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Anaesthetists at the Frimley Health NHS Foundation Trust have been awarded the prestigious Anaesthesia Clinical Services Accreditation.
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Obituary - Dr John Stanley Mornington Zorab
Gloucestershire Hospitals NHS Foundation Trust discuss the development of their innovative five-minute flashcards in helping to improve knowledge and teamwork, and ultimately enhance patient safety.
Five years following DART’s inception, Bristol Royal Infirmary’s Difficult Airway Response Team highlight the challenges intrinsic to maintaining the service and how they have attempted to overcome these.
Authors:
- Dr Natalie Constable, ST6 Anaesthetic Registrar, Department of Anaesthesia, UHBW Foundation Trust, Bristol
- Dr Fiona Oglesby, ST6 Anaesthetic Registrar, Department of Anaesthesia, UHBW, Bristol
- Dr George Bainbridge, Anaesthetic Clinical Fellow, Department of Anaesthesia, UHBW, Bristol
- Dr Helen Howes, Consultant Anaesthetist, Department of Anaesthesia, UHBW, Bristol
- Dr Rachel McKendry, Consultant Anaesthetist, Department of Anaesthesia, UHBW, Bristol
The Bristol Royal Infirmary’s Difficult Airway Response Team (DART), developed in 2017, is a successful, innovative, cross-specialty response unit designed to expedite the arrival of clinical expertise and advanced equipment to the patient’s bedside in complex airway emergencies. Five years following DART’s inception, we intend to highlight the challenges intrinsic to maintaining the service and how we have attempted to overcome these.
Read the latest letters submitted by members in Winter's Bulletin. If you'd like to submit a letter to the editor, please email bulletin@rcoa.ac.uk.
Read the latest letters submitted by members in Winter's Bulletin. If you'd like to submit a letter to the editor, please email us.
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.
Author: Dr Dave Murray, Consultant Anaesthetist South Tees NHS Trust; Chair NELA
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.
In the beginning
NELA was commissioned in 2012. One of the key pieces of evidence to support its funding was the paper published by the Emergency Laparotomy Network.1 This observational study of more than 1,800 patients highlighted a 15% mortality rate, but with a nine-fold variation in mortality across the 35 trusts. Consultant presence was 74% for surgeons and anaesthetist presence was 64%. Half the patients were admitted to critical care, and patients returning to the ward had a 6.7% mortality rate.
Dr Wicker and Dr Sanders provide some helpful top tips for anaesthetist wellbeing.
Wellbeing is a fashionable term at present and for some will cause instant eye-rolling. We sympathise with this reaction – the word has a lot of unhelpful connotations including, probably most problematically, that it offers yet another opportunity to fail at something else in your life. You are already overwhelmed by work and home stressors, and now you’re also not getting your wellbeing right and that’s why you’re struggling.
Please know this gentle advice comes from a place of compassion and acknowledgement of the wonderful job you all do. After everything anaesthetists have had to deal with over the last few years, we tip our hats to the courage and resilience of our profession.
Here are some top tips for anaesthetist wellbeing (in no particular order):
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.
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A podcast about the benefits of cold water swimming