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LateralTilt

@lateraltilt.bsky.social
599 followers 87 following 28 posts

Ex-polar medic/husky vet, now obstetric anaesthetist made in Scotland and Yorkshire, who works in dreamy spires fenlands

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LateralTilt @lateraltilt.bsky.social · 25/05/2026
Underlines the importance of vena caval occlusion and collateral venous patency in the supine pregnant woman. If collateral epidural venous patency insufficient when IVC occluded then vasopressors will not maintain cardiac output and placental perfusion no matter what dose of vasopressor is given.
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LateralTilt @lateraltilt.bsky.social · 18/03/2026
www.obstetanesthesia.com/article/S095... Another @oaa-anaes.bsky.social funded study just published
obstetanesthesia.com
Experiences of obstetric anaesthesia care among minoritised ethnic groups in England: A qualitative study
Maternity inequalities are well documented. Evidence consistently shows that women from minoritised ethnic and socially disadvantaged groups experience poorer care and outcomes than White women and th...
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LateralTilt @lateraltilt.bsky.social · 06/03/2026
Only cataract surgery is more common in the NHS than caesareans. But maternity underinvested and viewed by hospitals as a cost burden compared to orthopaedics Elective THR: £13,500 income, £11,800 cost, +£ 1,700 gain vs elective CD: £2,700 income , £3,900 cost, -£1,200 loss. Healthy 👶 = future
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LateralTilt @lateraltilt.bsky.social · 18/02/2026
📈CS rates = PAS epidemic only now reaching public awareness
📈CS rates = PAS epidemic
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LateralTilt @lateraltilt.bsky.social · 18/02/2026
www.theguardian.com/lifeandstyle...
theguardian.com
Campaign urges NHS to improve diagnosis of potentially life-threatening childbirth condition
Exclusive: Five hospitals failed to spot Amisha Adhia had placenta accreta before one obstetrician intervened
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LateralTilt @lateraltilt.bsky.social · 18/02/2026
Being an OCD-type anaesthetist my approach is a single-ply tissue corner on the skin so that just folds on touch and repeated single touches (no spatial/temporal summation) with no visual or audible cues along the anterior or mid-axillary line until an affirmative ‘yes’ from the patient. Too fussy?
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LateralTilt @lateraltilt.bsky.social · 15/01/2026
www.theguardian.com/society/2026...
theguardian.com
Maternal death rate in UK rose by 20% over 14 years despite Tory pledge
Experts describe increase as ‘absolute tragedy’ after data shows rate jumped despite Conservatives vowing to halve it
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LateralTilt @lateraltilt.bsky.social · 07/01/2026
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LateralTilt @lateraltilt.bsky.social · 07/01/2026
Private Eye issue 1666. “Every penny spent has an opportunity cost, but rarely is there a debate whether, say, millions spent on cardiovascular procedures in the elderly might be better spent on reducing birth injuries and deaths on maternity units” M.D (aka Phil Hammond), Medicine Balls.
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LateralTilt @lateraltilt.bsky.social · 30/11/2025
observer.co.uk/news/opinion...
observer.co.uk
Maternity care is in decline, despite lower birth rates | The Observer
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oaa-anaes.bsky.social @oaa-anaes.bsky.social · 20/11/2025
Explore our online archive—celebrating the people who helped shape modern obstetric anaesthesia and maternity care. Visit: www.oaa-anaes.ac.uk/about-us/a-h... #ObAnes #AnSky
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LateralTilt @lateraltilt.bsky.social · 02/10/2025
associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/... Just published. High Neuraxial Blocks requiring ventilation/CPR. Incidence 14.7/100,000. Commonest cause = spinal after LEA (48%) of which 37% were after failed LEA conversions #OBAnes @anaesjournal.bsky.social
associationofanaesthetists-publications.onlinelibrary.wiley.com
Incidence, risk factors, management and outcomes of high neuraxial block in obstetric anaesthetic practice: a prospective national observational study using the UK Obstetric Surveillance System
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oaa-anaes.bsky.social @oaa-anaes.bsky.social · 23/09/2025
@oaa-anaes.bsky.social supports the responses of @RCObsGyn and @acog.org to recent controversial statements made in USA about safety of paracetamol use in pregnancy www.rcog.org.uk/news/the-roy...
rcog.org.uk
The Royal College of Obstetricians and Gynaecologists issues advice for pregnant people on the use of paracetamol to manage fever and pain | RCOG
The Medicines and Healthcare products Regulatory Agency (MHRA) has published a clear statement on the safety of paracetamol use in pregnancy, stating that there is no confirmed link between taking par...
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LateralTilt @lateraltilt.bsky.social · 16/08/2025
Don’t start surgery before the anaesthetist says go #OBAnes @noolslucas.bsky.social shorturl.at/H7Sdk
shorturl.at
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LateralTilt @lateraltilt.bsky.social · 02/07/2025
In support of left lateral tilt done right @ijoajournal.bsky.social #OBAnes kwnsfk27.r.eu-west-1.awstrack.me/L0/https:%2F...
kwnsfk27.r.eu-west-1.awstrack.me
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LateralTilt @lateraltilt.bsky.social · 30/06/2025
50+ years of epidural analgesia in #OBAnes and yet still no agreed standardised approach for epidural cannulation. Here’s hoping for the next 50 years.
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LateralTilt @lateraltilt.bsky.social · 30/06/2025
Bouncing makes no sense if using saline. Bouncing is done intermittently with incremental needle advancements. The next 2-3mm advance may = DP. Continuous advancement needs only Huber rim to exit ligament for LORsaline (test it out on a simulator) It’s the Doughty technique. doi.org/10.1111/j.13...
doi.org
Hand positions and the ‘son‐of‐Doughty’ technique
Click on the article title to read more.
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LateralTilt @lateraltilt.bsky.social · 21/05/2025
No idea. I presume giving quality information about labour analgesia would be a key aspect so women can make informed choices when needed. Isn’t that the essence of informed consent?
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LateralTilt @lateraltilt.bsky.social · 21/05/2025
doi.org/10.1016/j.jo... In France antenatal anaesthesia consultations are mandatory by law since 1998 #OBAnes #ansky #obsky
doi.org
Redirecting
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LateralTilt @lateraltilt.bsky.social · 21/05/2025
doi.org/10.1016/j.jo... In France antenatal anaesthesia consultations are mandatory by law since 1998 #OBAnes #ansky #obsky
doi.org
Redirecting
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LateralTilt @lateraltilt.bsky.social · 18/05/2025
Great summary and commentary on the talk by @obsleepmerchant.bsky.social
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Dr Simon Ash (OBsleepmerchant) @obsleepmerchant.bsky.social · 18/05/2025
The complete PRO position: “Sterile gowns SHOULD be mandatory for spinal #OBAnes” from @lateraltilt.bsky.social at #OAA25ASM - a #OBAnes 🧵 bsky.app/profile/obsl...
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oaa-anaes.bsky.social @oaa-anaes.bsky.social · 14/05/2025
A short teaser for #OAA25ASM - @oaa-anaes.bsky.social with our NIOAN friends welcome all our members and #OBAnes colleagues and friends to Belfast for a great conference with even better weather. Enjoy! vimeo.com/1082201358/a...
vimeo.com
OAA2025_openingfilm_MASTER
This is "OAA2025_openingfilm_MASTER" by Cambridge Filmworks Review on Vimeo, the home for high quality videos and the people who love them.
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oaa-anaes.bsky.social @oaa-anaes.bsky.social · 22/03/2025
@oaa-anaes.bsky.social working with @profrecordsb.bsky.social to develop OAS dataset that includes recording maternal pain experienced during caesarean birth for inclusion in national maternity datasets theprsb.org/obstetricana...
theprsb.org
Obstetric Anaesthetic Standard - PRSB
Take part in our survey now Obstetric Anaesthetic Standard Each year, more than 700,000 babies are born in hospitals in the UK, and around 60% of these involve input from anaesthetists. Anaesthetists ...
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LateralTilt @lateraltilt.bsky.social · 14/03/2025
The value of confidential enquiries and trained #OBAnes for improving maternal health outcomes discussed in authors.elsevier.com/a/1km1x1dCDy... @oaa-anaes.bsky.social
authors.elsevier.com
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LateralTilt @lateraltilt.bsky.social · 10/03/2025
A important project for #OBAnes care in UK NHS
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LateralTilt @lateraltilt.bsky.social · 21/02/2025
Important issue for #OBAnes
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LateralTilt @lateraltilt.bsky.social · 11/02/2025
He gets about a bit that Professor Simpson. Why it was only the other day that he was in the RSM Library!
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LateralTilt @lateraltilt.bsky.social · 02/02/2025
The image used to accompany this notice is very apposite. Something very strange and disconcerting is happening to the US at this historical juncture
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LateralTilt @lateraltilt.bsky.social · 13/01/2025
Does caesarean section count as major surgery? Just asking as a point of equity of care.
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LateralTilt @lateraltilt.bsky.social · 11/12/2024
doi.org/10.1111/anae...
doi.org
Universal adoption of combined spinal–epidural for labour analgesia is the antithesis of patient‐centric care
Click on the article title to read more.
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LateralTilt @lateraltilt.bsky.social · 30/11/2024
Interesting #OBAnes study but is a ED90 PIMB set dose the optimal dose if the optimal outcome = no PCEA dosing? Does that not mean that a % of patients are receiving a bigger dose than they need? The PCEA benefit = individualised titrated dosing for % who need more dose without a bigger PIMB for all
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oaa-anaes.bsky.social @oaa-anaes.bsky.social · 22/11/2024
What does the OAA do? Read our Annual Review and find out. Support us to support you. Join today! www.oaa-anaes.ac.uk/joining-the-...
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Yorkshire Society of Obstetric Anaesthetists @obsanaes.bsky.social · 16/11/2024
go.bsky.app/LSCVjhi Link would help wouldn’t it!!! Sorry!!
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oaa-anaes.bsky.social @oaa-anaes.bsky.social · 22/11/2024
Check out the #OBAnes feed for chatter on obstetric anaesthesia and maternity care topics
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Yorkshire Society of Obstetric Anaesthetists @obsanaes.bsky.social · 12/11/2024
If you haven’t already we would massively recommend downloading the *FREE* OAA Quick Reference Handbook App! An amazing resource covering all the essential management for anaesthetists in obstetric emergencies in an easy-to-read format #obsanaes #obsanes apps.apple.com/gb/app/quick...
apps.apple.com
‎Quick Reference Handbook
‎The Quick Reference Handbook for Obstetric Emergencies (Obs QRH) is a collection of action card guides for medical and resuscitation emergencies in hospitals. These guides are intended to help the mu...
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Dr Simon Ash (OBsleepmerchant) @obsleepmerchant.bsky.social · 06/11/2024
The complete @LateralTilt “How epidurals DON’T work” lecture 🧵 from #OAA3dc24 #3DC24 #OBAnes x.com/obsleepmerch...
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LateralTilt @lateraltilt.bsky.social · 08/11/2024
buff.ly/4c8So7m What to choose to maintain LEA?
buff.ly
An Innovative Approach to Determine Programmed Intermittent ... : Anesthesia & Analgesia
tool, response surface methodology (RSM), could estimate 3 PIEB pump parameters while balancing 3 clinically important patient outcomes simultaneously. The study objective was to use RSM to estimate P...
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LateralTilt @lateraltilt.bsky.social · 06/11/2024
www.bjaed.org/article/S205...
bjaed.org
DEFINE_ME
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