Dr Gavin Doolan (pls vaccinate/ventilate/mask)

Young Ukrainian refugee girl saying that she wants to go back home. That’s also what Ukrainian soldiers are fighting for. Via @United24media and @ukraine_world

@Gas_Air_CCdoc It's crazy that these are even wrapped in plastic. They just need to be clean, not sterile. More plastic waste..

Annoying OR moments: WHY OH WHY is it NEARLY IMPOSSIBLE to get quick & rapid access to this OP (oropharyngeal) airway that is likely to be needed in an emergency or an “I need it now” airway situation? Surely this packaging can be done better! #anaesthesia

When is the VSBA going to complete the oval at Bellbrae Primary? The oval has been closed since 2020 due to poor planning and incompetence. The students are getting sick of waiting and I'm getting sick of you wasting valuable tax money! @VicSchoolBuild @VicGovDE @r_riordanmp

@J0elSh4piro @DrShmuk @amit_pawa This is a good point. At 6L/min maybe Aida line in not necessary?

@DrShmuk @amit_pawa Gosh. 6l/min is high and seems like a waste of oxygen. May as well use an icu ventilator without soda lime. Saving soda lime for the planet sounds worthwhile. But not if it destroys the planet because of the FGF used. Also the patient - humidity and temperature of airways.

TIPS for TIVA: Planet edition 🌎🌍 Based on clinical studies, we should be looking at 6 litres/mn total flow to hit the sweet spot between soda lime usage/canister longevity, oxygen use and production costs and global warming potential of all of the above. Is it your routine?

@DrShmuk It depends on the energy source that makes your oxygen. And keeping the FiO2 low.

@propofoldream High is high flow better for laparoscopic?

(1) similar trends as benchtop study (2) high FGF = significant cost saving (3) for non laparoscopic surgeries - lower FGF (1 or 2) probably better for 🌏 (4) for laparoscopic sx - higher FGF MIGHT be better for 🌏 (5) high FiO2 negates environment benefits of high FGF. 8/

What fresh gas flow (FGF) should I use during TIVA? 🤔🤔 I just learnt how to create threads on Twitter, let me try to answer this Q in detail ... 😁😁

@periopTTEcho @nohandsup @doctorhelgi Equipment companies marketing them. That’s how much of medicine becomes dogma. Equipment companies are generally evil.

@nohandsup @doctorhelgi We are about to conduct a large RCT in Newcastle, Australia looking at this exact question. How both TEDS and SCUDS became synonymous with all DVT protocols is quite bizarre!

Did you know that graduated compression stockings have never been shown to work, and increase the rate of skin problems. …and we still spend £63m per year on stockings. #WinterSymposium22

Question for COVID and long COVID experts: is there a role for early aspirin prophylaxis to reduce the chance of long COVID?

@Mon4Kooyong I would love to be able to get a booster vaccination for my children aged 6 to 15. But it’s seemingly impossible at the moment. Can you please lobby ATAGI to update their recommendations? Boosters are being given in other countries around the world.

As much as we wish it wasn’t true, rising case numbers tell us we’re entering a new COVID wave. Nobody wants a repeat of last summer’s Omicron catastrophe. We must do what we can to limit the spread of COVID, to minimise risk of (re)infection to ourselves & those we care about.

@FionaMartin123 @Shr_Nottingham It's always possible, but the anaesthetists I know would not give dexamethasone to a diabetic on insulin unless absolutely necessary (eg: airway swelling) Surgery itself causes hyperglycaemia too. The more physiologically stressful the surgery, the worse the glycaemia

Today at work: Recovery nurse: “Hi Luke. Do you have a vial of ondansetron?” “Sure……may I ask why?” “Your last patient” “Oh sorry! Are they sick/nauseous” “No, You just didn’t give it” A thread about PONV Dogma, fraudulent science, changed practice and questions… 🧵

@DissentFu @chrisgj198 @CO2Guerrillas @YouAreLobbyLud @ACTEducation Thank you. What a nice place to live. At least, it seems like it should be very nice.

@anaestricks @chrisgj198 @CO2Guerrillas @YouAreLobbyLud @ACTEducation The Big Island of Hawai'i

@CO2Guerrillas @YouAreLobbyLud Here is the air that first-graders are breathing in an ACT public school, at different times of day over lots of days. @ACTEducation told me they do not want CO2 monitors in the classrooms.

@benchallacombe Running 2 ‘linked’ theatres requires extreme vigilance though. It’s a common cause of wrong operation on wrong patient.

All patients fine and got for home today. Reflecting: this helps hugely with two of the very few things #nhs clinicians can control EFFICIENCY & MORALE. On that basis it’s worth it. We learn how to work in parallel and everyone felt part of something special.

RARP HIT List @GuysUrology anyone seen a turnover like this? 32 seconds! 8 standard op times, in 2 theatres with minimal gap in between. Super team. @dr_imranahmad @elboghdadly with concept. Delivered by @cathcartsurgery @cbrownurology @prokarurol @UroNoel @ata_jaffer @GSTTnhs

@DissentFu @chrisgj198 @CO2Guerrillas @YouAreLobbyLud @ACTEducation That’s very interesting! Where in the world are you?

@chrisgj198 @CO2Guerrillas @YouAreLobbyLud @ACTEducation I have a CO2 monitor in my classroom along with 6 ceiling fans, 2 standing fans, all windows open, and 2 Corsi-Rosenthal boxes on high and am able to keep my C02 levels below 500ppm. Not allowing teachers to protect themselves and their students is criminally negligent at best

@dratropin @GreeningDoc Why not cotton scrubs??

@DrShaneRRR @JessHolien Yes, that’s sadly true.

@JessHolien Theater. Neither side has taken any action to bring the impact down in 2022. These images need significant action to back them up and we have not seen that by either side.

Australian politicians displaying how one side of politics believes in science, and the other not so much #MaskUp #scipol

@GasNovice I think very little known about normal BP in well (young) children. Cuff BP is often unreliable, as we all know, and invasive pressure is just not an option for research in healthy kids. Be interested to hear what others know.

#paeds question… Is there a target BP for neonates and infants intra-op? I’ve read about target sBP of >55 from a study on sevo vs spinal. I’ve also heard a rule of thumb being target MAP = post conceptual age Any evidence out there?

Great to see anaesthetists leading in environmental #sustainability #quality2022 @ForbesMcGain @ANZCA #Quality2022

What a bunch of ...