@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
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 ...
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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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
TOMAHAWK - immediate vs delayed/selective angio. 3 years to conduct the trial in 31 ICUs. 554 patients. 'Worse' survival in immediate angiograph? Not SS, but close... #SOA21
We've looked at bats for a long time.... #SOA21 They have strong interferon responses, but not strong inflammation....
So what happens instead? #SOA21 They will tolerate high levels of viraemia with little symptoms. Bats are old... 65million years ago - they appeared at the end of the dinosaurs! They are far longer lived that other mammals. Senescence is late - more towards end of life.
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.... 🧵👇😘
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
So, do biomarkers have any utility in guiding abx use in sepsis? We can measure, usually, these ones fairly easily: #SOA21
In around 2014, commissioned review in PCT. Seemed to suggest a shorter duration in abx use when PCT used.... tenuous data though. #SOA21 Low quality. Little evidence from UK... how does this fit into NHS practice in the realms of stewardship?
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
Is COVID-19 hyperinflammation, or a cytokine storm in a teacup? @DrPujaMehta1 's fab talk from #SOA21 today!
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
We now know some things work and some things don't.... in certain populations. #SOA21