iiinova — where your digital self keeps evolving

Anaesthesia Reports @anaesthesiareports.bsky.social · 01/07/2026

Anaesthetic considerations for a patient with Emery–Dreifuss muscular dystrophy undergoing cardiac resynchronisation therapy with pacemaker implantation #AnSky #MedSky doi.org/10.1002/anr3...

000

Anaesthesia Reports @anaesthesiareports.bsky.social · 01/07/2026

Improving decision-to-delivery interval for category 1 emergency caesarean births Interventions focused on: • reinforcing appropriate categorisation • improving awareness of decision-to-delivery interval expectations • introducing standardised workﬂow posters #AnSky doi.org/10.1002/anr3...

000

Anaesthesia Reports @anaesthesiareports.bsky.social · 30/06/2026

Ultralow concentration levobupivacaine 0.0625% for continuous wound infusion after open abdominal surgery: a prospective observational study #AnSky #PainSky doi.org/10.1002/anr3...

001

Anaesthesia Reports @anaesthesiareports.bsky.social · 29/06/2026

Association between pre-operative adherence to positive airway pressure therapy and postoperative opioid use after lower limb arthroplasty in patients with obstructive sleep apnoea #AnSky #MedSky @emarianomd.bsky.social doi.org/10.1002/anr3...

023

Anaesthesia Reports @anaesthesiareports.bsky.social · 29/06/2026

Hands up - who has heard of the recto-intercostal fascial plane block? This case series illustrates the feasibility of incorporating the block into multimodal analgesia after laparoscopic cholecystectomy. #AnSky #RASky #MedSky doi.org/10.1002/anr3...

011

Anaesthesia Reports @anaesthesiareports.bsky.social · 18/06/2026

Read a patient's account of their experience of an awake mastectomy under regional anaesthesia! Hx: pulmonary fibrosis, bronchiectasis, interstitial lung disease requiring ambulatory home oxygen (SaO2 in air was 84%), bilateral pulmonary emboli and ⬆️ RAP (65 mmHg) #AnSky doi.org/10.1002/anr3...

011

Anaesthesia Reports @anaesthesiareports.bsky.social · 04/06/2026

Improving the assessment of acute pain in adult inpatients: a quality improvement project #AnSky #MedSky #PainSky @drcrthomas.bsky.social

001

Anaesthesia Reports @anaesthesiareports.bsky.social · 04/06/2026

Obstetric anaesthetists! How would you manage a pregnant woman with catecholaminergic polymorphic ventricular tachycardia and an implantable cardioverter-defibrillator during induction of labour and subsequent emergency caesarean birth? #AnSky #ObsSky #MedSky doi.org/10.1002/anr3...

011

Anaesthesia Reports @anaesthesiareports.bsky.social · 02/06/2026

Left ventricular assist device management during surgery for a ruptured abdominal aortic aneurysm #AnSky #MedSky doi.org/10.1002/anr3...

000

Anaesthesia Reports @anaesthesiareports.bsky.social · 01/06/2026

Paradoxical bradycardia as a sign of silent bleeding resulting in a pelvic haematoma after an elective hernia repair #AnSky #MedSky #SurgSky doi.org/10.1002/anr3...

100

Anaesthesia Reports @anaesthesiareports.bsky.social · 25/05/2026

Seizure-induced laryngospasm during a paediatric sevoflurane induction This may be the first documented human case to support a neurogenic pathway for laryngospasm following seizure activity under general anaesthesia. #AnSky #PedsAnSky #MedSky doi.org/10.1002/anr3...

012

Anaesthesia Reports @anaesthesiareports.bsky.social · 25/05/2026

What is the impact of cosmetic procedures on facemask ventilation? This report describes a woman with recent dermal filler injections to her cheeks & chin with minimal difficult airway predictors who could not be ventilated. #AnSky #MedSky doi.org/10.1002/anr3...

033

Anaesthesia Reports @anaesthesiareports.bsky.social · 19/05/2026

Can you name the rare finding on this chest radiograph? What conditions is it associated with? #AnSky #MedSky doi.org/10.1002/anr3...

101

Anaesthesia Reports @anaesthesiareports.bsky.social · 19/05/2026

Oh WOW! Check out this case report on the anaesthetic management of the first caesarean birth following uterus transplantation in the United Kingdom! Principal challenges: • immunosuppression • different surgical technique • increased risk of haemorrhage #AnSky #ObSky doi.org/10.1002/anr3...

001

Anaesthesia Reports @anaesthesiareports.bsky.social · 15/05/2026

Successful spinal anaesthesia for caesarean birth after epidural blood patch for intracranial hypotension headache #AnSky #MedSky #ObsSky doi.org/10.1002/anr3...

033

Anaesthesia Reports @anaesthesiareports.bsky.social · 14/05/2026

Exaggerated plethysmography waveforms associated with premature ventricular contractions in a 58-year-old man with severe chronic obstructive pulmonary disease and significant cardiac history who underwent laparoscopic appendectomy. #AnSky #MedSky doi.org/10.1002/anr3...

011

Anaesthesia Reports @anaesthesiareports.bsky.social · 13/05/2026

This is a report of a spontaneous intra-operative granny knot formation between a large bore nasogastric tube (NGT) and an oro-oesophageal temperature probe within the oesophagus! #AnSky #MedSky doi.org/10.1002/anr3...

000

Anaesthesia Reports @anaesthesiareports.bsky.social · 12/05/2026

Anaesthetic management of colorectal surgery in a patient with chronic pericardial effusion "We report the case of a 43-year-old woman with a moderate chronic, asymptomatic pericardial effusion scheduled for robotic anterior resection of rectal cancer." #AnSky #MedSky doi.org/10.1002/anr3...

000

Anaesthesia Reports @anaesthesiareports.bsky.social · 24/10/2025

Delayed hypertensive crisis after intracavernosal phenylephrine for penile plication #AnSky #MedTSky doi.org/10.1002/anr3...

000

Anaesthesia Reports @anaesthesiareports.bsky.social · 24/10/2025

Sustained, exhaled carbon dioxide by waveform capnography is an essential component of tracheal intubation. But what if there is bronchospasm? Tracheal intubation can be confirmed using flexible bronchoscopy. #AnSky doi.org/10.1002/anr3...

122

Anaesthesia Reports @anaesthesiareports.bsky.social · 23/10/2025

Did you know that CA125 is well known to be elevated in ovarian cancer but can also be elevated in heart failure, particularly right-sided heart failure & heart failure with preserved ejection fraction? @rgdavies70 @USW_Oxygen #MedSky #AnSky #ICUSky doi.org/10.1002/anr3...

011

Anaesthesia Reports @anaesthesiareports.bsky.social · 23/10/2025

In this case, the pulmonary artery catheter had been inadvertently sutured to the pulmonary artery likely when an injury occurred at the base of the pulmonary artery during an ascending aortic replacement. It was noticed when the PAC was difficult to remove. #AnSky #ICUSky doi.org/10.1002/anr3...

000

Anaesthesia Reports @anaesthesiareports.bsky.social · 23/10/2025

Comment on ‘Postoperative bilateral visual loss after a single dose of tranexamic acid’ #AnSky doi.org/10.1002/anr3...

001

Anaesthesia Reports @anaesthesiareports.bsky.social · 29/07/2025

Did you know that the administration of a single dose of tranexamic acid can cause visual loss!? #AnSky #MedSky #PharmSky Read about it here: doi.org/10.1002/anr3...

011

Anaesthesia Reports @anaesthesiareports.bsky.social · 03/07/2025

How do you reconcile fasting guidelines with glucagon-like peptide-1 receptor agonists, ‘Sip-til-Send’ policies and gastric ultrasound? #AnSky #GLP-1 #POCUS #MedSky @drnavsidhu.bsky.social @rosiehogg.bsky.social doi.org/10.1002/anr3...

0128

Anaesthesia Reports @anaesthesiareports.bsky.social · 02/07/2025

Management of iatrogenic bronchial tear during one-lung ventilation for robotic thoracic surgery #AnSky #SurgSky doi.org/10.1002/anr3...

032

Anaesthesia Reports @anaesthesiareports.bsky.social · 02/07/2025

Have you had an intra-operative airway injury during robotic thoracic surgery? This case report describes a surgical bronchial tear and subsequent bronchial cuff rupture. Argh! #AnSky doi.org/10.1002/anr3...

011

Anaesthesia Reports @anaesthesiareports.bsky.social · 27/06/2025

Have you heard of the psoas sheath block? It is a novel approach to the lumbar plexus. Local anaesthetic goes into the potential space between the psoas major muscle and its surrounding fascia. #AnSky #RASky #MedSky doi.org/10.1002/anr3...

094

Anaesthesia Reports @anaesthesiareports.bsky.social · 27/06/2025

Methaemoglobinaemia can arise due to the administration of local anaesthetic agents. This patient experienced a rapid onset of methaemoglobinaemia following airway topicalisation with lidocaine and benzocaine sprays for bronchoscopy. #AnSky #MedSky doi.org/10.1002/anr3...

010

Anaesthesia Reports @anaesthesiareports.bsky.social · 25/06/2025

Interested in the effect of intravenous erythromycin on gastric emptying in a fasted patient taking a GLP-1 RA? Check out these gastric point-of-care ultrasound pictures! #AnSky @drnavsidhu.bsky.social doi.org/10.1002/anr3...

010

Anaesthesia Reports @anaesthesiareports.bsky.social · 25/06/2025

GLP-1 RAs slow gastric emptying and may increase aspiration risk No studies have assessed the efficacy of pre-op erythromycin as a prokinetic. This case reports evaluates erythromycin efficacy with gastric ultrasound! #AnSky @drnavsidhu.bsky.social doi.org/10.1002/anr3...

054

Anaesthesia Reports @anaesthesiareports.bsky.social · 10/04/2025

During hyperangulated #videolaryngoscopy #HAVL the ETT was passed through the soft palate The authors discuss a ‘blind spot’ of the oropharynx during videolaryngoscopy. Any thoughts? buff.ly/L50WWP4 #AnSky #MedSky #AirwaySky #SurgSky #ENTSky

021

Anaesthesia Reports @anaesthesiareports.bsky.social · 09/04/2025

Soft palate injury during hyperangulated #videolaryngoscopy #HAVL All tracheal intubations carry a risk of trauma to the surrounding tissues. What are your experiences of this? buff.ly/cveUXPv #AnSky #MedSky #AirwaySky #SurgSky #ENTSky

000

Anaesthesia Reports @anaesthesiareports.bsky.social · 16/03/2025

A 15 year old patient with #Type1Diabetes needs emergency #surgery. How would you manage their hybrid closed loop system? The authors present a useful guide to safe peri-operative practice buff.ly/3zD6SAv #AnSky #MedSky #SurgSky #FOAMEd #diabetes

083

Anaesthesia Reports @anaesthesiareports.bsky.social · 15/03/2025

What are the benefits and potential pitfalls of using hybrid closed loop systems in #Type1Diabetes during #surgery? Which drugs alter CBG readings? Does this mean they can’t be used? buff.ly/3zD6SAv #AnSky #MedSky #AirwaySky #SurgSky #EndocrineSky #FOAMEd #diabetes

043

Anaesthesia Reports @anaesthesiareports.bsky.social · 15/03/2025

What do you know about hybrid closed loop systems in #Type1Diabetes (measures CBG and delivers insulin) How would you manage a patient with one for #surgery? Would you remove it or continue it? buff.ly/3zD6SAv #AnSky #MedSky #AirwaySky #SurgSky #FOAMEd #diabetes

052

Anaesthesia Reports @anaesthesiareports.bsky.social · 09/03/2025

How do you manage the #airway for glottoplasty? Here are 2 views: our original article on glottoplasty for gender affirming surgery buff.ly/NfGG9CU And a comment buff.ly/ubkz2CB LMA vs intubation? What about later surgeries? #FOAMEd #AnSky #MedSky #AirwaySky #SurgSky

040

Anaesthesia Reports @anaesthesiareports.bsky.social · 08/03/2025

Laryngospasm during glottoplasty. An interesting comment on our article on gender affirming vocal surgery: intubation vs LMA & LaserJet catheter buff.ly/ubkz2CB Here is the original article buff.ly/NfGG9CU #AnSky #MedSky #AirwaySky #SurgSky #FOAMEd

062

Anaesthesia Reports @anaesthesiareports.bsky.social · 03/03/2025

#POCUS to assess effectiveness of cricoid pressure (Sellick manoeuvre) in post-oesophagectomy patients Who would use this for other high-risk for aspiration patients? buff.ly/n5kutWY #AnSky #MedSky #EMSky #AirwaySky #SurgSky

020

Anaesthesia Reports @anaesthesiareports.bsky.social · 02/03/2025

How would you assess effectiveness of cricoid pressure (Sellick manoeuvre) in post-oesophagectomy patients who have a high risk of aspiration/ regurgitation? Here #POCUS is used to assess effectiveness of cricoid pressure buff.ly/n5kutWY #AnSky #MedSky #EMSky #AirwaySky #SurgSky

000

Anaesthesia Reports @anaesthesiareports.bsky.social · 26/02/2025

Costoclavicular catheters... Who uses these and what complications have you seen? buff.ly/4gZRTOz Interesting report of epidural spread of injectate while placing a costoclavicular catheter under fluoroscopy #AnSky #MedSky #regional #RASky #AirwaySky #SurgSky #PainSky

000

Anaesthesia Reports @anaesthesiareports.bsky.social · 21/02/2025

Unilateral arm weakness after GA with thoracic epidural for a retroperitoneal lymph node dissection due to testicular cancer. What would your differential diagnosis be? buff.ly/4hNb92K #AnSky #MedSky #regional #RASky #FOAMEd

030

Anaesthesia Reports @anaesthesiareports.bsky.social · 16/02/2025

How would you manage a tracheal injury caused by intubation? Has anyone else used surgical sealant to close the tracheal defect? In this report the authors used #BioGlue buff.ly/430LRtx #AnSky #MedSky #airway #EMSky #AirwaySky #FOAMEd

010

Anaesthesia Reports @anaesthesiareports.bsky.social · 15/02/2025

Tracheal injuries are a known risk of tracheal intubation In this case report there was an injury caused by a bougie during an emergency intubation How would you manage the injury? buff.ly/430LRtx #AnSky #MedSky #airway #EMSky #AirwaySky #FOAMEd

161

Anaesthesia Reports @anaesthesiareports.bsky.social · 08/02/2025

Did you know that the incidence of primary lung cancer in patients with carcinoma of the larynx is 5-19%? How would you manage one lung ventilation in a laryngectomy patient? buff.ly/3WSLFJ1 #AnSky #MedSky #airway #AirwaySky

140

Anaesthesia Reports @anaesthesiareports.bsky.social · 08/02/2025

How do you manage one lung ventilation in a patient with a laryngectomy? These authors successfully used a Hyperflex tracheostomy tube advanced into the L main bronchus buff.ly/3WSLFJ1 #AnSky #MedSky #airway #AirwaySky

000

Anaesthesia Reports @anaesthesiareports.bsky.social · 01/02/2025

Who is using remimazolam and how do you use it? Here it is used for awake tracheal intubation as boluses buff.ly/4aFIbzk And a reply advocating the use of a bolus then infusion buff.ly/4aIpwTs #AnSky #MedSky #airway #RASky #AirwaySky

231

Anaesthesia Reports @anaesthesiareports.bsky.social · 25/01/2025

VTE is a significant cause of #maternal morbidity and mortality Right atrial & ventricular thrombus causing peri-arrest in a patient with complex medical history undergoing LSCS Great case report highlighting the value of #POCUS #AnSky #MedSky #ObsSky #Anaesthesia buff.ly/40mNnmU

032

Anaesthesia Reports @anaesthesiareports.bsky.social · 21/01/2025

Dynamic carotid artery compression is a rare complication of multinodular goitre How would you manage this 37y with episodes of transient cerebral ischaemia on neck movement and a compressed trachea? The case report is #freeforaweek buff.ly/42iJL89 #AnSky #MedSky #airway #AirwaySky #FOAMEd

084