Read the latest letters submitted by members in July's Bulletin.
Read the latest letters submitted by members in July's Bulletin.
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In this issue, we’re collaborating with the Association of Paediatric Anaesthetists of GB & Ireland (APAGBI) to focus on paediatric anaesthesia and produce a collection of resources.
In this issue, we’re collaborating with the Association of Paediatric Anaesthetists of GB & Ireland (APAGBI) to focus on paediatric anaesthesia. The APAGBI have selected half a dozen resources from their own and our collection for you to enjoy, whether you’re an anaesthetist in training or an experienced consultant.
This article about the OBS UK trial demonstrates that anaesthetists are well placed to lead maternity research.
Authors:
- Dr Amrit Dhadda, Anaesthetics ST7, Cardiff & Vale University Health Board
- Dr Nathan Riddell, Anaesthetics Fellow, Obstetric Bleeding Study UK (OBS UK)
- Dr Sarah Bell, Co-Chief Investigator, Obstetric Bleeding Study UK (OBS UK)
Bleeding during and after childbirth (postpartum haemorrhage) is the most common complication of childbirth, with around 50,000 women in the UK losing one litre or more of blood per year.
Substantial variations in postpartum haemorrhage (PPH) management exist, with national inquiries highlighting the need for improvements in care. However, we know that effective management requires teamwork between midwives, obstetricians, anaesthetists, healthcare support staff, and haematologists.
The vital role of the anaesthetist as part of a well-functioning maternity multidisciplinary team (MDT) has recently been emphasised, particularly during emergencies such as PPH in which skills in the resuscitation of critically unwell patients are required. We believe this also provides the opportunity for anaesthetists to take more active roles in leading maternity research and quality improvement.
Find out the latest appointments approved, and with sadness we record the deaths of some of our fellows.
Find out the latest appointments approved, and with sadness we record the deaths of some of our fellows.
Duncan McMillan, our Head of Content tells us about the recent Welcome to Anaesthesia, a half-day webinar designed to help new anaesthetists in training settle into their work.
The event featured a number of key College stakeholders, including Council members Giovanna Kossakowska and Matt Tuck representing anaesthetists in training, plus other trainees with their own advice to share, alongside our President Fiona Donald and a host of others.
Intensivists and anaesthetists were vital to the Covid-19 response. We hope our involvement has demonstrated to the Inquiry the vital role our members played.
Read the latest letters submitted by members in summer's Bulletin.
Dear Editor
Drs Passi and Oliver state in their article that ‘in-vivo studies to quantify the reduction in serum progesterone concentration following sugammadex have not been performed…’. They are incorrect in this statement.
Devoy et al performed a prospective observational study comparing changes in serum oestrogen and progesterone in women undergoing surgery. 60 patients on hormonal contraception received sugammadex; 30 patients were not on hormonal contraception and did not receive sugammadex; 32 patients were not on hormonal contraception and did receive sugammadex. Blood samples pre, 15-minutes post, 240 min post sugammadex administration were taken to measure oestrogen and progesterone levels.
The North-West School of Anaesthesia turned social loneliness and low morale into a strength by finding joy in Fest North-West.
Authors:
- Dr Phoebe Hill, ST4 Anaesthetics, Wythenshawe Hospital, Manchester
- Dr Jack Dalziel, SCF Anaesthetics, Preston Hospital, Lancashire
- Dr Stephanie Harrison, ST7 Anaesthetics, Salford Royal Hospital, Manchester
Founded in 2021 (at the height of COVID) and now in its third year, ‘Fest North-West’ was born out of the need for togetherness and team spirit. We’ve all become far too familiar with a common theme of anaesthetists in training struggling with stress and low morale and feeling underappreciated.
Unfortunately, trainee wellbeing is affected by both individual and external factors – social isolation as well as wider cultural issues of feeling underappreciated contribute negatively to trainee wellbeing. Long waiting lists, pay disputes and social media negativity haven’t helped wellbeing for any of us.
This article highlights the work of our Membership Engagement Team and gives some top tips to get the most from your membership.
With such a minimal amount of time in the undergraduate curriculum allocated to anaesthesia, it is crucial that we maximise learning opportunities to inspire and develop future clinicians. Here is how we revolutionised the undergraduate anaesthetic placement at Northwick Park Hospital.
Authors:
- Dr Chima Oti, Consultant Anaesthetist, London North West University Healthcare NHS Trust; Anaesthetic Lead for Undergraduate Medicine
- Dr Kimberley Hodge, Squadron Leader, RAF ST6 Anaesthesia and Intensive Care Medicine, Kimberley.hodge@nhs.net
- Dr Cara Lewis, ST5 Anaesthetics, London North West School of Anaesthesia
- Dr Aynkaran Dharmarajah, Consultant Anaesthetist, London North West University Healthcare NHS Trust
With such a minimal amount of time in the undergraduate curriculum allocated to anaesthesia, it is crucial that we maximise learning opportunities to inspire and develop future clinicians. Here is how we revolutionised the undergraduate anaesthetic placement at Northwick Park Hospital.
Why do medical students spend so little time on clinical placement with anaesthetics? As a foundation doctor one must be knowledgeable about a broad collection of topics; these include practical skills such as phlebotomy and cannulation, acute- pain management, and recognition and treatment of an acutely deteriorating patient. All of these are skills found within an anaesthetist’s armamentarium, placing us in the privileged position of being able to impart our knowledge to the next generation of doctors. As anaesthetics is a postgraduate specialty, our primary opportunity to help develop these skills for our colleagues is during their undergraduate attachment.