We're always filled with renewed enthusiasm at the start of a new year. This is not to take away from the fact winter is extremely challenging within the NHS. The paradox of hope in the face of current harsh realities is captured throughout this issue. Let's walk the tightrope together this year and support each other along the way.
Search
We've found 33 results
Introduction
From their inception, IPS have provided acute post-surgical pain management to promote a balance of symptomatic relief and early restoration of function to improve patient experience and surgical outcomes. An ongoing and important role of the IPS is the consistent training and education of staff and students across the wider hospital trust. Other responsibilities continue to expand into...
Introduction
‘Emergency’ within this chapter applies to anaesthesia that is given in immediate (within minutes of a decision to operate) or urgent (within hours of a decision to operate) procedures as classified by the National Confidential Enquiry into Patient Outcome and Death (NCEPOD).
The provision of emergency anaesthesia differs from elective anaesthesia in that it is required 24/7. The demands...
Introduction
Head and neck surgery includes a wide spectrum of surgical interventions, ranging from short daycase procedures to long and complex operations.1 The requirements for providing anaesthesia services for routine head and neck surgery, such as tonsillectomy, will be different to those required to provide anaesthesia for major or complex surgery. There should be recognition that routine head and...
Introduction
It is nearly two decades since it was widely reported that the outcome from abdominal aortic aneurysm (AAA) surgery was significantly worse in the UK than in comparable countries.1 The 2005 NCEPOD report Abdominal Aortic Aneurysm: A service in need of surgery2 subsequently led to a national Abdominal Aortic Aneurysm Quality Improvement Programme (AAAQIP) being introduced...
Introduction
Regional anaesthesia (RA) is an important component of anaesthetic practice. It includes neuraxial and peripheral nerve block techniques which may be used for either perioperative anaesthesia or analgesia, as well as other non-surgical indications such as chronic pain and traumatic rib fractures. The practice of RA has changed significantly, particularly over the past three decades.1 The introduction of...
The issue led by anaesthetists in training for those in training and trainers. The feeling we're left with reading this issue is one of commitment to change responding to the challenges within our specialty, whether long standing or emergent. Please enjoy the issue.
We welcome you to this issue and hope you'll find it uplifting and re-energising during these uniquely difficult times.
This issue, as is traditional for autumn, focuses on research and innovation. We highlight several forward-thinking initiatives from equitable recruitment to sustainable healthcare.
Introduction
Day surgery is the planned admission of a surgical patient for a procedure where the patient is admitted, undergoes surgery and is discharged on the same calendar day.1 If the patient remains in a hospital bed overnight on the day of their surgery they are classed as having undergone inpatient surgery. The term ‘23-hour stay’ surgery is short-stay...