10.1111/an…

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