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The Association of Anaesthetists
The quest to prevent rebound pain: clarity or uncertainty?
#AnSky #MedSky #RASky
doi.org/10.1111/anae...
Anaesthesia
Prospective development and validation of an objective classification for difficult facemask ventilation: the MASCAN score
#AnSky #MedSky
doi.org/10.1111/anae...
Anaesthesia
Post-intensive care syndrome after critical illness
#AnSky #MedSky #ICUSky
doi.org/10.1111/anae...
Prefilled insulin syringes for peri-operative care
• insulin is a high-risk medicine
• 1/3 of inpatient medication errors leading to death within 48 h involve insulin administration
• manually prepared syringes are more likely to introduce infection
#AnSky #EndoSky
doi.org/10.1111/anae...
Prefilled insulin syringes for peri-operative care: a reply
Drug error mitigation strategies:
• writing ‘units’ in full
• using the full, correct name of the insulin (ideally the brand name)
• always using dedicated insulin syringes
#AnSky #MedSky #EndoSky
doi.org/10.1111/anae...
Anaesthesia
Anaesthesia
Anaesthesia
Potential indicators of difficult facemask ventilation:
• two-handed grip
• oral airway use
• jaw thrust
• senior consultant anaesthetist taking over
• conversion to manual rescue ventilation
• peripheral oxygen saturation drop
• VT
• leak fraction
#AnSky #MedSky
doi.org/10.1111/anae...
The quest to prevent rebound pain: clarity or uncertainty?
• There is not a universally accepted definition of rebound pain.
• The pathogenesis of rebound pain is unknown.
#AnSky #MedSky #PainSky
doi.org/10.1111/anae...
Is it time for an objective classification for difficult facemask ventilation?
Introducing the MASCAN score!
#AnSky #MedSky
doi.org/10.1111/anae...
Excellent work from uOttawa colleague, Narinder Pal Singh.
Anaesthesia
Anaesthesia
Anaesthesia
Greg Bryson
Rebound pain after peripheral nerve block
• IV dexamethasone had the highest probability of ⬇️ rebound pain incidence
• Perineural dexamethasone & perineural dexmedetomidine ranked highest for delaying rebound pain & prolonging time to first rescue analgesia
#AnSky #RASky
doi.org/10.1111/anae...
