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Anaesthesia @anaesjournal.bsky.social · 02/10/2026

"In a clinically relevant ovine model of CPB, pre-existing heart failure impaired postoperative recovery of systemic and renal oxygen delivery and was associated with sustained and exacerbated renal medullary hypoxia, oliguria and renal histopathological injury." #AnSky doi.org/10.1111/anae...

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Anaesthesia @anaesjournal.bsky.social · 02/10/2026

What is the impact of heart failure on renal oxygenation and histopathological injury during and after cardiopulmonary bypass... in sheep!? ⚠️ CPB led to persistent renal medullary hypoxia, oliguria and increased renal inflammation. #AnSky #MedSky doi.org/10.1111/anae...

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Anaesthesia @anaesjournal.bsky.social · 02/10/2026

Procalcitonin-guided antibiotic discontinuation in sepsis "We suggest, however, that implementation of procalcitonin-guided discontinuation should remain source-aware rather than threshold-driven." #AnSky #MedSky #sepsis #ICUSky doi.org/10.1111/anae...

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Anaesthesia @anaesjournal.bsky.social · 01/10/2026

Outcomes and complications of the pericapsular nerve group block with phenol for non-operative hip fracture management in patients living with frailty #AnSky #RASky #frailty doi.org/10.1111/anae...

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Anaesthesia @anaesjournal.bsky.social · 30/09/2026

Postoperative anaemia and long-term survival after cardiac surgery: adjustment, thresholds and denominators – a reply #AnSky #MedSky #anaemia doi.org/10.1111/anae...

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Anaesthesia @anaesjournal.bsky.social · 30/09/2026

Pericapsular nerve group block + phenol 6% • for non-operative hip fracture management • in patients living with frailty ⚠️ "is an effective, minimally invasive procedure for pain management in addition to opioid-based pain relief" #AnSky #RASky doi.org/10.1111/anae...

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Anaesthesia @anaesjournal.bsky.social · 30/09/2026

Matching management to anticipated hypotension risk during emergency tracheal intubation "The authors advocated standardisation, but their data leave an earlier issue unresolved: whether management was aligned with the haemodynamic risk anticipated before induction." #AnSky doi.org/10.1111/anae...

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Anaesthesia @anaesjournal.bsky.social · 29/09/2026

Sugammadex vs. neostigmine Future work should therefore focus not only on further drug comparisons but also on interventions that improve adherence to quantitative monitoring guidelines and on the cost-effectiveness of different antagonist strategies in real-world systems. doi.org/10.1111/anae...

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Anaesthesia @anaesjournal.bsky.social · 29/09/2026

Sugammadex vs. neostigmine: the train-of-four counts too "The appropriate clinical response to these data is therefore not ‘to switch to sugammadex’ but rather ‘to monitor quantitatively and choose the antagonist drug and dose accordingly’." #AnSky #MedSky doi.org/10.1111/anae...

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Anaesthesia @anaesjournal.bsky.social · 29/09/2026

A consensus validation framework was developed for calibrating AI performance vs human expertise in femoral nerve segmentation on ultrasound. ⚠️ The AI model matched median human performance (Dice 0.72 vs. 0.60) & outperformed most individual annotators. #AnSky #RASky #AI doi.org/10.1111/anae...

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Anaesthesia @anaesjournal.bsky.social · 28/09/2026

Ethics approval for clinician surveys: variation in guidance and practice #AnSky #MedSky #researchethics doi.org/10.1111/anae...

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Anaesthesia @anaesjournal.bsky.social · 28/09/2026

Whether a questionnaire directed at healthcare professionals requires formal ethics approval should, one might assume, be a straightforward question. Surprisingly, it is not. #AnSky #MedSky doi.org/10.1111/anae...

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Anaesthesia @anaesjournal.bsky.social · 28/09/2026

Chronic postsurgical pain after caesarean results in: • interference with daily activity, physical function, sleep, mood, fatigue and sexual function, for 3 months - 10 years • mental health impairment • a meaningful economic burden #AnSky #MedSky #ObsSky doi.org/10.1111/anae...

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Chris Rollason @slowswimmer.bsky.social · 25/09/2026

Should this form part of the consent process before surgery/ anaesthesia? Especially perhaps in the maternal request cohort in which there is a genuine alternative to surgery?

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Anaesthesia @anaesjournal.bsky.social · 25/09/2026

30 studies.. >28,000 women.. post caesarean delivery 16 studies reported substantial pain-related interference with daily activity, physical function, sleep, mood, fatigue and, in some cases, sexual function, persisting from 3 months to up to 10 years postpartum. #AnSky doi.org/10.1111/anae...

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Anaesthesia @anaesjournal.bsky.social · 25/09/2026

🔥Hot off the press🔥 Burden of chronic postsurgical pain after caesarean delivery on maternal quality of life • 30 studies • >28k women ⚠️Chronic postsurgical pain was consistently associated w clinically important impairment in quality of life and everyday functioning⚠️ doi.org/10.1111/anae...

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Anaesthesia @anaesjournal.bsky.social · 24/09/2026

Calculating lean body weight - can the same formula as adults be used for children? Men: [(100 - BMI)/100] × total body weight (TBW) Women: [(90 - BMI)/100] × TBW The authors found that the simplified formula may be applied to children. #AnSky #MedSky doi.org/10.1111/anae...

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Anaesthesia @anaesjournal.bsky.social · 23/09/2026

How reliable is POGO? The illusion of precision: reliability and measurement error of the percentage of glottic opening score #AnSky #MedSky doi.org/10.1111/anae...

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Anaesthesia @anaesjournal.bsky.social · 23/09/2026

Phrenic nerve considerations in continuous brachial plexus blocks for shoulder surgery "... the duration of phrenic nerve involvement and its respiratory implications deserve explicit consideration when continuous techniques ... are selected." #AnSky #RASky doi.org/10.1111/anae...

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Anaesthesia @anaesjournal.bsky.social · 23/09/2026

What is the impact of gender on career progression in academic anaesthesia? "Structural sexism is layered and tightly woven into policies, practices and procedures... Policies and procedures are often not created from the standpoint of women.." #AnSky #MedSky #genderequity doi.org/10.1111/anae...

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Anaesthesia @anaesjournal.bsky.social · 22/09/2026

"While the authors are to be commended for asserting organisational responsibility in meeting these new guidelines, in the interim, the gap between what is expected of anaesthetists with respect to consent & what can be realistically delivered grows." #AnSky #MedSky #consent doi.org/10.1111/anae...

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Sergeant Wilko @sergeantwilko.bsky.social · 21/09/2026

Agree with this letter. More generally, I think we are way past the point where more paperwork makes better training. Just a distraction from the actual training.

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Raj LB @rajlb.bsky.social · 21/09/2026

I tend to agree that more tick boxes are not the answer and do not fit with the ethos of the current curriculum. Ultimately, regional anaesthesia isn't really about being able to do every block perfectly. It's that a several anaesthetists have watched a trainee perform blocks and think they can do

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Anaesthesia @anaesjournal.bsky.social · 21/09/2026

Peri-operative pulmonary aspiration of gastric contents: a review of NHS Resolution claims "Of the 117,546 claims notified to NHS Resolution between 2014/15 and 2024/25, only 11 closed claims involving peri-op aspiration resulted in damages being paid." #AnSky #MedSky doi.org/10.1111/anae...

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Anaesthesia @anaesjournal.bsky.social · 21/09/2026

Structural training solutions in regional anaesthesia • Failing to execute a PNB successfully does not compromise immediate patient safety. • Adding a mandatory assessment framework does not create more clinical cases or free up consultant time. #AnSky #RASky doi.org/10.1111/anae...

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Anaesthesia @anaesjournal.bsky.social · 21/09/2026

Our Top 10 Papers from 2025!! These 10 articles were shortlisted on the basis of having the greatest number of downloads and highest altimetric scores (original research only; no guidelines). The Board of the AoA and our Editorial Board voted for their top 3. #AnSky buff.ly/9UeMlxu

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Raj LB @rajlb.bsky.social · 18/09/2026

Screw it, I'm just going to use fibreoptics for everything.

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Anaesthesia @anaesjournal.bsky.social · 18/09/2026

Declining fibreoptic intubation use in the videolaryngoscopy era #AnSky #MedSky doi.org/10.1111/anae...

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Anaesthesia @anaesjournal.bsky.social · 18/09/2026

Symptom evaluation cannot exclude retained gastric content in patients taking glucagon-like peptide-1 receptor agonists #AnSky #MedSky doi.org/10.1111/anae...

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Anaesthesia @anaesjournal.bsky.social · 18/09/2026

Patient-reported outcomes, postoperative pain and pain relief after day-case surgery (POPPY): acute pain and recovery during the first 7 days "These findings suggest that by postop day 7, recovery from day-case surgery is incomplete for many patients." #AnSky #MedSky doi.org/10.1111/anae...

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Dr Gavin Sullivan A.N.A.E.S.T.H.E.T.I.S.T 🇳🇿🇦🇺🇬🇧 @lotusgav.bsky.social · 18/09/2026

So do we intubate everyone then? 1% risk is pretty common…

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Christos Chamos @hamos1977.bsky.social · 18/09/2026

We were discussing the strikingly low (2.9%) overall percentage of pts on GLP1 agonists with one of the study authors yesterday. Probably reflects the fact that they can be bought online, hence not on the GP/ hospital records, and that pts don't always disclose they are on them.

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Cheery Littlebottom @cherrylittlebottom.bsky.social · 18/09/2026

Nicely designed study on GLP1 use increasing the risk of perioperative aspiration 11-fold (1.4% rate)

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Raj LB @rajlb.bsky.social · 18/09/2026

Interestingly only 2/19 patients on GLP1 RAs who regurgitated had pulmonary aspiration. Not possible to infer much about anaesthetic technique, especially given the issues were largely at emergence. (Anecdotally find TIVA better for clearer delineation between awake and asleep.)

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Greg Bryson @glbryson.bsky.social · 17/09/2026

“The incidence (95%CI) of pulmonary aspiration and/or regurgitation in the non-GLP-1 RA cohort was 57/45,691 (0.12% (0.09–0.16%)) and in the GLP-1 RA cohort was 19/1348 (1.41% (0.85–2.19%)); odds ratio (95%CI) 11.39 (6.47–20.05), p < 0.001.”

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Anaesthesia @anaesjournal.bsky.social · 17/09/2026

Launching now! #AC26 GLIMPSE: GLP-1 receptor agonist Management in the Perioperative Setting Here's an outline of peri-operative pulmonary aspiration/regurgitation events, grouped by presence/absence of pre-operative GLP-1 RAs #AnSky #MedSky #GLP1 doi.org/10.1111/anae...

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Anaesthesia @anaesjournal.bsky.social · 17/09/2026

Launching now! #AC26 GLIMPSE: GLP-1 receptor agonist Management in the Perioperative Setting How were patients on GLP-1 RAs managed? #AnSky #MedSky #GLP1 doi.org/10.1111/anae...

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Anaesthesia @anaesjournal.bsky.social · 17/09/2026

Launching now! #AC26 GLIMPSE: GLP-1 receptor agonist Management in the Perioperative Setting ⚠️ 1 in 36 patients undergoing anaesthesia care received GLP-1 RAs ⚠️ ⚠️ The incidence of pulmonary aspiration and/or regurgitation was 1 in 71 ⚠️ #AnSky #MedSky doi.org/10.1111/anae...

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Anaesthesia @anaesjournal.bsky.social · 17/09/2026

Existential and spiritual dimensions of dying well in intensive care #AnSky #MedSky doi.org/10.1111/anae...

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Papertis @papertis.bsky.social · 15/09/2026

Burnout research methodology is tricky -- self-report surveys can capture subjective experience well, but longitudinal designs with workplace metrics would help us understand causation vs correlation. Curious what specific methodological improvements this proposes.

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Anaesthesia @anaesjournal.bsky.social · 15/09/2026

Prevalence of burnout among practising anaesthesia providers: a systematic review #AnSky #MedSky #wellbeing doi.org/10.1111/anae...

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Anaesthesia @anaesjournal.bsky.social · 15/09/2026

Recommendations for future research on burnout among practising anaesthesia providers #AnSky #MedSky #wellbeing doi.org/10.1111/anae...

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Anaesthesia @anaesjournal.bsky.social · 15/09/2026

Thoracic epidural catheter insertion - pre-procedural ultrasound vs an updated workflow to improve ultrasound utilisation and procedural efficiency #AnSky #MedSky #RASky doi.org/10.1111/anae...

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Anaesthesia @anaesjournal.bsky.social · 14/09/2026

Real-time ultrasound-guided thoracic epidural catheter insertion in routine clinical practice: every journey begins with a single step #anaesthesia #MedTwitter #regionalanaesthesia #regionalanesthesia @emarianomd.bsky.social #AnSky #MedSky #RASky doi.org/10.1111/anae...

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Anaesthesia @anaesjournal.bsky.social · 14/09/2026

Effect of obesity on pharmacokinetics and drug dosing of remimazolam in patients with obstructive sleep apnoea #AnSky #MedSky doi.org/10.1111/anae...

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Anaesthesia @anaesjournal.bsky.social · 09/09/2026

The dark hierarchy: evidence-based medicine, misinformation and disinformation @lachiemiles.bsky.social #AnSky #MedSky doi.org/10.1111/anae...

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Papertis @papertis.bsky.social · 08/09/2026

Love seeing systematic reviews that map the landscape of existing tools rather than just proposing yet another classification system. Understanding what we already have (and what evidence exists) feels like the right first step.

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Anaesthesia @anaesjournal.bsky.social · 02/09/2026

AI-assisted peri-operative echocardiography • AI was not tested on haemodynamically unstable patients • the 2 minute delay in AI reporting won't help anaesthetists in emergencies • trend-tracking may be more appropriate #AnSky doi.org/10.1111/anae...

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Anaesthesia @anaesjournal.bsky.social · 02/09/2026

"TIVA may reduce postop nausea & vomiting & improve quality of recovery... while volatile anaesthesia may be simpler, familiar and appropriate in others. Conversely, TIVA requires reliable infusion delivery, vigilance regarding awareness and often processed EEG.." #AnSky doi.org/10.1111/anae...

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Anaesthesia @anaesjournal.bsky.social · 02/09/2026

Recurrence-free survival/recurrence for propofol-based anaesthesia vs. volatile-based anaesthesia in patients living with cancer. #AnSky #MedSky #OncSky doi.org/10.1111/anae...

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