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Hans Huitink @airwaymxacademy.bsky.social · 08/08/2026

Airway Triage App The coffee lovers app #airway

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Chris Katsogiannis @chriskats.bsky.social · 23/04/2026

Attended last year . Highly recommended. Great 3 days in a beautiful city with great presenters

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Hans Huitink @airwaymxacademy.bsky.social · 23/04/2026

#AAF26 Info and Registration www.airwaymanagementacademy.com/product/airw...

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Hans Huitink @airwaymxacademy.bsky.social · 18/03/2026

Awake Intubation Course 10 April 2026 Amsterdam

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Hans Huitink @airwaymxacademy.bsky.social · 16/03/2026

The complete airway app Airway Triage 📌 Non-profit 📌 Sixteen languages 📌 Checklists 📌 Cognitive aids 📌 Airway rescue 📌 24/7 airway teaching #airwaytriage

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Royal College of Anaesthetists @rcoanews.bsky.social · 02/02/2026

Only 2 days to go until our first Anaesthetic Updates of 2026 🙌 We have an incredible line-up of speakers & sessions include 👇 ➡️New ideas in anaesthesia ➡️Critical care ➡️Pain management ➡️Clinical leadership Connect. Learn. Inspire. Book now 👉 ow.ly/mrrz50Y18KC #Ansky #Medsky

RCoA's Anaesthetic Updates event.
Images of some guest speakers.

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British Journal of Anaesthesia @bjajournals.bsky.social · 03/01/2026

Intraoperative end-tidal #CO2 levels may be associated with postoperative pulmonary complications. Should it be considered as a new target for ventilatory management? Read the full article here: www.bjanaesthesia.org.uk/article/S0…

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Anesthesia & Analgesia @iarsjournals.bsky.social · 29/12/2025

Automated Robotic Airway Insertion Using Flexible Optical Bronchoscope in a Manikin: A Feasibility Pilot Study 🤖 First-attempt success rates & performance scores w/ robot-assisted modes were similar to manual insertion by experienced anesthesiologists journals.lww.com/anesthesia-a...

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Dr Pieter Peach @pieterpeach.com · 15/11/2025

On balance, the marginal utility of cricoid pressure (in this position) is outweighed by its potential disadvantages. Seldinger’s cadaveric studies (in steep head down) have utility in demonstrating pressure is transmitted to the oesophagus, but..

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Anaesthesia @anaesjournal.bsky.social · 13/11/2025

Cross sensitivity between neuromuscular blocking agents If a patient has had a POHR to: • rocuronium, suxamethonium or vecuronium, then atracurium is the lowest risk alternative • atracurium, then rocuronium and suxamethonium are low risk alternatives #AnSky doi.org/10.1111/anae...

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Anaesthesia @anaesjournal.bsky.social · 14/11/2025

Here is the first consensus-based core outcome set for airway management research, with agreed definitions and measurement instruments. This will harmonise evidence synthesis and improve the translatability of findings to improve clinical care. #AnSky #AirwaySky doi.org/10.1111/anae...

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British Journal of Anaesthesia @bjajournals.bsky.social · 07/11/2025

2025 DAS guidelines for the management of unanticipated difficult airway published today in the British Journal of Anaesthesia. #airway #difficultairway #intubation #anaesthesia #anesthesia www.bjanaesthesia.org/article/S0007…

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Tom Lawton @lawtontri.bsky.social · 03/11/2025

Every time I write "explained anaesthetic" in the notes as part of a pre-assessment, I'm reminded of the fact that even the most expert professor of anaesthesia wouldn't *really* be capable of making that true.

media.tenor.com

a man wearing a white shirt and a mask says magnets how do they work

Alt: a man wearing a white shirt and a mask says magnets how do they work

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Anaesthesia @anaesjournal.bsky.social · 29/10/2025

Postoperative sore throat has an incidence of up to 62%. The current literature lacks high-quality randomised controlled trials on treatments that prevent a complication that is of importance to patients and their recovery. #AnSky #MedSky doi.org/10.1111/anae...

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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...

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Nose Coloured Glasses @ncglasses.bsky.social · 21/10/2025

Having said that in that first case of hyperacute onset, neurological symptoms started almost immediately post op and peaked after two days. That would be quite the coincidence.

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Ben Moran @benmoran.bsky.social · 21/10/2025

A more plausible mechanism would be the inflammatory effects of surgery, rather than toxicity/triggering from a spinal. I feel like the spinal is an innocent bystander. In this SR of case reports, the majority of surgeries are spine and cardiac. pmc.ncbi.nlm.nih.gov/articles/PMC...

pmc.ncbi.nlm.nih.gov

Guillain-Barré syndrome after surgery: a literature review

Guillain-Barré syndrome (GBS) is a rare postoperative complication that is sometimes characterized by serious motor weakness and prolonged weaning from mechanical ventilation. Although the exact natur...

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Ben Moran @benmoran.bsky.social · 21/10/2025

I think it is a coincidence. GBS can occur within 4 weeks of campylobacter infection. Preop diarrhoea can be common in some populations (eg bariatrics ~ nearly 10%), and it isn’t usually asked about.

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Greg Bryson @glbryson.bsky.social · 21/10/2025

Have any authors proposed a mechanism whereby a central drug exposure creates a peripheral neuropathy?

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Nose Coloured Glasses @ncglasses.bsky.social · 21/10/2025

One could probably calculate the odds of it arising by chance using the prevalence of GBS in the general population and the odds of needing a spinal/epidural

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Nose Coloured Glasses @ncglasses.bsky.social · 21/10/2025

Yes I wondered that too. Association is not causation

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Nose Coloured Glasses @ncglasses.bsky.social · 19/10/2025

Onset apparently almost immediate, peaking day two post spinal jmedicalcasereports.biomedcentral.com/articles/10....

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Nose Coloured Glasses @ncglasses.bsky.social · 19/10/2025

This article reported acute onset GBS in 4 patients within 1-2 weeks of epidural anaesthesia www.neurology.org/doi/10.1212/...

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Nose Coloured Glasses @ncglasses.bsky.social · 19/10/2025

This case report of a pt developing GBS 4-5 days post spinal for renal calculi. It's rare, but it happens. www.jcpsp.pk/archive/2013...

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Nose Coloured Glasses @ncglasses.bsky.social · 18/10/2025

Although quite rare, I think there are enough independent case reports of spinals triggering acute GBS (temporally linked) to support the claim that there is some association that we don't yet understand. That's not the same as saying it's unsafe to do a spinal on a post-GBS pt. I don't think it is.

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Anaesthesia @anaesjournal.bsky.social · 15/10/2025

Carbon footprint of total intravenous anaesthesia vs. inhalational sevoflurane anaesthesia in adults: a modelling study #AnSky #climate #MedSky doi.org/10.1111/anae...

doi.org

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Royal College of Anaesthetists @rcoanews.bsky.social · 14/10/2025

Save the date 📆 The SALG Patient Safety Conference is coming up! This year’s themes are👇 ➡️Local Anaesthetic Systemic Toxicity (LAST) ➡️Rapid Sequence Induction (RSI) ➡️Plus poster competition for anaesthetists in training Book👉 ow.ly/YAvo50WXl9v #Ansky #Medsky

Green advertisement card. Info includes: Safe Anaesthesia Liaison Group (SALG) Patient Safety Conference
12 November 2025, Online

Logos include: SALG, RCoA, Association of Anaesthetists and NHS

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Tom Lawton @lawtontri.bsky.social · 10/10/2025

I feel I deserve the Nobel Peace Prize for the judicious use of a small syringe of saline with a red sticker, rather than a full on rant when the surgeon asks for muscle relaxation just before the end of the case.

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Nose Coloured Glasses @ncglasses.bsky.social · 03/10/2025

4/9 The child's head was quite heavy and asymmetrical due to the tumour, and awkward to hold in a good position to maintain the airway. Eventually we got the child deep enough to attempt bronchoscopy.

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Nose Coloured Glasses @ncglasses.bsky.social · 03/10/2025

3/9 We decided to breathe the child down with halothane and try an asleep oral fibreoptic intubation. The child was cooperative and we soon got him under, but keeping his airway patent was a challenge, which meant getting him deep was also a struggle.

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Nose Coloured Glasses @ncglasses.bsky.social · 03/10/2025

2/9 Anil and I were both on one day, and we were presented with a 3yo with a massive craniopharyngioma. I don't recall what the procedure was but the child needed to be intubated, and we thought it would be good to do it together. (I hope he remembers this the way I do.)

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Cheery Littlebottom @cherrylittlebottom.bsky.social · 03/10/2025

I do a normal RSI then once intubated start my pump low at around Cet 2 and titrate up over the case to BIS. The effect of the initial bolus on the model being inaccurate becomes decreasingly relevant as the case goes on

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Hans Huitink @airwaymxacademy.bsky.social · 04/10/2025

Airway Triage application is a non-profit global patient safety project of the Airway Management Academy. Triage airways to risk stratify the procedure and prevent complications #airwaytriageapp

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Anaesthesia @anaesjournal.bsky.social · 01/10/2025

"... 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...

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Priya Patel @priyapatei.bsky.social · 29/09/2025

Really thoughtful exchange, do you think more research is needed on the long term effects of these techniques?

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Anaesthesia @anaesjournal.bsky.social · 26/09/2025

Oooh, this is interesting! "Surgical start timing was an independent risk factor for increased short- and long-term postoperative mortality, morbidity and healthcare resource utilisation." #AnSky doi.org/10.1111/anae...

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Anesthesiology Journals @anesthesiology.bsky.social · 17/09/2025

An editorial by Matava et al. analyzes the impact of the recent Japan Pediatric Difficult Airway in Anesthesia study and discusses opportunities for future inquiry. Read the article: ow.ly/zwAE50WUaYl

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Robbie Erskine @drrobbieerskine.bsky.social · 14/09/2025

Totally depends on individual patient need. “Anticoagulated therefore don’t even think about spinal” is to automatically exclude a sometimes better option. If GA plus block has benefits over spinal plus block then choose GA OtherwiseSpinal plus block even if anticiagulated(benefit/risk assessment)

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Anaesthesia @anaesjournal.bsky.social · 12/09/2025

Airway POCUS POCUS was associated with higher odds of first-pass success rates during percutaneous tracheostomy when compared with landmark techniques. #AnSky #AirwaySky #MedSky doi.org/10.1111/anae...

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Nose Coloured Glasses @ncglasses.bsky.social · 10/09/2025

The differences between the 'what' and the 'how' are the subtle, subliminal changes in assessment, preparation and execution an expert accumulates through reflection upon years of successes and failures. And not running away from failures btw, but working through them. A kind of personal kaizen.

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Nose Coloured Glasses @ncglasses.bsky.social · 10/09/2025

Stepping back for a moment, one can see that there is always a 'metatechnical' dimension to these discussions. Someone brings up a particular technique or device or drug, and we argue over the technical merits/demerits, but the real meat of the discussion is never in what we do but *how we do it*

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Nose Coloured Glasses @ncglasses.bsky.social · 08/09/2025

I know Alf is inferior. The point of my story was that relaxant free intubation is a different technique that comes with different baggage. It's not interchangeable with a relaxant based technique.

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Nose Coloured Glasses @ncglasses.bsky.social · 08/09/2025

7/7 So my question for this forum would be - those of you who use high-dose remi for relaxant-free intubation, what other parameters/caveats do you need to keep in mind to guide those of use who do not do this routinely? 🙏

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Nose Coloured Glasses @ncglasses.bsky.social · 08/09/2025

6/7 I was always taught that the window for good intubating conditions with Alf was quite narrow - 90 sec at best - if you didn't get in first go you either had to redose with alf or give a relaxant.

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Nose Coloured Glasses @ncglasses.bsky.social · 08/09/2025

5/7 Long story short sats dropped to 50 but they got the tube down and pts fine. The point is when you use a different technique other things that you take for granted also change without you knowing.

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Nose Coloured Glasses @ncglasses.bsky.social · 08/09/2025

1/7 Interestingly I've was having a debrief recently with a colleague who was supervising an advance trainee. they were introducing them to relaxant-free intubation with alfentanil for a dental case. 🧵👇

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Nose Coloured Glasses @ncglasses.bsky.social · 08/09/2025

2/7 The senior colleague had be doing this for years without problems. But they gave the trainee no briefing or special guidance, just said "try this, I do it all the time, just make sure they're nice and deep".

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