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.
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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...
Introduction
Trauma remains the most common cause of loss of life in the under 40s age group in the UK, and as such major trauma centres (MTCs) and trauma units (TUs) have been established to receive patients of all ages and to improve outcomes.1 Early anaesthetic involvement is beneficial at all stages, from the prehospital setting, to emergency departments...
Introduction
Infants, children, and young people have different requirements. There are marked developmental changes within the paediatric age range, and neonates, infants, and prepubertal children under the age of 8–12 years have particular anatomical and physiological differences. Doses of drugs and fluids need to be precisely calculated, and anaesthetic equipment for smaller children differs from that used in older children...
Introduction
There are increasing numbers of diagnostic and therapeutic procedures performed outside the main theatre environment, in both elective and emergency situations. These procedures may require anaesthetic involvement through haemodynamic monitoring during the procedure, sedation, regional anaesthesia or general anaesthesia. The challenge for anaesthesia is to develop a framework that supports and regulates the safe delivery of care.
Commercial and...
Introduction
Pregnancy and childbirth remains a risky time for both mother and baby. In recent years, we have seen the maternal mortality rate plateau.7,8,9
However, the confidential review of every maternal death over the past seven decades continues to identify that substandard care, frequently caused by deficiencies in service provision, has led to avoidable...
The start of a new year is often a time to look to the future and the new challenges ahead. Amid this newness, we also take the time to look back, to learn from and reflect on the lessons of our past. We hope you enjoy the first issue of 2025.
Introduction
The range of procedures requiring anaesthesia for burn and plastic surgery is wide and includes patients of all ages. Procedures range from common minor injuries (dog bites, nail bed injuries) to planned congenital cleft lip and palate and hand procedures, and less frequently major burns and free-flap surgeries requiring multidisciplinary perioperative critical care. The recommendations in this chapter should...