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Dr Helgi Jóhannsson @doctorhelgi.bsky.social · 29/09/2025

Good morning from Portugal’s doctors updates conference (as featured in some national publications). Expect some geeky anaesthesia tweets but let’s start with the morning beach run. Only 2km to get my feet used to barefoot sand running.

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Dr Helgi Jóhannsson @doctorhelgi.bsky.social · 19/09/2025

The sunset has nearly reached its autumn/winter position. Happy weekend everyone

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Dr Helgi Jóhannsson @doctorhelgi.bsky.social · 11/09/2025

Good morning everyone. I’m at the #BGSconf this morning talking about delirium. Caught @cswarbrick1’s excellent talk on the impact of delirium and the results of Snap3. Delirium increases length of stay, mortality and all complications.

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Reposted by Dr Helgi Jóhannsson

Royal College of Anaesthetists @rcoanews.bsky.social · 15/08/2025

The latest episode of #AnaesthesiaOnAir features @doctorhelgi.bsky.social in conversation with retired anaesthetist Dr Maginness about the Omagh bomb. Dr Maginness was an Omagh local and part of the medical response team. Recorded at #Anaesthesia2025 in Belfast. 🎧 ow.ly/eFbz50WGczQ #medsky

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Reposted by Dr Helgi Jóhannsson

BJS Academy @bjsacademy.bsky.social · 01/08/2025

🏆ARTICLE OF THE MONTH: The other side of the barrier by @doctorhelgi.bsky.social How subtle cues, teamwork & understanding between anaesthetists & surgeons improve patient safety. 👉 www.bjsacademy.com/bjs-academy/... #PatientSafety #Anaesthesia #Surgery #medsky #surgsky

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Dr Helgi Jóhannsson @doctorhelgi.bsky.social · 02/07/2025

Thinking that end of September is a great time to go to a conference in the south of Portugal? Look no further… (And yes this is the one where my “floral shirt” got featured in the Mail). www.doctorsupdates.com/da-balaia

doctorsupdates.com

About | DOCTORSUPDATES

DOCTORSUPDATES have been providing ‘EDUCATION IN A PERFECT LOCATION’ for over 30 years. The meetings take place in the Alps in winter and in the Algarve in autumn.

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Dr Helgi Jóhannsson @doctorhelgi.bsky.social · 13/06/2025

Thunder and lightning, very very frightening…

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Dr Helgi Jóhannsson @doctorhelgi.bsky.social · 11/06/2025

Turns out targeting a particular blood pressure while under anaesthesia doesn’t make much difference, and the permissive group actually had less atrial fibrillation. #rcoaupdates

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Dr Helgi Jóhannsson @doctorhelgi.bsky.social · 04/06/2025

The @RCoANews ‘s college tutor meeting in full flow. Our new vice president elect @drmumsjt introduces some of the new guidance for training progression. More flexibility, better appreciation of training obtained in “locally employed” posts. Faster progression through training

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Dr Helgi Jóhannsson @doctorhelgi.bsky.social · 26/05/2025

Hello everyone, Reporting from #ea25 in Lisbon. It makes sense that pre-op physical training reduces post-op complications, did you know that brain training does too? #prehabilitation

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Dr Helgi Jóhannsson @doctorhelgi.bsky.social · 22/05/2025

The anaesthetic national audit projects are some of the most powerful in the UK. We have a sneak peek at #SNAP3, looking at our older surgical patients, their frailty and any delirium experienced. #Anaesthesia2025

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Dr Helgi Jóhannsson @doctorhelgi.bsky.social · 22/05/2025

At #Anaesthesia2025 we are discussing the case of Oliver McGowan and communicating with people with learning disabilities. Many of us will have done the e-learning on his case (which I found very powerful).

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Dr Helgi Jóhannsson @doctorhelgi.bsky.social · 22/05/2025

Good morning everyone and welcome to #Anaesthesia2025 day 3. We start with Gail Van Norman talking on conscientious objection. What happens if a colleague will not transfuse blood for religious reasons?

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Reposted by Dr Helgi Jóhannsson

Bob Funnekotter @bobfunn.bsky.social · 20/05/2025

Goes for anaesthetists too. Esp when doing trickier stuff, like fiberoptic intubation or bronchoscopic check of double lumen tube position: get the feng sui right!

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Dr Helgi Jóhannsson @doctorhelgi.bsky.social · 21/05/2025

Good morning and welcome to day 2 of #Anaesthesia2025. Starting with @GJvanVelze on high performance teams. Clear processes, safe environment, stretch the team, but not so far to cause burnout.

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Dr Helgi Jóhannsson @doctorhelgi.bsky.social · 20/05/2025

Simple things make a difference to efficiency and safety. If a laparoscopic monitor is positioned badly the error rate and response time goes up. Get the feng sui right. #Anaesthesia2025

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Dr Helgi Jóhannsson @doctorhelgi.bsky.social · 20/05/2025

Direct quote from a surgeon: “Tell my colleagues to stop spending money on robots and spend it instead on something that makes a difference”. Team training, education, system improvement. #Anaesthesia2025

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Dr Helgi Jóhannsson @doctorhelgi.bsky.social · 20/05/2025

Did you know that mechanical thrombectomy for stroke is 7 times more effective than thrombolysis for MI? It saves lives, reduces disability. Much of the UK still doesn’t have 24hrs access to thrombectomy and only 4% of stroke patients get one. #anaesthesia2025

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Dr Helgi Jóhannsson @doctorhelgi.bsky.social · 20/05/2025

Summary of our paed regional talk: Kids are very sensitive to opioids so regional anaesthesia is ideal. Use the ultrasound Be careful about maximum doses. #anaesthesia2025

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Dr Helgi Jóhannsson @doctorhelgi.bsky.social · 20/05/2025

First up is @anilhormis on nociception monitoring. Getting the pain relief right is one of the bigger challenges in anaesthesia. Too little and your patient wakes up in agony, too much and they take ages to wake, remain drowsy and vomit more. #anaesthesia2025

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Dr Helgi Jóhannsson @doctorhelgi.bsky.social · 20/05/2025

Good morning from Belfast. We kick off #anaesthesia2025 this morning so expect geeky work related posts, although in honour of Eurovision I did have an Espresso Macchiato this morning.

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Dr Helgi Jóhannsson @doctorhelgi.bsky.social · 19/05/2025

Hello Belfast! Here for three days for #anaesthesia2025 Expect some educational nuggets and some general banter. The dry spring has made the fields look like the south of England in August!

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Dr Helgi Jóhannsson @doctorhelgi.bsky.social · 16/04/2025

Last evening back home in Reykjavik and the harbour provided a little light display.

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Dr Helgi Jóhannsson @doctorhelgi.bsky.social · 15/03/2025

Today we repaired 14 hernias. Started on time, finished on time. Even stopped briefly for lunch. One operating theatre, no expensive technology. Last list for a while as all extra sessions to reduce waiting lists have been stopped for now due to lack of money. #nhs #waitinglists

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Reposted by Dr Helgi Jóhannsson

Royal College of Anaesthetists @rcoanews.bsky.social · 14/02/2025

In #LGBTplusHM25... It's a good time to re-read Dr Helgi Johannsson's blog on his personal history, the history of healthcare & where we are now. "We must make our patient pathways welcoming towards those who identify as LGBTQ+." #LGBTHM25 @doctorhelgi.bsky.social ow.ly/XiLU50V021h

Dr Helgi Johannsson taking a selfie wearing a rainbow lanyard, smiling broadly.

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Dr Helgi Jóhannsson @doctorhelgi.bsky.social · 28/02/2025

Venus bright in the evening sky, and the other planets coming out as well. (Rubbish photo though so not published). Happy Friday everyone.

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Dr Helgi Jóhannsson @doctorhelgi.bsky.social · 13/02/2025

Despite generally being a tourist trap, after not seeing the sun for some weeks, Gran Canaria is currently providing me with everything I need.

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Dr Helgi Jóhannsson @doctorhelgi.bsky.social · 05/02/2025

Isn’t tower bridge pretty? Forgot to post this photo taken from London Bridge on Monday morning.

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Dr Helgi Jóhannsson @doctorhelgi.bsky.social · 31/01/2025

Finally watched Wicked this evening. A lot of fun and reminded me of one of my patients a couple of years ago who as a massive musical theatre fan sang Defying Gravity (very well) at the top of her voice while being anaesthetised.

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Dr Helgi Jóhannsson @doctorhelgi.bsky.social · 31/01/2025

Important information on GLP agonists (#Ozempic etc) and surgery. Slowing of stomach action may mean there is still food in the stomach six hours after a meal. Glad to see there are still very few reports of aspiration. Stopping the drug probably not the answer either. www.gov.uk/drug-safety-...

gov.uk

GLP-1 and dual GIP/GLP-1 receptor agonists: potential risk of pulmonary aspiration during general anaesthesia or deep sedation

Healthcare professionals should be aware of the potential risk of pulmonary aspiration in patients using GLP-1 or dual GIP/GLP-1 receptor agonists who undergo surgery or procedures with general anaest...

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Dr Helgi Jóhannsson @doctorhelgi.bsky.social · 24/01/2025

What does an anaesthetist order at Starbucks? … … A Venti-Latte (Thank you to @sarahowen.org.uk for this one…)

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Dr Helgi Jóhannsson @doctorhelgi.bsky.social · 22/01/2025

For some reason I’m in this photo playing the clarinet badly…

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Dr Helgi Jóhannsson @doctorhelgi.bsky.social · 12/01/2025

Cold day on the allotment today, brought my camera with me and “pottered” (read didn’t achieve much but poked this and looked at that…) Back tomorrow too.

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Dr Helgi Jóhannsson @doctorhelgi.bsky.social · 11/01/2025

Replenished the bird feeders today and the blue tit loved it.

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Dr Helgi Jóhannsson @doctorhelgi.bsky.social · 11/01/2025

Good sunrise this morning in St Leonard’s.

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Dr Helgi Jóhannsson @doctorhelgi.bsky.social · 04/01/2025

Beautiful evening in central London last night. Happy (belated) new year everyone.

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Dr Helgi Jóhannsson @doctorhelgi.bsky.social · 24/12/2024

Morning run done - time to follow Nigella and brine the turkey.

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Dr Helgi Jóhannsson @doctorhelgi.bsky.social · 20/12/2024

London, you were looking so pretty this morning. (My finger ends and ears were numb, but hey….)

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Dr Helgi Jóhannsson @doctorhelgi.bsky.social · 05/12/2024

Thank you everyone! Very glad to stay on RCOA council!

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Dr Helgi Jóhannsson @doctorhelgi.bsky.social · 01/12/2024

Full old man vibes today sheltering from the rain in the rickety greenhouse on my allotment. Not much work got done.

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Dr Helgi Jóhannsson @doctorhelgi.bsky.social · 29/11/2024

To any Aye-voting MP who might read this: I want to thank you for voting Aye this afternoon. As a doctor I’ve seen so many truly awful deaths that I would never ever want, this gives our patients (and all of us eventually) some autonomy over what happens to us.

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Dr Helgi Jóhannsson @doctorhelgi.bsky.social · 29/11/2024

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Dr Helgi Jóhannsson @doctorhelgi.bsky.social · 29/11/2024

Great news on assisted dying. Now to the committee stage and then to design a service with all the safeguards necessary that allows our patients autonomy over their death.

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Reposted by Dr Helgi Jóhannsson

Dr Helgi Jóhannsson @doctorhelgi.bsky.social · 28/11/2024

Ahead of tomorrow’s parliamentary debate on assisted dying here is my plea to MPs that it’s time to change the law. It’s not too fast, it’s not the thin end of the wedge. It allows people at the end of their lives some autonomy. www.drhelgi.com/blog/assiste...

drhelgi.com

Assisted Dying - time to change the law — Dr Helgi

“I don’t want to go to prison, I’ve never committed a crime, I feel so helpless!”

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