Sign in

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

PostsRepliesMedia
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...
143
Reposted by Jan Hansel
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...
021
Reposted by Jan Hansel
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...
085
Reposted by Jan Hansel
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
243
Reposted by Jan Hansel
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...
041
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.
131
Reposted by Jan Hansel
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...
276
Reposted by Jan Hansel
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/
141
Reposted by Jan Hansel
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
042
Jan Hansel @janhansel.bsky.social · 10/03/2025
bsky.app/profile/anae...
110
Reposted by Jan Hansel
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....
052
Jan Hansel @janhansel.bsky.social · 24/02/2025
Their conclusions, much like their dosing recommendations, seem to be a bit generous.
110
Reposted by Jan Hansel
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.
20644366313442
Reposted by Jan Hansel
Shaun Lintern @shaunlintern.bsky.social · 17/01/2025
The Conservative Party handling of the NHS - in miniature. Courtesy of @hsj.co.uk
87042
Jan Hansel @janhansel.bsky.social · 17/01/2025
Amazing 😂
010
Reposted by Jan Hansel
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
310525
Reposted by Jan Hansel
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.
131
Reposted by Jan Hansel
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
7192120
Reposted by Jan Hansel
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...
285
Reposted by Jan Hansel
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
13320
Reposted by Jan Hansel
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...
021
Reposted by Jan Hansel
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
072
Jan Hansel @janhansel.bsky.social · 09/01/2025
Never seen ‘rocodile tears’ then? 👀
010
Jan Hansel @janhansel.bsky.social · 09/01/2025
Dont be silly he cant deliver the obstetrician who delivered him. Fake news.
110
Reposted by Jan Hansel
James O’Brien @mrjamesob.bsky.social · 07/01/2025
This is the colleague that the likes of Cleverly, Badenoch & Jenrick are refusing to defend...
12732751270
Reposted by Jan Hansel
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.
0192
Reposted by Jan Hansel
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...
4121264
Jan Hansel @janhansel.bsky.social · 31/12/2024
Agreed. I found this recent RCT published in JAMA Open scary though: jamanetwork.com/journals/jam... Maybe we’re just holding it back 👀
jamanetwork.com
Large Language Model Influence on Diagnostic Reasoning
This randomized clinical trial evaluates the diagnostic performance of physicians with use of a large language model compared with conventional resources.
120
Reposted by Jan Hansel
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
121
Reposted by Jan Hansel
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
142
Reposted by Jan Hansel
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
1124
Reposted by Jan Hansel
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
0151
Reposted by Jan Hansel
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...
711953
Reposted by Jan Hansel
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 😵‍💫
242
Reposted by Jan Hansel
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
052
Reposted by Jan Hansel
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
2134
Reposted by Jan Hansel
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
11412
Reposted by Jan Hansel
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.
492
Jan Hansel @janhansel.bsky.social · 18/12/2024
Internal peer review round robin
110
Jan Hansel @janhansel.bsky.social · 18/12/2024
Great thread
050
Jan Hansel @janhansel.bsky.social · 18/12/2024
One of my pet peeves. To think that a trivial exposure to a given agent for a few hours would have a modifying effect on robust cancer outcomes such as mortality and recurrence... It reeks of a specialty with an inflated sense of self-importance.
360
Jan Hansel @janhansel.bsky.social · 17/12/2024
Just another day in peer review land #IYKYK
390
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...
162
Reposted by Jan Hansel
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.
3312
Jan Hansel @janhansel.bsky.social · 15/12/2024
These are great
000
Reposted by Jan Hansel
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 :)
412
Reposted by Jan Hansel
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
518379
Jan Hansel @janhansel.bsky.social · 11/12/2024
In plane is faff for this. Always out-of-plane with tracing the tip. Either by sliding along, but more often than not a gentle tilt will do.
091
Jan Hansel @janhansel.bsky.social · 11/12/2024
For sure, however, anchoring bias, coupled with a lack of appreciation of uncertainty and not employing probabilistic decision-making, can be harmful when a single diagnosis is made, at the expense of a broader differential. Other heuristics at play as well (e.g. recency bias).
010
Jan Hansel @janhansel.bsky.social · 11/12/2024
I only now clocked this pic has ‘negative’ spelled as ‘negetive’ 😂
110