Use the 4W approach
When to apply pocus
Where to place probe
What do images mean
What to do next
Feb 9, 2021 • 12 tweets • 4 min read
I love regional anaesthesia and working with surgeons, & am also sad that I have finished Schitt’s Creek. Here is a thread of experiences as a regional anaesthetist..
The reaction of a new surgeon the first time you state you’d like to site a nerve block... for a trauma patient
The reaction of the anaesthetist when the surgeon states that blocks will slow the list down, and “The operation isn’t that painful anyway”
Feb 9, 2021 • 9 tweets • 12 min read
In the run up to #RAUK21 -5-6th May 2021 ,& to introduce some of the many publications of our Bruce Scott Lecturer @EMARIANOMD - I thought I’d start tweeting 10 of his papers to get you inspired about #RegionalAnaesthesia#RegionalAnesthesia - I’ll add them all to this thread...
In the first of 10 of @EMARIANOMD‘s papers, lets start by looking at this one on Continuous interscalene brachial plexus block via an ultrasound-guided Posterior approach #RAUK21#MarianoTopTen 1/10
A lesson in keeping it simple- or as @glauncel says - KISS - Keep It Simple Stupid!
So - a member of the Pawa household dropped a plastic cap down the shower drainage hole by accident- see exhibit A below 👇🏼 2/5 Unfortunately- the shower was now unusable - a big deal for us all!
So - as someone who had been using a fibrescope on ICU recently, I had a great idea! I used my Amazon prime account and ordered a Wifi transmitting portable endoscope to get down the drain - exhibit B👇🏼
Oct 5, 2020 • 12 tweets • 3 min read
I had a desire to pen another of my #PawaPoems -this time, a non-rhyming-type. Here goes...
A whole New World
The alarm goes off at 0530,
A battle of the snooze alarm versus my state of wakefulness then ensues,
I struggle to get out of bed- that much has not changed !
I shower and dress for work - no longer wearing suits or chino-blazer combos - they don’t do well when thrust within the depths of the Washing machine during my nightly “return from work corridor strip routine”.
This is where I am headed to next for #ECONGRESS2020#ESRAASRA2020- be good to hear @docmorne talking about ERAS for Knee Arthroplasty & Ambulatory Surgery fron Seb Bloc and Laurent Delaunay
Great group of speakers to start this session!
When Medical School is complete, What does it feel like when you first start working as a doctor?...
An Indiana Jones Gif Thread.
1. Day 1 - all knowledge inside your head, but are you actually ready to be a doctor?
2. The first day you walk onto the ward with your stethoscope around your neck and tendon hammer in pocket
Sep 3, 2020 • 15 tweets • 5 min read
Starting as a novice anaesthetic trainee. A thread of #FreshPrince Gifs
1. “Hey everyone, I am the new “baby anaesthetic trainee!” (I actually said this!)
2. When you realise that actually, you don’t know anything about any of the drugs, doses, procedures... and basically, you are a med student again!
Aug 31, 2020 • 12 tweets • 4 min read
What it’s like to be a regional anaesthetist - a thread of #starwars gifs 1. When you discover your passion for #RegionalAnaesthesia2. When the first few blocks you place don’t seem to go according to plan
We are learning lessons from China and Italy, but there is not lots of evidence right now in #COVID19
Information now, may not necessarily hold true in a few months now, but we have to trust the info we have now
Mar 14, 2020 • 13 tweets • 5 min read
Wow - incredible work from the @AAGBI producing a webinar on #COVID19 & what we need to know on the frontline.
I have put some of my take home points together in a thread.
Bottom line- I am genuinely worried about what lies ahead, and it is clear, we are not ready for this yet 1. PPE - there are national variations & inconsistencies. Intubation is an Aerosol Generating Procedure (AGP) - maximal protection should be used - what is that though?
2. What drugs are we going to use?
Propofol & Alfentanil vs Isoflurane?
Will we have enough?