Anaesthetic cons | Here mainly for MedTwitter & memes | Interests - H&N & Obs Anaes | Part of the VCI Project, NEO, Imperial Novice Course & NWL OAEP Teams
I am a Consultant Anaesthetist. Thankful+++ to have received all 3 Covid vax. Cannot describe the relief I felt when my family and 2 of my best friends who were pregnant (& now have gorgeous babies) were also vaccinated. Vaccines = ⬇️ risk of severe illness & death from Covid.
‼️
#CESR
Anaesthesia (ST4/equivalent and above) applications NOW OPEN! Rotational programme based across central & NW London (LNWUH / ChelWest / Queen’s Square / Royal Brompton & Harefield / Hillingdon).
Offers all modules required for Stage 2 & 3 (2021 RCoA Curriculum)
I am striking to
#FixConsultantPay
. A last resort to reverse 15 y of pay erosion.
#Consultants
are highly skilled doctors who carry a huge burden of clinical responsibility & risk. This risk is immense as we work in a chronically underfunded NHS that is continuously over capacity
Incredibly happy to be joining
@LNWH_NHS
anaesthetic team! 🎉🎉🎉
#workfamily
❤️❤️❤️
Huge thanks to my family, friends and colleagues for all the advice, support and help getting me here! 🙌🏾🙌🏾🙌🏾
@anu_obaro
@Toddpodd
Absolutely disgusting and massively disproportionate behaviour from those in authority 🤬🤬🤬. Whilst awful to witness such a horrific situation, I am glad you were there to comfort the younger child. Hoping the older brother gets the appropriate support too.
Thank you to
@altgm
(an absolute legend) for the phenomenal work he does, for all that he has achieved in his 7 years as the UK National Airway Lead and for hosting such an interesting & thought provocative
#AirwayLeadsDay23
@dasairway
@HSRCNews
Solidarity with
#JuniorDoctorsStrike
💪🏾💙💪🏾
Consultants, SAS docs & our other healthcare colleagues will keep patients safe.
#PayRestoration
is critical to recruit & retain junior docs in the NHS. Rota gaps mean we cannot deliver safe, high quality care to our patients.
Thank You
@LNWH_NHS
. It’s been an honour to have been the airway fellow
@oldandbaffled
@RopeyP
@R_S_Chaggar
@drchimaoti
. I’ve learnt loads & 🤣😂🤣 loads. Fab group of Anaes Bosses & Juniors, ODPs & Nurses, Theatre Staff, Surgeons, & ICU, ED + Medical Teams. Will miss you all! ❤️
Thank you to the wonderful
@GAMCLondon
for having (a much smaller than usual) Northwick crew join your faculty on Friday 🙏🏾💙. A fabulously fun day teaching (& catching up with friends!) 🙌🏾. The dinner was a perfect end to the day 🥰.
@gunjeet99
@dr_imranahmad
#GAMC2024
Wear glasses and
#PPE
? For me, glasses + visor = eyestrain + headaches. Prescription safety goggles have been a total game changer - I got mine at The Vision Clinic in Harrow
Thank you to the
@GAMCLondon
team for hosting a fantastic airway workshop day at
#GAMC2023
! 👏🏾Wonderful to see so many familiar faces and make new friends. 💙 The LNWH crew had a fab time visiting south of the river! 🙌🏾
‼️Anaesthesia CESR programme
@LNWH_NHS
starting Feb 2024.‼️Applications welcome from
ST4/equivalent. 🔔 Deadline 16.10.23.
We are a big yet cohesive, super friendly, & supportive anaesthetic department 💙.
#workfamilyvibes
🚨 Are you anaesthetist who wants to CESR?
👀 If you're ST4+ or equivalent, applications open for rotational programme from
@LNWH_NHS
starting Feb 2024 - completion helps prep for application to
@gmcuk
for anaesthesia CESR
🔗
⏰️ Closing date 16/10/23
Big thank you to all my fantastic
@LNWH_NHS
orthopaedic, anaesthetic & theatre team colleagues AND SAU & Evelyn ward teams (nurses, HCAs, physios, OTs, domestic staff) for taking such great care of my mum during her recent admission 💙💙💙
3 months ago today, my mum had a long & complex emergency laparotomy. She has made an incredible recovery. A belated but v big THANK YOU to my wonderful
@LNWH_NHS
anaesthetic, general surgical, theatre team & ICU colleagues AND the Eliot ward MDT team for looking after my mum 🙏🏾
Thank you to all who came out and made
@NorthwickNEO
possible today 🙏🏾. Phenomenal MDT effort! Fantastic faculty, industry support & enthusiastic delegates.💪🏾 Lovely to catch up with so many of you. ❤️ And great to meet some new faces! Already looking forward to the next NEO! 🙌🏾
The DAS ATI guidelines support the use of sedation to ⬇️ patient anxiety & ⬆️ procedural tolerance. We found that remifentanil Ces > 3ng/ml is safe to facilitate ATI:FB, is readily tolerated by patients and rarely necessitate the use of midazolam
@Spaceorla1
@RMHCancerPeriop
🔐A decade of using a remifentanil TCI technique for awake tracheal intubations.
"We have retrospectively reviewed the sedation technique for ATI:FB utilised by one of the head and neck anaesthetists at this institution over the last decade."
🔗
Encouraging all to watch this on Channel 4 tonight at 9 pm. An important part of the UK’s struggle against the far right. Deeply tragic events in our recent history.
Tonight
@Channel4
9pm
It’s a must watch.
Opens with the racist murder of Gurdip Singh Chaggar, my ChaChaJi (Dads younger brother) in 1976.
Follows the history of the struggles and pivotal events of the Asian/Black community through to 1981.
#Defiance
Here's a summary of what I hope the 2021 RCoA curriculum wrt airway will evolve into (because anaesthetists are meant to be ‘airway experts’):
1. Emphasis on airway assessment beyond bedside techniques (e.g. imaging, FNE, USS) in pts with complex airways
Thank you to the
#DAS2022
organising committee for a fab few days in Newcastle 🙏🏾. Great speakers 🙌🏾. Excellent posters 🔥. Lovely to see lots of old friends and make some new ones 🥰.
@DAS2022_
@dastrainees
Ditto for my department. 💪🏾💙💪🏾
#JuniorDoctorsStrike
Pay restoration is critical to recruit & retain junior docs in the NHS. Widespread rota gaps across the country mean we cannot deliver safe, high quality care to our patients on any given day (i.e. non strike days)
Thank you to all who came out and made
@NorthwickNEO
at CMH a huge success last Friday. It was a great training day filled with fantastic faculty, industry support & enthusiastic delegates. Looking forward to the next NEO at NPH in Sept 2022
@R_S_Chaggar
@oldandbaffled
@RopeyP
The Northwick Education in Oxygenation (NEO) team are visiting the
#OAA3DC22
🌟Obstetric Airway Workshop🌟:
1️⃣Videolaryngoscopy
2️⃣Intubation through a SAD
3️⃣USS CTM
4️⃣eFONA
5️⃣HFNO
We’d 💙to see you there! 🙌🏾
@morefluids
@dwxharding
Lots to get head around on new curriculum.
Here’s our entrustment levels using an analogy close to an anaesthetists heart ☕️ …let me know what you think!
10. Training in at-risk extubation – we cannot be in a position where trainees are taught how to put tubes into patient with complex airways without being taught how to remove them
@AnaesthetiSingh
eloquently presented the results of the
@dasairway
survey 2022 on Documentation of Videolaryngoscopy this afternoon at
@DAS_2023
#DAS2023
💪🏾💪🏾💪🏾🔥🔥🔥 (COI: I say this as an immensely proud friend, colleague & fellow project team member 💙💙💙)!
6. Skilled use in Macintosh videolaryngoscopy
7. Skilled use in hyperangulated videolaryngoscopy
8. Intubation in the awake patient
9. Emergency front of neck airway simulation training (1/y as a minimum)
Solidarity with
#JuniorDoctorsStrike
💪🏾💙💪🏾
#PayRestoration
is critical to recruit & retain junior docs in the NHS.
Widespread rota gaps across the country mean we cannot deliver safe, high quality care to our patients on any given day (i.e. non strike days)
Huge well done to
@noolslucas
!! You are going to be absolutely brilliant as President of
#OAA
! All of us
@LNWH_NHS
are incredibly lucky to have you as a colleague! 💙💙💙
Floor to ceiling illustrations are now on display at Ealing and Northwick Park
#ICUs
and Central Middlesex Hospital’s
#EnhancedCareUnit
.
The illustrations show how equipment is used so visitors can get an idea of what to expect.
Read more at
Dr Adrian Pearce - the man who led the introduction of
#ATI
in the UK and a founding father of
@dasairway
. Eloquence modesty and the proof that quiet determination CAN move mountains and produce seismic change in practice 👏👏
@GAMCLondon2021
#GAMC2021
🥳🎄🎁🎅Departmental pre-Christmas quiz challenge began earlier today.
Teams will be competing tonight for the following titles:
Quiz Champion 🏆
Proud owner of Ugliest/Funniest/Best Christmas Jumper
5. Skilled use in intubation using direct laryngoscopy - being taught using Macintosh VL with screen hidden from intubator but not trainer – because how can we teach and improve the trainee’s technique if we cannot see what the trainee can see?
High quality
#finalFRCA
course run by some of my wonderful colleagues
@LNWH_NHS
is back again. Replicates exam format ✅. Experienced faculty ✅. Delicious lunch ✅. Apply using this link:
#FixConsultantPay
If you haven’t yet posted your ballot, ✅ this off your to-do list BEFORE 22nd June!
If you’re not a member of the BMA, join BEFORE 15th June to vote.
High quality
#finalFRCA
course run by some of my wonderful colleagues
@LNWH_NHS
. Replicates exam format ✅. Experienced faculty ✅. Delicious lunch ✅. Apply using this link:
Thank you
@ScotAirwayGroup
for hosting such a high quality meeting
#SAG23
🙏🏾! It has been an absolute pleasure to attend and well worth the trip to Glasgow. Plus got to check out the Mural Trail 🙌🏾
SAVE THE DATE! Spread the word! Get your study leave sorted! SEQUELS is back this time we're Pan-London!
#SEQUELS2022
**Supported by HEE & Approved by the RCoA for 3.5 CPD Points**
All are welcome! Get your abstract in FREE by 20/10/2022:
2. The use of high flow nasal oxygenation for both peri-airway management and apnoeic oxygenation
3. An emphasis on good quality face mask ventilation
4. Shifting the focus from supraglottic airway device insertion to SAD ventilation
💯recommend
@ImpAnaesthesia
Airway team are enthusiastic & have wealth of knowledge, skills + experience to share. Friendly H&N MDT. Lovely anaesthetic dept. Great patient mix. On-calls never boring!
You’ll learn loads & see + do cool stuff incl. lots of ATI, jetting, etc
And huge thanks to
@stevenroot01
and all the
@LNWH_NHS
ODPs and Anaesthetic Nurses that helped us find kit. And the brilliant
@LNWH_MedEd
Team for lending us tables & chairs!
Huge numbers of doctors are leaving the NHS because of this pay erosion and the workforce consequences of this will likely be the biggest threat the NHS has faced.
Recruitment, retention & morale all urgently require pay restoration.
#ConsultantsStrike
A whole heap of excellent talks. Great to hear about so many fantastic airway initiatives happening across the UK. Loved the Soapbox + open discussion throughout the
#AirwayLeadsDay23
.
Calling all
@DASairway
@dastrainees
members!
Despite widespread
#videolaryngoscopy
use, there is no standard way to communicate VL intubation.
Our
@DASairway
member survey 👀 at VL documentation has arrived in your Inbox this eve.
We are 🙏🏾🙏🏾🙏🏾 to all who complete the survey!
Thank you
@SusannaStanford
and
@sarahjseddon
for continuing to share your stories to help us become better clinicians. None of us are infallible and developing a robust skillset to manage adverse events well is essential for both patients and HCPs. 💯 recommend watching this!
Manage an adverse event well and you will not have failed your patient.
@sarahjseddon
& I understand things can go wrong. Drawing together patient and clinician perspectives, we have created a film to share a positive message about
#ManagingAdverseEvents
@GongGasGirl
Thank you for all the conference tweets - mainly why I joined Twitter in the first place. I wasn't able to tune in yesterday but am catching up on all the
#GAMC2021
trailer highlights now before I watch the feature-length production next week
Free drop-in airway workshop!! Something for everyone who works
@LNWH_NHS
in Theatres, Recovery, ICU, ED, Medical/Surgical/Paeds Wards and Maternity.
#MDT
@Vapourologist
YES! Its hard work to set up but hugely valuable. What you need is a
@R_S_Chaggar
and alot of helpful colleagues and skilled industry reps. Its do-able and hugely worth it
@NorthwickNEO
#JanuAIRWAY
D32... WAIT... WHAT... OH NO 😭
We would be super grateful if you would take 2 minutes to complete our short evaluation survey. Please let us know what you thought, how we can be better and if you would like to see
#JanuAIRWAY
back in 2023!
👉
#Defiance
Episode 1 was really difficult to watch
A huge thanks to
@AnaesthetiSingh
family for being so brave and sharing this hugely painful story. 🙏🏾
Heartfelt condolences to you all for Gurdip. May his soul rest in peace. 🙏🏾❤️🙏🏾
@R_S_Chaggar
@SimonCrawley9
@sally_ghazali
@oldandbaffled
@NorthwickNEO
The difference between view obtained and the view that enabled tracheal intubation
may be a consequence of malposition of the device. For example, being too close to the glottic opening and not in the vallecula leading to difficulty in passage of the tracheal tube
@silv24
@oldandbaffled
You’ll have a great time!! ❤️ Tuesdays in Th1! Nothing to add to the advice from
@sally_ghazali
except practice counting to 5 (awkwardly
@oldandbaffled
did have to teach me how to count at one point)! 🤦🏾♀️😳
Barry McGuire on missed oesophageal intubation - despite good knowledge that capnography needed to confirm tracheal intubation, consistent theme = inability to apply knowledge in crisis. Is it time for mandatory airway crisis training?