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Version devBuilt at: 2026-10-10 20:13:24 EDT

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@naccsuk.bsky.socialOct 7, 2026, 2:51 PM

🧠 New Clinical Guideline for Perioperative Care of People with Parkinson’s Disease out today
Covers:
Time-critical Parkinson’s meds
Perioperative planning
Important resource for anaesthetists and periop team
Read the guideline via CPOC zurl.co/pTO8v
#Neuroanaesthesia #Parkinsons #Periop Care

@amaclullich.bsky.socialOct 3, 2026, 6:52 AM

Post-operative delirium often begins in recovery, not on the ward.

The first frightened hours after anaesthesia pass unwitnessed if we only screen at the next routine ward checks.

It's good practice to screen in the recovery room (PACU).

#periop #delirium

@amaclullich.bsky.socialSep 24, 2026, 10:54 AM

Waking from anaesthesia into blur and silence is disorientation by design.

Glasses and hearing aids should travel to theatre with the patient and go back on as they wake. Cheap, kind, protective.

#periop #delirium

@amaclullich.bsky.socialSep 17, 2026, 10:54 AM

The most important cognitive test in surgery happens before it starts.

Without a pre-op baseline (how the person thinks normally), "confused, query baseline" (was this their normal?) is guesswork.

Four minutes at pre-assessment turns it into diagnosis.

#periop #delirium