Stop press: sterile gowns are no longer mandatory for spinal anaesthesia. I’m so proud to have been part of this process trying to simplify our practice, making us efficient, more sustainable without increasing risk associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/...

Use of sterile gowns for single‐shot spinal anaesthesia: consensus guidelines from the Association of Anaesthetists, Royal College of Anaesthetists, Obstetric Anaesthetists' Association, Regional Anae...

Introduction International guideline recommendations vary on the use of sterile gowns during spinal anaesthesia. There is limited evidence of benefit for their routine use and debate about environme.....

associationofanaesthetists-publications.onlinelibrary.wiley.com

Good morning from Portugal’s doctors updates conference (as featured in some national publications). Expect some geeky anaesthesia tweets but let’s start with the morning beach run. Only 2km to get my feet used to barefoot sand running.

The sunset has nearly reached its autumn/winter position. Happy weekend everyone

Good morning everyone. I’m at the #BGSconf this morning talking about delirium. Caught @cswarbrick1’s excellent talk on the impact of delirium and the results of Snap3. Delirium increases length of stay, mortality and all complications.

The latest episode of #AnaesthesiaOnAir features @doctorhelgi.bsky.social in conversation with retired anaesthetist Dr Maginness about the Omagh bomb. Dr Maginness was an Omagh local and part of the medical response team. Recorded at #Anaesthesia2025 in Belfast.  🎧 ow.ly/eFbz50WGczQ #medsky

🏆ARTICLE OF THE MONTH: The other side of the barrier by @doctorhelgi.bsky.social How subtle cues, teamwork & understanding between anaesthetists & surgeons improve patient safety. 👉 www.bjsacademy.com/bjs-academy/... #PatientSafety #Anaesthesia #Surgery #medsky #surgsky

The other side of the barrier @doctorhelgi.bsky.social How subtle cues, teamwork & understanding between anaesthetists & surgeons improve patient safety. 👉 www.bjsacademy.com/bjs-academy/... #PatientSafety #Anaesthesia #Surgery #medsky #surgsky

BJS Academy

What’s wrong? Do you want me to deflate the pneumoperitoneum? My surgeon stops what he’s doing and just looks at me expectantly. I hadn’t said anything to him, nor had I really clocked my own discomfo...

bjsacademy.com

Thinking that end of September is a great time to go to a conference in the south of Portugal? Look no further… (And yes this is the one where my “floral shirt” got featured in the Mail). www.doctorsupdates.com/da-balaia

About | DOCTORSUPDATES

DOCTORSUPDATES have been providing ‘EDUCATION IN A PERFECT LOCATION’ for over 30 years. The meetings take place in the Alps in winter and in the Algarve in autumn.

doctorsupdates.com

Thank you to parliament for allowing the assisted dying bill to progress. It’s my life, I want the choice to be mine. www.bbc.co.uk/news/live/cg...

MPs narrowly back legalising assisted dying in England and Wales by 23 votes - live updates

The Terminally Ill Adults (End of Life) Bill will now progress to the House of Lords, where it faces further scrutiny.

bbc.co.uk

Thunder and lightning, very very frightening…

Turns out targeting a particular blood pressure while under anaesthesia doesn’t make much difference, and the permissive group actually had less atrial fibrillation. #rcoaupdates

The @RCoANews ‘s college tutor meeting in full flow. Our new vice president elect @drmumsjt introduces some of the new guidance for training progression. More flexibility, better appreciation of training obtained in “locally employed” posts. Faster progression through training

Interesting development. I think this will prevent confusion and make it clearer to our patients who is treating them. www.theguardian.com/society/2025...

Physician associates to be renamed to stop them being mistaken for doctors

Exclusive: Government-ordered review concludes term in NHS should be changed because of risks to patients’ safety

theguardian.com

Hello everyone, Reporting from #ea25 in Lisbon. It makes sense that pre-op physical training reduces post-op complications, did you know that brain training does too? #prehabilitation

The anaesthetic national audit projects are some of the most powerful in the UK. We have a sneak peek at #SNAP3, looking at our older surgical patients, their frailty and any delirium experienced. #Anaesthesia2025

At #Anaesthesia2025 we are discussing the case of Oliver McGowan and communicating with people with learning disabilities. Many of us will have done the e-learning on his case (which I found very powerful).

Good morning everyone and welcome to #Anaesthesia2025 day 3. We start with Gail Van Norman talking on conscientious objection. What happens if a colleague will not transfuse blood for religious reasons?

Goes for anaesthetists too. Esp when doing trickier stuff, like fiberoptic intubation or bronchoscopic check of double lumen tube position: get the feng sui right!

Dr Helgi Jóhannsson@doctorhelgi.bsky.social · last yr.

Simple things make a difference to efficiency and safety. If a laparoscopic monitor is positioned badly the error rate and response time goes up. Get the feng sui right. #Anaesthesia2025

Good morning and welcome to day 2 of #Anaesthesia2025. Starting with @GJvanVelze on high performance teams. Clear processes, safe environment, stretch the team, but not so far to cause burnout.

Simple things make a difference to efficiency and safety. If a laparoscopic monitor is positioned badly the error rate and response time goes up. Get the feng sui right. #Anaesthesia2025

Direct quote from a surgeon: “Tell my colleagues to stop spending money on robots and spend it instead on something that makes a difference”. Team training, education, system improvement. #Anaesthesia2025

Did you know that mechanical thrombectomy for stroke is 7 times more effective than thrombolysis for MI? It saves lives, reduces disability. Much of the UK still doesn’t have 24hrs access to thrombectomy and only 4% of stroke patients get one. #anaesthesia2025

Summary of our paed regional talk: Kids are very sensitive to opioids so regional anaesthesia is ideal. Use the ultrasound Be careful about maximum doses. #anaesthesia2025

First up is @anilhormis on nociception monitoring. Getting the pain relief right is one of the bigger challenges in anaesthesia. Too little and your patient wakes up in agony, too much and they take ages to wake, remain drowsy and vomit more. #anaesthesia2025

Good morning from Belfast. We kick off #anaesthesia2025 this morning so expect geeky work related posts, although in honour of Eurovision I did have an Espresso Macchiato this morning.

Hello Belfast! Here for three days for #anaesthesia2025 Expect some educational nuggets and some general banter. The dry spring has made the fields look like the south of England in August!

Last evening back home in Reykjavik and the harbour provided a little light display.

Today we repaired 14 hernias. Started on time, finished on time. Even stopped briefly for lunch. One operating theatre, no expensive technology. Last list for a while as all extra sessions to reduce waiting lists have been stopped for now due to lack of money. #nhs #waitinglists

Gosh! 😮

Decent sunset this evening too…