@padoscan

Husband | Dad | Runner | Anaesthetist. Periop Med. Trauma. High-risk surgery. UCD AssProf. Views=own

 Dublin
Joined August 2012
  • Tweets678
  • Following616
  • Followers272
20Media
"While the authors are to be commended for asserting organisational responsibility in meeting these new guidelines, in the interim, the gap between what is expected of anaesthetists with respect to consent & what can be realistically delivered grows." #anaesthesia #MedTwitter #consent doi.org/10.1111/anae.70379
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🩺 Preoperative assessment in robot-assisted bronchoscopy matters. Severe COPD, baseline hypercapnia, large bullae, pulmonary hypertension and RV dysfunction all shift the risk-benefit of prolonged breath-holds. 👉🏻Read more: bjaed.org/article/S2058-5349… #PatientSafety
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New perioperative management strategy for #SGLT2 inhibitors proposed by the #SPAQI. In this #BJA Editorial, Garcia and coworkers present this balanced and risk-stratified approach between metabolic events and cardiac benefits. bjanaesthesia.org.uk/article…
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🦶 Five terminal nerves of the foot, blocked through only two skin punctures. In 80 outpatients having foot surgery, this ultrasound-guided ankle block achieved surgical anesthesia in 96% of cases. 🔗 doi.org/10.1136/rapm-2026-10… #RegionalAnesthesia #RAPM
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🔟 years on, is the evidence for the erector spinae plane block keeping pace with the enthusiasm? A critical review of the anatomy, mechanism, technique and indications in this month’s #BJAEd 👉🏻Read more: bjaed.org/article/S2058-5349… #RegionalAnaesthesia
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Pádraig Ó Scanaill retweeted
Tim Cook@doctimcookAug 26
peterhambly.substack.com/p/b… Beautifully written All the better for some justifiably coarse language Maybe we all need to get much more cross
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EXTUBATION GUIDELINES LAUNCH Project for Universal Management of Airways: guidelines for tracheal extubation @UniversalAirway At the 2026 Airway Management SIG meeting in Noosa, Australia @ANZCA @ASA_Australia @EllardLouise @AndyHiggsGAA @CarinHagberg @PaulBakerORSIM @kovacsgj @jadamlaw @SheilaMyatra @ProfEllenO @AirwayOnDemand @crossermed @JohnCSakles @SorbelloMax @NicholasChrimes #anaesthesia #MedTwitter doi.org/10.1111/anae.70365
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Buggy et al #observationalstudy of >6,000 people with #diabetes having surgery shows that continuing metformin and #GLP1-RA, but not SGLT2i, is associated with better #perioperative glucose control in T2DM. bjanaesthesia.org/article/S0…
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Pain management strategies in patients with rib fractures. #anaesthesia #MedTwitter #Pain @NavnielKaur doi.org/10.1111/anae.70284
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Why are elective surgeries cancelled and delayed? The PACE2024 study looks at causes of postponement and cancellation and identifies areas for improvement bjanaesthesia.org/article/S0…
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Time to introduce the initial assessment of competence in regional anaesthesia? #anaesthesia #regionalanaesthesia #regionalanesthesia #MedTwitter doi.org/10.1111/anae.70269
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⚠️ Up to a quarter of peripheral nerve injuries are iatrogenic, from nerve blocks and graft harvest to unrelated surgery, positioning and tourniquets. A sobering reminder of the stakes around the nerve. Read more: bjaed.org/article/S2058-5349…
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The quest to prevent rebound pain: clarity or uncertainty? • There is not a universally accepted definition of rebound pain. • The pathogenesis of rebound pain is unknown. @DrTimJen @Ropivacaine #anaesthesia #MedTwitter #pain doi.org/10.1111/anae.70242
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New #editorial discussing ‘exercise snacking’, #prehabilitation and #exerkines bjanaesthesia.org/article/S0…
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Full house at the Regional Anaesthesia for Trauma (RAFT) course in Dublin at the @ThePillarDublin @MaterTrauma National and international faculty discussing all things RA in Trauma @RLH_TAG @RLH_RAfT @TraumaCareIrl @ISRA_Ireland @Matersurgery @AnaesTrainees #RAFTDublin
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Safe Vascular Access 2025 "We support strongly the principle that ultrasound improves safety and should be used whenever feasible. However, a blanket requirement for its use in all settings risks unintended harm in the unique context of prehospital trauma." #anaesthesia #MedTwitter doi.org/10.1111/anae.70218
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Pádraig Ó Scanaill retweeted
BJS
@BJSurgeryApr 23
Epidemiology of trauma deaths across a mature regional trauma system: patterns of pre-hospital and in-hospital fatalities ➡️doi.org/10.1093/bjs/znag030 🔪 In a mature trauma system, 77% of deaths occur pre-hospital, often within minutes—before surgical intervention is possible. 🩸 Haemorrhage dominates early mortality (96% pre-hospital), reinforcing the critical importance of immediate bleeding control and system response. 🧠 Traumatic brain injury drives in-hospital deaths (84%), shaping priorities for neurosurgical and critical care management. 🎯 Key message: Further survival gains will come less from in-hospital advances and more from optimizing pre-hospital care and trauma system performance. Work by Aditi Nijhawan , Ewoud ter Avest , Callum J Twohig , Stacey J Webster , Jason Morris , Robbie Lendrum , Virginia Fitzpatrick-Swallow , David J Lockey , Zane B Perkins #SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos @SEIQuirurgica @iss_sic #MedicalTechniques @BJSAcademy @young_bjs @BJSOpen @evanscolorectal @robhinchliffe1 @bplwijn @MalinASund @nfmkok @TejedorPat @paulo_sutt @PVaughanShaw @JJEarnshaw @juliomayol @ksoreide #SoMe4Trauma #emgensurg @WSESurgery @NELANews
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Here is some great news for the environment! Presenting the new consensus guidelines on the use of sterile gowns for single-shot spinal anaesthesia. @Assoc_Anaes @RCoANews @RegionalAnaesUK #AnSky #climate #MedTwitter doi.org/10.1111/anae.70212
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Pádraig Ó Scanaill retweeted
Critical Care Reviews@CritCareReviewsMar 21
Today's Paper of the Day is: Pulmonary atelectasis in anaesthesia and critical care criticalcarereviews.com/late… Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2026
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Applications open for the Regional Anaesthesia for Trauma (RAFT) course 2026! 🗓️ Wednesday 13th May 2026 📍Pillar Centre, Mater Hospital, Dublin ✉️Email [email protected] to apply! 6 CPD by CAI @ISRA_Ireland @AnaesTrainees @ESRA_Society @ThePillarDublin @NDTP_HSE @TraumaCareIrl
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