Rob Fleming
@robjimfleming.bsky.social
Specialist (SAS) Anaesthetist | Clinical Associate Professor | UK | He / him | FRCA | Award winning irreverence | "non-sea lion" | Part of @SAScollective.com | #SASsix | #PERUSEbeforeYouInfuse
Opinions many, all very much mine!
Opinions many, all very much mine!
I am absolutely shattered now.
This week I've been away for a couple of days as faculty and presenter at a conference, and have come back to then host an open day at the university.
Found time to pause by the water in West Kirby, briefly, and point a camera. Not my best work, but #photography.
This week I've been away for a couple of days as faculty and presenter at a conference, and have come back to then host an open day at the university.
Found time to pause by the water in West Kirby, briefly, and point a camera. Not my best work, but #photography.
November 29, 2025 at 7:45 PM
I am absolutely shattered now.
This week I've been away for a couple of days as faculty and presenter at a conference, and have come back to then host an open day at the university.
Found time to pause by the water in West Kirby, briefly, and point a camera. Not my best work, but #photography.
This week I've been away for a couple of days as faculty and presenter at a conference, and have come back to then host an open day at the university.
Found time to pause by the water in West Kirby, briefly, and point a camera. Not my best work, but #photography.
Robin Hood, Prince of Thieves.
Without saying Star Wars, name a science fiction film.
November 29, 2025 at 7:28 PM
Robin Hood, Prince of Thieves.
Ghost.
Without saying Star Wars, name a science fiction film.
November 29, 2025 at 7:27 PM
Ghost.
Sleepless in Seatle.
Without saying Star Wars, name a science fiction film.
November 29, 2025 at 7:27 PM
Sleepless in Seatle.
Reposted by Rob Fleming
November 28, 2025 at 8:21 PM
Reposted by Rob Fleming
As we wind up today's excellent content at #SIVA25, planning is already well underway for next year.
We hope to see you all again in Exeter, if not before. You have all been wonderful company!
SIVA wouldn't exist or be successful without your support, folks, and we appreciate it.
We hope to see you all again in Exeter, if not before. You have all been wonderful company!
SIVA wouldn't exist or be successful without your support, folks, and we appreciate it.
November 28, 2025 at 3:07 PM
As we wind up today's excellent content at #SIVA25, planning is already well underway for next year.
We hope to see you all again in Exeter, if not before. You have all been wonderful company!
SIVA wouldn't exist or be successful without your support, folks, and we appreciate it.
We hope to see you all again in Exeter, if not before. You have all been wonderful company!
SIVA wouldn't exist or be successful without your support, folks, and we appreciate it.
Really excellent talk in the processed EEG session this afternoon from Dr Joana Berger-Estilita.
The goldilocks zone between too deep and too light "looks" a certain way.
If alpha is dropping out and beta is coming back, one of two things is happening. Neither is good.
#SIVA25
The goldilocks zone between too deep and too light "looks" a certain way.
If alpha is dropping out and beta is coming back, one of two things is happening. Neither is good.
#SIVA25
November 28, 2025 at 2:27 PM
Really excellent talk in the processed EEG session this afternoon from Dr Joana Berger-Estilita.
The goldilocks zone between too deep and too light "looks" a certain way.
If alpha is dropping out and beta is coming back, one of two things is happening. Neither is good.
#SIVA25
The goldilocks zone between too deep and too light "looks" a certain way.
If alpha is dropping out and beta is coming back, one of two things is happening. Neither is good.
#SIVA25
Reposted by Rob Fleming
Opening the final session of this year's #SIVA25, focussed around processed EEG, is SIVA Honorary Secretary @chronotrope.bsky.social.
Fantastic content, delivered by international experts. We hope you folks have enjoyed all this as much as we have!
Fantastic content, delivered by international experts. We hope you folks have enjoyed all this as much as we have!
November 28, 2025 at 2:09 PM
Opening the final session of this year's #SIVA25, focussed around processed EEG, is SIVA Honorary Secretary @chronotrope.bsky.social.
Fantastic content, delivered by international experts. We hope you folks have enjoyed all this as much as we have!
Fantastic content, delivered by international experts. We hope you folks have enjoyed all this as much as we have!
Reposted by Rob Fleming
The first talk of the final session of #SIVA25 is about teaching processed EEG, by Dr Joana Berger-Estilita, who has travelled to us from Bern.
How does a doctor learn a new skill, such as pEEG interpretation?
Well, it depends on a lot of things...
How does a doctor learn a new skill, such as pEEG interpretation?
Well, it depends on a lot of things...
November 28, 2025 at 2:16 PM
The first talk of the final session of #SIVA25 is about teaching processed EEG, by Dr Joana Berger-Estilita, who has travelled to us from Bern.
How does a doctor learn a new skill, such as pEEG interpretation?
Well, it depends on a lot of things...
How does a doctor learn a new skill, such as pEEG interpretation?
Well, it depends on a lot of things...
Reposted by Rob Fleming
The final session of #SIVA25 is all about processed EEG and monitoring.
We are finishing strong today!
Keep the questions coming via slido, folks, ahead of the final panel discussion at the end of the session.
We are finishing strong today!
Keep the questions coming via slido, folks, ahead of the final panel discussion at the end of the session.
November 28, 2025 at 2:20 PM
The final session of #SIVA25 is all about processed EEG and monitoring.
We are finishing strong today!
Keep the questions coming via slido, folks, ahead of the final panel discussion at the end of the session.
We are finishing strong today!
Keep the questions coming via slido, folks, ahead of the final panel discussion at the end of the session.
If and five anaesthetists or interested others could follow the @sivanaesthesia.bsky.social account, you'd be putting me out of my misery.
I am curating the account for the duration of #SIVA25, and I want to get it to 100 followers.
My content has been top notch, honestly!
I am curating the account for the duration of #SIVA25, and I want to get it to 100 followers.
My content has been top notch, honestly!
November 28, 2025 at 1:53 PM
If and five anaesthetists or interested others could follow the @sivanaesthesia.bsky.social account, you'd be putting me out of my misery.
I am curating the account for the duration of #SIVA25, and I want to get it to 100 followers.
My content has been top notch, honestly!
I am curating the account for the duration of #SIVA25, and I want to get it to 100 followers.
My content has been top notch, honestly!
Queation of the conference has been asked, on day 2 of #SIVA25:
"Was Prince Andrew's inability to sweat a result of exposure to long-acting anticholinergics?"
Wing Commander Alice Humphrey's talk about surviving chemical weapons has clearly got the crowd thinking.
"Was Prince Andrew's inability to sweat a result of exposure to long-acting anticholinergics?"
Wing Commander Alice Humphrey's talk about surviving chemical weapons has clearly got the crowd thinking.
November 28, 2025 at 12:23 PM
Queation of the conference has been asked, on day 2 of #SIVA25:
"Was Prince Andrew's inability to sweat a result of exposure to long-acting anticholinergics?"
Wing Commander Alice Humphrey's talk about surviving chemical weapons has clearly got the crowd thinking.
"Was Prince Andrew's inability to sweat a result of exposure to long-acting anticholinergics?"
Wing Commander Alice Humphrey's talk about surviving chemical weapons has clearly got the crowd thinking.
Meeting Alice has been one of the highlights of this conference for me. I am delighted that we will get to work together at @sivanaesthesia.bsky.social.
Her talk is proving awesome, and terrifying, in equal measure.
#SIVA25
Her talk is proving awesome, and terrifying, in equal measure.
#SIVA25
The final talk of this #SIVA25 session is delivered by military anaesthetist Wing Commander (Dr) Alice Humphreys, who is also a new SIVA committee member, elected yesterday.
She is speaking about Military TIVA, and TIVA use in low power or no power environments, or after a nuclear blast.
She is speaking about Military TIVA, and TIVA use in low power or no power environments, or after a nuclear blast.
November 28, 2025 at 12:12 PM
Meeting Alice has been one of the highlights of this conference for me. I am delighted that we will get to work together at @sivanaesthesia.bsky.social.
Her talk is proving awesome, and terrifying, in equal measure.
#SIVA25
Her talk is proving awesome, and terrifying, in equal measure.
#SIVA25
Reposted by Rob Fleming
The second session of day 2 of #SIVA25 has started with some excellent poster presentations, and more safety and error based content.
Make sure to visit our friends in the trade exhibition hall over lunch. These folks are an important part of delivering these conferences.
Make sure to visit our friends in the trade exhibition hall over lunch. These folks are an important part of delivering these conferences.
November 28, 2025 at 11:56 AM
The second session of day 2 of #SIVA25 has started with some excellent poster presentations, and more safety and error based content.
Make sure to visit our friends in the trade exhibition hall over lunch. These folks are an important part of delivering these conferences.
Make sure to visit our friends in the trade exhibition hall over lunch. These folks are an important part of delivering these conferences.
Reposted by Rob Fleming
Next up this morning at #SIVA25 is Dr Seth Tasbihgou, who has travelled to us from Groningen to speak today.
His excellent talk on "TIVA - how not to do it", is focussed around how to avoid some of the more common pitfalls, including standardisation, equipment checking, and monitoring.
His excellent talk on "TIVA - how not to do it", is focussed around how to avoid some of the more common pitfalls, including standardisation, equipment checking, and monitoring.
November 28, 2025 at 12:03 PM
Next up this morning at #SIVA25 is Dr Seth Tasbihgou, who has travelled to us from Groningen to speak today.
His excellent talk on "TIVA - how not to do it", is focussed around how to avoid some of the more common pitfalls, including standardisation, equipment checking, and monitoring.
His excellent talk on "TIVA - how not to do it", is focussed around how to avoid some of the more common pitfalls, including standardisation, equipment checking, and monitoring.
Reposted by Rob Fleming
The final talk of this #SIVA25 session is delivered by military anaesthetist Wing Commander (Dr) Alice Humphreys, who is also a new SIVA committee member, elected yesterday.
She is speaking about Military TIVA, and TIVA use in low power or no power environments, or after a nuclear blast.
She is speaking about Military TIVA, and TIVA use in low power or no power environments, or after a nuclear blast.
November 28, 2025 at 12:10 PM
The final talk of this #SIVA25 session is delivered by military anaesthetist Wing Commander (Dr) Alice Humphreys, who is also a new SIVA committee member, elected yesterday.
She is speaking about Military TIVA, and TIVA use in low power or no power environments, or after a nuclear blast.
She is speaking about Military TIVA, and TIVA use in low power or no power environments, or after a nuclear blast.
Reposted by Rob Fleming
Another lovely day in Liverpool for #SIVA25!
We are quite enjoying this view from the conference venue, with the two cathedrals and the Radio City tower, with the waterfront in the distance.
We are quite enjoying this view from the conference venue, with the two cathedrals and the Radio City tower, with the waterfront in the distance.
November 28, 2025 at 10:31 AM
Another lovely day in Liverpool for #SIVA25!
We are quite enjoying this view from the conference venue, with the two cathedrals and the Radio City tower, with the waterfront in the distance.
We are quite enjoying this view from the conference venue, with the two cathedrals and the Radio City tower, with the waterfront in the distance.
Reposted by Rob Fleming
First up in the main session today at #SIVA25 we have Professor Gavin Kenny, one of the key architects of the Diprifusor TCI system.
It is no exaggeration to say modern TCI and TIVA would not exist without him.
In the first of two talks he is giving today, he tells us how Diprifusor was created.
It is no exaggeration to say modern TCI and TIVA would not exist without him.
In the first of two talks he is giving today, he tells us how Diprifusor was created.
November 28, 2025 at 9:25 AM
First up in the main session today at #SIVA25 we have Professor Gavin Kenny, one of the key architects of the Diprifusor TCI system.
It is no exaggeration to say modern TCI and TIVA would not exist without him.
In the first of two talks he is giving today, he tells us how Diprifusor was created.
It is no exaggeration to say modern TCI and TIVA would not exist without him.
In the first of two talks he is giving today, he tells us how Diprifusor was created.
Reposted by Rob Fleming
Morning folks!
We hope that those who attended the dinner last night had a splendid time and have woken up bright and refreshed, ready for today's #SIVA25 content!
Those who have registered for the workshop, please note it starts at 0900.
The first session of talks starts at 0915.
See you soon!
We hope that those who attended the dinner last night had a splendid time and have woken up bright and refreshed, ready for today's #SIVA25 content!
Those who have registered for the workshop, please note it starts at 0900.
The first session of talks starts at 0915.
See you soon!
November 28, 2025 at 8:36 AM
Morning folks!
We hope that those who attended the dinner last night had a splendid time and have woken up bright and refreshed, ready for today's #SIVA25 content!
Those who have registered for the workshop, please note it starts at 0900.
The first session of talks starts at 0915.
See you soon!
We hope that those who attended the dinner last night had a splendid time and have woken up bright and refreshed, ready for today's #SIVA25 content!
Those who have registered for the workshop, please note it starts at 0900.
The first session of talks starts at 0915.
See you soon!
Ahead of my talk today at #SIVA25, I have packaged up some #PERUSEbeforeYouInfuse posters, for anyone convinced by what I'm saying, who then wants to use the check.
The right things happen more often if you make them easy. Providing posters (and Blu Tack) is very much in the spirit of the talk.
The right things happen more often if you make them easy. Providing posters (and Blu Tack) is very much in the spirit of the talk.
November 28, 2025 at 7:40 AM
Ahead of my talk today at #SIVA25, I have packaged up some #PERUSEbeforeYouInfuse posters, for anyone convinced by what I'm saying, who then wants to use the check.
The right things happen more often if you make them easy. Providing posters (and Blu Tack) is very much in the spirit of the talk.
The right things happen more often if you make them easy. Providing posters (and Blu Tack) is very much in the spirit of the talk.
Reposted by Rob Fleming
We are delighted to welcome Dr Alice Humphreys, as newly elected member of the SIVA committee.
Alice works in a major trauma centre in the south of England and her interests include neuroanaesthesia, transfer and retrieval.
Welcome!
#SIVA25
Alice works in a major trauma centre in the south of England and her interests include neuroanaesthesia, transfer and retrieval.
Welcome!
#SIVA25
November 27, 2025 at 6:20 PM
We are delighted to welcome Dr Alice Humphreys, as newly elected member of the SIVA committee.
Alice works in a major trauma centre in the south of England and her interests include neuroanaesthesia, transfer and retrieval.
Welcome!
#SIVA25
Alice works in a major trauma centre in the south of England and her interests include neuroanaesthesia, transfer and retrieval.
Welcome!
#SIVA25
Reposted by Rob Fleming
Sessions 1, Day 1's presenters taking questions from the audience to close the session.
It has been an absolutely fascinating couple of hours.
#SIVA25
It has been an absolutely fascinating couple of hours.
#SIVA25
November 27, 2025 at 3:12 PM
Sessions 1, Day 1's presenters taking questions from the audience to close the session.
It has been an absolutely fascinating couple of hours.
#SIVA25
It has been an absolutely fascinating couple of hours.
#SIVA25
Reposted by Rob Fleming
Session 2 of Day 1 of #SIVA25 gets cracking.
This session is focussed around the science, and is chaired by the always excellent Professor Tony Absolom.
The first talk is Dr Douglas Eleveld, speaking to us from Groningen about developing the model that shares his name.
This session is focussed around the science, and is chaired by the always excellent Professor Tony Absolom.
The first talk is Dr Douglas Eleveld, speaking to us from Groningen about developing the model that shares his name.
November 27, 2025 at 4:01 PM
Session 2 of Day 1 of #SIVA25 gets cracking.
This session is focussed around the science, and is chaired by the always excellent Professor Tony Absolom.
The first talk is Dr Douglas Eleveld, speaking to us from Groningen about developing the model that shares his name.
This session is focussed around the science, and is chaired by the always excellent Professor Tony Absolom.
The first talk is Dr Douglas Eleveld, speaking to us from Groningen about developing the model that shares his name.
Reposted by Rob Fleming
Next up this afternoon we have SIVA's Honorary Secretary, Dr Mark Barley, @chronotrope.bsky.social.
A controversial topic, potentially, Mark is speaking to us about RSI with TIVA TCI.
#SIVA25
A controversial topic, potentially, Mark is speaking to us about RSI with TIVA TCI.
#SIVA25
November 27, 2025 at 2:14 PM
Next up this afternoon we have SIVA's Honorary Secretary, Dr Mark Barley, @chronotrope.bsky.social.
A controversial topic, potentially, Mark is speaking to us about RSI with TIVA TCI.
#SIVA25
A controversial topic, potentially, Mark is speaking to us about RSI with TIVA TCI.
#SIVA25
Reposted by Rob Fleming
Next up at #SIVA25 is Dr Paul McConnell, speaking about defending the brain from the effects of anaesthesia, and the "Safe Brain Initiative".
Post-operative delirium and cognitive dysfunction exist within the spectrum of neurocognitive disorders, which may pre-exist and be worsened by our choices.
Post-operative delirium and cognitive dysfunction exist within the spectrum of neurocognitive disorders, which may pre-exist and be worsened by our choices.
November 27, 2025 at 2:50 PM
Next up at #SIVA25 is Dr Paul McConnell, speaking about defending the brain from the effects of anaesthesia, and the "Safe Brain Initiative".
Post-operative delirium and cognitive dysfunction exist within the spectrum of neurocognitive disorders, which may pre-exist and be worsened by our choices.
Post-operative delirium and cognitive dysfunction exist within the spectrum of neurocognitive disorders, which may pre-exist and be worsened by our choices.