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Helen

@nhsgas.bsky.social
400 followers 193 following 63 posts

Anaesthetist . perioperative medicine fan . CPET guru . iPOETTS secretary . wild swimmer . powered by coffee . sharing useful stuff . thoughts mine or those of others

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Helen @nhsgas.bsky.social · 04/10/2025
Perioperative Quality Initiative consensus statement on goal-directed haemodynamic therapy - British Journal of Anaesthesia www.bjanaesthesia.org/article/S000...
bjanaesthesia.org
Perioperative Quality Initiative consensus statement on goal-directed haemodynamic therapy
Perioperative goal-directed haemodynamic therapy (GDHT) includes a variety of protocolised approaches to the assessment and management of the circulatory system and blood flow for patients undergoing ...
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BJA Education @bjaeducation.bsky.social · 03/10/2025
Major trauma is shifting. 🚑 The “typical” patient is now in their 60s, often with frailty & comorbidities. How should anaesthetists adapt to this new reality of silver trauma? Read more in #BJAEd: www.bjaed.org/article/S205...
bjaed.org
Major trauma in the elderly: unique challenges and considerations
In England there are around 60 cases of major trauma (Injury Severity Score (ISS) > 15) daily.1 Trauma continues to be the leading cause of death in children and adults aged <40 years and has…
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Helen @nhsgas.bsky.social · 09/04/2025
Home-based prehabilitation: a systematic review and meta-analysis of randomised trials - British Journal of Anaesthesia www.bjanaesthesia.org/article/S000...
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British Journal of Anaesthesia @bjajournals.bsky.social · 04/03/2025
Can we optimise #perioperative team performance using 'team flow'? New single-centre qualitative study by Coss et al #humanfactors #performance #teamdynamics www.bjanaesthesia.org/article/S000...
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Helen @nhsgas.bsky.social · 09/02/2025
onlinelibrary.wiley.com/doi/10.1002/...
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Shaun Lintern @shaunlintern.bsky.social · 30/01/2025
The NHS planning guidance - it's marching orders for the year - is out. More than a dozen national priorities have been dropped and the NHS faces more spending cuts. As many in the NHS know, what matters is what is counted. Read the guidance here: www.england.nhs.uk/operational-...
england.nhs.uk
NHS England » NHS operational planning and contracting guidance
2025/26 priorities and operational planning guidance  In line with the Government Mandate, the 2025/26 priorities and operational planning guidance sets out a focused, smaller number of national prior...
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Helen @nhsgas.bsky.social · 23/01/2025
www.bmj.com/content/388/... Systematic review and meta-analysis of 186 Prehabilitation RCTs. (15684 participants). Combined exercise, psychosocial and nutritional interventions reduce LOS and complications
bmj.com
Relative efficacy of prehabilitation interventions and their components: systematic review with network and component network meta-analyses of randomised controlled trials
Objective To estimate the relative efficacy of individual and combinations of prehabilitation components (exercise, nutrition, cognitive, and psychosocial) on critical outcomes of postoperative compli...
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Helen @nhsgas.bsky.social · 21/01/2025
www.sciencedirect.com/science/arti... Turning evidence into actions
sciencedirect.com
Global consensus on optimal exercise recommendations for enhancing healthy longevity in older adults (ICFSR)
Aging, a universal and inevitable process, is characterized by a progressive accumulation of physiological alterations and functional decline over tim…
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Helen @nhsgas.bsky.social · 20/01/2025
academic.oup.com/eurjpc/artic... The intensity is more important than the quantity of exercise
academic.oup.com
Intensity or volume: the role of physical activity in longevity
AbstractAims. To investigate how physical activity (PA) volume, intensity, duration, and fragmentation are associated with the risk of all-cause and cardio
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Centre for Perioperative Care (CPOC) @cpoc.bsky.social · 17/01/2025
Join our monthly webinars at lunchtime on Prehabilitation and Rehabilitation every last Tuesday of the month from 1-2pm Next one 28 January about the 'we are undefeatable campaign' Join for free 👇 cpoc.org.uk/events/perio... In collaboration with Macmillan and the Wessex Cancer Alliance
cpoc.org.uk
Perioperative Care – Prehabilitation Group webinars
CPOC in collaboration with Macmillan and the Wessex Cancer Alliance to provide a monthly webinar series
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Centre for Perioperative Care (CPOC) @cpoc.bsky.social · 17/01/2025
We partnered with Joe Wicks to create fitness videos for people to get active before surgery to help reduce complications cpoc.org.uk/news/joe-wic... 💪 @thebodycoach.bsky.social @jkdhesi.bsky.social @gerisoc.bsky.social and @gstt-nhs.bsky.social
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Helen @nhsgas.bsky.social · 15/01/2025
Definition and diagnostic criteria of clinical obesity - The Lancet Diabetes & Endocrinology www.thelancet.com/journals/lan...
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Helen @nhsgas.bsky.social · 15/01/2025
cpoc.org.uk/get-involved... A great opportunity to get involved in many different ways in the evolution of Perioperative medicine
cpoc.org.uk
CPOC Fellowship 2025-2026
Recruitment open for the CPOC Fellowship 2025-2026
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Helen @nhsgas.bsky.social · 15/01/2025
associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/...
associationofanaesthetists-publications.onlinelibrary.wiley.com
Systemic anti‐cancer therapy and anaesthesia: a narrative review
You have to enable JavaScript in your browser's settings in order to use the eReader.
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Emma Sewart @emmasewart.bsky.social · 14/01/2025
From 2012-22, the prevalence of smoking amongst elective CABG patients was surprisingly low (9% vs. 13% in the UK population). Why are we seeing this difference? Are patients successfully quitting before surgery? tinyurl.com/ywcmds7e #Ansky #Medsky @ronellemouton.bsky.social @alexisted.bsky.social
associationofanaesthetists-publications.onlinelibrary.wiley.com
Prevalence of smoking and postoperative outcomes in people undergoing coronary artery bypass grafting: a UK registry analysis
Click on the article title to read more.
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Claire Swarbrick @claireswarbrick.bsky.social · 13/01/2025
Thank you @iainmoppett.bsky.social for this really helpful summary thread of the first major publication from SNAP-3. We are really grateful to all the local investigators and patients who contributed the study, thank you! @rcoa-cri.bsky.social @bjajournals.bsky.social @anaesresidents.bsky.social
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Helen @nhsgas.bsky.social · 13/01/2025
associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/...
associationofanaesthetists-publications.onlinelibrary.wiley.com
Association of Anaesthetists guidelines: the use of blood components and their alternatives 2024
Background The administration of blood components and their alternatives can be lifesaving. Anaemia, bleeding and transfusion are all associated with poor peri-operative outcomes. Considerable chang.....
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Helen @nhsgas.bsky.social · 12/01/2025
pubmed.ncbi.nlm.nih.gov/39775660/ A review supporting the reality I see in my practice. How do we reach those in the greatest need?
pubmed.ncbi.nlm.nih.gov
The inequalities and challenges of prehabilitation before cancer surgery: a narrative review - PubMed
Prehabilitation must be implemented carefully to avoid widening inequalities. More research is needed, both in terms of the impact of interventions and to understand how prehabilitation should account...
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Helen @nhsgas.bsky.social · 12/01/2025
academic.oup.com/eurheartj/ad... Morning coffee drinking is the way forward for health benefits
academic.oup.com
Coffee drinking timing and mortality in US adults
AbstractBackground and Aims. To identify the patterns of coffee drinking timing in the US population and evaluate their associations with all-cause and cau
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Helen @nhsgas.bsky.social · 12/01/2025
bjsm.bmj.com/content/earl... Optimisation opportunities whilst on a surgical preparation list
bjsm.bmj.com
Impact of resistance training on cardiometabolic health-related indices in patients with type 2 diabetes and overweight/obesity: a systematic review and meta-analysis of randomised controlled trials
Objective To evaluate the effects of resistance training on cardiometabolic health-related outcomes in patients with type 2 diabetes mellitus (T2DM) and overweight/obesity. Design Systematic review a...
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Helen @nhsgas.bsky.social · 10/01/2025
associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/... Perioperative management of patients with XS alcohol use
associationofanaesthetists-publications.onlinelibrary.wiley.com
Peri‐operative identification and management of patients with unhealthy alcohol intake
Introduction This consensus statement gives practical advice for the safe management of patients with harmful alcohol intake undergoing elective and emergency surgery. The wide spectrum of alcohol-r...
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Susie Dent @susiedentwords.bsky.social · 05/01/2025
Word of the day is one I mention often. To have the ‘mubble-fubbles’, in the 16th century, was to experience a fit of despondency or low spirits - another name for the Sunday blues.
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Helen @nhsgas.bsky.social · 05/01/2025
associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/abs/10.1... Shared decision making
associationofanaesthetists-publications.onlinelibrary.wiley.com
To operate or not? Uncertainty, regret and the art of conversation
Click on the article title to read more.
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The Guardian @theguardian.com · 04/01/2025
All NHS acute hospital trusts in England are missing Labour’s 18-week target
theguardian.com
All NHS acute hospital trusts in England are missing Labour’s 18-week target
The PM’s ‘milestones’ include 92% of patients waiting no more than 18 weeks – but not one of the 124 trusts is hitting the mark Every acute hospital trust in England is failing to hit Keir Starmer’s key target to treat 92% of patients within 18 weeks,…
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Susie Dent @susiedentwords.bsky.social · 04/01/2025
Word of the Day is ‘hunch-weather’ (19th century): weather so cold it makes you hunch your shoulders when you walk outside.
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Common Sense @cmmnsensedspnsr.bsky.social · 18/12/2024
Some folks are pretty good seeing things coming.
Passage from Carl Sagan’s A demon-haunted world book.
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Susie Dent @susiedentwords.bsky.social · 31/12/2024
Word of the Day is one I keep posting at the end of the year, hoping its time will come. ‘Respair’, from the 16th century, is fresh hope, and a recovery from despair. Here’s to a few drops of respair in 2025.
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Susie Dent @susiedentwords.bsky.social · 30/12/2024
Word of the day is most definitely ‘hurkle-durkling’ (19th-century Scots): to linger in bed long after it’s time to get up.
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Helen @nhsgas.bsky.social · 28/12/2024
www.health.org.uk/reports-and-...
health.org.uk
Health inequalities in 2040
This report explores how patterns of diagnosed ill health vary by socioeconomic deprivation in England and projects these patterns to 2040.
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Anaesthesia Reports @anaesthesiareports.bsky.social · 24/12/2024
🥇🥇Our most read article of 2024 🥇🥇 The effect of a ‘Sip til Send’ policy on patient satisfaction: a quality improvement project buff.ly/3VRbLvi Congratulations, this is a well-deserved first place. @STHJournalClub.bsky.social #siptilsend #AnSky #anesthesia #FOAMEd
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Helen @nhsgas.bsky.social · 25/12/2024
Happy Christmas to everyone working today. I met this chap as I left the hospital this evening. I hope he’s not been left behind. #NHS #UHP
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Prof Nisreen Alwan @nisreenalwan.bsky.social · 18/12/2024
Our paper on the impact of living with multiple long-term conditions on everyday life: a qualitative evidence synthesis. The 'work' is not only around medications and healthcare use, it is also emotional & financial with lots of learning & adaptation bmcpublichealth.biomedcentral.com/articles/10....
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Helen @nhsgas.bsky.social · 14/12/2024
academic.oup.com/eurheartj/ad...
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Helen @nhsgas.bsky.social · 14/12/2024
www.mdpi.com/2072-6643/16... Just in case you need a reason!
mdpi.com
Coffee and Cardiovascular Health: A Review of Literature
Cardiovascular disease is the leading cause of death worldwide and is on the rise. Diet is considered to be a key modifiable risk factor for reducing the incidence of cardiovascular disease. Dietary a...
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Helen @nhsgas.bsky.social · 13/12/2024
www.cosa.org.au/media/332488...
cosa.org.au
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Jugdeep Dhesi @jkdhesi.bsky.social · 12/12/2024
Good to be @sueryder.bsky.social on behalf of @gerisoc.bsky.social this morning talking with DHSC about End of Life Care & 10yr plan - note 670,000 deaths per year in UK, 43% in hospitals, with dementia the leading cause of death. Needs a system approach as per @gerisoc.bsky.social documents
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Emilio Rodriguez-Ruiz @emilio-r-ruiz.bsky.social · 11/12/2024
📄 Original paper at @icmjournal.bsky.social European Society of Intensive Care Medicine guidelines on end-of-life and palliative care in the intensive care unit 👉 link.springer.com/article/10.1...
link.springer.com
European Society of Intensive Care Medicine guidelines on end of life and palliative care in the intensive care unit - Intensive Care Medicine
The European Society of Intensive Care Medicine (ESICM) has developed evidence-based recommendations and expert opinions about end-of-life (EoL) and palliative care for critically ill adults to optimi...
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Anaesthesia @anaesjournal.bsky.social · 11/12/2024
Routine peri-operative cessation of glucagon-like peptide-1 receptor agonists has unintended consequences These include: • risk of further delays to surgery due to deranged pre-operative glucose • harm from peri-operative hyperglycaemia #AnSky #MedSky buff.ly/4gsCyWW
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Hetan Shah @hetanshah.bsky.social · 08/11/2024
Major new report out today making the case for overcoming the barriers and inefficiencies that currently delay the safe and secure use of health data in the UK to improve lives - the Sudlow review www.hdruk.ac.uk/helping-with...
hdruk.ac.uk
The Sudlow Review
'Uniting the UK’s Health Data: A Huge Opportunity for Society' is an independent review commissioned by the Chief Medical Officer for England, the UK National Statistician and NHS England’s National D...
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Helen @nhsgas.bsky.social · 09/12/2024
link.springer.com/article/10.1...
link.springer.com
Patient-reported questionnaires to preoperatively identify high-risk surgical patients - Langenbeck's Archives of Surgery
Purpose Low cardiorespiratory fitness (CRF) increases the risk of postoperative morbidity and mortality following major surgery. Assessing CRF preoperatively, by measuring peak oxygen uptake (VO2peak)...
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Helen @nhsgas.bsky.social · 08/12/2024
www.sciencedirect.com/science/arti...
sciencedirect.com
Aortic Valve Replacement vs Clinical Surveillance in Asymptomatic Severe Aortic Stenosis: A Systematic Review and Meta-Analysis
Current guidelines recommend a strategy of clinical surveillance (CS) for patients with asymptomatic severe aortic stenosis (AS) and a normal left ven…
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The Guardian @theguardian.com · 06/12/2024
Why do some men behave badly? I think I have the answer
theguardian.com
Why do some men behave badly? I think I have the answer
From an early age boys are treated as though they are smarter and more talented than girls. It can lead to a damaging overconfidence The stories come around with horrible frequency. The TV presenter of a certain age who prances around naked with nothing…
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Anaesthesia Reports @anaesthesiareports.bsky.social · 02/12/2024
What are the barriers to implementing tranexamic acid use in elective surgery? This QI project examines some of the barriers Is thromboembolism still the biggest concern? #openaccess #AnSky #SurgSky @swarnak.bsky.social buff.ly/4eY1jsE
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Helen @nhsgas.bsky.social · 05/12/2024
www.nejm.org/doi/full/10.... Individual responses to the same “insult” can have very different outcomes. Infection and sepsis - surgical trauma?
nejm.org
Sepsis and Septic Shock | NEJM
Sepsis is a life-threatening, heterogeneous disorder involving a dysregulated immune response to infection. Research to identify subtypes and targeted therapies for host dysregulation is ongoing.
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Helen @nhsgas.bsky.social · 03/12/2024
www.bgs.org.uk/policy-and-m... Identify people living with frailty in the Perioperative period, proactively optimise for life as well as surgery
bgs.org.uk
BGS publishes recommendations on how to deliver proactive care | British Geriatrics Society
A new BGS document is aimed at healthcare professionals, clinical leaders, commissioners and system designers seeking advice on how to implement services in their locality.
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Helen @nhsgas.bsky.social · 02/12/2024
journals.lww.com/annalsofsurg... Shared decision making in the US
journals.lww.com
The Equipoise Ruler: A National Survey on Surgeon Judgment... : Annals of Surgery
icing in the United States is not known. Methods: We administered a survey with 30 exemplar cases asking surgeons to use their best judgment to place each case on a scale ranging from “definitely w...
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Helen @nhsgas.bsky.social · 02/12/2024
Complete relinquishing of anaesthetic conscientiousness, optimisation and nuance (CRAC‐ON) trial - Chrimes - 2016 - Anaesthesia - Wiley Online Library associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/... It must be Christmas
associationofanaesthetists-publications.onlinelibrary.wiley.com
Complete relinquishing of anaesthetic conscientiousness, optimisation and nuance (CRAC‐ON) trial
Click on the article title to read more.
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Helen @nhsgas.bsky.social · 02/12/2024
www.health.org.uk/evidence-hub... Health inequalities - can we target support?
health.org.uk
Local authority dashboard
Explore data for your local authority and neighbourhood
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