Irish Perioperative Medicine Society (IPOMS)

Another #NAP8 milestone! Over 2500 anaesthetists and physician assistants in anaesthesia have now taken part in the NAP8 Individual Baseline Survey - please take 10-20 minutes to fill out yours and help us make #NAP8 count!

Adolescent idiopathic scoliosis affects 0.5–5.2% of 10–18 yr olds and can lead to cardiopulmonary issues, chronic back pain and psychosocial impact if untreated 🧍‍♀️🫁🧠 Surgery is usually considered once Cobb angle >40°. 📏🩻 Read more: bjaed.org/article/S2058-…

The scariest thing about MINS (Myocardial Injury after Noncardiac Surgery) isn't the mortality rate: it's the silence 🤫 >90% of patients have no chest pain Consider screening high-risk patients with postop troponin (HScTn). Don't always ignore MINS #periopmed #MedTwitter

We monitor patients closely in theatre (millisecond-level data), then send to ward for checks every 4 - 6 hours Thats a massive data blind spot 📉 Future of periop safety isn't more ICU beds; it's continuous wearable monitoring. "Failure to Rescue" should be a thing of the past

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 😮

Superficial vein thrombosis (SuVT) is characterized by thrombus in the superficial veins, typically in the lower or upper extremities. This Review summarizes the diagnosis and treatment of SuVT. ja.ma/48sgg6u

#Preoperative GLP-1 RA use is associated with fewer perioperative #respiratorycomplications in people living with type 2 #diabetesmellitus bjanaesthesia.org/article/S0007-…

How can we use #ArtificialIntelligence to improve patient preoperative optimization? ✅ Predict post-op anemia 🩸 ✅ Opioid dependence 💊 ✅ Diabetes complications ✖️ ✅ Mortality risks ☠️ @IARS_journals highlights #AI in this narrative review: buff.ly/mr685M5

Should you recommend YouTube videos for inhaler instruction? Researchers compared 96 videos to the National Asthma Council Australia (@asthmacouncilau) recommendations for use of metered-dose inhalers. Read more: jwat.ch/3MhPPI1 #asthma #MedTwitter

The most effective tool in the perioperative physician’s kit isn’t the stethoscope or the ultrasound... It’s the phone call to the surgeon to discuss the physiological trade-offs 📞🤝 Shared decision making > Guidelines in a vacuum #periopmed #medtwitter #surgery

If creatinine bumps, we panic about the kidneys 🚨 If troponin leaks, we call cardiology ❤️ But if the patient is delirious for days? We often shrug & say "It's just the hospital environment" Delirium is brain failure. Needs to be treated with urgency: like AKI or NSTEMI 🧠

We wouldn't let an athlete run a marathon without training. Why let patients undergo major abdominal surgery without prehab? 🏃‍♂️🏥 Treating frailty & anaemia preop yields higher ROI than almost any intra-op intervention Surgery is the event. Preparation determines finish time 💪

"Keep MAP >65mmHg" is a safety net, not a physiological law 📉 For an 80year-old with chronic HTN, a MAP of 65 might effectively be shock The future is Personalized Hemodynamics We need to defend the patient's specific baseline, not just the population average 🎯 #periopmed

The new frontier in PeriopMed isn't a new gas or block - its navigating the GLP-1 agonist explosion 💊 Balancing metabolic benefits against gastric residual volume risks is the new "beta-blocker" debate Are you team "hold for a week" or team "POCUS the antrum"? 🧐 #periopmed

It’s time to retire "Cleared for Surgery" from our vocabulary 🛑 We aren’t gatekeepers; we are risk managers. The goal isn't just surviving the operation, it's returning to baseline function after discharge Shift the mindset: Don't just clear. Optimize. 📈 #PeriopMed #Surgery

🧡 Today is International Day for the Elimination of Violence against Women In Perioperative Medicine, recognizing the signs of gender-based violence (GBV) is crucial. Trauma impacts surgical outcomes and recovery We must provide compassionate, trauma-informed periop care

Is perineural or IV dexamethasone better for pain after shoulder surgery? This SR & MA finds perineural administration modestly prolongs analgesia (~2 hours) for single-shot interscalene block & explores overall clinical importance ➡️tinyurl.com/periopmed #periopmed #RA

What is "enhanced care"? Post-anaesthetic care unit (PACU) and overnight intensive recovery units. What is the impact? It builds surgical capacity and system resilience. #anaesthesia #MedTwitter #ICU doi.org/10.1111/anae.7…

Important points on Ultra processed foods and the impact on long term health Key themes for @HSELive to embed into care pathways #periopmed

Delighted (and a little nervous) to be on Ireland AM this morning launching the third season of Operation Preparation. Many guest speakers this season - broadening our horizon for our patients! @stjamesdublin @IPOMS4 @Assoc_Anaes