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Reposted by Stu Marshall

Anaesthesia @anaesjournal.bsky.social · 27/08/2026

EXTUBATION GUIDELINES LAUNCH Project for Universal Management of Airways: guidelines for tracheal extubation @universalairway.org @Chrimesy.com 2026 Airway Management SIG meeting @anzca.bsky.social @asa-australia.bsky.social #AnSky @sthjournalclub.bsky.social doi.org/10.1111/anae...

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Reposted by Stu Marshall

Anaesthesia @anaesjournal.bsky.social · 27/08/2026

Here's the new Extubation Algorithm from PUMA! @universalairway.org @Chrimesy.com #AnSky #MedSky doi.org/10.1111/anae...

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Stu Marshall @hypoxicchicken.medsky.social · 10/08/2026

I’ve had this also. I made sure to document it clearly in large uppercase letters on the chart where everyone could clearly see their wishes.

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Stu Marshall @hypoxicchicken.medsky.social · 03/08/2026

I will always be incredibly grateful for our Pharmaceutical Benefits Scheme (PBS). This drug that keeps my tumour load down so I can live an (almost) normal life and without having to worry where to find an extra $78k per year. #Auspol #Medsky

Medication packaging with label stating cost of $25 but full undiscounted price of $6530.27 for 30 days supply

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Stu Marshall @hypoxicchicken.medsky.social · 24/06/2026

36 degrees in the UK today. Drill baby drill.

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Stu Marshall @hypoxicchicken.medsky.social · 18/06/2026

Alistair McNarry highlights the central role of the airway assistant in the DAS 2025 unanticipated difficult intubation guidelines. #GAMC26

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Stu Marshall @hypoxicchicken.medsky.social · 18/06/2026

Then what…? Consider transport Assemble a team with the plans Have a strategy

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Stu Marshall @hypoxicchicken.medsky.social · 18/06/2026

Helen Harker talks about the paediatric difficult airway - how to identify. #GAMC26 #AnSky

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Stu Marshall @hypoxicchicken.medsky.social · 18/06/2026

Interesting question from the audience at #GAMC26 should we routinely put in a Salem/sump tube at the end of the procedure seeing as aspiration at extubation/emergence is just as or more common than at induction? Tim Cook and Kariem E-B agree. #AnSky

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Stu Marshall @hypoxicchicken.medsky.social · 18/06/2026

TIVA-RSI Probably not unreasonable to do

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Stu Marshall @hypoxicchicken.medsky.social · 18/06/2026

Cricoid force. The facts. Can’t do an RCT would need 1.4M in each arm.

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Stu Marshall @hypoxicchicken.medsky.social · 18/06/2026

Inc incidence. Death from asphyxiation or ARDS

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Stu Marshall @hypoxicchicken.medsky.social · 18/06/2026

Components of RSI. Risks, evidence and logic

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Stu Marshall @hypoxicchicken.medsky.social · 18/06/2026

Next at #GAMC26 Tim Cook talks about RSI. First, coronial inquests have pointed to lack of guidelines in the age of TIVA etc. #AnSky

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Stu Marshall @hypoxicchicken.medsky.social · 18/06/2026

*Presents preliminary data from the GL1MPSE prospective trial.* Sorry. Wait you’ll have to for the paper…!

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Stu Marshall @hypoxicchicken.medsky.social · 18/06/2026

There is no retrospective data to show any increased risk

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Stu Marshall @hypoxicchicken.medsky.social · 18/06/2026

We know 1:8 patients have residual gastric contents. They don’t aspirate because of what we do to prevent it.

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Stu Marshall @hypoxicchicken.medsky.social · 18/06/2026

Pulmonary aspiration risk. Is this also increased? Needs to affect all of these factors.

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Stu Marshall @hypoxicchicken.medsky.social · 18/06/2026

If withheld, the risk doesn’t decrease within 12 days. Might be less there but still concerning volume. In endoscopy setting one small trial disputes this.

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Stu Marshall @hypoxicchicken.medsky.social · 18/06/2026

First the risk on inc gastric content is 6x those without

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Stu Marshall @hypoxicchicken.medsky.social · 18/06/2026

At #GAMC26 first up Kariem El-Boghdadly Is the Glp1 agonist response to pulmonary aspiration excessive?

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Stu Marshall @hypoxicchicken.medsky.social · 13/06/2026

Always leave one phrase from your lecture on a whiteboard for the next class.

Whiteboard with “Bus crash 8pm Saturday “ written in blue ink

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Stu Marshall @hypoxicchicken.medsky.social · 01/06/2026

Right? Like, who sends their kid to camp and says “yeah, nah, don’t bother with resuscitating…”?!

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Stu Marshall @hypoxicchicken.medsky.social · 01/06/2026

I was under the impression this was just a regular school outing. However, the rapidity that the consent form escalates is making me wonder…!

Permission form for school camp:
We both give permission for this student to be administered Paracetamol / Tylenol (or equivalent) by school medical staff whilst attending the conference

We both give permission for the student named above to be administered
Ibuprofen by school medical staff whilst attending the conference

We both give permission for the student named above to be administered
Antihistamines by school medical staff whilst attending the conference

W both give consent this student to receive medication as instructed and any mergency dental, medical or surgical treatment, including anaesthetic.

In an emergency we both give consent for this student to receive a blood transfusion, if considered necessary by the medical authorities present.

We both give consent for this student to be resuscitated if required.

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Stu Marshall @hypoxicchicken.medsky.social · 10/05/2026

Thanks Segun. Hopefully the drugs keep it under control for a while yet. Hope you’re well yourself.

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Stu Marshall @hypoxicchicken.medsky.social · 10/05/2026

All good, lovely people. Aiming to be here a long time too! 🤞

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Stu Marshall @hypoxicchicken.medsky.social · 09/05/2026

Thanks Hilary. Hope all is well with you. Take care

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Stu Marshall @hypoxicchicken.medsky.social · 09/05/2026

Thanks Gav. 6-month restaging scans yesterday. Fingers crossed it’s still under control with the drugs. 🤞

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Stu Marshall @hypoxicchicken.medsky.social · 08/05/2026

Take note Australian media. The saturation of media about Pauline Hansons One Nation this week has been very similar. #AusPol

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Stu Marshall @hypoxicchicken.medsky.social · 05/05/2026

It’s not every day your one of your dearest friends becomes the president of a major medical specialty college. Congratulations Dr Tanya Selak aka @gonggasgirl.bsky.social President of the Australian and New Zealand College of Anaesthetists @anzca.bsky.social So proud of you #AnSky

Dr Tanya Selak being given the ANZCA presidents medal by outgoing president Professor David Story

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Reposted by Stu Marshall

Dr Magpie @lightfootsj.bsky.social · 03/05/2026

#Asm26Akl Time to reconsider our fear of conversion of regional anaesthetic to GA during LSCS if mother is feeling pain. Video laryngoscopy is a game changer imho! @anzca.bsky.social

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Stu Marshall @hypoxicchicken.medsky.social · 04/05/2026

Out today. A 10-year cohort analysis of coronial data of anaphylaxis deaths. What happens first, bronchospasm or cardiovascular collapse? Open access #MedSky onlinelibrary.wiley.com/doi/10.1111/...

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Stu Marshall @hypoxicchicken.medsky.social · 04/05/2026

Three incredible researchers with compelling projects. Winner announced tomorrow #ASM26AKL

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Reposted by Stu Marshall

Dr Mary-Ann Fox BMBS FANZCA GChPOM @maffygirl.medsky.social · 04/05/2026

The Gilbert Brown prize! Supporting young Anaesthetists. Chaired by @hypoxicchicken.medsky.social 🤗 @anzca.bsky.social #asm26akl

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Reposted by Stu Marshall

ANZCA @anzca.bsky.social · 29/04/2026

The 2026 ANZCA ASM is just around the corner – will we see you in Auckland? It's not too late to register, or to add workshops and activities to your itinerary. Just visit asm.anzca.edu.au We can’t wait to see you there! #ASM26AKL

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Reposted by Stu Marshall

Patients for Patient Safety US @pfps-us.bsky.social · 28/04/2026

The very act of struggling with a medical condition can lead to trauma, as well as getting a dreaded diagnosis of a chronic or life-threatening illness. Seeking diagnosis is also a factor because it takes an average of 8 to 10 years to be diagnosed with a rare disease: www.ihi.org/library/blog...

ihi.org

Tips for Bringing Trauma-Informed Care into Practice

The need for trauma-informed care spans beyond patients who live with PTSD. A patient advocate offers advice for supporting patient-centered practices that promote safety, empowerment, and healing.

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Stu Marshall @hypoxicchicken.medsky.social · 27/04/2026

So let me get this straight… The guy who won a FIFA peace prize started a war that increased the price of fuel so high that nobody could afford to go to the FIFA World Cup in his own country. 🤡

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Stu Marshall @hypoxicchicken.medsky.social · 26/04/2026

Isn’t it weird how nearly every other country doesn’t need an entire separate army/multiple agencies to protect their head of state. It’s almost like; the number of weapons in the country is out of control; people aren’t keen on the president.

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Stu Marshall @hypoxicchicken.medsky.social · 21/04/2026

Chemotherapy but reframed as a TV show. Instead of cycles and days try “I’m on season 6 episode 12”

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Reposted by Stu Marshall

Me and a small nugget of love. 🇸🇪♥️🇺🇦 @mnotme.bsky.social · 19/04/2026

The human circulatory system, before and after proper cable management.

two images of the human body's circulatory system. One of them with good cable management

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Stu Marshall @hypoxicchicken.medsky.social · 17/04/2026

A lovely thing about having an exchange student is the treats they bring. TIL that Colombians liked the corners of this one chocolate cake(?) so much they now just sell the corners - Esquinas in Spanish.

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Stu Marshall @hypoxicchicken.medsky.social · 14/04/2026

New anaesthesiologist: “I’ve been looking for theatre nine and three-quarters for hours, where is it” Surgeon: “Just walk past theatre 8 and then charge with one of the scrub trollies at the wall near the sign, Harry…” #Ansky #Medsky #Anaesthesia #HarryPotter

Operating theatre suite with numbers of the operating theatre above the door.

Operating theatre number decal on a wall “9 3/4” with a surgical trolley pushed up against it.

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Reposted by Stu Marshall

Anaesthesia @anaesjournal.bsky.social · 09/04/2026

The PUMA Guidelines recommend evaluating at least seven administered breaths to confirm tracheal tube placement. But why? It is unclear why a positive trajectory in amplitude would be expected to reverse during the fifth, sixth or seventh breaths. #AnSky doi.org/10.1111/anae...

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