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Showing results for tags 'Anaesthetist'.
Found 116 results
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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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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 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 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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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. -
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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Content ArticleThis article in the Anesthesia Patient Safety Foundation newsletter looks at the issues surrounding the contribution of anaesthetic gasses to healthcare pollution and emissions. The authors argue that the next patient safety movement should be sustainable healthcare. They highlight that anaesthetists have the opportunity to lead in the effort to reduce healthcare’s impact on population health, and demonstrate to the wider sector that sustainable healthcare is possible and important to the wellbeing of patients.
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Mandy Anderton is a Clinical Nurse specialising in learning disability and a hub Topic Leader. In this new blog, Mandy explains how they are using shared decision making and reasonable adjustments to implement a new care pathway, where patients with a learning disability needing to undergo a medical investigation can receive deep sedation within their own home. Working with patients, carers, relatives, anaesthetists and others, the aim is to improve access to important medical investigations with minimal distress, where other avenues have been exhausted. -
Content ArticleThe Cappuccini Test is a simple six-question audit designed to pick up issues relating to supervision of anaesthetists in training and non-autonomous SAS grades (NASG) who do not fit the description in Guidelines for the Provision of Anaesthesia Services (GPAS) of 'SAS anaesthetists that local governance arrangements have agreed in advance are able to work in those circumstances without consultant supervision.' The test is named after Frances Cappuccini, who died giving birth to her son at Tunbridge Wells Hospital in 2012. The coroner’s inquest into her death noted that supervision arrangements for anaesthetists at the trust were ‘undefined and inadequate’. The test was developed for hospitals to assess the level of supervision given to their SAS and trainee anaesthetists, and to make improvements with the aim of improving the safety of patients.
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Safer Anaesthesia From Education (SAFE)
Patient Safety Learning posted an article in In surgery
Safer Anaesthesia From Education (SAFE) is a joint project developed in 2011 by the Association of Anaesthetists and the WFSA (World Federation of Societies of Anaesthesiologists). The training initiative aims to bring practitioners of obstetric and paediatric anaesthesia (who throughout the world may be physician anaesthesiologists but are largely non-physicians) to a level of practice whereby they can deliver vigilant, competent, and safe anaesthesia. The underlying principle is to equip anaesthetists with the essential knowledge and skills so they can deliver safe care to their patients, even in very low resource settings, and to train as many anaesthesia providers as possible in each country in order to create a sustainable training model which can be embedded in the national health system. -
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 ArticleSurgery is lifesaving or life-enhancing for millions of patients every year. However, the operation is not in itself an isolated ‘event’: it is part of a process which includes preparation and recovery. Ensuring the quality of the entire perioperative pathway is important to achieving the best possible outcome for every patient. This guidance is intended to be used by primary care, surgeons, anaesthetists, perioperative teams and preoperative assessment (POA) services. It applies to all patients who are being considered for surgery, or are on a waiting list for surgery in the non-emergency setting, irrespective of the magnitude of procedure or the type of anaesthesia contemplated. Its recommendations will support the care of individual patients, the recovery of elective services, and achieving key goals of the NHS Long Term Plan including reducing health inequalities and preventing serious health deterioration.
