GA and block.
But if GA too high risk from Resp Compromise then spinal with small needle to minimise risk.
Consent including spinal heamatoma & consequences.
I also add in the Regional alert bracelet to pick up delayed resolution of block.
Long championed a max 10:1 pay ratio in companies and organisations so thrilled to see the High Pay Centre and Equality Trust fighting the good fight.
highpaycentre.org/high-pay-cen...
Weekend #MedSkyDebate is coming…..
I am just getting it organised and waiting for contributions.
We are also going away for the weekend to see our son and daughter in law.
It is coming but may be a bit late…..
Patience Sky Peeps xx
Likely Monday #MedSkyDebate 🥰
Growing evidence highlights significant maternal health disparities in the UK.
How do we achieve greater involvement of women from minority groups in health research?
#AnSky #MedSky #Equity #ObgynSky
doi.org/10.1111/anae...
As we celebrate 80 years since the first women were elected as Fellows of the Royal Society, Ruby Seger-Bernard, Schools Engagement Officer, and Isabelle Moss, Diversity and Inclusion Officer, reflect on the importance of inspiring girls and young women in science: royalsociety.org/blog/2025/09...
Live this weekend!!
But surely the phenomena wouldn’t be limited to those who are paralysed 🤷🏼♀️
But how would that work for any anaesthetic lasting longer than a couple of hours? That poor arm…..
Given that responsiveness without recall cannot be measured at the time nor identified retrospectively with any certainty & we cannot define specific risk factors then we cannot act logically & safely to prevent it. It is essentially unavoidable with today’s knowledge & therefore must be acceptable.
But is responsiveness without recall avoidable? If it’s undetected & undetectable during an anaesthetic what could or should we do to avoid this possibility & at what cost? The risk is greater known harm. Deeper anaesthetic, more cvs instability, renal impact, more brain suppression, more pocd 🤷🏼♀️
Slightly diminish a book
Catch 21
Wolf Cupboard
The Handmaids Vignette
This is what we need… I hope Labour are watching & start following the lead of the Green Party and not Reform.
Reform win when they can spread unrest, this is made easier when the majority of the country is disenchanted & angry at their situation. We need to improve conditions for everyone.
I think Starmer has the yips - now he’s there he’s too scared to do anything meaningful. I’m hoping someone shakes him out of it….
I have done this - it’s awful. The sad heartbreaking jobs will be over soon. Keep going
Maybe & I’ll keep an eye on what’s happening locally….
🎉 Lots of people have said they joined the party following this interview!
💚 So in case you missed it: here's how we're going to lower people's bills, protect our NHS and fight off the far right.
youtu.be/1KsgxOrgbOA?...
I live in a Labour constituency, used to be strongly so. Not so much now. Recently the nastiness of reform has taken hold. I worry that a free vote in my area will open the door to Reform. However, a shift to PR would change that & I would vote green as they most accurately represent my views.
This…
This is the coolest man in the UK.
It's not even close.
But what if the disabled person had a different skin colour & looked like a migrant?!?! 😱😱😱
🙄🤦🏼♀️
The sad state of the world - everyone angry at the wrong things
Was recently pointed to this powerful website about brilliant community projects that didn't make it, blocked one way or another by "officialdom".
We have to stop electing the wrong people and hoping they will do the right thing
storymaps.arcgis.com/stories/3659...
I usually say to patients that anaesthesia is like pressing pause on the recording part of their brain… their brain will still be working in the background but they won’t remember it. When they wake up the will start recording again from where they left off.
I don’t think there’s any way to reliably assess responsiveness without recall by patient or anaesthetist. Is it real? If so, is it harmful? If there is harm why are awake craniotomy’s or even “sedation” on ITU acceptable.
It’s not the same as implicit memory drugs change the brain chemistry.
Only Connect is on tonight! In ten minutes, in fact! Never let it be said I forget to plug the programme when it’s on.
On BBC Two, of course.
Professor Clare Burrage wins the Royal Society Rosalind Franklin Award and Lecture 2025 for her achievements in theoretical cosmology & her proposed project which aims to inspire and engage girls of all ages with physics. #RSMedals https://royalsociety.org/medals-and-prizes/rosalind-franklin-award/
Essentially yes, the stylette didn’t give enough flexibility to allow the tube through the cords. Anatomy, airway distortion & oedema played a part.
But user experience probably played a factor.
Yes, I see your point. I think the ability to use an algorithm rather than just follow it comes with experience.
It was HAVL not a mac VL.
