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Meet our new research fellows and find more about them, their work and their interests outside anaesthesia.
Meet our new research fellows and find more about them, their work and their interests outside anaesthesia.
Dr Parineeta Ghosh updates us on the long-awaited eFONA registry launch in England and Wales.
Some of you might be asking (or have forgotten) – what is this eFONA registry thing? Why?
In short, emergency front-of-neck access is an unusual, emergency event about which we have limited information – what leads up to it, what happens during the event, what happens afterwards. Various studies, not least NAP4, have highlighted the need to understand more – so, the eFONA registry project was born.
Dr Matthew Luney tells us about becoming a non-COVID-19-focused researcher during the pandemic.
Beano superfan, Edward Shepherd, (aged 11) tells us all about his online survey: ‘Helping children prepare for surgery and anaesthesia’.
I am a huge fan of the Beano and sent feedback to the Royal College of Anaesthetists about a special collaborative edition I had read, Dennis has an anaesthetic. My Granny was in hospital at the time, and I was worried about her. She had broken her ankle. I read the Beano comic to help me understand and feel better about her being unwell and having an operation.
Children’s anxiety related to hospital admissions and procedures is a huge problem and affects up to 80% of children. 75% experience anxiety in the anaesthetic room, and 60% develop ‘new’ dysfunctional behaviour in the three weeks after surgery. Sadly, 12% still display this new behaviour one year after surgery. In the US, surveys show that 25% of children are held down for a general anaesthetic.
Dennis has an anaesthetic teaches children about:
- finding out about the operation
- getting ready for the operation
- having the anaesthetic and operation
- waking up and going home.
Despite Brexit, Dr Ted Rees tells us how the College still plays an active role in setting and improving standards of anaesthetic training and clinical practice in Europe.
Had your head buried very deeply in the sand for most of the last decade? Then it may have escaped your attention that the UK has cleaved itself away from the European Union. But fear not! The College and the Association of Anaesthetists are both still represented on the European Board of Anaesthesiology (EBA), the Anaesthesia section of the European Union of Medical Specialists.
Known by its French acronym, UEMS is a non-governmental organisation created in 1958 in the same year as the European parliament. The aims of UEMS are to improve patient care throughout Europe by developing and supporting excellence in specialist medical training and practice and, as a by-product, to promote free movement of medical specialists around the EU.
The UEMS represents more than 1.6 million specialist doctors from 41 countries:
- full UEMS members – EU countries plus Iceland, Norway, Switzerland, UK
- associate members – Armenia, Israel, Serbia, Turkey, Ukraine
- observer countries – Georgia, Iraq, Lebanon, Morocco, Tunisia.
Dr Fiona Donald writes for the last time for the Bulletin as President reflecting on her tenure and career.
Jono Brüün updates you on the College's approach to diversity, equity and inclusion.
Jono Brüün updates you on the College's approach to diversity, equity and inclusion.
Dr Wicker and Dr Sanders provide some helpful top tips for anaesthetist wellbeing.
Wellbeing is a fashionable term at present and for some will cause instant eye-rolling. We sympathise with this reaction – the word has a lot of unhelpful connotations including, probably most problematically, that it offers yet another opportunity to fail at something else in your life. You are already overwhelmed by work and home stressors, and now you’re also not getting your wellbeing right and that’s why you’re struggling.
Please know this gentle advice comes from a place of compassion and acknowledgement of the wonderful job you all do. After everything anaesthetists have had to deal with over the last few years, we tip our hats to the courage and resilience of our profession.
Here are some top tips for anaesthetist wellbeing (in no particular order):
Dr Greig makes the case for clear and consistent terminology and why it's important.
Critical terms must be clearly and consistently used.
For example, UK law recognises protected titles; ‘general practitioner’, ‘registered nurse’, or ‘paramedic’ have specific meanings, and to use one carries legal weight. Interestingly ‘surgeon’ appears on the GMC’s list of legally protected titles, but ‘anaesthetist’ does not.
While meaning can appear clear from context, ambiguity creates risk. It need not be highly technical terminology to cause problems. Misunderstanding of ‘OK’ contributed to the 1977 Tenerife air disaster, where a tower controller probably intended ‘I acknowledge your request to take off’, but the flight commander understood ‘you are giving me clearance for take-off’. The Boeing 747 accelerated down the runway, and shortly thereafter collided with another aircraft.