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Jan Hansel

@janhansel.bsky.social
1.7K followers 984 following 61 posts

NIHR Doctoral Fellow in Intensive Care Medicine Anaesthetist and Intensivist in Training Manchester, UK

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Reposted by Jan Hansel
Anaesthesia @anaesjournal.bsky.social · 14/11/2025
Here is the first consensus-based core outcome set for airway management research, with agreed definitions and measurement instruments. This will harmonise evidence synthesis and improve the translatability of findings to improve clinical care. #AnSky #AirwaySky doi.org/10.1111/anae...
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Anaesthesia @anaesjournal.bsky.social · 29/09/2025
Through and through the airway: optimising airway introducer use with videolaryngoscopy @doctimcook.bsky.social @janhansel.bsky.social #AnSky #AirwaySky #MedSky doi.org/10.1111/anae...
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Anaesthesia @anaesjournal.bsky.social · 03/09/2025
Bougie or stylet: what to use when the chips are down? Is it truly possible to consistently and deliberately shape a bougie to fit a hyperangulated blade? @doctimcook.bsky.social @janhansel.bsky.social #AnSky #AirwaySky #MedSky doi.org/10.1111/anae...
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Tom Lawton @lawtontri.bsky.social · 11/08/2025
Thanks. We wrote more specifically about the liability sink issue here: pmc.ncbi.nlm.nih.gov/articles/PMC...
pmc.ncbi.nlm.nih.gov
Clinicians risk becoming ‘liability sinks’ for artificial intelligence
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Gavin Deas @drdeadmd.bsky.social · 05/06/2025
If you're interested in blood cultures: Our study of time to laboratory on yield (adjusted for ward structure and baseline positivity) did not show a global adverse effect except for S pneumoniae, S pyogenes, and S dysgalactiae (2500 beds, England) www.journalofinfection.com/article/S016...
journalofinfection.com
Less Haste, More Speed: Does delayed blood culture loading lead to adverse incubation time or yield?
Blood culture remains a vital diagnostic tool in the acutely unwell patient. The UK Standards for Microbiology Investigations (SMI) stipulate pre-analytical requirements that are aimed at increasing y...
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Jan Hansel @janhansel.bsky.social · 12/06/2025
If you have time to read one paper this week, make sure it's this one. High-yield content matched with excellent narrative style.
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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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Iain Moppett OBE @iainmoppett.bsky.social · 19/04/2025
…so we think we make rational autonomous choices about DL vs VL but they are strongly influenced by systemic factors, cues and nudges. #AnSky 2/
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JAMA @jama.com · 11/03/2025
Routine application of incisional negative pressure wound therapy to the closed surgical wound after emergency laparotomy did not prevent surgical site infection more than other dressings. ja.ma/3R6RDT7 #MedSky
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Anaesthesia @anaesjournal.bsky.social · 10/03/2025
Cautious generosity advised: stop (the lidocaine infusion) before you block (the atrioventricular node) @janhansel.bsky.social #AnSky #PainSky #MedSky associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/full/10....
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Marisa Kabas @marisakabas.bsky.social · 24/02/2025
This morning at Dept of Housing and Urban Development (HUD) HQ in DC as mandatory return to office began, this video played on loop for ~5 mins on screens throughout the building, per agency source. Building staff couldn’t figure out how to turn it off so sent people to every floor to unplug TVs.
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Shaun Lintern @shaunlintern.bsky.social · 17/01/2025
The Conservative Party handling of the NHS - in miniature. Courtesy of @hsj.co.uk
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Dr Mary-Ann Fox BMBS FANZCA GChPOM @maffygirl.medsky.social · 15/01/2025
Good to see @anzca.bsky.social continuing to lead the way and move from Twitter/ X to this platform. This is the new home of medical information on social media. @AnSky @MedSky
Statement from ANZCA
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Nicholas Chrimes @chrimesy.com · 16/01/2025
Concerning misrepresentation of the impact of guidelines for preventing unrecognised oesoph intubation by @elboghdadly.bsky.social & @iarsjournals.bsky.social's own editor-in-chief Jaideep Pandit. PUMA guidance was NOT followed & WOULD have avoided this situ 1/8 journals.lww.com/anesthesia-a...
Excerpt from editorial in Anesthesia & Analgesia asserting that, in the cited case, adherence to the recommendations in the PUMA guidelines for preventing unrecognised oesophageal intubation led to a patient death.
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Natalie Bennett @nataliegreenpeer.bsky.social · 13/01/2025
"German families are 21% or £2,300 a year better off than their UK equivalents and the gap with Dutch families is even wider, at 39%." #Poverty and #Inequality - that's what our politics has given us www.theguardian.com/business/202...
theguardian.com
UK low- to middle-income families far poorer than OECD counterparts – study
Britons 39% worse off than Dutch equivalent due to housing costs 44% higher than western European average
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Brian Johnston @drbwbri.bsky.social · 11/01/2025
🚨Thrilled to share output from the first project the TRIC Network undertook🚨 Conceived at the height of the first wave of the COVID pandemic, the PIM-COVID project assessed the psychological impact of COVID in ICU survivors. Important findings —> journals.sagepub.com/doi/10.1177/...
journals.sagepub.com
Psychological impact of an intensive care admission for COVID-19 on patients in the United Kingdom - Alicia AC Waite, Mary Gemma Cherry, Stephen L Brown, Karen Williams, Andrew J Boyle, Brian W Johnst...
Background: The psychological impact of surviving an admission to an intensive care unit (ICU) with COVID-19 is uncertain. The objective of the study was to ass...
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The BMJ @bmj.com · 10/01/2025
The average life expectancy of people diagnosed with dementia ranges from 9 years at age 60 to 4.5 years at age 85 for women, and from 6.5 to just over 2 years, respectively, in men, finds this systematic review of the evidence Includes a visual abstract www.bmj.com/content/388/...
Visual abstract
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GAMC 2026 @gamclondon.bsky.social · 10/01/2025
⭐️REGISTRATION FOR #GAMC2025 IS OPEN⭐️ Grab those diaries, get your study leave requests in and get registered!! Note: there are limited workshop spaces available for day 2 and we always have a waiting list! Register early to avoid disappointment!! 🔗 bookcpd.com/course/GAMCJ...
bookcpd.com
Advanced Airway Management Course, Guy's Hospital June 2025 (GAMC)
<p><strong>A Two Day Comprehensive Hybrid Update in Advanced Airway Management&nbsp;</strong></p> <p><strong>The days will provide an up to date and in depth training experience on advanced airway ma...
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RUH Anaesthetic Dept @ruhanaesthesia.bsky.social · 10/01/2025
Congratulations to Dr Emma Sewart presenting #QRH #teatrolley @assocanaes.bsky.social #WSM2025 Such an important topic @emmasewart.bsky.social
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James O’Brien @mrjamesob.bsky.social · 07/01/2025
This is the colleague that the likes of Cleverly, Badenoch & Jenrick are refusing to defend...
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Ken Tegtmeyer, MD @pccmdoc.bsky.social · 07/01/2025
Having always allowed parental presence during resuscitation in the #PedsICU, I can see the benefit, assigning a PICU attending to be with the parent is a key part. Definitely not for every family, but an option to be present could go a long way.
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Dr Steve Taylor @drstevetaylor.bsky.social · 06/01/2025
So this is the new great idea🤔 I’m pretty sure if Sarah had seen a GP she wouldn’t have needed to have a CT scan, no need to speak to the ENT registrar & yes it could be managed in the community Why does NHS England always underestimate the skills of GPs? www.england.nhs.uk/long-read/re...
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doctimcook.bsky.social @doctimcook.bsky.social · 04/12/2024
-in a genuinely difficult intubation performance differences increased -findings same for FPS, time to intubation, operator ease, success w/in 120s 3/4
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doctimcook.bsky.social @doctimcook.bsky.social · 04/12/2024
The key findings of adjuncts for HAVL -STYLETS BEST -STATIC BOUGIES WORST (by a distance) -dynamic bougies closer to stylet than bougie This contrasts to recent studies so is notable. 2/4
I
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doctimcook.bsky.social @doctimcook.bsky.social · 04/12/2024
Delighted that Ben Dallyn from @RUHBath won the 1st prize for oral presentation @dasairway He presented A MANIKIN STUDY OF STYLETS & BOUGIES (static & dynamic)….. 1/4
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RUH Anaesthetic Dept @ruhanaesthesia.bsky.social · 31/12/2024
Welcome to our new @bsky.app account. We’ve been on X for a few weeks and in 15 minutes we have attained the same number of followers here. Used @sethina.bsky.social starter packs 😁 Excited to share our news, work & content. Happy New Year to you all. #TeamAnaesthesia
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Jonathan Hopkin @jonathanhopkin.eurosky.social · 29/12/2024
There’s a reason people generally feel like life is getting harder ifs.org.uk/living-stand...
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Markus Fally @markusfally.bsky.social · 25/12/2024
🚨 Thrilled to share our latest comprehensive systematic review on diagnostic criteria for community-acquired #pneumonia in clinical trials 🤒 Only 69.4% of CAP studies registered between 2010 and 2024 provided diagnostic criteria, using 87 different combinations 😵‍💫
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doctimcook.bsky.social @doctimcook.bsky.social · 21/12/2024
However the response by the @GMC is bordering on bizarre www.rcoa.ac.uk/sites/defaul... They state this should be based on ‘evidence’ …..the College has done a good job in trying to gain, assimilate & disseminate what evidence there is. There is not much! What has the GMC done? 2/2
rcoa.ac.uk
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doctimcook.bsky.social @doctimcook.bsky.social · 21/12/2024
The @rcoa is to be congratulated on navigating the treacherous path defining scope of practice for Anaesthesia Associates via -huge surveys of opinion -aiding #Nap7 analysing real life practice -Cochrane review -professional liaison/listening -pragmatic approach to patient safety & existing AAs 1/2
rcoa.ac.uk
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Regional Anaesthesia UK @ra-uk.org · 13/12/2024
#RAUK25 Registration is now open! Don’t miss out on the UK’s biggest and best #regionalanaesthesia conference ➡️ www.ra-ukmeetings.com 🗓️ 8-9th May 2025 🌍 Leeds, UK (and virtual) Book early and avoid disappointment! #RASky #PainSky #AnSky #MedSky
A movie poster for #RAUK25 - it is an American highway with RAUK as a destination
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Ben Millette @benmillette.bsky.social · 19/12/2024
Subclavian Mafia coming in hot now 😉 1) It's a dirty line when there's cleaner available 2) Awake patients tolerate subclav v well 3) Subclav PTX rate is the same as IJ if you use US pubmed.ncbi.nlm.nih.gov/31143996/ 4) Radial art is fine in 99% but femoral is the go-to in the 1% w/ severe shock
pubmed.ncbi.nlm.nih.gov
Complications in internal jugular vs subclavian ultrasound-guided central venous catheterization: a comparative randomized trial - PubMed
Results demonstrated that the complication rates of IJV and SCV catheterizations using US are very low, showing no superiority of the SCV approach compared to the IJV.
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Jan Hansel @janhansel.bsky.social · 18/12/2024
Great thread
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Jan Hansel @janhansel.bsky.social · 17/12/2024
Just another day in peer review land #IYKYK
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Jan Hansel @janhansel.bsky.social · 16/12/2024
This is great: fannyf.art
fannyf.art
Fanny Fielding Art: Watercolours with the filthiest titles ever
Fanny Fielding paints traditional watercolours with rude titles you won't see anywhere else. Buy wall art, prints and original works direct from the artist's studio in Brighton, LGBT capital of the UK...
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Angry People in Local Newspapers @apiln.bsky.social · 14/12/2024
Four days on, and our inbox is still full of this story. Kind of restores your faith in the art of compo facing. You know what story you guys can stop sending in now? This one. www.gazette-news.co.uk/news/2478428...
gazette-news.co.uk
Woman mortified after giving beautiful calendar with 'crude' captions to her mum
A woman was left mortified after discovering the beautiful calendar she bought for her mother contained “crude” and suggestive captions.
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Teddy Tun Win HLA @teddyhla.bsky.social · 12/12/2024
Paging med-bsky: What #drugs are available for #prescription in the UK (via #BNF) but not in USA ? I know for example TCI propf is not licensed in the us? Anyone ? @drfreeze.bsky.social @janhansel.bsky.social @nickopotamus.co.uk Thanks :)
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Peter Stefanovic @peterstefanovic.bsky.social · 11/12/2024
If you agree national rules about what physician associate’s can & can’t do, standard guidance on supervision & an agreed process for patients to give consent are needed, support @anaesunited.bsky.social who are fighting to protect patient safety
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Andy Conway Morris @andymoz78.bsky.social · 11/12/2024
Interesting post, & one I have some sympathy with. Sepsis is a useful pathophysiological concept, but hard to pin down in clinical reality. The closer we get to an effective, universal diagnostic for pathogen ID & host response (I.e. the hallmark of infection) the closer we will be to squaring this.
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Paul Dark @darknatter.bsky.social · 11/12/2024
@criticalcarereviews.com Congratulations to the newly announced PROFESSOR Rob MacSweeney. Richly deserved for a modest person who works tirelessly in support of improving care of the critically ill through world leadership and creativity for clinical research dissemination with real impact. 👏 Prof.
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Amit Pawa @dr-amit-pawa.bsky.social · 11/12/2024
As you will recall from the real-life debate…we actually AGREED on that! So - middle ground is certainly a way forward! 👌🏾
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Amit Pawa @dr-amit-pawa.bsky.social · 11/12/2024
There was a recent reference on here to Anaesthetic Rooms and some of our international colleagues were asking about them. I did a pro:con debate on anaesthetic rooms against @janhansel.bsky.social for @anaesjournal.bsky.social - and for those interested, talk👇🏼 #AnSky youtu.be/3jmtJ6lX26Y?...
youtu.be
Argument AGAINST the Motion "Anaesthetic Rooms are No Longer Needed"
YouTube video by Dr Amit Pawa
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Dr Neil Stone @drneilstone.bsky.social · 10/12/2024
ADAPT SEPSIS trial Using PCT or CRP to guide antibiotic duration. PCT reduced mean antibiotic duration from 10.7 to 9.8 days. Hm. I'm struggling to get excited about this result. Especially as it's not a cheap test. jamanetwork.com/journals/jam...
jamanetwork.com
Biomarker-Guided Antibiotic Duration for Patients With Suspected Sepsis
This clinical trial assessed whether treatment protocols for monitoring C-reactive protein or procalcitonin safely reduced the amount of time critically ill adults with suspected sepsis received antib...
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Nick Mark, MD @nickmark.bsky.social · 09/12/2024
#ADAPTtrial released & the results are interesting… Compared to SOC, Procalcitonin guided antibiotics in sepsis resulted in: - FEWER antibiotic days: 10.7 vs 9.8 (p=0.01) BUT - HIGHER 28 day mortality: 19.4% vs 20.9% (p=0.02) though this did not meet the pre-specified non-inferiority margin 🤔 1/
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JAMA @jama.com · 09/12/2024
Published in JAMA with #CCRdownunder: In critically ill adults with suspected sepsis, antibiotic regimens were safely reduced when guided by measurement of procalcitonin but not by C-reactive protein. @criticalcarereviews.com ja.ma/3BovM5v
Figure 3. Kaplan-Meier Curves for Probability of Antibiotic Duration and Mortality to 28 Days
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Chris Nickson @precordialthump.bsky.social · 09/12/2024
A major take home from ADAPT-SEPSIS - docs aren’t as good at stopping antibiotics as we think we are… #ccrdownunder
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Critical Care Reviews @criticalcarereviews.com · 10/12/2024
Chief Investigator @darknatter.bsky.social shares insights from the #ADAPTsepsistrial at #CCRdownunder @adaptsepsis @jama.com
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Critical Care Reviews @criticalcarereviews.com · 08/12/2024
Today's Paper of the Day is updates in traumatic brain injury management criticalcarereviews.com/latest-evid… Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2024
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Dr Steve Taylor @drstevetaylor.bsky.social · 30/11/2024
Winter pressures - Hospital Beds The Government promised 5000 extra beds in January 2023, in December 2023 NHSE proudly stated it had been achieved July 2024 NHS Board suggested that these beds were ‘locked in’ extra permanent beds The data doesn’t support this @rthonwesstreeting.bsky.social
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cate @buny.bsky.social · 06/11/2024
i’m gonna just watch this at least once a day and i recommend everyone do the same
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