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Dan Paul

@sebringdp

Anaesthetic Registrar (Wessex). Interests in Regional, Vascular, PoM and Healthcare Improvement (QI, HF&E & Patient Safety). Classic Car Restoration and Motorsport. #AnSky #RASky #QIsky

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26.09.2024
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Latest posts by Dan Paul @sebringdp

Discovering co-pilot can create Violin plots of data for me in seconds has made me far too happy.

19.02.2026 14:58 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Regional anaesthesia and major lower extremity amputations

Check out the recommendations from this Delphi consensus study!

As always, we'd love to hear your thoughts!

#AnSky #RASky

doi.org/10.1111/anae...

18.12.2025 07:03 πŸ‘ 6 πŸ” 3 πŸ’¬ 0 πŸ“Œ 0
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Are motor-sparing approaches universally advantageous or are their benefits more limited and contingent on careful patient selection?

Here is a tiered, patient-centred decision model about prioritising function or analgesia.

#AnSky #RASky

doi.org/10.1111/anae...

23.10.2025 10:03 πŸ‘ 5 πŸ” 3 πŸ’¬ 1 πŸ“Œ 0

Following this article have mostly gone over to this as first line and haven't regretted it.

30.09.2025 21:44 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
Image of a medical professional positioning an oxygen mask on a patient lying down. Text reads: If sustained exhaled C02 is not detected, then oesophageal intubation must be excluded.

Image of a medical professional positioning an oxygen mask on a patient lying down. Text reads: If sustained exhaled C02 is not detected, then oesophageal intubation must be excluded.

🚨We have retired "no trace, wrong place" to align with PUMA guidelines.

Instead, with @assocanaes.bsky.social and @dasairway.bsky.social, our message is that if sustained exhaled CO2 is not detected, then oesophageal intubation must be ruled out.

See our dedicated webpageπŸ‘‰ ow.ly/vOZs50WA03r

14.08.2025 12:14 πŸ‘ 11 πŸ” 12 πŸ’¬ 0 πŸ“Œ 1
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We welcome the publication of the Review of patient safety across the health and care landscape undertaken by Dr Penny Dash.

Anaesthesia has always been at the forefront of patient safety and our mission is to keep both patients and anaesthetists safe πŸ‘‰ buff.ly/hS4MWhZ

10.07.2025 11:00 πŸ‘ 3 πŸ” 2 πŸ’¬ 0 πŸ“Œ 0
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I’ve uploaded a new video on the Suprainguinal Fascia iliaca (SIFI) Block

It is meant to simulate the teaching you may receive on a scanning workshop

#RAsky #AnSky #POCUSky
Please do check out the full link here:

youtu.be/fHgO4dczWFk?...

05.07.2025 23:26 πŸ‘ 19 πŸ” 6 πŸ’¬ 1 πŸ“Œ 0

Resident opinion: In UK unworkable as a separate rota. Core skill, at least for anyone on an on-call rota, but hard to get adequate consistent exposure during training to build mastery. If there is a resident in the building they should be at least offered the chance to watch.

03.07.2025 07:56 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Yep this, little finger/back of left hand stabilizes between back, with thumb and index finger pinching wing and working as a brake to control speed of advance.

29.06.2025 19:17 πŸ‘ 2 πŸ” 1 πŸ’¬ 1 πŸ“Œ 0

The Bluesky Anaesthesia feed has been updated to include posts matching common anaesthetic keywords from a list of accounts from anaesthetists/anesthesiologists.
Still using the Hacker News algorithm to balance sorting by popularity/recency.
Let me know what you think
#ansky
bsky.app/profile/did:...

12.06.2025 07:48 πŸ‘ 10 πŸ” 6 πŸ’¬ 1 πŸ“Œ 0
RCoA and Association of Anaesthetists logos with wording below which reads 'Safer Staffing for the Delivery of Anaesthesia Services'

RCoA and Association of Anaesthetists logos with wording below which reads 'Safer Staffing for the Delivery of Anaesthesia Services'

Our new guidance supports departments in calculating safe staffing levels for overall and daily service delivery and in adjusting services to protect patient safety.

πŸ“– Read our Safer Staffing guidance, produced in partnership with @assocanaes.bsky.social.

πŸ‘‰ ow.ly/ZmST50W4bpO

04.06.2025 15:20 πŸ‘ 3 πŸ” 3 πŸ’¬ 0 πŸ“Œ 0
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Aspiring to mastery clinical skills learning in regional anaesthesia The process of novices becoming proficient and independent in performing complex technical skills has been investigated in depth. It is clear that a m…

How should we teach junior anaesthetists to perform regional anaesthesia? What educational approaches work and how will new technologies affect it?
New paper just out by Walter Eppich and me.
#MedSky #AnSky

@bjajournals.bsky.social @dr-amit-pawa.bsky.social

www.sciencedirect.com/science/arti...

22.05.2025 13:33 πŸ‘ 13 πŸ” 6 πŸ’¬ 1 πŸ“Œ 0

Well worth a watch

19.05.2025 14:49 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

Hey #AnSky #HFESky - a weekend topic for you:

a) What have been the greatest Human Factors / Ergonomics advances in anaesthetics in the last 100 years?

b) What, if anything, has anaesthetics contributed to the wider field of HF/E?

17.05.2025 07:39 πŸ‘ 3 πŸ” 1 πŸ’¬ 3 πŸ“Œ 2

Thank you to all my ODP colleagues for all the incredible things you do #NationalODPday

14.05.2025 07:22 πŸ‘ 1 πŸ” 2 πŸ’¬ 0 πŸ“Œ 0
An image from an animation explaining Anaesthesia, showing the various stages from preparation to recovery, using the image of a calendar and cartoons of doctors and patients.

An image from an animation explaining Anaesthesia, showing the various stages from preparation to recovery, using the image of a calendar and cartoons of doctors and patients.

'Anaesthesia explained' is our new animation for patients that explains:

β˜‘οΈ The different types of anaesthetic
β˜‘οΈ What to expect when you have surgery
β˜‘οΈ How you can prepare
β˜‘οΈ Discharge and recovery

Watch and share πŸ‘‰ ow.ly/PzZ650VREPp

Produced with @wearecognitive.bsky.social

13.05.2025 13:37 πŸ‘ 17 πŸ” 9 πŸ’¬ 1 πŸ“Œ 2
No Place for Peripheral Nerve Catheters
No Place for Peripheral Nerve Catheters YouTube video by Dr Amit Pawa

My talk from @ra-uk.org #RAUK25 is available here!

youtu.be/qos9VOHv85M?...

#RASky #AnSky

10.05.2025 13:57 πŸ‘ 13 πŸ” 5 πŸ’¬ 4 πŸ“Œ 0

1) Thief of Time (and all Discworld would be top)
2) Dune
3) Driving over Lemons
4) The City of Brass (and rest of trilogy)
5) Kitchen Confidential

05.05.2025 16:37 πŸ‘ 4 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0
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Over-counter nasal sprays could keep colds and flu at bay, study finds Over-counter nasal sprays could keep colds and flu at bay, study finds

Saline nasal sprays show great promise as a public health intervention.
www.southampton.ac.uk/news/2024/07...

03.05.2025 06:08 πŸ‘ 277 πŸ” 72 πŸ’¬ 13 πŸ“Œ 10

One of the differences between Twitter and Bluesky is that 'likes' don't count for anything other than encouraging the person who wrote the post. It doesn't boost views or 'upvote' the post on followers TLs. If you want to disseminate, you have to retweet or quote tweet.

28.04.2025 08:11 πŸ‘ 18 πŸ” 8 πŸ’¬ 1 πŸ“Œ 3

Surely this just reflects 'absence of evidence' rather than 'evidence of absence', given the extremely low incidence of aspiration (1 in 4K in elective surgery).

The authors acknowledge that risk could have increased by up to 1 in 2K cases. A 200% increase in risk of commonest cause of anaes death.

24.04.2025 02:52 πŸ‘ 8 πŸ” 2 πŸ’¬ 3 πŸ“Œ 1
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Editorial: It's not (all) about the bike: making pre-operative risk stratification equitable

@mikecharlesworth.bsky.social

#AnSky

associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/...

11.03.2025 07:03 πŸ‘ 5 πŸ” 5 πŸ’¬ 0 πŸ“Œ 0
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Five principles to prioritise in small-scale surgical quality improvement: a qualitative study of the views of surgical improvement leaders Ko CY, Giusti A, Martin G, Dixon-Woods M. Five principles to prioritise in small-scale surgical quality improvement: a qualitative study of the views of surgical improvement leaders. BMJ Open Qual.…

Working together, we identified the five principles that made the most difference to small-scale surgical improvements. THIS summary: ths.im/4bybq7I Full paper: ths.im/41zBlay

06.03.2025 15:58 πŸ‘ 1 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0
Guidance for trainers on achieving regional anaesthesia outcomes in the RCoA curriculum

Guidance for trainers on achieving regional anaesthesia outcomes in the RCoA curriculum

NEW guidance in partnership with @ra-uk.org ow.ly/IIgo50V20nf

πŸ”·Helps trainers support anaesthetists in training to meet regional anaesthesia capabilities when clinical training opportunities are limited.

πŸ”·Straightforward process that aims to increase fairness.

18.02.2025 15:46 πŸ‘ 6 πŸ” 4 πŸ’¬ 0 πŸ“Œ 0
Career Development Programme and QI Training Resources Building quality improvement leaders for the future who will undertake local, regional and national QI leadership roles.

Are you a QI leader of the future? If so take a look at our newly launched @rcoanews.bsky.social Quality Network Career Development Programme for residents, fellows, specialty doctors - build QI leadership skills and join the national conversation on QI

www.rcoa.ac.uk/safety-stand...

10.02.2025 15:02 πŸ‘ 1 πŸ” 2 πŸ’¬ 0 πŸ“Œ 0
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The "messy middle" of change: gap in the change process between intent/ambition & the ability of a system/org/team to make progress. Without methods to motivate people to work towards something new, we may never get past it.
benholliday.com/2025/01/28/t...
@benholliday.com. Graphics:Tash Willcocks

08.02.2025 10:32 πŸ‘ 35 πŸ” 9 πŸ’¬ 0 πŸ“Œ 0
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Recommendations for the peri-operative management of patients taking GLP-1 RAs and GIPs

#AnSky #MedSky #GLP1

https://buff.ly/4ak4pa0

30.01.2025 15:00 πŸ‘ 18 πŸ” 15 πŸ’¬ 1 πŸ“Œ 3
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Should we worry about the stomach being full?

CPOC has launched a 'Sip Til Send' webpage

Read our patient info, blog and protocols, plus great examples from colleagues πŸ‘‡
cpoc.org.uk/guidelines-a...

Share how your hospital implements Sip To Send by sending your SOP/guidelines to cpoc@rcoa.ac.uk

28.01.2025 14:00 πŸ‘ 13 πŸ” 10 πŸ’¬ 0 πŸ“Œ 1
Sip Til Send Dedicated webpage on 'Sip Til Send', including policy, blog and shared learning

@cpoc.bsky.social SipTilSend guidance. Fab news!! tinyurl.com/23jzj2vk

31.01.2025 10:01 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

IJ: Great Circle has been fab, almost reminiscent of traditional point and clicks in pacing and story telling, but modernised. Must give AK a go some time.

27.01.2025 09:31 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0