Tweeting about all things healthcare, anaesthesia, and pain management Anaesthetist at Westmead Hospital, Sydney, Australia.
Westmead Hospital, Sydney
Joined March 2009
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With new interns starting next week here are some words of wisdom for us all in healthcare to consider. Don't wait for someone else to fix the system, we are the system - we all need to take a role. theguardian.com/commentisfre…
Cochrane review of video laryngoscopy shows benefits #anesthesia
Richard Halliwell retweeted
Good review of the treatments that have been validated for Covid nature.com/articles/s41581-0… by @nymurakami @DavidLeaf9 and colleagues @BWHKidney @NatRevNeph
Measurement of exercise capacity is reduced in people with long COVID. VO2max reduced on cardiopulmonary exercise testing #LongCovid #exercise
jamanetwork.com/journals/jam…
Few older patients having elective surgery have a documented advanced care plan, even amongst those going to ICU postop. A missed opportunity. #surgery #geriatrics JAMA Surgery. jamanetwork.com/journals/jam…
Richard Halliwell retweeted
🆕 @NatureMedicine
Heart manifestations of #LongCovid
A prospective MRI study of 346 people with mild Covid, and controls, demonstrated myocardial inflammation at 3 months, worse w/ symptoms, and edema at ~1 year
by @v_puntmann and colleagues @GoetheCVI
nature.com/articles/s41591-0…
Australian national cabinet scraps any COVID isolation requirements. Meanwhile in NSW, 1000 patients are in hospital with COVID, and 18,000 people are waiting to get into hospital to get their overdue surgery done. #COVID19 #publichealth #surgery
Duration of COVID infectivity. Real world study of household contacts shows 2/3 of people are still infectious at five days. Implications for isolation of confirmed case of COVID. Australia has just shortened isolation period from 7 to 5 days. #COVID19 thelancet.com/journals/lanre…
Excellent review of the risk to healthcare workers exposed to airborne infection during patient care procedures (endotracheal intubation, mask ventilation). Highest risk is coughing and shouting. Risk at intubation seems overrated. #Anesthesia bmj.com/content/378/bmj-2021…
Paul Myles presents adverse effects of anaemia after surgery. 50% increased prevalence of death or disability by 90 days, more ICU admissions, longer length of hospitalisation. Need to find the best way to manage. #ASM22PER #Anesthesia #surgery #anaemia #transfusion @ANZCA
Intraoperative normothermia of 37 degrees, compared with 35.5 degrees, provided no clinical benefit (cardiac, wound infection). Large RCT from Dan Sessler in The Lancet. #surgery #hypothermia #cardiac thelancet.com/journals/lance…
Richard Halliwell retweeted
In the year after recovering from #COVID19, Increased cardiovascular risks* seen even among those who weren’t hospitalized! Gentle reminder than #LongCovid is real.
*arrhythmia, heart muscle inflammation, blood clots, strokes, heart attacks, heart failure
jamanetwork.com/journals/jam…
Richard Halliwell retweeted
We measured immunity against the #Omicron BA.4 and BA.5 variants by people infected with the original (BA.1) Omicron sub-lineage. Results consistent with these variants forming next infection wave.
Manuscript submitted to medRxiv and available here:
sigallab.net/
Richard Halliwell retweeted
BA4 BA5 #Omicron just enough immune escape from BA1 to give us another wave
We measured immunity against the #Omicron BA.4 and BA.5 variants by people infected with the original (BA.1) Omicron sub-lineage. Results consistent with these variants forming next infection wave.
Manuscript submitted to medRxiv and available here:
sigallab.net/
Prof Leslie @katy_skier presents the perioperative clinical trials of the @ctn_anzca
Ketamine to prevent chronic post surgical pain, lidocaine to prevent pain after breast cancer surgery, anaesthesia type to reduce cancer recurrence after surgery #ASMS2022 @ANZCA #pain
Richard Halliwell retweeted
Check out the @BJAJournals mini flip-book edition, FREE to view during April. ow.ly/Mgym50Iy46t
8 original articles on #hypotension, #anaemia, #lidocaine, #guidelines, #vitamin-c, #opioids and #cancer survival, & #intraoperative #ketamine.
Richard Halliwell retweeted
Tune in for our late breaking session at #ASM22PER:
TxA @POISE3_ANZ results by @twpainter; RELIEF genomics results by Chris Bain; inclusion characteristics & outcomes in female & male trial participants by
@katy_skier &; importance of post-operative anaemia by Paul Myles @ANZCA
Solomon Aronson @Duke_Anesthesia speaks at #ASM22PER Preoperative medical and lifestyle optimisation is a value proposition for patients. Reduces cost of care. It's a teachable moment to motivate care. @ANZCA #Anesthesia
