Tim Cook
@doctimcook
Bath-based anaesthetist/intensivist. I study medical complications to improve safety. Own views except where I knick othersβ. Insta @timcooksnaps. Airway goblin
ID:3288470632
18-05-2015 13:51:51
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Huge CICO workshops kicking off today at #ASM24Bris ! Nearly 100 people in this morningβs session & expecting about 400 delegates throughout today. World record?
Jane Williams Martin Bromiley π Carl Horsley James Titcombe Nannypod Automation and computerisation: No panacea, and easier to get wrong than right, especially in terms of system integration, but also some basic problems of leaving the βhard stuffβ to the out-of-the-loop human. Much is commercial-off-the-shelf, not designed for the context. 6/
Tim Cook Adam Mitchell ππ―π’π¦π΄π΅π©π¦π΄πͺπ’ Tim Cook as you say, the side channel on the D-BLADE is not designed for use with a bougie. It was originally designed to be used in conjunction with oxygen or suction catheters.
Brian Johnston Randomise into the ABBRUPT trial. Seriously, there are so many times when our clinical dilemmas are the subject of clinical trials (oxygen targets π€·ββοΈ, mucolytics π€·ββοΈ, management of AF π€·ββοΈ). Randomised treatment not random treatment- we need to build it into our routine practice.
Wes Streeting MP Thanks for asking
As some one who has worked in the NHS for 35 yrs and examined its working throughout that time my list of what needs changing would start with
Stop breaking the system by defunding it in the name of efficiency. It is way beyond the point at which trying to cutβ¦
ππ―π’π¦π΄π΅π©π¦π΄πͺπ’ Itβs an interesting study & clearly written up. Congratulations to the authors.
β¦-publications.onlinelibrary.wiley.com/doi/epdf/10.11β¦
As a very regular user of HAVL & someone who advocates for use of a stylet over a bougie I am surprised by the results.
My rationale is that the stylet makes (should make)β¦
ππ ππππ Steve the skeptic Damian Mayo (FRCS) Wes Streeting MP Iβm not across a lot of the data areas you clearly are but Iβll offer some comments from the perspective of the anaesthesia-surgery-intensive care field I work in. But I suspect there is commonality in other areas. Some I could back up with data and some are just observationsβ¦
Adam Rehak Tim Cook Safe Airway Society Anaesthesia and Intensive Care ANZCA You have to do one from the ten listed each year.
You could (I think) do the same one every year and ignore the other 9.
Not sure if this will change? So that if you did CICO this year, it would grey out for the following 2 years to encourage doing other activities.
Let's have better informed pre-operative discussions about the risks & outcomes for patients undergoing vascular surgery.
Read the Royal College of Anaesthetists NAP7 recommendations for vascular anaesthesia from an institutional, individual and research perspective π
πβ¦-publications.onlinelibrary.wiley.com/doi/10.1111/anβ¦
Tim Cook Safe Airway Society Anaesthesia and Intensive Care ANZCA The (ANZCA) college-mandated training is now annual, rather than triennial. CICO remains one of several choices though, so not every anaesthetist will complete CICO training each year, or even each three years. Still...far better than nothing at all
π©ΈCardiac arrest and vascular surgeryπ©Έ
Royal College of Anaesthetists National Audit Projects
πΊIncidence of 15/10,000
πΊ83% during non-elective surgery
πΊ55% during aortic surgery
πΊ57% caused by major haemorrhage
πΊ88% caused by 'patient factors'
π β¦-publications.onlinelibrary.wiley.com/doi/10.1111/anβ¦
πCardiac arrest in vascular surgical patients receiving anaesthetic care: an analysis from the Royal College of Anaesthetists 7th National Audit Project (NAP7)
Richard Armstrong Tim Cook Gudrun Kunst Andrew Kane Emira KurΕ‘umoviΔ Nuala Lucas National Audit Projects Jasmeet Soar @RonelleMouton506
πβ¦-publications.onlinelibrary.wiley.com/doi/10.1111/anβ¦
Was the NHS overwhelmed by covid-19?
Dr Kevin Fong, Charlotte Summers, and Tim Cook unpick arguments that the NHS was not overwhelmed by covid-19, highlighting its legacy effects on healthcare and staff, and lessons for future health crises
bmj.com/content/385/bmβ¦