The College is pleased to announce that the public consultation is open for the following chapters which have undergone a full review.
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Mrs Shivalkar was a 78-year-old patient with debilitating co-morbidities scheduled for elective revision hip surgery at a stand-alone surgical unit without Level 2 or 3 care facilities. The surgical procedure was prolonged, and intraoperatively there was prolonged significant hypotension. In recovery this hypotension continued, but despite this the patient was discharged to the ward, where she sustained cardiac arrest.
Mrs Shivalkar was a 78-year-old patient with debilitating co-morbidities scheduled for elective revision hip surgery at a stand-alone surgical unit without Level 2 or 3 care facilities.
The surgical procedure was prolonged, and intraoperatively there was prolonged significant hypotension. In recovery this hypotension continued, but despite this the patient was discharged to the ward, where she sustained cardiac arrest.
After delayed transfer to a facility with critical care, she was found to be in multiple organ failure with a profound metabolic acidosis, leading to a further cardiac arrest from which, tragically, she died.
The coroner, finding concerns regarding preoperative risk assessment and poor communication between the surgical team and anaesthetist, issued a Report to Prevent Future Deaths to the RCoA and the Royal College of Surgeons for action.
After the loss of 100,000 patients to Covid-19, the College and FICM look at how we can re-build the NHS.
Academy CEO Alastair Henderson provides insights into the background and practical purpose of their recent statement on 'Preparing for COVID-19 surges and winter', especially for anaesthetists and intensivists.
Listing summary
Dr Andrew Gerard Doughty, Lives of the Fellows
Listing summary
Guidance for completing Confirmation of Stage 1 Equivalence and gaining the Certificate.
The College has written to the Clinical Leaders in Anaesthesia Network (CLAN) to request a pause in recruitment of new, student AAs and in the development of enhanced roles for AAs.
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Biography of Dr Geoffrey Kaye
After a delay due to Covid, we are pleased to say we are in the final stages of NAP7. The baseline and activity surveys are complete and being prepared for publication. The NAP7 panel is working hard to digest all possible learning from the case registry. Here we provide a brief update, with the full report coming in late 2023. We are hugely appreciative of the contribution of all anaesthetists.
Authors:
- Dr Andrew Kane, NAP7 Fellow, ST7 in anaesthesia, South Tees NHS Trust
- Professor Tim Cook, RCoA Director of the National Audit Projects, Consultant in Anaesthetics and Intensive Care Medicine, Royal United Hospitals, Bath
- Dr Jas Soar, NAP7 Clinical Lead, Consultant in Anaesthetics and Intensive Care Medicine, Southmead Hospital, Bristol
After a delay due to Covid, we are pleased to say we are in the final stages of NAP7. The baseline and activity surveys are complete and being prepared for publication. The NAP7 panel is working hard to digest all possible learning from the case registry. Here we provide a brief update, with the full report coming in late 2023. We are hugely appreciative of the contribution of all anaesthetists.
The largest NAP yet
Perioperative cardiac arrest has seen the most cases reported of any NAP. The large number of cases reported is an indication of the ability of UK anaesthesia to successfully come together and focus on an important patient-focused issue, and also shows the incidence of perioperative cardiac arrest is greater than events forming the focus of previous NAPs.
This anonymous author gives their perspective on working with neurodiversity and the importance of building knowledge and raising awareness about neurodiversity in anaesthesia.
In a recent correspondence, I wrote: ‘So many ideas flying around in my head (ADHD). I need to pin them down, put them in order (ASD), and get started (ADHD inertia). I’m over the “I’m broken” phase and now feel that my mission before I finally retire is to help others realise they’re not broken either’.
Why? A Bulletin article entitled ‘Equality, diversity and inclusion (EDI): what it means to the College’1 with no mention of neurodiversity! The College wants to ‘develop a dataset of the profile and diversity of their membership and workforce’, but without neurodiversity questions I feel excluded!
One in a hundred young people have an autism spectrum disorder (ASD); 10 per cent of these may become high-functioning adults.2 Between three and six per cent of children have attention deficit hyperactive disorder (ADHD), and for one in seven of these ADHD will continue into adulthood.3 Also, adults with ASD are more likely to have ADHD!2 Everyone has individual attributes and characteristics. Experience of autism is also unique; this is the power of neurodiversity. Some professions, for example aerospace, screen positively for autistic traits4 – methodical, attention to detail, ability to hyperfocus, pattern recognition, visual memory, and novel approaches to problem solving.