Royal College of Anaesthetists Research This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

The emerging specialty of perioperative medicine: a UK survey of the attitudes and behaviours of anaesthetists
ConclusionsDespite evidence of emerging services, this survey describes barriers to ongoing development of perioperative medicine. Facilitators may include increased clinical exposure, targeted education and training and collaborative working with other specialties. (Source: Perioperative Medicine)
Source: Perioperative Medicine - January 20, 2020 Category: Surgery Source Type: research

Interprofessional simulation training in difficult airway management: a narrative review.
Abstract The aim of this narrative literature review was to explore the impact of interprofessional simulation-based team training on difficult airway management. The Fourth National Audit Project of The Royal College of Anaesthetists and The Difficult Airway Society identified recurrent deficits in practice that included delayed recognition of critical events, inadequate provision of appropriately trained staff and poor collaboration and communication strategies between teams. Computerised databases were assessed to enable data collection, and a narrative literature review and synthesis of eight quantitat...
Source: British Journal of Nursing - January 8, 2020 Category: Nursing Authors: Coyle M, Martin D, McCutcheon K Tags: Br J Nurs Source Type: research

Advanced airway training in the UK: A national survey of senior anesthetic trainees
Conclusions: This national survey identified numerous deficiencies in airway competencies and training amongst senior anesthetic trainees (residents) in the UK. Restructuring of the airway training program and improvements in access to training facilities are essential to ensure effective airway training and the capability to produce future airway specialists. (Source: Journal of Anaesthesiology Clinical Pharmacology)
Source: Journal of Anaesthesiology Clinical Pharmacology - September 2, 2019 Category: Anesthesiology Authors: Adam J Boulton Sunita R Balla Aleksandra Nowicka Thomas M Loka Cyprian Mendonca Source Type: research

Complications of regional anaesthesia
Publication date: Available online 14 March 2019Source: Anaesthesia & Intensive Care MedicineAuthor(s): Alasdair Taylor, Calum R.K. GrantAbstractComplications of regional anaesthesia can be divided into those specific to central neuraxial blockade, those specific to peripheral nerve blockade, and those that pertain to both. Fortunately, severe complications, namely spinal cord damage, vertebral cord haematoma and epidural abscess are rare. Here we have given an overview of these complications, with reference to incidences available following the 3rd National Audit Project of the Royal College of Anaesthetists. A thorough k...
Source: Anaesthesia and intensive care medicine - March 14, 2019 Category: Anesthesiology Source Type: research

Quick Draw Anatomy for Anaesthetists.
This is not your everyday scientific textbook, so this won ’t be your everyday book review. Joanna Oram Fox, M.B.B.Ch., F.R.C.A. (Fellow of the Royal College of Anaesthetists), is a Specialist Trainee in Anaesthesia at University Hospital of Wales in Cardiff, Wales. Dr. Fox graduated from Cardiff University in 2007, worked for 4 yr as a general doctor, be gan anesthetic training in 2011, and will complete her training in 2018. This book grew out of her own use of anatomic drawings to help memorize and then teach difficult anatomic concepts. She says, “drawing simplified diagrams helped us to label any anatomy image sho...
Source: Anesthesiology - September 18, 2018 Category: Anesthesiology Source Type: research

Specialist perioperative allergy clinic services in the UK 2018: Results from the Royal College of Anaesthetists Sixth National Audit Project (NAP6) investigation of perioperative anaphylaxis
Clinical&Experimental Allergy, EarlyView. (Source: Clinical and Experimental Allergy)
Source: Clinical and Experimental Allergy - June 20, 2018 Category: Allergy & Immunology Authors: W. Egner , T. M. Cook , T. Garcez , S. Marinho , H. Kemp , D. N. Lucas , K. Floss , S. Farooque , H. Torevell , M. Thomas , K. Ferguson , S. Nasser , S. Karanam , K. ‐L. Kong , N. McGuire , M. Bellamy , A. Warner , J. Source Type: research

British (English) School, The Industrial Doctor c. 1956
This 63 × 55 cm monochrome oil painting ofThe Industrial Doctor was presented to the Faculty of Occupational Medicine in 1997 by board member Dr Eric Teasdale on behalf of Zeneca. A similar paintingAnaesthetising was presented to the Royal College of Anaesthetists [1]. The works are presumed to have been painted around 1956 when Imperial Chemical Industries (ICI) invention Fluothane ® (halothane) was first used on a human patient [2]. (Source: Occupational Medicine)
Source: Occupational Medicine - May 23, 2018 Category: Respiratory Medicine Source Type: research

Core point-of-care ultrasound curriculum: What does every anesthesiologist need to know?
AbstractPoint-of-care ultrasound (POCUS) is becoming an integral part of anesthesia practice throughout the world. Despite the growing interest in POCUS among trainees and faculty, POCUS training is variable among universities across Canada. This suggests a need for curriculum development and standardization. International guidelines for Emergency Medicine and Critical Care have common frameworks and may be used as a reference to model anesthesia-specific curricula. The Royal College of Anaesthetists of the United Kingdom currently offers the only nationally approved POCUS curriculum for anesthesia and critical care traine...
Source: Canadian Journal of Anesthesia - March 13, 2018 Category: Anesthesiology Source Type: research

A National Survey of Neurological Monitoring Practice After Obstetric Regional Anaesthesia in the UK
(Anaesthesia. 2017;72:755–759) Neuraxial anaesthesia is widely used for both labor analgesia and cesarean delivery in the United Kingdom. The risk of neurological complications with these procedures is very low in the obstetric population. However, when they do occur, early detection and management are especially important as their consequences could be critical to the patient. The Third National Audit Project of the Royal College of Anaesthetists recommended that local guidelines be put in place that provide recommendations for patient monitoring to identify early signs and symptoms as well as a process for involving a...
Source: Obstetric Anesthesia Digest - March 1, 2018 Category: Anesthesiology Tags: Epidemiologic Reports Surveys Source Type: research

Core point-of-care ultrasound curriculum: What does every anesthesiologist need to know?
Abstract Point-of-care ultrasound (POCUS) is becoming an integral part of anesthesia practice throughout the world. Despite the growing interest in POCUS among trainees and faculty, POCUS training is variable among universities across Canada. This suggests a need for curriculum development and standardization. International guidelines for Emergency Medicine and Critical Care have common frameworks and may be used as a reference to model anesthesia-specific curricula. The Royal College of Anaesthetists of the United Kingdom currently offers the only nationally approved POCUS curriculum for anesthesia and cr...
Source: Canadian Journal of Anaesthesia - January 16, 2018 Category: Anesthesiology Authors: Meineri M, Bryson GL, Arellano R, Skubas N Tags: Can J Anaesth Source Type: research

Accidental awareness during general anaesthesia – a narrative review
Summary Unintended accidental awareness during general anaesthesia represents failure of successful anaesthesia, and so has been the subject of numerous studies during the past decades. As return to consciousness is both difficult to describe and identify, the reported incidence rates vary widely. Similarly, a wide range of techniques have been employed to identify cases of accidental awareness. Studies which have used the isolated forearm technique to identify responsiveness to command during intended anaesthesia have shown remarkably high incidences of awareness. For example, the ConsCIOUS‐1 study showed an incidence o...
Source: Anaesthesia - December 5, 2017 Category: Anesthesiology Authors: S. R. Tasbihgou, M. F. Vogels, A. R. Absalom Tags: Review Article Source Type: research

In the December issue …
The final issue of 2017 is accompanied by a special bonus issue freely available on line: the Royal College of Anaesthetists 25th Anniversary Special Issue (see editorial by Hemmings& Hunter, pages 1073--4). This collection of narrative reviews and special articles is based on presentations from the “Landmarks in UK Anaesthesia” meeting held in London in March 2017. (Source: British Journal of Anaesthesia)
Source: British Journal of Anaesthesia - November 16, 2017 Category: Anesthesiology Source Type: research

Landmarks in UK anaesthesia
The celebrations in 2017 marking the award of a Royal Charter to the College of Anaesthetists 25 yr ago have been wide ranging and highly successful. They have acknowledged the significant contributions that the Royal College of Anaesthetists (RCoA) has since made to postgraduate education and training, to healthcare quality and patient safety, and to acute medical care both in hospital and beyond. Meetings have been held around the UK to demonstrate the commitment and accomplishments of the RCoA to all its fellows. A major part of the celebrations was the RCoA Anniversary Meeting organized under the leadership of Dr Ra...
Source: British Journal of Anaesthesia - November 16, 2017 Category: Anesthesiology Source Type: research

Low end-tidal carbon dioxide as a marker of severe anaesthetic anaphylaxis: the missing piece of the puzzle?
Perioperative anaphylaxis has assumed increased prominence in recent times with the Royal College of Anaesthetists of Great Britain and Ireland focusing on this topic for the 6th National Audit Project “NAP6”.1 The reporting period for cases has recently closed and as a result analysis from this audit will provide large amounts of data that will help our understanding of the incidence, causes and sequelae of anaphylaxis in 2017. (Source: British Journal of Anaesthesia)
Source: British Journal of Anaesthesia - October 20, 2017 Category: Anesthesiology Source Type: research

Evolving Perioperative Care Team Collaboration
THE IMPROVEMENT IN SURGICAL SAFETY and perioperative care outcomes are hot topics in the United States and around the world. Approximately 20 years ago, European colleagues proactively implemented and began researching and demonstrating the positive impact of enhanced recovery after surgery (ERAS) protocols on patient outcomes and rel ated health care expenditures.1 Around 2005, the Royal College of Anaesthetists and British National Health System made a commitment to organizing and implementing a perioperative medicine pathway designed to improve surgical care delivery. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - September 20, 2017 Category: Nursing Authors: Joni M. Brady Tags: Global Connections Source Type: research