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drspikes

  1. @jeffando79 I agree. Coldplay is always enjoyable.
  2. @jeffando79 re: Phil mask: nope
  3. Anyone at GAT conference next month? Cons Anausthetist @doug_mckendrick would like to contact you about twitter use. Please drop him a line.
  4. RT @harrisimo instagr.am/p/K5Z6cTEwaP/ Oh my God. He's still there?!
  5. @BBCr4today: Can you teach good parenting? #parentingclasses” Yes: Cochrane review bit.ly/Mqztqm (brill evidence crystallisation)
  6. #RAKU Great RA-UK Annual Scientific 2012 meet with lots of food 4 thought. Extremely useful talks. Loads of great posters. Congrats to all.
  7. #RAKU End of talk. Questions: Carb loading showing anaesthetic/aspiration safety soon to be published.
  8. #RAUK Next step - pilot RCT of RScath vs Epidural 80 patients in Urol & gynae.
  9. #RAUK Latest data shows lowest length of stay in the country.
  10. #RAUK Decision to give PCA made by assessment in recovery. 44% get PCA's. Length of stay for open cystec 17-->10 days.
  11. #RAUK 200 case audit:100% successful cath placement. Leave catheters in 5 days without prob but on ave. 2.6 days. Early removal/problems 7%
  12. #RAUK Evaluations - lots of audit, one a year. Compliance with guidelines, following up complications (but none)
  13. #RAUK Other standards - Remi TCI, cell salvage, extubate in theatre, multimodal analgesia (paracetamol, tramadol asleep IV) & anti-emetics.
  14. #RAUK Getting the governence - led and supported by the head of nursing. Worked well.
  15. #RAUK 0.25% levo. 10-20ml each side 6hourly. 4 hourly in HDU, 6 hours on wards.
  16. #RAUK Takes 20-30 min to place bilateral rectus sheath catheters.
  17. #RAUK 8cm of catheter in space for rectus sheath bilat. Needs to be high and out of the way of surgery, sited prior to surgery.
  18. #RAUK ERAS implemented in ~2007 in Exeter.
  19. #RAUK The last talk of the day is "ERAS in urology" by Dr Mark Dougherty from Exeter.