Hans Huitink
@airwaymxacademy.bsky.social
Anesthesiologist🇳🇱Founder Airway Management Academy non-profit airway teaching #AAF25 | Mobile Critical Care Support😷🚑🩺 | AirAmbulance🛩 @AirwayTriageApp
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Only 2 days to go until our first Anaesthetic Updates of 2026 🙌 We have an incredible line-up of speakers & sessions include 👇 ➡️New ideas in anaesthesia ➡️Critical care ➡️Pain management ➡️Clinical leadership Connect. Learn. Inspire. Book now 👉 https://ow.ly/mrrz50Y18KC #Ansky #Medsky
Intraoperative end-tidal #CO2 levels may be associated with postoperative pulmonary complications. Should it be considered as a new target for ventilatory management? Read the full article here: https://www.bjanaesthesia.org.uk/article/S0007-0912(25)00529-X/fulltext
Automated Robotic Airway Insertion Using Flexible Optical Bronchoscope in a Manikin: A Feasibility Pilot Study 🤖 First-attempt success rates & performance scores w/ robot-assisted modes were similar to manual insertion by experienced anesthesiologists journals.lww.com/anesthesia-a...
On balance, the marginal utility of cricoid pressure (in this position) is outweighed by its potential disadvantages. Seldinger’s cadaveric studies (in steep head down) have utility in demonstrating pressure is transmitted to the oesophagus, but..
Cross sensitivity between neuromuscular blocking agents If a patient has had a POHR to: • rocuronium, suxamethonium or vecuronium, then atracurium is the lowest risk alternative • atracurium, then rocuronium and suxamethonium are low risk alternatives #AnSky doi.org/10.1111/anae...
Here is the first consensus-based core outcome set for airway management research, with agreed definitions and measurement instruments. This will harmonise evidence synthesis and improve the translatability of findings to improve clinical care. #AnSky #AirwaySky doi.org/10.1111/anae...
2025 DAS guidelines for the management of unanticipated difficult airway published today in the British Journal of Anaesthesia. #airway #difficultairway #intubation #anaesthesia #anesthesia https://www.bjanaesthesia.org/article/S0007-0912(25)00693-2/fulltext
Every time I write "explained anaesthetic" in the notes as part of a pre-assessment, I'm reminded of the fact that even the most expert professor of anaesthesia wouldn't *really* be capable of making that true.
a man wearing a white shirt and a mask says magnets how do they work
Alt: a man wearing a white shirt and a mask says magnets how do they work
media.tenor.com
Postoperative sore throat has an incidence of up to 62%. The current literature lacks high-quality randomised controlled trials on treatments that prevent a complication that is of importance to patients and their recovery. #AnSky #MedSky doi.org/10.1111/anae...
Sustained, exhaled carbon dioxide by waveform capnography is an essential component of tracheal intubation. But what if there is bronchospasm? Tracheal intubation can be confirmed using flexible bronchoscopy. #AnSky doi.org/10.1002/anr3...
Having said that in that first case of hyperacute onset, neurological symptoms started almost immediately post op and peaked after two days. That would be quite the coincidence.
A more plausible mechanism would be the inflammatory effects of surgery, rather than toxicity/triggering from a spinal. I feel like the spinal is an innocent bystander. In this SR of case reports, the majority of surgeries are spine and cardiac. pmc.ncbi.nlm.nih.gov/articles/PMC...
Guillain-Barré syndrome after surgery: a literature review
Guillain-Barré syndrome (GBS) is a rare postoperative complication that is sometimes characterized by serious motor weakness and prolonged weaning from mechanical ventilation. Although the exact natur...
pmc.ncbi.nlm.nih.gov
I think it is a coincidence. GBS can occur within 4 weeks of campylobacter infection. Preop diarrhoea can be common in some populations (eg bariatrics ~ nearly 10%), and it isn’t usually asked about.
Have any authors proposed a mechanism whereby a central drug exposure creates a peripheral neuropathy?
One could probably calculate the odds of it arising by chance using the prevalence of GBS in the general population and the odds of needing a spinal/epidural
Yes I wondered that too. Association is not causation
Onset apparently almost immediate, peaking day two post spinal jmedicalcasereports.biomedcentral.com/articles/10....
This article reported acute onset GBS in 4 patients within 1-2 weeks of epidural anaesthesia www.neurology.org/doi/10.1212/...
This case report of a pt developing GBS 4-5 days post spinal for renal calculi. It's rare, but it happens. www.jcpsp.pk/archive/2013...
Although quite rare, I think there are enough independent case reports of spinals triggering acute GBS (temporally linked) to support the claim that there is some association that we don't yet understand. That's not the same as saying it's unsafe to do a spinal on a post-GBS pt. I don't think it is.
Carbon footprint of total intravenous anaesthesia vs. inhalational sevoflurane anaesthesia in adults: a modelling study #AnSky #climate #MedSky doi.org/10.1111/anae...
doi.org
Save the date 📆 The SALG Patient Safety Conference is coming up! This year’s themes are👇 ➡️Local Anaesthetic Systemic Toxicity (LAST) ➡️Rapid Sequence Induction (RSI) ➡️Plus poster competition for anaesthetists in training Book👉 ow.ly/YAvo50WXl9v #Ansky #Medsky
