Mathew Lyons

The need for capnography standardisation #anaesthesia #MedTwitter #ICU doi.org/10.1111/anae.7…

Methodological considerations when studying ethnic disparities in epidural access "Ensuring equitable access requires understanding where barriers operate and how epidural timing intersects with ethnicity and outcomes." #anaesthesia #obstetrics #MedTwitter doi.org/10.1111/anae.7…

@NicholasChrimes @Anaes_Journal @Nitrousman75 @AAGBI We also need to update this to include standardised display of capnography to avoid misidenification. We have a minimum of 36 traces around the UK, with individual hospitals having up to 13!! It's no surprise traces get misidentified. …-publications.onlinelibrary.wiley.com/doi/full/10.11…

@Nitrousman75 @Anaes_Journal Yes according to @AAGBI guidelines. For every patient until they’re supporting their own airway. And during transfer from OR to PACU. …-publications.onlinelibrary.wiley.com/doi/10.1111/an…

Another death involving unrecognised oesophageal intubation. Misinterpretation of chest impedence trace as ETCO2 trace. PUMA guidelines address the need for monitoring displays to be standardised and ETCO2 trace to be distinctive. Free full text in @Anaes_Journal sbs.com.au/nitv/article/n… …-publications.onlinelibrary.wiley.com/doi/10.1111/an…

Dr Mathew Lyons breaking down AI and machine learning for us, and how to use and interpret it in clinical practice

Very proud of this article by our team and nationwide collaborators. Worrying variation across the UK, between and within hospitals, with at least 36 variants in use. This has a big impact on patient safety. @mathewlyons @AndrewAShepherd @RCoANews @isostandards

The Safe Anaesthesia Liaison Group recommends standardising waveform capnography as a white solid filled-in graph at the bottom of the monitor display. Is there compliance with the SALG standard in the UK? #anaesthesia doi.org/10.1111/anae.1…

How many capnography variants do you encounter every day? We show worrying variation across the UK, between and within hospitals, with at least 36 variants in use. This has a big impact on patient safety. We should urgently implement the SALG standard. doi.org/10.1111/anae.1…

CaVa now has 97 hospitals registered from across the UK. Registration closes this Sunday (6th Oct), data collection deadline is the 20th Oct. If you have not yet registered, please do so before Sunday. We'd love to get over 100 sites! cavastudy.co.uk

UK-wide study exploring capnography trace variation. Looking to recruit more site leads for data collection! Anyone interested in this important patient safety project can find out more on the website cavastudy.co.uk

🍾CaVa UK Data Collection starts today🍾 All site leads have been emailed. If your hospital is not registered, it's still not too late - register at cavastudy.co.uk Please share widely - the more hospitals that take part, the more powerful our message will be!

@doctimcook @EM_RESUS Make sure you know which trace is your capnography trace! We're trying to see how much variation there is around the UK in how it is displayed. If you work in Anaesthetics or ITU, get your team to take part. Cavastudy.co.uk

Anaesthesia, ICU, ED, PHEM CAPNOGRAPHY is THE only reliable way to confirm correct position of a tracheal tube. In life and in cardiac arrest. Clinical signs are of close to zero value. Look for sustained exhaled CO2: ie - goes up & down with ventilation - sustained - above 1 kPa (7.5 mmHg) - clinically appropriate If any of these absent take the tube out, ventilate & rethink Reference here …-publications.onlinelibrary.wiley.com/doi/full/10.11…

What’s something LIFE-SAVING from your specialty that everyone should know?

Calling all Intubators! The CAVA UK survey is looking at CApnography VAriation across the UK. If your hospital is not yet signed up, register now: cavastudy.co.uk Quick survey of capnography traces, ideal for a novice trainee or anyone interested in audit or safety.

The CAVA UK Study registration is now live. Sign up your hospital to take part in a national survey of capnography traces. More information and sign up on our website: cavastudy.co.uk

Delighted that this was chosen. Very proud to have been a proposer of the topic alongside @RegionalAnaesUK and a number of others.

Delighted to see this finally announced It was, to be frank, always the front runner - NAP8 - REGIONAL ANAESTHESIA It will be a brilliant project as it will create the largest ever database of major complications of regional anaesthesia and IMO for the first time enable genuine estimates of the frequency of complications of regional anaesthesia. rcoa.ac.uk/news/nap8-comp… @RCoANews @RCoA_CRI @RegionalAnaesUK @OAAinfo

Fantastic winning presentation #SESSA QI Day! @mathewlyons wins £100 thanks to #EESSA for his work on LPV strategies in the ICU! @NHSLothianMedEd

Super job today Gareth 👏 • raising important awareness of the unmet needs in IBD • flying the flag for the Edinburgh IBD unit • highlighting your great study with @mathewlyons & the rest of our team

Fantastic effort @mathewlyons! -Great perseverance, -Great analysis & writing -Great story! Our patients are admitted less for their IBD over the last 10 years BUT >50% of our IBD population still hospitalised & significant healthcare use for a minority Work to do!

@JamesFulforth @siaq82 @lauraa_lexandra @IBDNathan @gilkaplan @DrNickKennedy @RichardPollok @Gwotzerho @CrohnsColitisUK

5/ Infection rates in hospitalised IBD patients has remained constant over the 10 years, including admissions to ITU or death from infection despite substantial changes immunomodulating therapies.

Out today open access in AP&T, we describe 10 years of hospital admissions for IBD patients from the Lothian IBD Registry in Edinburgh. doi.org/10.1111/apt.16… Key findings... a🧵 @Gastro_GRJ @charlie_lees @LauranneDerikx @PlevrisN @NHS_Lothian @EdinUniMedicine