iiinova — where your digital self keeps evolving

Tom Lawrence @leedsmedic.bsky.social · 28/08/2026

Finally finished "The Mirror and the Light". Had the same growing dread as "A Place of Greater Safety" in which you almost put off reading to give the characters a bit more time. #booksky

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Ben @propofoletal.bsky.social · 21/06/2026

Too many papers. Not enough time. I'm an anaesthetist and I built AnteSum to fix that. Every anaesthetic paper from 60+ leading journals, distilled into one monthly digest and organised in your person reading list. And It is Free. Antesum.com #AnSky #MedSky #ICUSky #RASky

antesum.com

AnteSum — The literature, distilled

Too many papers. Not enough time. AnteSum reads the journals in your field and distils them into one monthly digest — organised, summarised, nothing missed.

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NeuroAnaesthesia and Critical Care Society @naccsuk.bsky.social · 08/05/2026

🧠 Day 3 of #NACCS2026 begins with Dr Ian Thomas speaking on *Difficulties with death*. A thoughtful and important start to the final day, exploring some of the most challenging aspects of neurocritical care practice. #NeuroCriticalCare #Neuroanaesthesia

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WHO @who.int · 06/04/2026

Before anesthesia, surgery meant unimaginable pain. Science transformed it into something you can safely sleep through. What is your health and science story? Ahead of #WorldHealthDay tomorrow, Together for Health. #StandWithScience 💙

Surgeries no longer mean enduring unimaginable pain. All because of anesthesia.

Together for health. Stand with science.

Image shows a surgeon working, with an illustrative blue coloured line weaving across the frame.

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Tom Lawrence @leedsmedic.bsky.social · 09/02/2026

I hope everyone will forgive a bit of self promotion! #AnSky #MedSky #ICUSky #NeuroSky

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Terence Luk @simtiva.app · 21/11/2025

"Infusulator", first created by Matthew Hart, coming soon to SimTIVA. It allows easy entry of a time series of CE (or CP) targets to generate TCI simulations. The conversion from CET/CPT to dosage (volume infused, or the total dose) over time is made simple. An export module is also provided.

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British Journal of Anaesthesia @bjajournals.bsky.social · 07/11/2025

2025 DAS guidelines for the management of unanticipated difficult airway published today in the British Journal of Anaesthesia. #airway #difficultairway #intubation #anaesthesia #anesthesia www.bjanaesthesia.org/article/S0007…

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Tom Lawrence @leedsmedic.bsky.social · 14/10/2025

Has anyone implemented the Hannivoort model for Dexmedatomadine? Looking to do this on our TCI pumps and any advice appreciated!

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redneeraj.bsky.social @redneeraj.bsky.social · 14/10/2025

The UK is one of the few countries with penicillin sensitive streptococcus. This is, in my view, one of the greatest achievements of the NHS model.

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Critical Care Reviews @criticalcarereviews.com · 12/10/2025

In >1,100 high-risk surgical patients, individualized periop BP targets based on pre-op nocturnal MAP were not associated with ↓ kidney or cardiac injury vs routine MAP ≥65 mm Hg CCR Journal Watch – tracking the critical care literature daily criticalcarereviews.com/latest-evide...

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Nicholas Chrimes @chrimesy.com · 03/08/2025

Who routinely consents patients for the risk of awareness?

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Tom Lawrence @leedsmedic.bsky.social · 22/05/2025

Good presentation by @claireswarbrick.bsky.social on delirium and anaesthesia, in my opinion probably the least understood and appreciated post-op complication, and one that as anaesthetists I think we can influence. #Anaesthesia2025

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Tom Lawrence @leedsmedic.bsky.social · 20/05/2025

The key points for stroke thrombectomy. I completely agree that it is the neuro equivalent of a cat 1 section and should be treated as such! #Anaesthesia2025

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Ursula von der Leyen @vonderleyen.ec.europa.eu · 28/02/2025

Your dignity honors the bravery of the Ukrainian people. Be strong, be brave, be fearless. You are never alone, dear President Zelenskyy. We will continue working with you for a just and lasting peace.

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Anaesthesia @anaesjournal.bsky.social · 21/02/2025

Arterial trauma is a rare, but potentially life-threatening complication of central venous catheter insertion. In this interrogation of two national databases of incident reports, outcomes included: • stroke (10%) • death (4%) #AnSky #MedSky doi.org/10.1111/anae.16570

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Anaesthesia @anaesjournal.bsky.social · 21/02/2025

When a central venous catheter-related arterial trauma incidents occurs.. Who is involved? 37% resident doctors Where is the procedure conducted? 37% critical care What was the intended insertion site? 54% internal jugular @intensiveperson.bsky.social #AnSky #MedSky doi.org/10.1111/anae...

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Anaesthesia @anaesjournal.bsky.social · 05/02/2025

Propofol vs inhalational anaesthesia and cancer-related outcomes Preclinical investigation & retrospective studies suggest propofol: • inhibits tumourigenesis & metastasis • is not immunosuppressive • blocks angiogenesis • ⬇️ recurrence BUT no large RCT supports this #AnSky buff.ly/4aIWRh3

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George Zhong @propofoldreams.bsky.social · 01/02/2025

When do you switch off propofol #TCI at the end of a case? How do you predict when the patient will spontaneous eye open and emerge from general anaesthesia? We tackled this Q in our latest study published in BJA. Here's a quick summary ... 1/7 #AnSky #TIVASky

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Tom Lawrence @leedsmedic.bsky.social · 04/01/2025

I'm interested in people's opinions on BP targets in ICH. Let's use an example. Gentleman in his mid 50s. Unknown PMHx. BP 220/100 o/a GCS 7 (M4) I+V to facilitate scan which shows ICH with hydrocephalus. Going to theatre for an EVD. What are your BP target, and upper and lower limits.

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Tom Lawrence @leedsmedic.bsky.social · 14/12/2024

This is really nice for showing how inaccurate Schnider is at induction, and why you should take the numerical figure the patient goes to sleep at with a huge pinch of salt. Ce 90s after the same bolus (75mg propofol) Schnider: 4.3 Eleveld: 1.3 ...and this is coming from a Schnider user.

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Tom Lawrence @leedsmedic.bsky.social · 04/12/2024

If this can be replicated it would probably improve list turnover, be more sustainable and most importantly, make TIVA much less of a faff. #ansky

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fesshole 🧻 @fesshole.bsky.social · 02/12/2024

Until I was a young I adult, I thought that a general anaesthetic was one that was used all over the country. And a local one was one that was just used where I lived.

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Tom Lawrence @leedsmedic.bsky.social · 28/11/2024

This is almost identical to my recipe for extubating neuro and head & neck cases, esp. pituitaries. Only stimulation being their name I think is the most important aspect. Main difference is I leave the remi running, and I admit I've never heard of lidocaine in the cuff. I'll be giving it a go!

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Tom Lawrence @leedsmedic.bsky.social · 25/11/2024

School books indoctrinating our kids with NIMBYism. No wonder we couldn't get HS2 done 😂

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Matt Wiles @sthjournalclub.bsky.social · 22/11/2024

Supporting slide set for my talk at the @RCoANews Winter Symposium "Pick of the Papers 2024" My (biased) choice of the most interesting papers relating to anaesthesia/ICM that people may have missed. wordpress.com/post/sthjour...

wordpress.com

WordPress.com

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Tom Lawrence @leedsmedic.bsky.social · 20/11/2024

The @rcoanews.bsky.social State of the Nation 2024 report is out. No huge surprises, still a massive shortfall in Anaesthetists. This is a political decision, so now is a great time to email your MP and point out this huge barrier to NHS recovery. #ansky #medsky www.rcoa.ac.uk/policy/polic...

rcoa.ac.uk

The Anaesthetic Workforce: UK State of the Nation Report 2024

This report sets out that while anaesthetist numbers have increased, the shortfall has increased even more. As such, the NHS remains in urgent need of more anaesthetists.

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Tom Lawrence @leedsmedic.bsky.social · 16/11/2024

I guess we are doing introductions. I'm a consultant anaesthetist specialising in neuro and the T part of ENT. I'm a TIVA enthusiast and extremely interested in pEEG, awareness and consciousness, and can often be found boring residents about the above.

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Tom Lawrence @leedsmedic.bsky.social · 14/11/2024

I'm a huge fan of SimTiva. Even if your pumps have all the models you need it's great for teaching, calculating induction doses and getting a better understanding of the models. If you use TIVA, it should really be on your phone.

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Anaesthesia @anaesjournal.bsky.social · 12/11/2024

The peri-operative implications of sodium-glucose co-transporter 2 inhibitors: a narrative review #AnSky #MedSky buff.ly/3O6qa2C

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Tom Lawrence @leedsmedic.bsky.social · 06/11/2024

Shall we give this place another go then.... #medtwitter

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