iiinova — where your digital self keeps evolving

Cardiac Output @cardiacoutput.bsky.social · 13/10/2026

Sixty-five per cent of patients on standard-dose heparin on ECMO have a severe bleed. This is a journal club on RATE, published in @thelancet.com: the first adequately powered randomised trial of anticoagulation intensity on ECMO. podcasts.apple.com/gb/podcast/c...

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How Much Heparin on ECMO? (RATE)

Podcast Episode · Cardiac Output · 13 October · 16min

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Cardiac Output @cardiacoutput.bsky.social · 11/10/2026

This episode is the cardiomyopathies: the main types, how they present, what they look like on echo, and why getting the label right changes what you do with your hands. 6 pictures, 6 diagnoses and 6 different treatments for the same low blood pressure. podcasts.apple.com/gb/podcast/c...

podcasts.apple.com

Cardiomyopathy: Look Before You Squeeze

Podcast Episode · Cardiac Output · 11 October · 19min

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Cardiac Output @cardiacoutput.bsky.social · 02/10/2026

Cardiac Output Monitoring: Believe the Patient. This episode is cardiac output monitoring, for the exam and for the bedside: how each device works, the physiology underneath, when we actually use them, and where each one misleads you. podcasts.apple.com/gb/podcast/c...

podcasts.apple.com

Cardiac Output Monitoring: Believe the Patient

Podcast Episode · Cardiac Output · 2 October · 19min

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Cardiac Output @cardiacoutput.bsky.social · 27/09/2026

Cardioplegia makes planned ischaemia survivable in five ways — arrest, cool, empty, feed and buffer, and limit reperfusion injury — and arrest does most of the work. podcasts.apple.com/gb/podcast/c...

podcasts.apple.com

Cardioplegia: Stopping the Heart Safely

Podcast Episode · Cardiac Output · 27 September · 19min

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Cardiac Output @cardiacoutput.bsky.social · 25/09/2026

This is atrial fibrillation on the cardiothoracic ICU, top to bottom. And it matters beyond the bedside: in a recent @rcoanews.bsky.social Fellowship paper it was the worst-performing question on the whole exam, with a pass rate of about 43 per cent. podcasts.apple.com/gb/podcast/c...

podcasts.apple.com

AF on the Unit: Fix the Physiology First

Podcast Episode · Cardiac Output · 25 September · 20min

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Cardiac Output @cardiacoutput.bsky.social · 21/09/2026

TOE in Theatre: The Probe Earns Its Keep. A foundation guide on the use of TOE for cardiac surgery – EF, the RV, wires/pipes and much more! podcasts.apple.com/gb/podcast/c...

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TOE in Theatre: The Probe Earns Its Keep

Podcast Episode · Cardiac Output · 21 September · 15min

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Cardiac Output @cardiacoutput.bsky.social · 20/09/2026

Today it's transthoracic echo on the intensive care unit: the views, and the patterns you are looking for in a shocked patient. @ics-updates.bsky.social @imcrit.bsky.social podcasts.apple.com/gb/podcast/c...

podcasts.apple.com

Transthoracic Echo on the Unit: Five Views and Six Patterns

Podcast Episode · Cardiac Output · 20 September · 14min

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Cardiac Output @cardiacoutput.bsky.social · 17/09/2026

We will be reporting live today from @assocanaes.bsky.social #AC26 as the GLIMPSE study is launched! See you at 1700! associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/... podcasts.apple.com/gb/podcast/c...

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Cardiac Output @cardiacoutput.bsky.social · 13/09/2026

TOE for Mechanical Support 2: VADs and the Impella. People say "VAD" and mean five different machines, sitting in different places, for different lengths of time. podcasts.apple.com/gb/podcast/c...

podcasts.apple.com

TOE for Mechanical Support 2: VADs and the Impella

Podcast Episode · Cardiac Output · 13 September · 25min

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Cardiac Output @cardiacoutput.bsky.social · 13/09/2026

TOE for Mechanical Support 1: Balloon Pumps and ECMO. In mechanical circulatory support, transoesophageal echo is not an investigation you order. It is part of the device. podcasts.apple.com/gb/podcast/c...

podcasts.apple.com

TOE for Mechanical Support 1: Balloon Pumps and ECMO

Podcast Episode · Cardiac Output · 13 September · 17min

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Cardiac Output @cardiacoutput.bsky.social · 12/09/2026

Cardiopulmonary Bypass: What It Does to the Patient. This is cardiopulmonary bypass top to bottom, pitched at @rcoanews.bsky.social FRCA level and a little beyond, and built around the questions that have actually appeared in past papers. podcasts.apple.com/gb/podcast/c...

podcasts.apple.com

Cardiopulmonary Bypass: What It Does to the Patient

Podcast Episode · Cardiac Output · 12 September · 23min

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Cardiac Output @cardiacoutput.bsky.social · 11/09/2026

Intra-Aortic Balloon Pumps: Timing, Traces and Trials. The answer isn't to ignore the evidence — it's to notice what the trials actually studied, which was routine, unselected use in two specific shock populations. podcasts.apple.com/gb/podcast/c...

podcasts.apple.com

Intra-Aortic Balloon Pumps: Timing, Traces and Trials

Podcast Episode · Cardiac Output · 11 September · 28min

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Cardiac Output @cardiacoutput.bsky.social · 05/09/2026

Protamine: The Most Dangerous Drug We Give Every Day. Cardiac surgery consumes around ten per cent of the entire NHS blood supply, and ninety per cent of those products go into ten per cent of patients. podcasts.apple.com/gb/podcast/c...

podcasts.apple.com

Protamine: The Most Dangerous Drug We Give Every Day

Podcast Episode · Cardiac Output · 5 September · 18min

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Cardiac Output @cardiacoutput.bsky.social · 04/09/2026

Bleeding After Cardiac Surgery: Products, TEGs and HIT. Mike takes a deliberately unfashionable position on the TEG and defends it, and Calum pushes back. podcasts.apple.com/gb/podcast/c...

podcasts.apple.com

Bleeding After Cardiac Surgery: Products, TEGs and HIT

Podcast Episode · Cardiac Output · 4 September · 22min

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Cardiac Output @cardiacoutput.bsky.social · 30/08/2026

Delighted to receive a mention in @assocanaes.bsky.social Anaesthesia News🎙️ The rule we set ourselves is that anything a listener could find in a textbook gets thirty seconds, and the remaining time goes to the things you would otherwise only learn by being in the room.

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Cardiac Output @cardiacoutput.bsky.social · 29/08/2026

Endocarditis Surgery: Timing, Bleeding and Vasoplegia. Prosthetic valve endocarditis carries around a 27% one-year mortality, with device-related disease closer to a one in four risk of not getting home at all. podcasts.apple.com/gb/podcast/c...

podcasts.apple.com

Endocarditis Surgery: Timing, Bleeding and Vasoplegia

Podcast Episode · Cardiac Output · 29 August · 20min

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Cardiac Output @cardiacoutput.bsky.social · 28/08/2026

In this episode Mike and Calum work through infective endocarditis -why it presents so differently now -how it gets diagnosed -the traps that make it harder than it needs to be. podcasts.apple.com/gb/podcast/c...

podcasts.apple.com

Endocarditis for Residents: Cultures, Criteria and Echo

Podcast Episode · Cardiac Output · 28 August · 18min

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Cardiac Output @cardiacoutput.bsky.social · 15/08/2026

TAVI for Residents: Evidence, Rapid Pacing and Sedation. "And here's what I'd add, which matters more than any drug choice. Be deliberate. Be patient. Be gentle." @dasresidents.bsky.social @anaesresidents.bsky.social @assocanaes.bsky.social podcasts.apple.com/gb/podcast/c...

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Cardiac Output @cardiacoutput.bsky.social · 13/08/2026

What Would You Do? Cognitive Bias in ECMO Decisions. If you never go looking for the unknown unknowns, the only way you'll ever find them is by making the mistakes yourself. podcasts.apple.com/gb/podcast/c...

podcasts.apple.com

What Would You Do? Cognitive Bias in ECMO Decisions

Podcast Episode · Cardiac Output · 13 August · 17min

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Cardiac Output @cardiacoutput.bsky.social · 12/08/2026

Check the Tube. Then Check It Again. Mike and Calum work through thoracic and cardiac airway management, and a couple of scenarios that will catch you out badly if you haven't thought about them first. podcasts.apple.com/gb/podcast/c...

podcasts.apple.com

Check the Tube. Then Check It Again.

Podcast Episode · Cardiac Output · 12 August · 15min

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Cardiac Output @cardiacoutput.bsky.social · 09/08/2026

TAVI for Residents: Evidence, Rapid Pacing and Sedation. Everybody asks how you anaesthetise a patient for a TAVI. The answer takes about four seconds: it's lidocaine into the groin. Podcast done? @lachiemiles.bsky.social podcasts.apple.com/gb/podcast/c...

podcasts.apple.com

TAVI for Residents: Evidence, Rapid Pacing and Sedation

Podcast Episode · Cardiac Output · 9 August · 22min

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Cardiac Output @cardiacoutput.bsky.social · 08/08/2026

Empty, Not Vasoplegic: Aortic Stenosis After Surgery. Your general intensive care instinct says work out why they're vasoplegic and turn the pressors up. In this specific patient, that instinct is wrong. podcasts.apple.com/gb/podcast/c...

podcasts.apple.com

Empty, Not Vasoplegic: Aortic Stenosis After Surgery

Podcast Episode · Cardiac Output · 8 August · 20min

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Cardiac Output @cardiacoutput.bsky.social · 07/08/2026

Our first episode covered veno-venous ECMO the way it gets examined. This episode is everything we didn't say — not the physiology, but the service. How ECMO got here, who actually says yes to a referral, and the things that genuinely shorten a run. podcasts.apple.com/gb/podcast/c...

podcasts.apple.com

VV-ECMO for Residents: Candidacy, Runs and Oxygenators

Podcast Episode · Cardiac Output · 7 August · 20min

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Cardiac Output @cardiacoutput.bsky.social · 04/08/2026

Think Aorta: Hypertensive Emergencies and Dissection. Mike and Calum work through hypertension and the acute aortic syndromes as they actually present — the intensive care half of the topic. @THINK__AORTA @ThinkAorta podcasts.apple.com/gb/podcast/c...

podcasts.apple.com

Think Aorta: Hypertensive Emergencies and Dissection

Podcast Episode · Cardiac Output · 4 August · 19min

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Cardiac Output @cardiacoutput.bsky.social · 03/08/2026

Heart and lung transplants: 48 hours in ICU. When these patients fail, it happens almost without you noticing, and by the time you've understood the trajectory you're reopening the chest. podcasts.apple.com/gb/podcast/c...

podcasts.apple.com

Heart and Lung Transplants: The First 48 Hours in ICU

Podcast Episode · Cardiac Output · 2 August · 25min

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Cardiac Output @cardiacoutput.bsky.social · 01/08/2026

Heart and lung transplants: 12 hours in theatre. In this episode Mike and Calum work through heart and lung transplantation from the listing call to the handover on the unit — the twelve hours in the middle. podcasts.apple.com/gb/podcast/c...

podcasts.apple.com

Heart and Lung Transplants: The Twelve Hours in Theatre

Podcast Episode · Cardiac Output · 1 August · 28min

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Cardiac Output @cardiacoutput.bsky.social · 26/07/2026

Vasoplegia, SAM and pacing. Your noradrenaline is climbing, and climbing, and the pressure still won't hold. The tank's the right size and the pump is working — so what do you reach for next? podcasts.apple.com/gb/podcast/c...

podcasts.apple.com

Cardiac Theatre for Residents: Vasoplegia, SAM and Pacing

Podcast Episode · Cardiac Output · 26 July · 17min

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Cardiac Output @cardiacoutput.bsky.social · 26/07/2026

In this episode Mike and Calum work through heart failure and mechanical circulatory support the way it actually plays out on a cardiothoracic ICU. How you know the output is low, what the devices really do, and how to escalate before it's too late. podcasts.apple.com/gb/podcast/c...

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Cardiac Output @cardiacoutput.bsky.social · 25/07/2026

In genuinely severe ARDS, in the right patient, at an experienced centre, as an escalation after you've maximised conventional therapy including proning — ECMO probably saves lives. Not a magic wand. But not smoke and mirrors either. podcasts.apple.com/gb/podcast/c...

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Cardiac Output @cardiacoutput.bsky.social · 24/07/2026

Mike and Calum work through heart failure and MCS the way it actually plays out on a cardiothoracic ICU: how you know the output is low and what the devices really do. This is the intensive care half of the topic — the theatre half is coming soon..... podcasts.apple.com/gb/podcast/c...

podcasts.apple.com

Mechanical Circulatory Support in ICU: Cardiac Output, VA-ECMO and VADs

Podcast Episode · Cardiac Output · 24 July · 18min

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Cardiac Output @cardiacoutput.bsky.social · 24/07/2026

Recirculation, desaturation, line chatter and the failing oxygenator. In this episode Mike and Calum work through veno-venous ECMO the way it actually gets used on an ICU: what it does, who it's for, and the things that catch people out at the bedside. podcasts.apple.com/gb/podcast/c...

podcasts.apple.com

VV-ECMO for Residents: Physiology, Evidence, Troubleshooting

Podcast Episode · Cardiac Output · 22 July · 19min

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Anaesthesia @anaesjournal.bsky.social · 12/06/2025

Welcome to our new series - Core Topics in Anaesthesia "Anaesthesia support for transcatheter heart valve interventions: a narrative review" #AnSky doi.org/10.1111/anae...

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Anaesthesia @anaesjournal.bsky.social · 27/05/2025

Editorial: Rapid sequence induction: a modern-day example of Theseus' Paradox? Stept and Safar described ‘rapid induction/intubation’ in 1970. PUMA recently issued a consensus statement on RSI. Let's compare. @sthjournalclub.bsky.social #AnSky #AirwaySky doi.org/10.1111/anae...

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Pete Hart @intensiveperson.bsky.social · 28/05/2025

A long overdue (but topical), nuanced and thorough discussion of "RSI" whose final conclusion I happen to entirely agree with. Well done @sthjournalclub.bsky.social

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Ben Morton @benmorton.bsky.social · 12/05/2025

Congratulations to Navniel Kaur, our excellent international editorial fellow @anaesjournal.bsky.social, based in Kenya and supported by @assocanaes.bsky.social on publication of this manuscript: associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/epdf/10....

associationofanaesthetists-publications.onlinelibrary.wiley.com

An analysis of publication trends in Science Letters published in Anaesthesia

Click on the article title to read more.

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Anaesthesia @anaesjournal.bsky.social · 10/03/2025

We are recruiting for Editorial Fellows for Anaesthesia and Anaesthesia Reports! Did you know - FIVE of our current Editors completed the journal fellowship!? Could you be next? Submit your application by 6 June 2025. #AnSky

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Anaesthesia @anaesjournal.bsky.social · 11/03/2025

Editorial: It's not (all) about the bike: making pre-operative risk stratification equitable @mikecharlesworth.bsky.social #AnSky associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/...

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Iain Moppett OBE @iainmoppett.bsky.social · 13/02/2025

Anyone got any more anaesthesia ‘rules’? Original list came via @mikecharlesworth.bsky.social I think. #AnSky

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Anaesthesia @anaesjournal.bsky.social · 31/01/2025

Want to know more about GLP-1 RAs and SGLT2 inhibitors? We have a treat for you! Check out this excellent podcast with Kariem El-Boghdadly and Ketan Dhatariya! @elboghdadly.bsky.social #AnSky #MedSky #GLP1 buff.ly/4hkSCLg

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Peri-operative management of adults taking GLP-1 receptor agonists, GIP agonists and SGLT2 inhibitors

Podcast Episode · Rapid Sequence · 31/01/2025 · 25m

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Anaesthesia @anaesjournal.bsky.social · 30/01/2025

Recommendations for the peri-operative management of patients taking GLP-1 RAs and GIPs #AnSky #MedSky #GLP1 buff.ly/4ak4pa0

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Stu Marshall @hypoxicchicken.medsky.social · 22/01/2025

Timeline cleanse for anaesthetists. #AnSky

Rack of anaesthetic stickers for syringes in colour order and with all the labels cut at the same level.

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Anaesthesia Reports @anaesthesiareports.bsky.social · 16/01/2025

Airway trauma, one passage opens with inspiration, the other on expiration. Tissues are very oedematous. The CT scan didn't show this injury. What would you do? #AnSky #MedSky #EMSky #airway associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/epdf/10....

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

Association of Anaesthetists guidelines: the use of blood components and their alternatives 2024 doi.org/10.1111/anae... #AnSky #HaemSky #MedSky

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Cardiac Output @cardiacoutput.bsky.social · 12/01/2025

Just checking to see if there is anyone out there 👀 and it looks like there is....

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Cardiac Output @cardiacoutput.bsky.social · 12/01/2025

Not to brag but 2024 was also my hottest year on record 😎

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Anaesthesia @anaesjournal.bsky.social · 22/11/2024

Being a 'good rescuer' is: • counterintuitive eg the advice to stand back & analyse rather than pile in & do something • counter-cultural eg using checklists rather than relying on memory Specific rescuer training would reinforce these skills. #AnSky #MedSky #HFESky buff.ly/3COBTjM

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