iiinova — where your digital self keeps evolving

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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

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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Rhea Liang @liangrhea.bsky.social · 25/09/2026

I don't know any surgeons who wake in the morning thinking 'yep, I'm going to do an operation today that carries no benefit'. 🤔 www.economist.com/science-and-...

economist.com

Many surgical interventions are little better than placebo

A succession of clinical trials is upending the field

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Christos Chamos @hamos1977.bsky.social · 23/09/2026

Here I am this afternoon, returning to the dog-eared, detached pages of a disintegrating old textbook to reread V/Q mismatch under anaesthesia, simply because I was annoyed with myself for having forgotten parts of it. It happens to other people too (the forgetting, I mean)? #ansky

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John Watson @dr-lungs.bsky.social · 19/09/2026

Ok. A change for me. This is not about politics. Or a silly joke. This is about chronic respiratory disease. Mine

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Alasdair MacLullich @amaclullich.bsky.social · 17/09/2026

If memory or thinking remains different after delirium, arrange clinical review. Recovery and longer-term cognitive change need to be considered separately.

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Alasdair MacLullich @amaclullich.bsky.social · 14/09/2026

For delirium researchers: Publishing delirium research should not require a four-figure fee. Delirium is open access: €20 to submit and a €280 publishing charge (APC) on acceptance. Peer review normally takes an estimated 4 to 6 weeks. deliriumjournal.com/for-aut... #Delirium

deliriumjournal.com

For Authors | Delirium

The open-access home for delirium research, quality improvement, reviews, protocols, and case reports.

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Alasdair MacLullich @amaclullich.bsky.social · 14/09/2026

As people become older and more frail, sometimes the doses of drugs that they are on become toxic. This can also happen acutely. Especially in the presence of acute injury. This is why medication review as part of delirium care is so important. #delirium

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Royal College of Anaesthetists @rcoanews.bsky.social · 07/09/2026

NAP8 update 🙌 The baseline surveys are done! The activity survey is done! We're 3 months into the NAP8 case registry, and almost 90 cases have been logged. Remember to discuss any potential complications below with your local co-ordinator. Learn more 👉 ow.ly/xURr50ZBRP3 #Medsky

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Iain Moppett OBE @iainmoppett.bsky.social · 01/09/2026

New consensus guidelines on non-operative (or conservative) management of hip fracture published, led by @healthdataprof.bsky.social. A quick thread on why these are needed and what they say. As always, interested in people’s opinions. www.injuryjournal.com/article/S002... 1/N 🧵 #AnSky #GeriSky

injuryjournal.com

Operative and non-operative management of people with hip fracture: A modified-Delphi study to develop an international consensus

To develop a series of consensus statements regarding the operative and non-operative management of hip fracture patients.

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Elle Cordova @ellecordova.bsky.social · 08/09/2026

I am the very model of a modern day typographer A font take on the tune “Modern Major General” by Gilbert & Sullivan #typography #fonts #graphicdesign

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Altmetric @altmetric.com · 24/08/2026

🧵 (Part 1) Science is Not Just for Scientists In a few short years we have seen the rise of scammers, quacks, unlettered politicians assuming critical health infrastructure roles (with predictably devastating results) and more. Should "Science" just be for scientists? 1/25

A large collage of notable scientists including Carl Sagan, Richard Dawkins, Neil DeGrasse Tyson, Nikola Tesla and Albert Einstein.

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Centre for Perioperative Care (CPOC) @cpoc.bsky.social · 07/09/2026

CPOC is delighted to congratulate former Deputy Directors, @scarlettmcnally.bsky.social and @jkdhesi.bsky.social, on being awarded Honorary Fellowships of the @rcoanews.bsky.social (RCoA) at the Diplomates Ceremony on Friday 4 September - cpoc.org.uk/former-cpoc-...

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Prof Scarlett McNally @scarlettmcnally.bsky.social · 05/09/2026

It was surreal being awarded Honorary Fellowship of the Royal College of Anaesthetists! Thank you @rcoanews.bsky.social and @cpoc.bsky.social. @collegeofsurgeons.bsky.social @medicalwomenuk.bsky.social

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Iain Moppett OBE @iainmoppett.bsky.social · 01/09/2026

injuryjournal.com

Operative and non-operative management of people with hip fracture: A modified-Delphi study to develop an international consensus

To develop a series of consensus statements regarding the operative and non-operative management of hip fracture patients.

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Anaesthesia @anaesjournal.bsky.social · 01/09/2026

Summary of ﬁndings of propofol-based vs. volatile-based anaesthesia in oncological outcomes, including: • overall survival • recurrence-free survival • overall mortality • cancer recurrence #AnSky #MedSky #OncSky doi.org/10.1111/anae...

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Rebecca Mitchell @healthdataprof.bsky.social · 23/08/2026

We developed consensus statements to support shared decision-making regarding non-operative hip fracture care and to promote a consistent approach to the management of older adults with hip fracture at the end of life - doi.org/10.1016/j.in... @iainmoppett.bsky.social

doi.org

Redirecting

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Royal College of Anaesthetists @rcoanews.bsky.social · 20/08/2026

We’re looking for clinicians to join us as Local Collaborative Leads for the NCAPC! Help us boost audit participation and drive quality improvements. Interested or have questions? Drop us an email at NCAPC@rcoa.ac.uk—we’d love to hear from you! Learn more 👉 ow.ly/aE9k50Zy6kI #Ansky

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Royal College of Anaesthetists @rcoanews.bsky.social · 05/08/2026

Join us at our annual Anaesthesia Research Meeting taking place in Southampton this November 🙌 It's a great opportunity to connect with peers, discover new research & earn 10 CPD credits. Open to researchers, clinicians, and trainees. Book your spot 👉 ow.ly/sSJX50ZaweZ #Ansky #Medsky

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Royal College of Anaesthetists @rcoanews.bsky.social · 06/08/2026

Announcement 🙌 Dr Kanayo Dike-Oduah Situ has been appointed as the Chair of PatientsVoices@RCoA. She brings a wealth of education, research and patient advocacy into the voluntary role 🙌 Read more on our website 👉 ow.ly/sfZn50ZwE9C #AnSky #MedSky

Dr Kanayo Dike-Oduah Situ new Chair of PatientsVoices@RCoA

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Rhea Liang @liangrhea.bsky.social · 29/07/2026

35.4% of pts with very high risk died within 48 hours of surgery, and 77.2% of those changed to end-of-life/comfort care in that time. This is clearly nonbeneficial. We all (pts and relatives included) need to get better at deciding when *not* to operate. jamanetwork.com/journals/jam...

jamanetwork.com

Nonbeneficial Emergency Surgery in Older Adults at Risk for Early Mortality

This cross-sectional study examines the incidence of and factors associated with early mortality among older adults undergoing emergency general surgery as a marker of nonbeneficial surgery.

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Royal College of Anaesthetists @rcoanews.bsky.social · 23/07/2026

Calling all ultrasound-guided regional anaesthesia (UGRA) practitioners! The University of Nottingham needs your input on technology in UGRA training. Complete the national survey & help shape the future of education 👉 ow.ly/YoxZ50ZqA2u RCoA Centre for Research & Improvement #Medsky

Survey - Role of technology-enhanced approaches in ultrasound-guided regional anaesthesia (UGRA) training

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Alasdair MacLullich @amaclullich.bsky.social · 23/07/2026

Spinal or general anaesthesia? For delirium after hip fracture surgery, the large trials found little between them. The pathway around the anaesthetic matters more: pain control, hydration, sleep, early mobilisation. #periop #delirium

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Trisha Elliott @trishaelliott.bsky.social · 23/07/2026

The badges and the merchandise are nice (I actually don’t have any) but the important part of the campaign is to get people to say the words out loud: “Hello, my name is xxx. I’m here to *insert what you’re going to discuss or do”*. And perhaps also “what would you like me to call you?”. 🧵 7/n

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Trisha Elliott @trishaelliott.bsky.social · 23/07/2026

And whether you work in healthcare, or any public facing organisation, please remember the importance of treating people with compassion and care. A good introduction of who you are and what your role is goes a long way. 🧵 6/n

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Trisha Elliott @trishaelliott.bsky.social · 23/07/2026

I was disappointed that on "Hello My Name Is" Day, the nurse who took my blood test this morning didn't introduce herself... #HelloMyNameIs Thread 🧵 1/n

Cover of book “The Other Side” by Kate Granger.

Cover of book “The Bright Side” by Kate Granger.

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Royal College of Anaesthetists @rcoanews.bsky.social · 22/07/2026

Congratulations to Professor Ramani Moonesinghe OBE, who has been appointed Deputy National Medical Director for NHS England. Read more 👉 www.rcoa.ac.uk/news/professor-raman…

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The Association of Anaesthetists @assocanaes.bsky.social · 21/07/2026

💡 Read the recommendations from our new guidelines on consent for anaesthesia. For the full guidelines, visit buff.ly/s8aLzAx (🧵 1/9) #AnSky #MedSky

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Royal College of Anaesthetists @rcoanews.bsky.social · 06/07/2026

Take part in a research project that aims to identify and prioritise opportunities for applying AI to the clinical practice of intensive care. The survey is open to clinical ICU staff with current or recent practice in ICM and closes 13 July 2026. Share your views: ow.ly/8I8l50ZkshQ

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Royal College of Anaesthetists @rcoanews.bsky.social · 03/07/2026

As the Activity Survey period comes to a close with over 60,000 cases logged, NAP8 Fellow Dr Yin Yin Lim reflects on why the survey is so critical to the wider project, her own role as a Fellow and the long-term impact of National Audit Projects (NAPs). Read the blog now: ow.ly/O1So50ZjJXO

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Royal College of Anaesthetists @rcoanews.bsky.social · 02/07/2026

The summer issue of Bulletin is out now! ☀️ Our annual research issue is packed full of exciting and essential research and improvement activity happening across anaesthesia. Take a look today 📖 ow.ly/FHj350ZjF5o

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Andy Conway Morris @andymoz78.bsky.social · 02/07/2026

There is a risk here that, by definition, we only hear from survivors (and possibly families of those who don’t survive may be less inclined to take part?). Interventions that focus on recovery are only of benefit to those who survive, and we shouldn’t think we have exhausted modifiable mortality.

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Royal College of Anaesthetists @rcoanews.bsky.social · 02/07/2026

Our RCoA Centre for Research & Improvement are recruiting mentees & mentors for the 2026/27 Quality Network Career Development Programme 🙌 It's an opportunity for AiTs, SAS docs, specialty docs, & CESR fellows to develop leadership skills. Find out more & apply 👉 ow.ly/NNWA50ZaIj2

RCoA Quality Network Career Development Programme

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Pete Turton @peteturton85.bsky.social · 02/07/2026

Honestly I’m not criticising it, these priorities suit the work I do, no complaints from me on that score!! It’s just interesting that we’ve had so many negative studies recently and maybe the priorities are a changing

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RCoA Centre for Research & Improvement @rcoa-cri.bsky.social · 30/06/2026

There is still time to apply to be a mentee or mentor for the 2026/27 Quality Network Career Development Programme! Don't miss out on this exciting opportunity to develop leadership skills & engage in national level projects 🙌 🕐Closing date: Monday 6th July 2026

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Anaesthesia @anaesjournal.bsky.social · 29/06/2026

"Pain only she knows" - now #FreeForAWeek! #AnSky #MedSky #PainSky #ObsSky doi.org/10.1111/anae...

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Iain Moppett OBE @iainmoppett.bsky.social · 26/06/2026

‘Pain only she knows’ is a challenging editorial. The first author @susannastanford.bsky.social is a patient with lived experience - a voice worth listening to. Some thoughts below @anaesjournal.bsky.social associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/epdf/10.... 1/N 🧵

associationofanaesthetists-publications.onlinelibrary.wiley.com

Pain only she knows

Reader environment loaded

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Royal College of Anaesthetists @rcoanews.bsky.social · 26/06/2026

Professor John Moore has been awarded a Gold medal for his sustained work for the College🙌 Please join us in congratulating him on this remarkable achievement 👏 Read more 👉 ow.ly/pMGm50ZghCR #Ansky #Medsky

Professor John Moore awarded College Gold Medal

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Iain Moppett OBE @iainmoppett.bsky.social · 26/06/2026

associationofanaesthetists-publications.onlinelibrary.wiley.com

Pain only she knows

Reader environment loaded

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Anaesthesia @anaesjournal.bsky.social · 25/06/2026

"The overwhelming focus of a mother is on the safe delivery of her baby and, to that end, mothers will allow significant injury to themselves; but this does not mean they should have to." @susannastanford.bsky.social #AnSky #ObSky #MedSky #PainSky doi.org/10.1111/anae...

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Susanna Stanford @susannastanford.bsky.social · 24/06/2026

New Editorial in @anaesjournal.bsky.social Pain only she knows There is a persistent gap between pain experienced by patients and pain recognised by clinicians; namely, patients feel pain more often than clinicians recognise. Great to work with Tracey Vogel and Heather Nixon on this. 1/

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Royal College of Anaesthetists @rcoanews.bsky.social · 23/06/2026

This #ClinicalAuditAwarenessWeek, Dr Ee-Neng Loh and Angeline Price explore the care of patients who do not undergo emergency laparotomy (NoLap). Read the blog on how we can provide the best care possible 👉 ow.ly/bfiY50ZfROk #ClinicalAuditAwarenessWeek2026 #Medsky #Ansky

BLOG: NoLap: Rethinking emergency laparotomy in patients

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Tom Cox @dj-acid-reflux.bsky.social · 22/06/2026

THREAD. A collection of excellent scarecrows I have met on walks in the countryside. You will find the all-important caption to each photo in the alt text.

A scarecrow who has just watched Monty Python's The Holy Grail for the first time.

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Alasdair MacLullich @amaclullich.bsky.social · 22/06/2026

Delirium is very common, affecting about 1 in 4 older people in the hospital. Yet many members of the public have never heard of it or don't link it to a medical condition. Professionals should always use the term "delirium" & provide clear explanations.

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Rhea Liang @liangrhea.bsky.social · 20/06/2026

This is fabulous. Table 1 provides age-positive language to replace terms that introduce bias, such as 'geri' or 'demented'. Extra for experts is Table 2, suggesting *processes* towards diagnostic precision instead of catch-alls like 'pleasantly confused'. #MedEd

TABLE 1 Age-negative language and suggested age-positive alternatives

TABLE 2
Words that may result in adverse healthcare outcomes through implicit bias, anchoring bias, premature diagnostic closure or ageism.

Poor historian

Assess for delirium or cognitive impairment; assess hearing and communication; where indicated, seek collateral history.

Pleasantly confused

Begin with descriptive terms to describe the behaviour, such as 'patient lying in bed without agitation or `'patient not verbally responding to questions'.
Then use more precise language to describe the confusional state. For example: • Acute confusion, 'patient might have delirium • Chronic confusion, patient living with dementia • Acute-on-chronic confusion, 'patient experiencing delirium superimposed on dementia'

Mechanical fall

Use (Fall) as the diagnosis and describe the circumstances of the fall in the setting of extrinsic factors (e.g., contribution to fall of ill-fitting shoes or slippery or uneven surface), or intrinsic factors (e.g., contribution to fall due to cardiogenic syncope), or fall with multifactorial extrinsic and intrinsic contributors

Acopia and social admission

Describe presenting issues, the older person's comorbidities, degree of frailty, psychosocial context and the caregiver's concerns

Celling of care

Use the term 'Goals of care' or 'Care preference'

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Royal College of Anaesthetists @rcoanews.bsky.social · 17/06/2026

The NAP8 activity survey is open from 8 - 29 June! Please log any elective or emergency cases involving general anaesthesia, regional anaesthesia, sedation or monitored anaesthesia care performed or supervised by an anaesthetist. Find out more from your local coordinator: ow.ly/8Khx50Z7WzR

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Royal College of Anaesthetists @rcoanews.bsky.social · 16/06/2026

Exciting news👏 We are pleased to announce that Professor Jugdeep Dhesi has been awarded an Honorary Fellowship of the College. She will be admitted at Diplomates Day on Friday, 4th September 🙌 Please join us in congratulating Professor Dhesi👏 Read more 👉 ow.ly/F3rH50ZbpBB #Medsky

Professor Jugdeep Dhesi awarded Honorary Fellow

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Royal College of Anaesthetists @rcoanews.bsky.social · 12/06/2026

Amazing start to the NAP8 Activity Survey with over 20,000 responses logged in week one 👏 Keep logging every case involving anaesthesia, sedation, or monitored care! Thank you for your support! More info 👉 ow.ly/RsrJ50Zbcr0 #Ansky #Medsky

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