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Dr Pieter Peach

@pieterpeach.com
2.7K followers 1K following 3K posts

Anaesthesiologist, paediatric and adult | MPH | Royal Children’s Hospital, Melbourne @rchanaesthesia.bsky.social Also mastodon.social/@pieterpeach #AnSky #MedSky

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Dr Pieter Peach @pieterpeach.com · 23h
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Dr Pieter Peach @pieterpeach.com · 18/09/2026
www.netmeister.org/blog/everybo...
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Dr Pieter Peach @pieterpeach.com · 08/09/2026
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Dr Pieter Peach @pieterpeach.com · 20/08/2026
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Dr Pieter Peach @pieterpeach.com · 13/08/2026
No hurricane has ever crossed the equator, due to the Coriolis force. www.reddit.com/r/Damnthatsi...
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Dr Pieter Peach @pieterpeach.com · 28/07/2026
Would love to have been in the room during this brainstorming session
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Dr Pieter Peach @pieterpeach.com · 30/06/2026
The glaciers are just hanging on on Mt Kilimanjaro
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Dr Pieter Peach @pieterpeach.com · 26/06/2026
Every city’s got an ominous megastructure
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Dr Pieter Peach @pieterpeach.com · 12/06/2026
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Dr Pieter Peach @pieterpeach.com · 24/05/2026
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Dr Pieter Peach @pieterpeach.com · 11/05/2026
It was stuck like this. I assumed the loading spinner was the meme. Also, just learnt the technical term for a loading spinner is a “throbber”.
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Dr Pieter Peach @pieterpeach.com · 06/05/2026
Also Magnetic Island for free fly bys
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Dr Pieter Peach @pieterpeach.com · 15/03/2026
Reminder that Ethicon Biopatch used as an adjunct in central line dressings is chlorhexidine (CHG) impregnated. The effort in avoiding a chlorhexidine impregnated CVC in a patient with chlorhexidine anaphylaxis can easily be undone. www.jnjmedtech.com/en-EMEA/prod... #ansky #anaphylaxis
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Dr Pieter Peach @pieterpeach.com · 31/01/2026
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Dr Pieter Peach @pieterpeach.com · 29/01/2026
The @anzca.bsky.social “PG28 Guideline on infection prevention and control in anaesthesia 2025” now states that sterile gowns are not required for all single shot spinals. This could reduce a significant amount of waste. #Ansky www.anzca.edu.au/getContentAs...
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Dr Pieter Peach @pieterpeach.com · 22/12/2025
Notice how progressive automation seems to have entirely missed the baristas despite perfectly good automated coffee machines. People seem to value the brief banter, tattoos and beards. There may be a lesson in that for all of us.
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Dr Pieter Peach @pieterpeach.com · 21/12/2025
OK I remember now. It takes selected anaesthetic accounts, extracts post based on keywords (see photo) and uses the Hacknews (HN) algorithm to rank. 7 days is the maximum allowed time frame.
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Dr Pieter Peach @pieterpeach.com · 21/11/2025
Just donated to @wikimediafoundation.org. We often take for granted how valuable a resource it is. Having contributed to it I know how vigorously the Wikipedians donating their time defend the veracity of the content. donate.wikimedia.org
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Dr Pieter Peach @pieterpeach.com · 06/11/2025
Ok 3D printing anaesthesia nerds, give me suggestions of exciting and pointless objects we can print with one of these. #3Dprinting #Ansky
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Dr Pieter Peach @pieterpeach.com · 20/08/2025
Hey @chrimesy.com, what do you think about titrating Sevo to BIS?
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Dr Pieter Peach @pieterpeach.com · 11/08/2025
This hospital has implemented a policy of banning glasses with audio and video recording (eg Meta Ray Ban glasses). ❌🤓❌ I wouldn’t be surprised if other industries start following suit. #Anksy #Medsky
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Dr Pieter Peach @pieterpeach.com · 08/08/2025
Good luck reading the drug name and dose without augmented vision #EzDrugID #Ansky
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Dr Pieter Peach @pieterpeach.com · 07/08/2025
This was Nam Le’s work at RWH looking at nursing workload post LUCS. “From this, we can estimate that on average patients who received neuraxial morphine required 50 fewer minutes of midwifery intervention time for analgesic management.”
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Dr Pieter Peach @pieterpeach.com · 01/08/2025
No risk score will be perfectly implemented. You still ultimately see some correlation in outcomes, in this case mortality after intra-operative cardiac arrest in the @webairs.com dataset. Limitations: voluntary adverse event reporting, no denominator. doi.org/10.1177/0310...
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Dr Pieter Peach @pieterpeach.com · 31/07/2025
What a ride xkcd.com/1732/
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Dr Pieter Peach @pieterpeach.com · 31/07/2025
Want to reduce your plasma forever chemical (PFAS) levels? - Donate plasma - A study of firefighters in Victoria Australia demonstrated a significant (~30%) reduction in PFAS levels after 1 year of 6 weekly plasma donations. Also, it’s free, you get lunch & it helps others doi.org/10.1001/jama...
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Dr Pieter Peach @pieterpeach.com · 16/07/2025
This is what I see in @anzca.bsky.social's PS04(A) Position statement on the post-anaesthesia care unit 2020. Are you referring to another document? www.anzca.edu.au/getContentAs...
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Dr Pieter Peach @pieterpeach.com · 16/07/2025
Context may be important here. How is the EtCO2 used? In patients with LMAs? Many hospitals in VIC have “T-bags”available that give an indication of respiration. In most (not all) Australian hospitals patients with ETTs are extubated prior to transfer to PACU.
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Dr Pieter Peach @pieterpeach.com · 13/07/2025
This was an FDA recommendation ~ 2007. Should be noted the case reports were prior to inclusion of preservatives/antimicrobials. Would depend somewhat on the formulation but just adds to the other risks associated with decanting across multiple patients. www.apsf.org/article/the-...
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Dr Pieter Peach @pieterpeach.com · 12/07/2025
I don’t mean to sound like a tightwad, but we do deal with limited budgets in both public and private and we should all be aware of avoidable safety neutral costs. Don’t get me started about these things for non-head surgery. Topic for another day @maffygirl.medsky.social ?
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Dr Pieter Peach @pieterpeach.com · 12/07/2025
Today I learned about the “Obesity paradox”, where the presence of obesity in nonegenarians (90-99 years of age) is a significant protective factor against in-hospital mortality for patients admitted to ICU Prof Laurence Weinberg #RuralSIG25 #Ansky
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Dr Pieter Peach @pieterpeach.com · 11/07/2025
Interesting unexpected outcome from the implementation of a high risk peri-operative clinic at Ipswich hospital. 50% of patients did not proceed to surgery after in depth discussion about benefits and risks with the patient and family. #RURALSIG25 #Ansky
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Dr Pieter Peach @pieterpeach.com · 30/06/2025
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Dr Pieter Peach @pieterpeach.com · 30/06/2025
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Dr Pieter Peach @pieterpeach.com · 22/06/2025
We are alright #Melbourne www.reddit.com/r/melbourne/...
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Dr Pieter Peach @pieterpeach.com · 21/06/2025
For anyone with an interest in history of anaesthesia this is a talk I recorded of Dr Kestor Brown, ex director of Anaesthesia at @rchanaesthesia.bsky.social talking about Trilene, Cyclopropane, Ethylene, etc all the good stuff. vimeo.com/57665984 #ansky
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Dr Pieter Peach @pieterpeach.com · 18/06/2025
When trying to impress
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Dr Pieter Peach @pieterpeach.com · 18/06/2025
Bluesky Safety Tip: When attaching media to a post click on the three dots on the bottom left, click “Options” and ensure photo location is NOT included. For some reason this was on by default on my account. If that was intentional it’s a dangerous design choice. @bsky.app
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Dr Pieter Peach @pieterpeach.com · 11/06/2025
You too could pay $20,000 for this plasmapheresis like Orlando, or you could donate plasma for free to achieve the same whilst doing some good for others (and get a free lunch). #donateblood theconversation.com/new-evidence...
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Dr Pieter Peach @pieterpeach.com · 27/05/2025
Meanwhile we caught the first snowfall of the season climbing Mt Bogong, Victoria’s highest peak. Well below sub zero.
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Dr Pieter Peach @pieterpeach.com · 23/05/2025
Things I look forward to www.reddit.com/r/funny/comm...
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Dr Pieter Peach @pieterpeach.com · 09/05/2025
I put up a similar sign in a share house I used to lived in, but about the dishes. It did not go down well. Got the message across though. #ansky
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Dr Pieter Peach @pieterpeach.com · 11/04/2025
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Dr Pieter Peach @pieterpeach.com · 14/02/2025
After running out of ideas for kids movies this one just came out of nowhere. Good times! #parenting
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Dr Pieter Peach @pieterpeach.com · 31/12/2024
When something’s not actually a thing but definitely should be
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Dr Pieter Peach @pieterpeach.com · 21/12/2024
This sounds very interesting
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Dr Pieter Peach @pieterpeach.com · 15/12/2024
Kids and I love listening to Macklemore, but man are they learning some choice words.
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Dr Pieter Peach @pieterpeach.com · 07/12/2024
Apparently this operating theatre monitor was installed just recently. 1280x1024 SXGA Multisync. It’s one of the newer fancier coloured models. Reminds me of something. #Ansky
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Dr Pieter Peach @pieterpeach.com · 13/11/2024
lemmy.dbzer0.com/post/31366665
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Dr Pieter Peach @pieterpeach.com · 10/11/2024
Now all we need to spice this place up is a good old Ketaminh/Chrimes airway barney
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