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One of the highlights in our calendar and a real celebration for all involved.
The College is proud to provide its SFMC with an opportunity to enjoy, twice a year, scientific, cultural and educational meetings, with updates on College and Club news as well as a guest lecture.
Please join us in Birmingham in November, as we bring together many organising groups to highlight anaesthetic research from the past year.
Differential attainment is a gap in attainment between two groups of people with differing characteristics in one or more areas. This article looks at how and why attainment can be affected in examinations.
Drs Whittingham and Lee tell us why they nominated their College tutor, Dr Minich for a College Honour Award and why they were pleased he received a President's Commendation.
These colleagues are easily recognised and often appreciated but, with the merry-go-round of training and rotational placements, attaining formal acknowledgement of their work can be overlooked.
We recently took steps to nominate our College tutor and were delighted when he received a President’s Commendation from our College.
Several years ago, Dr Minich took over the school-wide final FRCA teaching programme. With his dedication and blindingly structured approach, it quickly became clear that we were fortunate to have an excellent educator in our midst. To say we all benefited from the provision of exam-practice resources and Dr Minich’s efforts coordinating hours of SOE practice feels like an understatement; it simply does not portray the level of help and support Dr Minich provided to the trainee body preparing for the exams.
Jenny Westaway, Chair, PatientsVoices@RCoA discusses Martha's Rule and how brave families campaigning for change can make all the difference.
It’s a sad truth that necessary change sometimes only comes in the aftermath of something going terribly wrong.
When I see a family that has suffered a tragedy calling for change – and it often seems to be a family campaign that makes the difference – I find myself in awe of their courage. Stephen Lawrence’s family working for a more equitable society, Molly Russell’s family calling for greater online safety and support for young people, Natasha Ednan-Laperouse’s family campaigning for better food labelling to protect allergies. I also wish that they’d never had to find themselves in that position.
Dr Liu and Dr Taylor, Junior Clinical Fellows at Guys' and St Thomas' Hospitals discuss the challenges and opportunities of implementing perioperative medicine services for patients living with frailty.
It's also associated with other risk factors for poor outcomes, including multimorbidity, sarcopenia and disability. Despite the prevalence of these conditions, current perioperative pathways are not always tailored to high-risk, older surgical patients, resulting in unacceptable variation in access to and quality of care across the UK.
Comprehensive geriatric assessment (CGA) can be used to assess and optimise frailty, multimorbidity and other age-related syndromes, reducing postoperative morbidity and mortality with proven cost-effectiveness. Implementing CGA-based perioperative services is therefore key in delivering high-quality and cost-effective care of older people undergoing surgery.
In this article, Dr Passi and Dr Oliver seek to highlight the resulting increased potential for contraceptive failure and propose methods to better inform and protect patients.
It has both a favourable side-effect profile compared with traditional anticholinesterases and allows for emergency reversal.
With the expiry of its original patent last year, high cost is no longer a factor prohibiting its use, which will invariably further increase. In this article, we seek to highlight the resulting increased potential for contraceptive failure and propose methods to better inform and protect patients.
The risk of contraceptive failure
Due to its ability to encapsulate progesterone – present in contraceptive pills, vaginal rings, implants and intra-uterine devices – the administration of sugammadex may reduce their biological effect and cause contraceptive failure. This was identified in in-vitro studies, using isothermal microcalorimetry, performed as part of the drug’s development. While in-vivo studies to quantify the reduction in serum progesterone concentration following sugammadex administration have not been performed, these results have shaped current manufacturer guidance.
Dr Thomas Fletcher, Anaesthetic Consultant and Dr Brooke Morgan, ST7 Anaesthetic Registrar at Nottingham University Hospitals tell us how they streamlined the assessment process and facilitated safer surgery.
At Nottingham University Hospitals (NUH), it was felt that for our patients with cardiovascular disease, obtaining a preoperative cardiology assessment and perioperative management strategy was prolonging non-cardiac surgery waiting times.
This was especially compounded by the surgical backlog and increased demand on preoperative services following the COVID-19 pandemic. In order to streamline the assessment process and facilitate safer surgery, a joint cardiology-anaesthesia multidisciplinary team (MDT) meeting was established.
The global problem
It is no surprise that underlying cardiovascular disease can contribute significantly to perioperative morbidity and mortality, with cardiac events being the leading cause of such.1 Almost half of adults aged over 45 years undergoing major non-cardiac surgery have at least two cardiovascular risk factors, and conditions such as coronary heart disease, heart failure and arrhythmias put patients at increased risk of cardio- and cerebrovascular events in the immediate postoperative period.2