If i remember correctly the Royal Marsden had a dedicated team in the early 1980s

Glide scope Lo Pro 3

Very good course

I almost always use a 30 g needle for local before iv cannulation
30 g needles found in the ophthalmology theaters.

PFS usually more expensive in NZ, Sux was cheaper than the amps,

Both Base-layer (because theaters freezing) tucked Scrubs untucked

Sounds like Felicity Reynolds technique

Cheaper

ICU always requests the CVC

whilst i'm here always HAVL usually size 3 blade, small tube
those of us with varifocal glasses much easier to use VL

Risk of Major Complications After Perioperative Norepinephrine Infusion Through Peripheral Intravenous Lines in a Multicenter Study - PubMed In the current database analysis, no significant association was found between the use of peripheral intravenous norepinephrine infusions and adverse events.

CVC for Posterior Fossa and cerebral artery clipping, sitting cases (not very often) all day cases 12+hrs (needed to gain entry to ICU)
I have used peripheral Nor Adrenaline for 30 years, so far no problems (cvc if they are in shock)
pubmed.ncbi.nlm.nih.gov/32925324/

N=1 is very powerful.

Of course you can take measures to reduce the poision

you are going to poison the planet with anaesthesia just chose atmosphere or fish

you could put two Enflurane vapourisers in series on the Boyles machine

And don't fly to meetings!

nothing wrong with Isoflurane wickedly expensive in New Zealand

ah yes cyclo followed by ether for Friday's ENT list!

used to use Enflurane with Trilene double yuck

Desflurane!

N2O, more opioid, Mg2+ Dexmed (Sevo!)

I use 20µg/ml (1mg in 50ml)with a 10µg bolus for adults, mainly in Neuro run in mg/hr

Articles in press (Anaesthesia) from ANZCA library on BrowZine

ANZCA Library

I have used it for 30 years

So why not use Nor Adrenaline?

what Nicholas Chrimes‬saying backed up with this editorialcin
the BJA "Perioperative anaphylaxis and the principle of primum non nocere"
Karen Pedersen1,* and Sarah Green
British Journal of Anaesthesia, 132 (6): 1190e1193 (2024)

Until you get anaphylaxis to Suk whilst doing ECT

www.bjanaesthesia.org/article/S000...

yourlabouryourway.co.nz/epidural/