Junior doctor starting salaries around the world:

Australia: £60,000
Canada: £46,000
USA: £41,900
France: £43,700

UK: £29,384

Now tell me that the UK doesn’t undervalue its doctors?!

As an anaesthetic consultant colleague who knows only too well how much we all depend on you, you have my absolute support.

Happy new year from Derbyshire..morning run with my Niece 😫

Cool
Dr J C John

Richa Chandra Dr.Kartik Sonawane AORA India ESRA | European Society of Regional Anaesthesia Brain and Spine Surgery Singapore Society of Anaesthesiologists Dr J C John Society for Minimally Invasive Spine Surgery Hari (హరి) 🩺 Kalagara 🇮🇳 Tuhin Becki Marsh
Dr Robbie Erskine

Defo! #ThisGirlBlocks Rhasna Bhagwanbali bob funnekotter Patricia Riezebos Jorrit van Wees Loes Bruijstens Steve Coppens

For those concerned about the Spinal Prlocaine shortage… the reason is a delay in the MHRA process for BBraun taking over the label from Sintetica (see photos). It is now available (as is Chloroprocaine) from the distributors (Mawdsleys)

Ok… who has *ever* admitted to “enjoying” Outlook?!

“Human beings, who are almost unique in having the ability to learn from the experience of others, are also remarkable for their apparent disinclination to do so.”
Douglas Adams (1952–2001)

The L5-S1 paraspinal approach has rescued me quite a few times especially in the elderly with age-related degenerative changes in back anatomy & gait. I was reminded of it by an excellent teacher Dr Robbie Erskine more a decade ago when I was working wih him as his resident 🙂🙏🏽.

Becki Marsh Kavita Houthoff Khemlani Dr Robbie Erskine Ashwani Gupta Garrett Barry Jennythatcanblock Steve Coppens matthias desmet Dr. Vishal Uppal MBBS, FRCA 🇨🇦🇮🇳🏴󠁧󠁢󠁳󠁣󠁴󠁿 It has to be both VAS and opioids. They vary together. You can “bite on a stick” to reduce opioids but that’s probably not the best for recovery.

Better yet we need to move past 24h outcome and look at function ->

doi.org/10.1016/j.bja.…

doi.org/10.1016/j.bja.…

Ashwani Gupta Kavita Houthoff Khemlani Garrett Barry Jennythatcanblock Dr Robbie Erskine Steve Coppens matthias desmet Dr. Vishal Uppal MBBS, FRCA 🇨🇦🇮🇳🏴󠁧󠁢󠁳󠁣󠁴󠁿 Jon Bailey MD MSc FRCPC EDRA 🇨🇦🧗🏄‍♂️ Yes but that study shows no benefit if you read it.

I could see an argument for ‘double dose Dex’ but I’ve never seen anyone give 4 vials a la Dr Robbie Erskine.

🔓The risk of a medication error during preparation has been reported as 17 times greater when syringes are prepared by hand.

Time for prefilled syringes – everywhere?

JP Lomas #FreeForAWeek

🔗…-publications.onlinelibrary.wiley.com/doi/10.1111/an…

Beautiful summing up from ⁦Philip Peng （彭文新)⁩ on GA/SA for #NOF on this evening ESRA webinar
In the lower comorbid group (most studies) No Difference in outcomes
If you’re high risk for GA then spinal probably preferable.
Can we study this second group meaningfully??

⁦I feel able to share my “habit”
Thanks Steve Coppens⁩

⁦Becki Marsh⁩

Laparoscopic cholecystectomy under segmental thoracic spinal anaesthesia: a feasibility study - British Journal of Anaesthesia bjanaesthesia.org.uk/article/S0007-…

Thought for the day!
I’m considering designing yet another checklist to check that the checklist has been checked🤯

Check out the new BBraun packaged Ampres 👍👍👍
Just waiting for Prilocaine to be sorted too!!🤯