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BJA Education

@bjaeducation.bsky.social
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BJA Education @bjaeducation.bsky.social · 1h
This excellent new #BJAEd article by Elwishi & colleagues, on Anaesthesia for Stroke Thrombectomy is available to read now: www.bjaed.org/article/S205...
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BJA Education @bjaeducation.bsky.social · 13h
🧠 GA or conscious sedation for stroke thrombectomy: does the choice change functional outcomes? M. Elwishi et al. on choosing a technique. #BJAEd #Neuroanaesthesia #Stroke www.bjaed.org/article/S205...
bjaed.org
Anaesthesia for stroke thrombectomy
Despite improvements in acute care and management of risk factors, stroke remains the third most common cause of death and the leading cause of disability in the developed world.1 Globally, the absolute number of strokes and stroke-related deaths has increased substantially over the past 3 decades. This upward trend is projected to continue until at least 2046, driven primarily by population growth and ageing.1,2 In the UK, age-standardised rates of stroke incidence and mortality have declined, but the overall burden remains high because of changes in patients’ characteristics as reflected in its persistent impact on public health.
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BJA Education @bjaeducation.bsky.social · 30/09/2026
💉 Contemporary practice favours judicious crystalloid with early vasopressor infusion where required in large free flap cases, rather than liberal fluid loading. Sustained hypotension threatens a pressure-dependent flap. #Anaesthesia ➡️ www.bjaed.org/article/S205...
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BJA Education @bjaeducation.bsky.social · 29/09/2026
🩸 Transfusion is rarely needed in paediatric kidney transplant, third space losses of up to 15 ml/kg/h offset the large fluid volumes and is best avoided: it may increase allosensitisation, acute rejection and poor graft outcomes. 👉🏻 www.bjaed.org/article/S205... #Transplant
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BJA Education @bjaeducation.bsky.social · 28/09/2026
📣 Plan reporting of QIs before you start: frequency, forum, format. Default to visual, a well explained run chart serves readers as well as a long report, for far less effort. SQUIRE 2.0 externally. ➡️ www.bjaed.org/article/S205...
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BJA Education @bjaeducation.bsky.social · 27/09/2026
⏱️ Large free flap cases are often prolonged, frequently exceeding 10–12 h across multiple distinct phases, with two teams often working simultaneously. Align anaesthesia, monitoring and communication with the phases. ➡️ www.bjaed.org/article/S205... #Anaesthesia
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BJA Education @bjaeducation.bsky.social · 26/09/2026
🎯 CT-to-body divergence in robot assisted bronchoscopy: the planning CT is taken awake at deep inspiration, the procedure happens near FRC under GA. Atelectasis distorts airways and can hide the lesion entirely. 👉🏻 www.bjaed.org/article/S205... #MedEd
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BJA Education @bjaeducation.bsky.social · 25/09/2026
📐 Hagen–Poiseuille in practice: balancing flow and oxygen transport in large free flap cases. Hence a haematocrit of 30–35% to optimise microcirculatory flow, and vigilance for vasospasm. ➡️ www.bjaed.org/article/S205... #Physiology
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BJA Education @bjaeducation.bsky.social · 24/09/2026
👥 Kidney transplant care is a team effort: nephrology, surgery, urology, anaesthesia, intensive care, dietetics, pharmacy, psychology, nurse and play specialists. #PaediatricAnaesthesia 👉🏻 www.bjaed.org/article/S205...
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BJA Education @bjaeducation.bsky.social · 23/09/2026
⚠️ I-LOCATE: 89% of patients bronchoscoped under GA via a supraglottic airway developed atelectasis in ≥1 dependent lung region within 30 min of induction. High BMI and long cases were risk factors. 👉🏻 www.bjaed.org/article/S205... #Anaesthesia
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BJA Education @bjaeducation.bsky.social · 22/09/2026
ESPB belongs in a multimodal, opioid-sparing strategy rather than standing alone. Realistic expectations about dermatomal coverage matter. New in @BJAEducation. Read more: www.bjaed.org/article/S205... #FOAMed #RegionalAnaesthesia
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BJA Education @bjaeducation.bsky.social · 21/09/2026
🍽️ Up to 75% of head and neck cancer patients show malnutrition at diagnosis. Where it is severe, 10–14 days of preoperative nutrition may improve postoperative outcomes if treatment isn't delayed. ➡️ www.bjaed.org/article/S205... #ERAS
bjaed.org
Anaesthesia for major maxillofacial cancer surgery with free flap reconstruction
Head and neck cancers arise from the lining or mucosa of the upper aerodigestive tract and are the seventh most common cancer worldwide, and the eighth most common in the UK.1–4 Their incidence…
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BJA Education @bjaeducation.bsky.social · 19/09/2026
🧠 Judgement sampling: deliberate selection by people who know the system, fast, efficient and focused. It may introduce bias, but a consistent method keeps that bias stable across samples. #QI ➡️ www.bjaed.org/article/S205... #MedEd
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BJA Education @bjaeducation.bsky.social · 18/09/2026
📊 Pooled diagnostic yield: 84.8% for robot-assisted bronchoscopy vs 72% for flexible bronchoscopy with radial EBUS. RAB complications: pneumothorax 2.2%, significant bleeding 0.3%. 👉🏻 www.bjaed.org/article/S205... #ThoracicAnaesthesia
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BJA Education @bjaeducation.bsky.social · 17/09/2026
⚖️ Individualise the dose with ESP blocks. Large volumes and rapid systemic uptake can push plasma concentrations toward toxic thresholds, especially with bilateral blocks or catheters. Never add volume to fix poor placement. Read more: www.bjaed.org/article/S205... #PatientSafety
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BJA Education @bjaeducation.bsky.social · 14/09/2026
🎙️ It's the last week to apply for the BJA Education trainee podcast & social media editor role🎙️ Apply by 18th September. Please share to any residents who might be interested! For more details follow the link: bit.ly/4A1CsA2
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BJA Education @bjaeducation.bsky.social · 11/09/2026
🔍 Common pitfall in the ESP block: mistaking the rib for the transverse process. This month’s #BJAEd article walks you from rib to costotransverse junction to transverse process. Sequential identification improves accuracy. 👉🏻 Read more: www.bjaed.org/article/S205... #POCUS #FOAMed
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BJA Education @bjaeducation.bsky.social · 10/09/2026
🫁 Airway assessment in maxfax cancer surgery must go beyond standard predictors. Tumour bulk, oedema, friable tissue and trismus distort the airway; post-radiotherapy fibrosis also impairs mask ventilation, laryngoscopy and SAD rescue. 👉🏻Read more: www.bjaed.org/article/S205...
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BJA Education @bjaeducation.bsky.social · 09/09/2026
📊 The UK paediatric kidney transplant waiting list grew 19% between 2023 and 2024, with a median wait of 337 days. Accounting for around 10% of the world's paediatric transplants. 👉🏻Read more: www.bjaed.org/article/S205... #Transplant
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BJA Education @bjaeducation.bsky.social · 08/09/2026
📊 Often the most misunderstood area of QI is the measurement. In this month’s #BJAEd: planning data collection, analysing variation, and reporting QI data so it changes practice. 👉🏻Read more: www.bjaed.org/article/S205... #QualityImprovement
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BJA Education @bjaeducation.bsky.social · 07/09/2026
🩺 Preoperative assessment in robot-assisted bronchoscopy matters. Severe COPD, baseline hypercapnia, large bullae, pulmonary hypertension and RV dysfunction all shift the risk-benefit of prolonged breath-holds. 👉🏻Read more: www.bjaed.org/article/S205... #PatientSafety
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BJA Education @bjaeducation.bsky.social · 03/09/2026
🔟 years on, is the evidence for the erector spinae plane block keeping pace with the enthusiasm? A critical review of the anatomy, mechanism, technique and indications in this month’s #BJAEd 👉🏻Read more: www.bjaed.org/article/S205... #RegionalAnaesthesia
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BJA Education @bjaeducation.bsky.social · 02/09/2026
🚨 Suspected flap compromise post maxfax surgery? Immediate surgical review for early re-exploration is the strongest predictor of salvage, and should not be delayed by prolonged conservative management. 👉🏻Read more: www.bjaed.org/article/S205... #PatientSafety
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BJA Education @bjaeducation.bsky.social · 28/08/2026
Make sure you don't miss this excellent #BJAEd article on Ultrasound-guided Peripheral Vascular Access in Children: www.bjaed.org/article/S205...
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BJA Education @bjaeducation.bsky.social · 25/08/2026
Don't miss the latest #BJAEd article on Fluids in Sepsis: www.bjaed.org/article/S205...
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BJA Education @bjaeducation.bsky.social · 20/08/2026
Don't miss this unique insight into chemical warfare agents in the latest edition of #BJAEd: www.bjaed.org/article/S205...
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BJA Education @bjaeducation.bsky.social · 17/08/2026
Don't miss the new #BJAEd article on Perioperative Management of Ankylosing Spondylitis from Graham & Schwarz: www.bjaed.org/article/S205...
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BJA Education @bjaeducation.bsky.social · 14/08/2026
In the latest issue of #BJAEd, Forrest & Keys have produced a fantastic overview of Ultrasound-guided Peripheral Vascular Access in Children: www.bjaed.org/article/S205...
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BJA Education @bjaeducation.bsky.social · 11/08/2026
In this months #BJAEd, McMullan & Silversides have produced an excellent summary of Fluid Management in Sepsis: www.bjaed.org/article/S205...
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BJA Education @bjaeducation.bsky.social · 06/08/2026
Check out this fascinating new #BJAEd article on Chemical Warfare Agents: www.bjaed.org/article/S205...
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BJA Education @bjaeducation.bsky.social · 03/08/2026
This excellent new #BJAEd article from Graham & Schwarz on the Perioperative Management of Ankylosing Spondylitis is now available to read online: www.bjaed.org/article/S205...
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BJA Education @bjaeducation.bsky.social · 31/07/2026
Any hospital can be the first to receive a critically unwell child. New in BJA Education: the UK national standards every hospital should meet for paediatric stabilisation and transfer. 🏥 #BJAEd www.bjaed.org/article/S205...
bjaed.org
Paediatric stabilisation and transfer. Part 1: preparation and standards of care
Anaesthetists provide a vital role in the multidisciplinary management of children who are critically unwell or injured. These patients can present to any hospital providing emergency or walk-in care.
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BJA Education @bjaeducation.bsky.social · 27/07/2026
Spinal anaesthesia is commonly used for total knee arthroplasty and has been associated with reduced perioperative morbidity vs general anaesthesia. 💉 www.bjaed.org/article/S205... #BJAEd
bjaed.org
Anaesthesia and analgesia for total knee arthroplasty
Total knee arthroplasty (TKA) is among the most commonly performed orthopaedic procedures worldwide. Patients scheduled for TKA often present with limited mobility and moderate to severe pain, posing…
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BJA Education @bjaeducation.bsky.social · 26/07/2026
What does a hospital actually need to safely move a critically unwell child to specialist care? From grab bags to airway kit to the right team, Macrow et al. sets out the essentials in #BJAEd 📋 www.bjaed.org/article/S205...
bjaed.org
Paediatric stabilisation and transfer. Part 1: preparation and standards of care
Anaesthetists provide a vital role in the multidisciplinary management of children who are critically unwell or injured. These patients can present to any hospital providing emergency or walk-in care.
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BJA Education @bjaeducation.bsky.social · 22/07/2026
The sensory innervation of the knee is complex, with overlapping input from the lumbar and sacral plexuses. Understanding it is key to effective regional anaesthesia in total knee arthroplasty. 🦵 www.bjaed.org/article/S205... #BJAEd
bjaed.org
Anaesthesia and analgesia for total knee arthroplasty
Total knee arthroplasty (TKA) is among the most commonly performed orthopaedic procedures worldwide. Patients scheduled for TKA often present with limited mobility and moderate to severe pain, posing…
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BJA Education @bjaeducation.bsky.social · 21/07/2026
71% of non-tertiary hospital responders reported difficulty maintaining paediatric skills, and 50% had concerns about their confidence (APAGBI 2024). Read this review article by Macrow et al. to help close that gap. 📊 #BJAEd www.bjaed.org/article/S205...
bjaed.org
Paediatric stabilisation and transfer. Part 1: preparation and standards of care
Anaesthetists provide a vital role in the multidisciplinary management of children who are critically unwell or injured. These patients can present to any hospital providing emergency or walk-in care.
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BJA Education @bjaeducation.bsky.social · 17/07/2026
Is there a 'correct' collection of nerve blocks for total knee replacement? Read C.C. de Carvalho et al's review article in #BJAEd to learn more! 💉https://www.bjaed.org/article/S2058-5349(26)00035-1/fulltext
bjaed.org
Anaesthesia and analgesia for total knee arthroplasty
Total knee arthroplasty (TKA) is among the most commonly performed orthopaedic procedures worldwide. Patients scheduled for TKA often present with limited mobility and moderate to severe pain, posing…
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BJA Education @bjaeducation.bsky.social · 16/07/2026
On call and might be the first to receive a critically unwell child? BJA Education outlines the anaesthetist's role at the referring hospital, from resuscitation to safe transfer preparation. 🩺 #BJAEd www.bjaed.org/article/S205...
bjaed.org
Paediatric stabilisation and transfer. Part 1: preparation and standards of care
Anaesthetists provide a vital role in the multidisciplinary management of children who are critically unwell or injured. These patients can present to any hospital providing emergency or walk-in care.
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BJA Education @bjaeducation.bsky.social · 12/07/2026
C.C. de Carvalho et al distil preoperative optimisation, technique choice and motor-sparing analgesia for total knee arthroplasty - and more! 📚 #BJAEd www.bjaed.org/article/S205...
bjaed.org
Anaesthesia and analgesia for total knee arthroplasty
Total knee arthroplasty (TKA) is among the most commonly performed orthopaedic procedures worldwide. Patients scheduled for TKA often present with limited mobility and moderate to severe pain, posing…
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BJA Education @bjaeducation.bsky.social · 11/07/2026
Could your hospital safely stabilise and transfer a critically unwell child today? This BJA Education review sets out the national standards, guidance and minimum equipment every site should have. 🚑 #BJAEd www.bjaed.org/article/S205...
bjaed.org
Paediatric stabilisation and transfer. Part 1: preparation and standards of care
Anaesthetists provide a vital role in the multidisciplinary management of children who are critically unwell or injured. These patients can present to any hospital providing emergency or walk-in care.
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BJA Education @bjaeducation.bsky.social · 07/07/2026
General or spinal for total knee arthroplasty? This review compares the techniques, their risks and benefits, and how to individualise the choice. 🤔 www.bjaed.org/article/S205... #BJAEd
bjaed.org
Anaesthesia and analgesia for total knee arthroplasty
Total knee arthroplasty (TKA) is among the most commonly performed orthopaedic procedures worldwide. Patients scheduled for TKA often present with limited mobility and moderate to severe pain, posing…
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BJA Education @bjaeducation.bsky.social · 06/07/2026
Any hospital can be the first to receive a critically unwell child. New in BJA Education: the UK national standards every hospital should meet for paediatric stabilisation and transfer. 🏥 #BJAEd www.bjaed.org/article/S205...
bjaed.org
Paediatric stabilisation and transfer. Part 1: preparation and standards of care
Anaesthetists provide a vital role in the multidisciplinary management of children who are critically unwell or injured. These patients can present to any hospital providing emergency or walk-in care.
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BJA Education @bjaeducation.bsky.social · 03/07/2026
Spinal anaesthesia is commonly used for total knee arthroplasty and has been associated with reduced perioperative morbidity vs general anaesthesia. 💉 www.bjaed.org/article/S205... #BJAEd
bjaed.org
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BJA Education @bjaeducation.bsky.social · 30/06/2026
🔄 Orthotopic liver transplant unfolds in three phases, pre-anhepatic, anhepatic and neohepatic, each with distinct physiological challenges. Anticipating them is what separates a smooth case from a turbulent one. Read more: www.bjaed.org/article/S2058-5349(26)00021-1/fulltext
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BJA Education @bjaeducation.bsky.social · 29/06/2026
🔌 Neuromodulation offers reversible, non-destructive options for refractory pain, from TENS and pulsed radiofrequency to spinal cord, dorsal root ganglion and peripheral nerve stimulation, each at a different level. Read more: www.bjaed.org/article/S2058-5349(26)00020-X/fulltext
bjaed.org
Interventions for managing pain after traumatic peripheral nerve injury
Traumatic peripheral nerve injury (TPNI) arises from a range of distinct aetiologies. The most common are sharp lacerations from glass or blades, and high-energy blunt trauma causing traction or…
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BJA Education @bjaeducation.bsky.social · 28/06/2026
🛡️ Psychological safety is the shared belief that a team is safe for interpersonal risk-taking. It isn’t about being nice, it’s a climate where people can voice concerns and admit mistakes without fear. Read more: www.bjaed.org/article/S2058-5349(26)00019-3/fulltext
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BJA Education @bjaeducation.bsky.social · 27/06/2026
🔀 Multicollinearity, when explanatory variables are highly correlated (think APACHE and SOFA scores), can mask true effects. When two variables are highly correlated, include only one in the model. Read more: www.bjaed.org/article/S2058-5349(26)00018-1/fulltext
bjaed.org
Core concepts in statistics and research methods. Part 7: regression
The term regression dates back to experiments conducted by British biologist Sir Francis Galton in the 19th century.1 Galton was interested in how strongly traits in one generation were inherited in…
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BJA Education @bjaeducation.bsky.social · 26/06/2026
👥 There is no legal ‘next of kin’ in UK law and no hierarchy of opinion in best-interests decisions. Family views matter only to illuminate what the patient themselves would have wanted. Make sure you’re up to date with the legalities: www.bjaed.org/article/S2058-5349(26)00028-4/fulltext
bjaed.org
Consent and assessing capacity in perioperative and intensive care
Consent and capacity are fundamental pillars of medical ethics and law. These take on particular significance in anaesthesia and intensive care medicine (ICM), where patients' ability to participate…
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BJA Education @bjaeducation.bsky.social · 25/06/2026
⚡ Post-reperfusion syndrome complicates up to 77% of liver transplants. Cold, acidotic, hyperkalaemic blood returning to the heart can trigger arrhythmias and arrest. Anticipate it, augment the MAP, correct electrolytes. Read more: www.bjaed.org/article/S2058-5349(26)00021-1/fulltext
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BJA Education @bjaeducation.bsky.social · 24/06/2026
⏳ Timing is everything in nerve repair. Schwann cells lose their repair phenotype if reinnervation is delayed beyond 6–12 weeks, a key reason why early diagnosis and prompt referral matter so much. Read more: www.bjaed.org/article/S2058-5349(26)00020-X/fulltext
bjaed.org
Interventions for managing pain after traumatic peripheral nerve injury
Traumatic peripheral nerve injury (TPNI) arises from a range of distinct aetiologies. The most common are sharp lacerations from glass or blades, and high-energy blunt trauma causing traction or…
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