Dr Mary-Ann Fox BMBS FANZCA GChPOM

I have been away for the weekend.
I take no responsibility for my cousin @chrimesy.com 🤣

Punch the Monkey as sugammadex embracing his stuffed orangutan (rocuronium)

So, I know he's unlikely to receive a custodial sentence, but if he did, would that be the first time he's actually worked for a wage in his life?

Thank you Shai xx

Taking it slowly after recent surgery.
All pathology was clear so no worries.
What I did not appreciate was the efficacy of paracetamol/acetaminophen.
It is a brilliant drug and was basically all I used post op.
Fixed shoulder tip discomfort within 15-20 minutes.
#Medsky #AnSky

There are multiple potential sources of nitrous oxide mix emissions and potential mitigations.

Metal–organic frameworks could be used to capture exhaled nitrous oxide in the clinical environment.

What are the implications of this technology?

#AnSky #climate

doi.org/10.1111/anae...

Liberal liquid fasting regimens and the risk of pulmonary aspiration

"...liberal liquid policies were associated with a clear liquid fasting time of approx 1.8 h. Pulmonary aspiration was reported in 13/121,457..."

#AnSky #MedSky

doi.org/10.1111/anae...

This systematic review updates existing recommendations for postoperative pain management after elective caesarean section performed under neuraxial anaesthesia.

#AnSky #ObsAnSky #ObSky

doi.org/10.1111/anae...

Here are the updated recommendations for pain management after elective caesarean section under neuraxial anaesthesia!

#AnSky #ObsAnSky #RASky #PainSky

doi.org/10.1111/anae...

Congratulations to anyone celebrating their @rcoanews.bsky.social Primary FRCA result today.

To anyone not celebrating their result, remember it doesn't define you as either an anaesthetist or a person.

Dust yourself off, and absolutely demolish it next time. I have every faith in you.

Carefully avoiding any comments about GLP1’s seems like a miss… I wonder If someone will bite the bullet and make it mandatory to learn gastric pocus?

Updated guidance: Safe drug management in anaesthetic practice

We’re pleased to share the updated Safe Drug Management in Anaesthetic Practice guidance 2026, created with The Association of Anaesthetists.

It reflects best practice & supports safe, high-quality care across anaesthetic services 🙌

Read the guidance: https://ow.ly/zHaH50Yecwt

#Ansky #Medsky

Peri-operative peripheral nerve injury

The 8th National Audit Project (NAP8) of the Royal College of Anaesthetists in the UK is due to launch in early 2026 and aims to study both major complications of regional anaesthesia and general PPNI.

#AnSky #RASky

doi.org/10.1111/anae...

Our new editorial on peri-operative nerve injury in @anaesjournal.bsky.social is published and free to read!

Great international collaboration with @yintubate.bsky.social @ajrmacfarlane.bsky.social and Dr Kelly Foster

associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/epdf/10....

Rocuronium is clear,
Propofol is white,
They go in your veins,
You say goodnight!

Much better this week xx

Somewhere in Australia someone is opening a huge hamper of chocolates that I ordered for @urethroplasty.bsky.social from their sister Mandy.
James got Mandy’s order which was tiny!!
They need it more it seems 😳
Off to the shop to swap tomorrow.
#HappyValentinesDay2026

Hey @dr-amit-pawa.bsky.social and @jeffgadsden.bsky.social check out my new paper on The Nemesis Effect where I talk about the use of ultrasound in regional anaesthesia.
Tell me if you agree...!
esmed.org/MRA/mra/arti...

Following on from the RUDOLPH (Rough Units of Distance in Operating theatre Longitudinal Patient Handling) study, this correspondence discusses the measurement of operating table tilt in obstetrics, robotic and neurosurgery.

#AnSky

doi.org/10.1111/anae...

How short can fasting safely be for children? 🧒
Explore the latest evidence and what it means for daily practice worldwide.
▶️Watch the WFSA Paediatric Anaesthesia Online Journal Club discussion on paediatric preoperative fasting: shorturl.at/lTNo4

www.jacc.org/doi/epdf/10....

Do we need critical care cardiology in the UK?

Ping @waqasakhtar.bsky.social

a close up of a cartoon opossum standing on a dirt road . ALT: a close up of a cartoon opossum standing on a dirt road .

All good after my recent surgery but will be off air for a while.
Feeling a bit battered.’
Nothing nasty so all good. #AnSky #MedSky

Flour and water.

Aortic stenosis in patients undergoing non-cardiac surgery is associated with a three-fold relative increase in the risk of mortality.

#AnSky

doi.org/10.1111/anae...

A dumpling wrapper.

Is STOP-BANG too subjective? Is there an alternative?

The B-APNEIC score showed strong predictive accuracy for severe obstructive sleep apnoea and could serve as a simple, objective alternative to STOP-BANG.

#AnSky

doi.org/10.1111/anae...

Ha ha I have chosen my anaesthetic nurse so I must be a VIP xx

Wow!!

a woman wearing a zebra print top and a black hat says almost perfect ALT: a woman wearing a zebra print top and a black hat says almost perfect

It was almost perfect but I was being conservative.
TBH filling needed more seasoning.
I am thinking some Chicken Bouillon next time.
I do love a recipe in evolution.