Pádraig Ó Scanaill

@NEJM Targets of 1.4 or 1.8mmol/L?

Among patients with atherosclerotic cardiovascular disease, targeting an LDL cholesterol level below 55 mg per deciliter led to a lower 3-year risk of cardiovascular events than targeting a level below 70 mg per deciliter. Full Ez-PAVE trial results and Research Summary: nejm.org/doi/full/10.10…

@JTraumAcuteSurg Cornerstone of trauma anaesthesia, definitive airway should follow enough resuscitation to survive induction of anaesthesia, positive-pressure ventilation and continued maintenance of anaestheisa with ongoing resuscitation

Changing the resuscitation order from airway-breathing-circulation (ABC) to circulation-airway-breathing (CAB) may save lives. In a 9-year trauma study, transfusion-first resuscitation improved hemodynamic stability and 30-day survival. #Trauma #CAB #TransfusionFirst #JTACS journals.lww.com/jtrauma/fullte…

Today's Paper of the Day is: Pulmonary atelectasis in anaesthesia and critical care criticalcarereviews.com/latest-evidenc… Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2026

Applications open for the Regional Anaesthesia for Trauma (RAFT) course 2026! 🗓️ Wednesday 13th May 2026 📍Pillar Centre, Mater Hospital, Dublin ✉️Email raft@mater.ie to apply! 6 CPD by CAI @ISRA_Ireland @AnaesTrainees @ESRA_Society @ThePillarDublin @NDTP_HSE @TraumaCareIrl

Recommendations on antihypertensives in the peri-operative period Here are some questions to the authors of the hypertension guidelines from the Association of Anaesthetists and British and Irish Hypertension Society! #anaesthesia #MedTwitter doi.org/10.1111/anae.7…

🧊New in #CriticalCare: On-scene selective brain cooling in ventricular fibrillation cardiac arrest: pilot results from the PRINCESS2 randomised trial doi.org/hbqxqd #CritCare #BrainCooling #CardiacArrest

#Secondaryanalysis from the #STOP-or-NOT trial finding a significant #heterogeneityoftreatmenteffect for #hypotension in the patient population bjanaesthesia.org/article/S0007-…

Original Article: Prehospital Whole Blood in Traumatic Hemorrhage — a Randomized Controlled Trial (phase 3 SWiFT trial) nejm.org/doi/full/10.10… #ISICEM | @ISICEM

The B-APNEIC score has been proposed as an alternative to the STOP-BANG questionnaire. Here's some debate on the topic! doi.org/10.1111/anae.7… doi.org/10.1111/anae.7… And check out the original paper here! ➡️ doi.org/10.1111/anae.7… #anaesthesia #MedTwitter

Do you say "acute confusion" or "acutely confused" instead of delirium? If so, why?

⚠️ In persistent air leak, more suction is not always better. Excessive suction can increase flow across the defect and delay healing. Use the least suction necessary to maintain pleural apposition. Read more: bjaed.org/article/S2058-… #RespiratoryMedicine #ChestDrain

Really key in perioperative trauma care

@Obidoc Transoesophageal echo is not without its complications

Latest from #Precare group in Australia have confirmed the importance of accurate chest compressions & patient centred resuscitation: 89% of compressions were missing LV and 76% were better placed with TOE guidance #resuscitation #Resuscitator #ARREST #SPEAR

Infographic in #Anesthesiology - Climbing the MET Ladder to Survival 🎨 ow.ly/vp7v50Ye2WU

Prolonged fasting still a huge issue. Keen to see more patient focused practice like @SipTilSend Archaic terms like "fast from midnight" should be abolished!

You all heard about the new breastfeeding guidelines at #WSM2026! Now the conference fun is behind us, take some time to have a quick read and refresh your understanding of how to care for breastfeeding patients! #anaesthesia #breastfeeding #MedTwitter doi.org/10.1111/anae.7…

How do you manage hypertension in the peri-operative period? Checkout this new flowchart for the management of pre-operative adult blood pressure! #anaesthesia #WSM2026 #MedTwitter doi.org/10.1111/anae.7…

The hardest part of periop medicine isn't deciding what to hold preop It is the "resume" plan at discharge 📝 Restarting SGLT2s, ACEis & anticoagulants in patients recovering from AKI or ileus is an art form "Copy/Paste" discharge summary is a readmission waiting to happen 😮

Pre-op optimisation for neuromuscular scoliosis is MDT-driven: respiratory testing, cardiac assessment, nutritional and bone health input, seizure control and haemoglobin optimisation. The goal: complications <10%, PICU <24 h, LOS <7 days. 🤝🏥 Read more: bjaed.org/article/S2058-…

🖼️ The “seashore sign” vs “stratosphere sign” and B-lines can help distinguish: • pneumothorax • interstitial syndromes (pulmonary oedema, pneumonitis, fibrosis) POCUS becomes a bedside game-changer for pregnant patients with dyspnoea. 🔍🫁 Read more: bjaed.org/article/S2058-…