Dr Nava and Dr Loh tell us how rewarding and enjoyable they've found their HSRC fellowship in the first 12 months of their tenures.
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The Associate Principal Investigator (API) scheme is a new initiative from the National Institute of Health Research (NIHR) which aims to formalise research involvement for those not normally exposed to research in their day-to-day jobs.
Authors:
- Dr Anna Simpson ST7 Anaesthetics, Bristol Royal Infirmary
- Dr Neil Botting CT3 Anaesthetics, Worthing Hospital
- Dr Joe Hetherington ST6 Geriatric and General Internal Medicine, Guy’s and St Thomas’ NHS Foundation Trust
- Hannah Wilson Consultant Anaesthetist, Bristol Royal Infirmary
- Dr Claire Swarbrick SNAP-3 Fellow Specialty Registrar, Royal Devon and Exeter Hospital
- Dr Jude Partridge Consultant Anaesthetist, Guy’s and St Thomas’ NHS Foundation Trust
- Dr Patrick Thorburn Consultant in Anaesthetics and Intensive Care Medicine, Worthing Hospital
The Associate Principal Investigator (API) scheme is a new initiative from the National Institute of Health Research (NIHR) which aims to formalise research involvement for those not normally exposed to research in their day-to-day jobs.
The aim is to help develop health professionals to become the Principal Investigators (PIs) of the future. It is a six-month, in-work training opportunity providing practical research experience in order to learn what it is like to deliver an NIHR portfolio study at a local level guided by an enthusiastic PI.1 It has endorsement from 16 Medical Royal Colleges, including the Royal College of Anaesthetists, and at present there are 330 studies eligible for the scheme, which can recruit one API per site every six months.
This article is written by TRIPOM and summarises recent important papers and articles on perioperative medicine from across different medical publications.
- Dr Stuart Connal, Specialty Registrar in Anaesthesia, North Central London Deanery
Perioperative Journal Watch is written by TRIPOM (trainees with an interest in perioperative medicine – tripom.org) and is a brief distillation of recent important papers and articles on perioperative medicine from across the spectrum of medical publications.
Dr Richard Knight, retired anaesthetist discusses his personal experience of obstetric anaesthesia and how the practice has progressed over the last 50 years.
Two prefixes separate the same procedure: peridural in French means epidural in English. Physiologically, the French word is the more accurate.
Our first child arrived in 1968, delivered in a London hospital. My wife was nominally under the care of a consultant, but in reality the obstetric senior registrar oversaw her delivery.
She had attended antenatal classes, and was primed to request analgesia when her contractions became distressing. Entonox was a non-starter for her – she had an ether-induction for a childhood tonsillectomy and had retained a terror of an anaesthetic mask being placed on her face ever since.
With more than 4,000 resident anaesthetists in the UK, the potential for research collaboration and networking is huge.
Author: Dr John O’Rourke, Academic Clinical Fellow in Anaesthetics (ACFST3); Vice-Chair (Anaesthesia) for RAFT, York and Scarborough Teaching Hospitals NHS Foundation Trust
With more than 4,000 resident anaesthetists in the UK, many of whom are involved in research through formal training programmes, fellowships, special interest areas (SIAs), or taking on projects alongside clinical work, the potential for collaboration and networking is huge.
The Research and Audit Federation of Anaesthetic Trainees (RAFT) is an umbrella organisation that brings together networks of resident anaesthetists from across the UK who have an interest in research. Supporting and leading collaborative research is at the core of RAFT, and this is no better demonstrated than in our fourth national project, the ‘POPPY’ study, investigating outcomes after day surgery.
This article provides an overview of the positive steps that have taken place since February 2023 to enhance the quality and effectiveness of the RCoA, FICM, and FPM examinations.
Dr Tom Burr, ST4 Anaesthetist and Dr Marie Nixon, Clinical Quality Advisor, Consultant Anaesthetist tell us how flashcard simulation helps tackle unrecognised oesophageal intubation.
The Perioperative Allergy Network describe the importance of collaboration between UK anaesthetists, allergists and immunologists when investigating perioperative allergies.
Authors:
- Dr Linda Nel, Consultant Anaesthetist, Perioperative Allergy Service, Southampton University Hospitals NHS Foundation Trust
Email Dr Nel - Dr Tomaz Garcez, Consultant Immunologist, Manchester University NHS Foundation Trust
- Dr Louise Savic, Consultant Anaesthetist, Leeds Teaching Hospitals NHS Trust
- Dr Lucy Gurr, Anaesthetic Registrar, Leeds Teaching Hospitals NHS Trust
The Perioperative Allergy Network (PAN) was set up under the joint auspices of the British Society of Allergy and Clinical Immunology (BSACI), the British Society for Immunology Clinical Immunology Professional Network (CIPN), and the Association of Anaesthetists. It represents a formal collaboration between UK anaesthetists, allergists and immunologists with an interest in perioperative hypersensitivity and is supported by the Royal Colleges of Anaesthetists, Pathologists and Physicians. It is affiliated with the International Suspected Perioperative Allergic Reactions Group (ISPAR).
Why now, and what need is being met?
This article looks at an innovative approach to improve the understanding and implementation of perioperative opioid stewardship and transform practice.
- Dr Dermot McGuckin, ST7 Anaesthesia & Pain Medicine, University College London Hospitals
Email Dr McGuckin - Dr Fausto Morell-Ducos, Consultant in Anaesthesia & Pain Medicine, University College London Hospitals
- Dr Jamie Smart, Consultant in Anaesthesia & Pain Management, University College London Hospitals
- Dr Brigitta Brandner, Consultant in Anaesthesia & Pain Management, University College London Hospitals
Opioids play an important role in facilitating recovery and return to function after surgery.
However, it is now well-established that surgery is a risk factor for persistent postoperative opioid use,1 and preoperative opioid use is associated with an increased risk of perioperative complications.2
Perioperative opioid stewardship is a practical approach providing a systemic, multi-layered framework aimed at minimising the risks associated with opioid use around the time of surgery, while allowing their safe administration to those patients most likely to benefit from them. It is increasingly regarded as a solution to the problem of prescription opioid-related harm but there is a lack of structured curricula to develop healthcare professionals’ skills in competent opioid management.
Launching in early 2026, NAP8 will focus on complications of regional anaesthesia, peripheral nerve or spinal cord injuries.