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Showing results for tags 'Anaesthetist'.
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Content ArticleA National Patient Safety Alert has been issued on the risk of foreign body aspiration during intubation, advanced airway management or ventilation. Foreign body aspiration can occur if loose items are unintentionally introduced into the airway during intubation, ventilation or advanced airway management. This can lead to partial or complete airway blockage or obstruction, and if the cause is not suspected, can be fatal. The most common types of foreign bodies identified in incident reports were transparent backing plastic from electrocardiogram (ECG) electrodes and plastic caps of unclear origin. The alert asks providers to reduce this risk by purchasing safer alternative equipment without loose and transparent parts. Providers are also asked to develop or amend local protocols to ensure pre-prepared intubation and advanced airway management devices are covered or protected until use; and that the ends of reusable breathing system hoses are closed between patient cases.
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'Stop before you block' poster (Safe Anaesthesia Liaison Group)
Claire Cox posted an article in Resources for staff
This poster produced by the Safe Anaesthesia Liaison Group, is aimed at theatre staff - especially anaesthetists. it is to ensure they have a second checker when it comes to administering an anaesthetic block. -
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COVID-19: voices from the front line
Claire Cox posted an article in Stories from the front line
The COVID-19 pandemic has changed most lives internationally. Households have shifted, balancing financial concerns and anxieties about the health of family and friends with the trials and responsibilities of childcare. During this pandemic it became clear that while many were struggling with the same issues, a series of shared stories could help the wellbeing of frontline NHS staff who might feel isolated and alone. The following voices are not unique to Guy’s and St Thomas’ NHS Foundation Trust, anaesthesia or healthcare in the UK, but they were selected from the department to represent some of many healthcare workers who have taken on new professional roles as well as radically different ways of working and living. -
Content ArticleThe Safe Anaesthesia Liaison Group (SALG)'s quarterly patient safety updates contain important learning from incidents reported to the National Reporting and Learning System (NRLS). The Royal College of Anaesthetists (RCoA) and the Association of Anaesthetists would like to bring these safety updates to the attention of as many anaesthetists and their teams as possible.
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Content ArticleBetween 30 June - 05 July 2020, the College conducted a survey to assess its members' views on the current preparedness to restart planned services.
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Bulletin: Royal College of Anaesthetists (July 2020)
Claire Cox posted an article in Coronavirus (COVID-19)
In this edition of the Royal College of Anaesthetists bulletin, articles include: psychological consequences of COVID-19 a shift in incident reporting sleep and exhaustion. -
Content ArticleBetween 30 June and 5 July 2020, the Royal College of Anaesthetists conducted a survey to assess its members' views on the current preparedness to restart planned services. The results found that doctors are not confident their hospitals would cope with a second COVID-19 surge and that more anaesthetists are suffering mental distress than ever before as morale drops.
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Content ArticleThe COVID‐19 pandemic has led to the manufacturing of novel devices to protect clinicians from the risk of transmission, including the aerosol box for use in intubation. The authors of this paper, published in Anaesthesia, evaluated the impact of two aerosol boxes (an early‐generation box and a latest‐generation box) on intubations in patients with severe COVID‐19 with an in‐situ simulation crossover study.
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Content ArticleThe safe management of a patient’s airway is one of the most challenging and complex tasks undertaken by a health professional - complications can result in devastating outcomes. Develop safe airway management strategies for your patients. This FREE course by University College London Hospital NHS Trust, will provide answers to your key questions and help you develop strategies to improve patient safety in your area of practice, discussing safe airway management in patient groups and multidisciplinary clinical settings. This course has been updated with the latest guidance on airway management in patients with COVID-19 and relevant personal protective equipment.
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Content ArticleThis is the YouTube Channel for the UCSF School of Medicine in the USA. Here you are able to listen and watch webinars on the latest 'grand rounds' on COVID-19. These webinars cover: paediatrics shape of the pandemic, digital innovation epidemiology, science & clinical manifestations of COVID-19 research general updates.
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Content ArticleWorking in collaboration, The Faculty of Intensive Care Medicine, Intensive Care Society, Association of Anaesthetists and Royal College of Anaesthetists have developed this website to provide the UK intensive care and anaesthetic community with information, guidance and resources required to support their understanding of and management of COVID-19. Intensive care practitioners and anaesthetists are integral to the safe and effective care of patients diagnosed with COVID-19, and play a role in informing and reassuring the public about this viral outbreak.
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Content ArticleThe Resuscitation Council UK issued guidance on how to manage a cardiac arrest in the COVID positive patient. Imperial College Hospital in conjunction with the Imperial College School for Medicine have produced this video to accompany the guidance and shows practically what the process is.
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Standard Operating Procedure for ICU/HDU Handover
Claire Cox posted an article in Transfers of care
This Standard Operating Procedure for ICU/HDU handover has been produced by the anaesthetic team at Brighton and Sussex Universoty Hospitals to aid a safe handover of care to the receiving team on the Intensive Care Unit/High Dependency Unit (ICU/HDU). This double sided document is used to prepare the patient for transfer and collate all necessary information ready for the receiving team. It also includes the process and a handy check list. The form can then be placed in the patient notes as documentation of the handover. Also attached is the South East Coast Critical Care Network Critical Care Intrahospital Transfer form. -
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Video: Intubation in the ICU – COVID-19
Claire Cox posted an article in Good practice and useful resources
This video demonstrates how to perform an intubation safely on a patient with coronavirus. -
Content ArticleResilience in the context of anaesthesia and intensive care medicine is the ability to manage the breadth, depth, intensity and chronicity of the demands of the work. The concept of resilience is often misunderstood: it is a dynamic, contextual process that goes beyond the narrow conceptions of individual ‘toughness’ that it can be reduced to. Resilience is important for those working in anaesthesia and intensive care medicine, and indeed staff throughout healthcare, as it is inevitable that difficult cases and situations will be encountered during our working lives. In addition, the way in which we respond to these events is critical to our own welfare and competence at work.
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Content ArticleNovel coronavirus disease (COVID-19) caused by severe acute respiratory syndrome coronavirus-2 threatens healthcare resources throughout the world. This is particularly true for the patients who develop moderate to severe respiratory failure and require oxygen supplementation devices such as high-flow nasal cannula (HFNC). The HFNC uses humidification to allow the delivery of up to 100% oxygen at flow rates of up to 60 Lmin-1 ; however, there is a concern this may aerosolize respiratory tract pathogens. This report states that patient requiring HFNC are at least used in single occupancy rooms or negative pressure airborne isolation rooms. Healthcare workers caring for those using HFNC should be wearing full airborne personal protective equipment (i.e., N95 mask or equivalent, gown, gloves, goggles, hair covers, and face shield or hoods).
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Content ArticleThis video has been produced by the staff at Guy's and St Thomas' Hospital NHS Foundation Trust. It demonstrates how to prone an intensive care patient. If proning a patient with COVID-19, full personal protective equipment (PPE) will be required by all staff.
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Content ArticleIn this short video, anaesthetic staff at Brighton and Sussex University Hospital demonstrates how to put on and take off the power hood safely. These hoods are used by staff who are caring with patients who are either high risk or have tested positive for COVID 19.
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Brighton Anaesthesia FFP3 Donning & Doffing
Claire Cox posted an article in Good practice and useful resources
Brighton and Sussex University Hospitals Trusts Anaesthetic Department has produced this video demonstrating how to 'don' (put on) and 'doff' (take off) PPE pre- and post-intubation of a high risk/infected patient with COVID-19. -
Content ArticleProfessor Tim Cook and Dr Kariem El-Boghdadly discuss in this blog the challenges the coronavirus presents to healthcare services. Central to the care of patients with coronavirus is staff safety. In the early stages, patients will need to be isolated from other patients and, as the epidemic progresses, they will need to be cohorted away from non-infected patients. Staff protection will require a system that includes, but is not restricted to, strict use of personal protective equipment (PPE). Use of PPE, using a buddy system to ensure this is optimised and engaging in low patient contact methods will need to become second nature for all healthcare workers. Anaesthetists and intensivists are highly invested in this topic because airway management, including tracheal intubation, is associated with some of the highest risks of transmission of infection. PPE is likely to be effective, so too are simple methods of decontamination of surfaces, equipment and ourselves with soap and alcohol-based cleaning processes.
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Content ArticleDr Annie Hunningher is a Consultant Anaesthetist and a National Safety Standards for Invasive Procedures (NatSSIPs) lead. In this interview, Annie explains why personal experience led her to feel so passionately about patient safety and shares her thoughts on how to engage frontline staff.
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Content ArticleHelen is a Consultant Anaesthetist at the Oxford University Hospitals NHS Foundation Trust (OUHFT) and a Senior Clinical Research Fellow in the Nuffield Department of Clinical Neurosciences, University of Oxford. Here, Helen highlights the importance of support and training and gives an example of how the OxSTaR team are transforming staff teamworking skills and improving patient safety.
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Content ArticleThe Association for Perioperative Practice (AfPP) is calling for action to be taken after a recent never events report suggests little progress has been made to prevent errors within the perioperative environment.
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Content ArticleThis checklist, recommended by the Association of Anaesthetists, with accompanying guidance is written to ensure the correct functioning of draw-over anaesthetic equipment and is important to patient safety.
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A day in the life of an Operating Department Practitioner
Patient Safety Learning posted an article in Surgery
There are three main aspects of the Operating Department Practitioner (ODP) role; namely, anaesthetics, surgery and post-anaesthetic care. There are some overarching qualities that are necessary for any ODP. These include excellent communication skills including verbal, non-verbal and written. Treating patients with dignity and respect, maintaining confidentiality throughout.
