A small mouse study found that supplemental vitamin D reduced neuroinflammation and reduced cell death in the hippocampus and prefontal cortex of offspring of female mice who were given propofol (a general anaesthetic) during pregnancy.

https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0349784

#Science #Pregnancy #Anaesthesia #Propofol #VitaminD #BrainDamage

Vitamin D alleviates neurotoxicity induced by propofol anaesthesia in the offspring of mice

Background Maternal propofol can induce neurotoxicity in the developing brain. Vitamin D modulates neurotrophin and neuromediator synthesis, reduces neuroinflammation and neuroapoptosis. The present study examined whether vitamin D could mitigate maternal propofol induced neurotoxicity in the offspring. Method Twenty pregnant mice were randomly divided into four groups. During the pregnancy, the groups designated as D and PD were given intraperitoneal vitamin D, while the groups labelled as P and C received 1 ml of saline. On the 14th day of pregnancy, groups P and PD received 200 mg kg-1 of propofol intraperitoneally. Newborn mice from the aforementioned groups were included in the study. The hippocampus and the prefrontal cortex were examined by immunohistochemistry at two postnatal ages: 7 and 45 days (PN7 and PN45). A battery of behavioural assessments was conducted using open field and elevated plus maze tests to evaluate potential alterations at PN45. Results Vitamin D reduced the expression of inflammatory and apoptotic factors induced by propofol, such as TNF-α (group P versus group PD: 0.79 (0.76–0.81) versus 0.36 (0.34–0.39), %95 CI; p < 0.001), Bax (group P versus group PD: 0.72 (0.69–0.74) versus 0.52 (0.5–0.54), %95 CI; p < 0.001) in the hippocampus in PN7. The administration of vitamin D resulted in enhanced expression of anti-apoptotic and neuroprotective proteins, such as Bcl-2 (group P versus group PD: 0.3 (0.27–0.33) versus 0.55 (0.53–0.57), %95 CI; p < 0.001) in the hippocampus in PN7. These changes also occurred in the hippocampus in PN45 and the prefrontal cortex in PN7 and PN45. No significant differences were identified in the behavioural tests between the groups. Conclusion Vitamin D treatment during pregnancy could prevent neurotoxicity in the offspring of mice exposed to propofol.

“If it is our mission
to alleviate suffering
as well as to preserve life
there should be no conscientious restraint…”

—Gael Turnbull, “James Young Simpson: If It Is Our Mission…”
from The Hand that Sees: Poems for the quincentenary of the Royal College of Surgeons of Edinburgh

James Young Simpson (1811–1870) pioneered the use of chloroform as an anaesthetic in childbirth

3/3

#Scottish #literature #poem #poetry #obstetrics #anaesthesia #anesthesia #WorldHealthDay #historyofmedicine

A doctor tries explaining anaesthesia while having some.

https://www.youtube.com/shorts/KzKAMIrPlvY

#Doctor #Anaesthesia #Funny #Medicine #Hospital

Doctor Fights Anesthesia 🤺 Did you know how long I’d make it!? 🤔🤣

YouTube

Swansea Bay doctors say paracetamol switch is a win for kids, cash and climate

Same pain relief, less hassle

Five clinicians at Morriston Hospital studied how children were given paracetamol during planned surgery.

Consultant anaesthetist Dr Tereza Soskova explained: “There’s no difference in safety or pain relief between IV and oral paracetamol.”

Until recently, children were routinely given the drug through a cannula in their hand once they were under anaesthetic. Now, thanks to the project, they are offered paracetamol as a liquid or tablet before going into theatre.

Dr Soskova said the change has been welcomed by staff and families alike: “It’s simpler, less invasive, and the children don’t even notice they’ve had it.”

Big savings for NHS and planet

The team’s findings were stark. IV paracetamol was found to be 24 times more expensive than tablets. Dr Soskova said switching to oral gave “98 per cent cost savings.”

She added: “IV paracetamol results in up to 12 times higher emissions than oral tablets. That has changed our view on paracetamol usage, and we are looking to switch to a 90 per cent oral usage rate.”

In 2024 alone, more than 1,300 children at Morriston had IV paracetamol. If tablets had been used instead, the NHS would have saved £1,150 and avoided 9,190kg of carbon emissions — the equivalent of driving 23,403 miles in a petrol car.

Doctors leading the way

The project — called IMPROVE (Improving Paracetamol use with Routine Oral over Venous administration) — was led by Dr Soskova alongside colleagues Dr Rebeca Harris, Dr Alex Morgan, Dr Lara Sabry and Dr Linn Jarte.

Consultant anaesthetist Dr Harris said: “We wanted to look at the impact we were making here in Swansea Bay. The figures speak for themselves — oral paracetamol is better for patients, better for the NHS, and better for the planet.”

Senior Clinical Fellow Dr Sabry added: “This is about making small changes that add up to big differences. We’re proud Swansea Bay is leading the way.”

Children’s Ward staff at Morriston Hospital who supported the paracetamol project to improve care and cut carbon.
(Image: Swansea Bay University Health Board)

Wider impact on healthcare

The team pointed to research in the British Journal of Anaesthesia, which showed healthcare is responsible for five per cent of global greenhouse gas emissions. Pharmaceuticals make up between 19 and 32 per cent of that total.

Dr Soskova said: “Paracetamol is one of the most commonly used medicines worldwide — six per cent of all pharmaceutical sales. So if we can change how we use it locally, the impact could be huge nationally and globally.”

Next step: adults too

The Swansea Bay team now wants to roll out the change across adult surgery in Morriston, Singleton and Neath Port Talbot hospitals. With far greater numbers of patients, the savings in money and emissions could be scaled up considerably.

Dr Alex Morgan said: “This is just the start. If we can make oral paracetamol the default in adult surgery too, the benefits will multiply.”

A greener future for the NHS

The project shows how small changes in everyday practice can deliver big wins for patients and the planet.

Dr Soskova summed it up: “We’ve proved oral paracetamol is safe, effective, cheaper and greener. That’s a win for everyone.”

Green healthcare in Swansea Bay

Inhaler project breathes fresh air
Asthma patients switching inhalers could cut Swansea Bay’s carbon footprint dramatically.

Health board’s green approach
Swansea Bay University Health Board showcased eco-friendly projects at a national sustainability event.

Hospital aims to save planet too
Morriston Hospital staff cutting emissions while delivering care.

Inhaler recycling scheme
Welsh Government-funded scheme reducing carbon and supporting NHS Wales Net Zero goals.

#anaesthesia #anaesthetist #carbonEmissions #childrensWard #morristonHospital #paracetamol #pharmaceuticals #swanseaBayNhs #swanseaBayUniversityHealthBoard

Anaesthesia’s remarkable journey since the 19th century.

An exhibition at the Museum of the History of Medicine in Paris traces the saga of this discipline, from its beginnings to the major advances that transformed medical practice.

https://mediafaro.org/article/20250930-anaesthesias-remarkable-journey-since-the-19th-century?mf_channel=mastodon&action=forward

#Anaesthesia #Science #Health #Healthcare #Anesthesia #Museum #Exhibition #Medical #History

Anaesthesia’s remarkable journey since the 19th century.

An exhibition at the Museum of the History of Medicine in Paris traces the saga of this discipline, from its beginnings to the major advances that transformed medical practice.

Le Monde

Editorial: Patient blood management – what's the problem with implementation?

#anaesthesia #haematology #medicine #healthcare

https://doi.org/10.1111/anae.16584

So. Notebook 💻 eingestellt, Website 🌐 aufgerufen, Code eingegeben, Bluetooth Kopfhörer 🎧 gekoppelt ... Bin parat für den KATZ Kongress: KinderAnästhesieTagZürich 2025

https://www.derkatz-kongress.ch/
#Anaesthesia #PaediatricsAnaesthesia #SicherIstSicher

Home | Der KATZ Kongress

Erlebe den KATZ Kongress – live und hybrid! Freue Dich auf spannende Vorträge, praxisnahe Workshops und interaktive Formate, präsentiert von führenden Expert*innen. Sei dabei, vor Ort oder Online. Alle wichtigen Informationen zum Check-In, zur Online-Teilnahme und zum Programm findest Du auf unserer Website. Sichere Dir jetzt Dein Ticket und sei Teil eines inspirierenden Kongresses!

KATZ Kongress

Now here's something a bit different!

These private anaesthesia companies attracted £42.0 (US$53.0, €50.8) billion in venture capital funding!

Is it time to quit our day jobs?! 😆

#anaesthesia

https://doi.org/10.1111/anae.16589

Correspondence: Neuromuscular blockade and BMI-related postoperative pulmonary complications

#anaesthesia #respiratory #medicine #BMI #healthcare

https://doi.org/10.1111/anae.16592

This study found that in patients with measured peri-op renal parameters, for every 100 elective major non-cardiac surgery procedures, postoperative AKI could be expected to happen in a minimum of four and a maximum of 15 cases.

#anaesthesia #surgery #renal #medicine

https://doi.org/10.1111/anae.16568