Dr. David Lyness Profile picture
May 25, 2021 23 tweets 18 min read Read on X
Amazing work from Regional Anaesthesia Land this year once again - #RAUK21. Lots to dissect! Let's look at the highlights of this year! @elboghdadlym @shaskinsMD @rosie_hogg @davejohnston24 @amit_pawa
@LloydTurbitt @ajrmacfarlane
Motor-sparing blocks for the knee by @mariapsebastian and @uclhregional
@amit_pawa discusses options for rib fracture RA. Blocks obviously help but do NOT cure. Patients likely need ICU +/- respiratory support, IF they have a respiratory compromise. #RAUK21
@AhmadSalama529's amazing drawings (HAND drawn!) was showcased this year - visualising the roots of C5,6,7 between Scalenus Anterior and Scalenus Medius #RAUK21
More stuff coming up in #ISURA2021 - with @amit_pawa
This is a rib scanned along its long axis. Revealing a fracture. Muscle above is Serratus Anterior.
Most popular blocks? @BenjaminLukeFox tells #RAUK21 these are the recipes that are used at his hospital:
Challenging body habitus? @drealbrecht gives his thoughts and tips #RAUK21
@LloydTurbitt's top tips for Axillary block #RAUK21
@LloydTurbitt - which upper limb blocks are good for novices? #RAUK21
Intraoperative supplementation of RA? @noolslucas: Use Ropivacaine for epidural top up. Less errors compared to mixing drugs. Quick onset but least like to require supplementation. #RAUK21
Infographic winner @adipal23 tells us how to communicate risk with Regional Anaesthesia - brill infographic: #RAUK21
Some career and life lessons from @EMARIANOMD #RAUK21 - and the role of anaesthetists in general:
@docmorne gives his recommendations on RA and compartment syndrome - a hot topic...
Trauma and elective lower limb surgery? @DrRobbieErskine shares some valuable recipes :) #RAUK21
Another hot topic - sustainable anaesthesia - what COULD this look like? #RAUK21
Food from the PRO/CON debate on RA v GA by @amit_pawa ...
Perineural stimulation + regional anaesthesia through a stimulating perineural catheter for BKA - …-publications.onlinelibrary.wiley.com/doi/epdf/10.10… #RAUK21
Is hip innervation complicated? Eh, not any more.... #RAUK21
@alexiaP shares their insight from watching #RAUK21: "Nerve blocks that obliterate all pain, likely get rebound pain. Manage expectations, start analgesia prior to block wearing off, patient information and involvement. Fear, age, psych are RF as are ops like shoulder."
Heparin and low molecular weight heparins; when to do a neuraxial block and when to remove the catheter? bjaed.org/article/S2058-… #RAUK21
@DrShaunMay shares his presentation on immunomodulation of innate immunity by brachial plexus blockade #RAUK21
ra-ukmeetings.com - this meeting will likely be available very soon in video form, via this website :) #RAUK21

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More from @Gas_Craic

Dec 8, 2021
What were the most impactful non-COVID papers over the past 2 years? Let's delve in and take a look. #SOA21
Finally an opportunity to not talk about COVID! #SOA21
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Dec 8, 2021
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Dec 7, 2021
Organophosphate poisoning, toxicology, dengue, snake bites and malaria.... sure what could go wrong? #SOA21 @ICS_updates Drs. Chacko, Yacoub, Bhaumik and Dondorp tell us more.... 🧵👇😘
Let's go to India - Tamil Nadu.
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Dec 7, 2021
Biomarker guided abx treatments in sepsis. We catch up with Drs/Profs: Paul Dark, Stacy Todd, Enitan Carrol, Jonathan Sandoe and Matthew Stevenson on this large area of research @ICS_updates #SOA21
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Read 13 tweets
Dec 7, 2021
@iceman_ex, myself and @dr_mattmorgan talk about how to keep yourself intellectually safe on Social Media at #SOA21 (full talk at soa.ics.ac.uk)

A thread 🧵👇
There's been a lot that's gone on over the past few years that's exposed the well known 'darker' side of social media. Traditional paradigms of knowledge dissemination have changed (if not disappeared). Much higher tech-savy population. #SOA21
This has democratised the discussion space to an extent. It allows for *anybody* (lit. anybody) to get involved. #SOA21
Read 17 tweets
Dec 6, 2021
Is COVID-19 hyperinflammation, or a cytokine storm in a teacup? @DrPujaMehta1 's fab talk from #SOA21 today! Image
Main Q = "Hyperinflation contributing to worse outcomes for some patients with COVID-19" - clinical similarities to sHLH seen. Viruses are the most common trigger of sHLH. Early reports from China suggested cytokine profile was similar to sHLH in terms of COVID severity. #SOA21 Image
We now know some things work and some things don't.... in certain populations. #SOA21 Image
Read 28 tweets

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