Dr Helen Saunders, Consultant Anaesthetist takes a look at the role of heavy drinking in the medical world.
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The National Emergency Laparotomy Audit (NELA) is 10 years old this year, so this is a timely point to review progress, highlight achievements, and look at the persisting challenges ahead.
If you would like to submit a letter to the editor please email bulletin@rcoa.ac.uk. "Dear Editor...National supply issues of LOR syringes has reignited an historical discussion over epidural technique and highlighted a North-South divide for UK anaesthetic trainees. RCoA News Bulletin, 25/05/2022: 'Temporary disruption to supply of Smiths Medical Epidural and Combined Epidural/Spinal products containing the Portex® Loss of Resistance (LoR) syringe'."
The group updates us on their work to strengthen the Quality Network (QN), plan projects and events to promote QI development, and engage members.
Beano superfan, Edward Shepherd, (aged 11) tells us all about his online survey: ‘Helping children prepare for surgery and anaesthesia’.
I am a huge fan of the Beano and sent feedback to the Royal College of Anaesthetists about a special collaborative edition I had read, Dennis has an anaesthetic. My Granny was in hospital at the time, and I was worried about her. She had broken her ankle. I read the Beano comic to help me understand and feel better about her being unwell and having an operation.
Children’s anxiety related to hospital admissions and procedures is a huge problem and affects up to 80% of children. 75% experience anxiety in the anaesthetic room, and 60% develop ‘new’ dysfunctional behaviour in the three weeks after surgery. Sadly, 12% still display this new behaviour one year after surgery. In the US, surveys show that 25% of children are held down for a general anaesthetic.
Dennis has an anaesthetic teaches children about:
- finding out about the operation
- getting ready for the operation
- having the anaesthetic and operation
- waking up and going home.
Dr Andrew Sharman shows us that rotational training doesn’t come without challenges and tells us what the Faculty is doing to overcome them.
Dr Andrew Sharman shows us that rotational training, while offering a broad range of training opportunities, doesn’t come without its challenges and tells us what the Faculty is doing to overcome them.
Another year goes by, and again I am humbled by the resilience and resolve of our resident doctors.
Last year, responses to our intensivists in training (IiT) survey were overall very positive for ICM training, with resident doctors appreciating their trainers. Also, our regional advisors survey demonstrated how much excellent work is ongoing across the country. Exam and regional teaching courses, mentoring programmes, and the offering of a variety of Special Skill Years (SSYs) are just some examples of an ever-growing list of successes.
‘Her death was wholly avoidable and was contributed to in major part by neglect.’ This was the conclusion of the coroner examining the death of Mrs Glenda Logsdail following her death from hypoxic-ischaemic encephalopathy after an unrecognised oesophageal intubation.
It's 2024! We spoke to several of our members to find out their hopes and aspirations for the new year.
Dr Fiona Donald, President of the Royal College of Anaesthetists tells us our future is bright but that we need to play our part by supporting our anaesthetists in training.
Anaesthetists in training, whatever route they are taking, are the future of our specialty. This is a guiding principle of the College and it cuts across all aspects of our work.
I have always been incredibly impressed by the professionalism, compassion, skill and knowledge of the anaesthetists in training I work with and, as a prospective service user, I can see that the future is bright but that we need to play our part by supporting you to realise that promise.
I hear many positive things from anaesthetists in training, ranging from what you love about the job, to your well-deserved pride in your achievements and your commitment to supporting your patients and colleagues. But I also hear the negative aspects. I hear you when you tell me about training interrupted by the pandemic and the unaddressed trauma from that time. Or how your life and career have been impacted by frequent rotations, exam pressures or difficulty securing a higher training place.
In this second article from his design series, Dr Greig explores how to use colour. Whether you're producing a report or even revising your anaesthetic charts, colour matters.
Whether you are producing a report, a poster, or even revising your hospital’s anaesthetic charts, colour choice is important.
Choosing colours
A colour wheel is a simple tool to help choose colours and shades (Figure 1). Analogous colours are adjacent to one another, and generally combine well. Likewise, complementary colours (those opposite one another) work. Triadic schemes are based on three equally spaced colours, while quadratic schemes use four. Colour combinations found in nature are also considered pleasing.