Callum Twohig
@propofoldreaming.bsky.social
SW London ACCS Anaesthetist
Reposted by Callum Twohig
Recommendations for the peri-operative management of patients taking GLP-1 RAs and GIPs
#AnSky #MedSky #GLP1
https://buff.ly/4ak4pa0
#AnSky #MedSky #GLP1
https://buff.ly/4ak4pa0
January 30, 2025 at 3:00 PM
Recommendations for the peri-operative management of patients taking GLP-1 RAs and GIPs
#AnSky #MedSky #GLP1
https://buff.ly/4ak4pa0
#AnSky #MedSky #GLP1
https://buff.ly/4ak4pa0
Reposted by Callum Twohig
1/3 🧵👇
Great paper.
Summary of Recommendations
(paraphrased - hope I got it right):
1. Waveform ETCO2+SpO2 whenever intubating
2. VL as routine
3. Verbalise the view at each attempt ('flying by mouth')
4. Verbalise whether sustained ETCO2 and adequate Spo2 are present
5. No Trace = Wrong Place..
Great paper.
Summary of Recommendations
(paraphrased - hope I got it right):
1. Waveform ETCO2+SpO2 whenever intubating
2. VL as routine
3. Verbalise the view at each attempt ('flying by mouth')
4. Verbalise whether sustained ETCO2 and adequate Spo2 are present
5. No Trace = Wrong Place..
The PUMA guidelines for prevention of oesophageal intubation are supported by
-RCOA
-AoA
-FICM
-ICS
-CODP
-DAS
This is true of no other airway guidance I am aware of & make them the de facto UK National guidance
associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/...
Preventing unrecognised oesophageal intubation: a consensus guideline from the Project for Universal Management of Airways and international airway societies*
Across multiple disciplines undertaking airway management globally, preventable episodes of unrecognised oesophageal intubation result in profound hypoxaemia, brain injury and death. These events occ....
associationofanaesthetists-publications.onlinelibrary.wiley.com
January 5, 2025 at 9:56 AM
1/3 🧵👇
Great paper.
Summary of Recommendations
(paraphrased - hope I got it right):
1. Waveform ETCO2+SpO2 whenever intubating
2. VL as routine
3. Verbalise the view at each attempt ('flying by mouth')
4. Verbalise whether sustained ETCO2 and adequate Spo2 are present
5. No Trace = Wrong Place..
Great paper.
Summary of Recommendations
(paraphrased - hope I got it right):
1. Waveform ETCO2+SpO2 whenever intubating
2. VL as routine
3. Verbalise the view at each attempt ('flying by mouth')
4. Verbalise whether sustained ETCO2 and adequate Spo2 are present
5. No Trace = Wrong Place..
Reposted by Callum Twohig
Reposted by Callum Twohig
Reposted by Callum Twohig
This great lab study from 2020 surprised me at the time - challenging our assumptions about fresh gas flow rates and economic/environmental costs. #AnSky
[ Higher FGF (~6L/min) during TIVA reduces costs without sig environmental impact. ]
Summary → www.metajournal.com/articles/103...
[ Higher FGF (~6L/min) during TIVA reduces costs without sig environmental impact. ]
Summary → www.metajournal.com/articles/103...
November 24, 2024 at 12:57 AM
This great lab study from 2020 surprised me at the time - challenging our assumptions about fresh gas flow rates and economic/environmental costs. #AnSky
[ Higher FGF (~6L/min) during TIVA reduces costs without sig environmental impact. ]
Summary → www.metajournal.com/articles/103...
[ Higher FGF (~6L/min) during TIVA reduces costs without sig environmental impact. ]
Summary → www.metajournal.com/articles/103...
Reposted by Callum Twohig
Cycling is 10 times more important than electric cars for reaching net-zero cities and 100 times more fun.
Cycling is ten times more important than electric cars for reaching net-zero cities
Active travel can help tackle the climate crisis earlier than electric vehicles – even if you swap the car for a bike for just one trip a day.
theconversation.com
November 23, 2024 at 8:43 PM
Cycling is 10 times more important than electric cars for reaching net-zero cities and 100 times more fun.