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Mark Barley Profile
Mark Barley

@Chronotrope

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Daddy, Jedi, Propofologist and proud geek. TIVA diva Anaesthetist with interest in Airway management and pEEG. Views mine unless copied from you

UK
Joined April 2009
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@Chronotrope
Mark Barley
3 months
I’ve uploaded a new pEEG video covering indices, raw EEG, DSA, drugs, ketamine, age and suppression. A great start for the EEG user keen to know more! Processed EEG in anaesthesia via @YouTube
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@Chronotrope
Mark Barley
17 days
@landorfede @DrShmuk Yup, accelerated brain age in those with multiple comorbidities (esp vascular) will manifest with low alpha power as expected.
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@Chronotrope
Mark Barley
17 days
@DrShmuk @bpramodana Yup, it's a proper term for the octagenarians with psychometric performance on par with someone 40 years younger! Their brains are different on MRI and biopsy (bigger neurones!).
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@Chronotrope
Mark Barley
23 days
RT @hpainmanagement: One of the posters we had at the last NAPS conference:
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@Chronotrope
Mark Barley
23 days
RT @Anaes_Journal: In open hepatectomy, TIVA was associated with a substantially lower hazard of tumour recurrence or death; in laparoscopi…
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@Chronotrope
Mark Barley
23 days
@DrShmuk I rarely (1-2x yr) use Midaz - principally for during epidural insertion in extremely anxious patients where even my high quality banter isn’t enough 😜. Do folk use it routinely?
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@Chronotrope
Mark Barley
23 days
Great synopsis of evidence of different pain thresholds in redheads and MCR-1 gene. TIVA Divas of all hair colours will recall Doufas’ study demonstrating little difference with propofol but studies have demonstrated differing potency of volatiles.
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@Chronotrope
Mark Barley
1 month
@Wilkinsonjonny @Assoc_Anaes Light the blue touch paper and retreat to a safe distance…
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@Chronotrope
Mark Barley
1 month
@MichiIntrona Saved! That’s invaluable!
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@Chronotrope
Mark Barley
1 month
Happy New Year all, here’s to accidentally writing “2024” in the notes until at least April.
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@Chronotrope
Mark Barley
2 months
@EdHalvey @DrShmuk Yes that seems to be a great summary; BS with to be a biomarker of a "vulnerable brain" (rather than causal). Similar with a low alpha (for age).
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@Chronotrope
Mark Barley
2 months
@jacobschmidt_ @Medtronic No; all other pEEG devices have a high pass filter from 0.5Hz. The BIS is the only oddity. Prehaps related to its vintage 🙄.
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@Chronotrope
Mark Barley
2 months
A super app with a refreshingly clean UI. Well worth a play for all interested in TIVA.
@simtiva_app
SimTIVA
2 months
2024 Recap (1) has introduced a number of features this year. In Jan, we have added a “preview box” to describe the upcoming infusion scheme as you input a new Target, so you can can adjust your pump settings in advance
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@Chronotrope
Mark Barley
2 months
RT @simtiva_app: 2024 Recap (1) has introduced a number of features this year. In Jan, we have added a “preview bo…
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@Chronotrope
Mark Barley
2 months
RT @simtiva_app: 2024 Recap (4) Do you prefer to use Schnider or Marsh model in TCI? has an “Eleveld emulation tool…
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@Chronotrope
Mark Barley
2 months
@ATraumaTick @doctimcook @Anaes_Journal Dreaming is disconnected consciousness 🤯 “Anaesthesia” likely encompasses multiple brain states - of which “unconsciousness” (whatever that is) is one. (Interesting to think about this a bit - IMHO it is a bit of an omission from the FRCA syllabus)
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@Chronotrope
Mark Barley
2 months
@ya100boy @Medtronic Correct…. but it has many other failings.
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@Chronotrope
Mark Barley
2 months
@selvan_ramsamy @Medtronic I believe update will default filters to OFF, and a hardware update later in '25 will allow independent filter settings for <2Hz and the notch filter for electrical artefact [this will only apply to BIS Advance]. DSA is displayed from 0.5Hz on Vista and Advance.
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@Chronotrope
Mark Barley
2 months
My recommendation is to turn the filters OFF (second menu page) if possible!
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