Dr Pieter Peach
@pieterpeach
Anaesthesiologist, paediatric and adult | MPH | Royal Children’s Hospital, Melbourne @rchanaesthesia.bsky.social Also mastodon.social/@pieterpeach #AnSky #MedSky
No hurricane has ever crossed the equator, due to the Coriolis force. www.reddit.com/r/Damnthatsi...
Would love to have been in the room during this brainstorming session
It was stuck like this. I assumed the loading spinner was the meme. Also, just learnt the technical term for a loading spinner is a “throbber”.
Reminder that Ethicon Biopatch used as an adjunct in central line dressings is chlorhexidine (CHG) impregnated. The effort in avoiding a chlorhexidine impregnated CVC in a patient with chlorhexidine anaphylaxis can easily be undone. www.jnjmedtech.com/en-EMEA/prod... #ansky #anaphylaxis
The @anzca.bsky.social “PG28 Guideline on infection prevention and control in anaesthesia 2025” now states that sterile gowns are not required for all single shot spinals. This could reduce a significant amount of waste. #Ansky www.anzca.edu.au/getContentAs...
Notice how progressive automation seems to have entirely missed the baristas despite perfectly good automated coffee machines. People seem to value the brief banter, tattoos and beards. There may be a lesson in that for all of us.
OK I remember now. It takes selected anaesthetic accounts, extracts post based on keywords (see photo) and uses the Hacknews (HN) algorithm to rank. 7 days is the maximum allowed time frame.
Just donated to @wikimediafoundation.org. We often take for granted how valuable a resource it is. Having contributed to it I know how vigorously the Wikipedians donating their time defend the veracity of the content. donate.wikimedia.org
Ok 3D printing anaesthesia nerds, give me suggestions of exciting and pointless objects we can print with one of these. #3Dprinting #Ansky
Hey @chrimesy.com, what do you think about titrating Sevo to BIS?
This was Nam Le’s work at RWH looking at nursing workload post LUCS. “From this, we can estimate that on average patients who received neuraxial morphine required 50 fewer minutes of midwifery intervention time for analgesic management.”
No risk score will be perfectly implemented. You still ultimately see some correlation in outcomes, in this case mortality after intra-operative cardiac arrest in the @webairs.com dataset. Limitations: voluntary adverse event reporting, no denominator. doi.org/10.1177/0310...
Want to reduce your plasma forever chemical (PFAS) levels? - Donate plasma - A study of firefighters in Victoria Australia demonstrated a significant (~30%) reduction in PFAS levels after 1 year of 6 weekly plasma donations. Also, it’s free, you get lunch & it helps others doi.org/10.1001/jama...
This is what I see in @anzca.bsky.social's PS04(A) Position statement on the post-anaesthesia care unit 2020. Are you referring to another document? www.anzca.edu.au/getContentAs...
Context may be important here. How is the EtCO2 used? In patients with LMAs? Many hospitals in VIC have “T-bags”available that give an indication of respiration. In most (not all) Australian hospitals patients with ETTs are extubated prior to transfer to PACU.
This was an FDA recommendation ~ 2007. Should be noted the case reports were prior to inclusion of preservatives/antimicrobials. Would depend somewhat on the formulation but just adds to the other risks associated with decanting across multiple patients. www.apsf.org/article/the-...
I don’t mean to sound like a tightwad, but we do deal with limited budgets in both public and private and we should all be aware of avoidable safety neutral costs. Don’t get me started about these things for non-head surgery. Topic for another day @maffygirl.medsky.social ?
Today I learned about the “Obesity paradox”, where the presence of obesity in nonegenarians (90-99 years of age) is a significant protective factor against in-hospital mortality for patients admitted to ICU Prof Laurence Weinberg #RuralSIG25 #Ansky
Interesting unexpected outcome from the implementation of a high risk peri-operative clinic at Ipswich hospital. 50% of patients did not proceed to surgery after in depth discussion about benefits and risks with the patient and family. #RURALSIG25 #Ansky