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Showing results for tags 'Anaesthesia'.
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Content Article
Latest issue of the Operating Theatre Journal
Patient Safety Learning posted an article in Surgery
November issue New research calls for all health and care staff to be trained in AI Reducing noise in operating theatre improves children’s behaviour after surgery, study finds Brain tumour patient operated on awake while playing saxophone No difference between spinal versus general anaesthesia in patients having hip fracture surgery finds study October issue Why are intra-operative surgical Never Events still occurring in NHS operating theatres? Radical rethink needed to improve safety in health and social care. World Anaesthesia Day 2022: H -
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Content ArticleThe study found that duration of surgery and epidural drug used were both significant risk factors of breakthrough pain during CS in this audit. A pro-active policy is required in order to prevent breakthrough pain or discomfort during CS. Early identification of problematic epidural catheters for labour analgesia, adequate level of anaesthetic block before surgery, and administration of a prophylactic epidural top-up if duration of surgery is prolonged as opposed to the choice of local anaesthetic used, could be essential in the prevention. Further high-quality studies are needed to evaluate
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Content Article7 November 2022 Dear Minister WOMEN’S ENDOSCOPY - HYSTEROSCOPY We are writing in support of the patient-led Hysteroscopy Action – also known as the Campaign Against Painful Hysteroscopy - to ask you to urgently commission more day-surgery theatre space and set up safely monitored IV sedation with analgesia for women’s endoscopy (hysteroscopy). Our call comes following research by the Royal College of Obstetricians and Gynaecologists showing 1 in 3 women having outpatient hysteroscopy experience severe pain. Lack of NHS day-surgery theatre space & sedation service
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Gaining the skills to ASCEND: Leadership & anaesthetic emergencies
Patient Safety Learning posted a calendar event in Community Calendar
untilThis ASCEND (acquiring skills, career exploration, networking and development) webinar aims to help students and newly qualified practitioners to develop the practical and personal skills needed to succeed during the early years of their perioperative career. It will focus on two main skills - leadership and the management of anaesthetic emergencies. Leadership is often mistaken for something that only comes with vast experience in a particular discipline. We will be re-examining ‘what is leadership?’ and introducing some leadership opportunities available early in your perioperative care -
Content ArticleSafety-II is rapidly capturing the attention of the improvement world. However, there is very little guidance on how to apply it in practice. THIS Institute at the University of Cambridge have funded a study to explore how Safety-II (or Resilient Health Care) is being translated into healthcare policy and practice. Ruth is looking for people to take part in a one-off interview. She wants to speak to people who: work within the NHS to improve patient safety (whatever your role!) have or are applying Safety-II principles to improve safety in either maternity, A&E, ICU or a
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Safe Anaesthesia Liaison Group Patient Safety Conference
Patient Safety Learning posted a calendar event in Community Calendar
untilThe Safe Anaesthesia Liaison Group Patient Safety Conference will be held in collaboration with RA-UK. The first session will include engaging lectures around the current work of SALG, and the second session will focus on topical issues in relation to regional anaesthesia safety. There will be a prize session for accepted abstracts, with a poster section and oral presentations. This online conference is being organised by SALG co-chairs, Dr Peter Young from the Association of Anaesthetists, Dr Felicity Platt, Royal College of Anaesthetists and Nat Haslam, Regional Anaesthesia UK The -
Content ArticleRelated reading Climate change: why it needs to be on every Trust's agenda - blog by Angela Hayes, Clinical Lead Sustainability at the Christie Foundation Trust
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News Article
Family welcomes new guidance to prevent breathing tube deaths
Patient Safety Learning posted a news article in News
A grieving family has welcomed new guidance to try to prevent a common surgical procedure from going wrong and causing deaths. Oesophageal intubation occurs when a breathing tube is placed into the oesophagus, the tube leading to the stomach, instead of the trachea, the tube leading to the windpipe. It can lead to brain damage or death if not spotted promptly. Glenda Logsdail died at Milton Keynes University Hospital in 2020 after a breathing tube was accidentally inserted into her oesophagus. The 60-year-old radiographer was being prepared for an appendicitis operation when the -
Content ArticleKey recommendations Exhaled carbon dioxide monitoring and pulse oximetry should be available and used for all episodes of airway management. Routine use of a videolaryngoscope is recommended whenever feasible. At each attempt at laryngoscopy, the airway operator is encouraged to verbalise the view obtained. The airway operator and assistant should each verbalise whether ‘sustained exhaled carbon dioxide’ and adequate oxygen saturation are present. Inability to detect sustained exhaled carbon dioxide requires oesophageal intubation to be actively excluded. T
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Content ArticlePain affects all of us on occasion, but thankfully can be controlled or abates over a short period of time. For some, pain is ongoing to the degree of becoming persistent and for many is it significant. An estimated 14 million people in the UK live with chronic pain. Pain therefore is a frequently presenting complaint across a wide range of health care settings. It presents to primary and community care and specialist (secondary) and specialised (tertiary). For most, their pain is treated, managed or resolved within the primary care and community setting. The pain management of those for
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Staff shortages leaving women in ‘barbaric’ pain
Patient Safety Learning posted a news article in News
Patient safety campaigners have said ‘too many women’ are still not being offered a general anaesthetic for a diagnostic test because of staff shortages, leaving them in severe pain. A survey by the Campaign Against Painful Hysteroscopies found around 240 women – which equates to 80 per cent of respondents – who had a hysteroscopy since the start of 2021 said they were not told they could have a general anaesthetic prior to the procedure. This suggests the situation has only improved marginally since 2019, when the campaign group first started collecting data. A spokeswoman from the- Posted
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News ArticleWomen undergoing NHS operations are not being routinely informed that a drug commonly used in anaesthesia may make their contraception less effective, putting them at risk of an unplanned pregnancy, doctors have warned. Administered at the end of surgery before patients wake up, sugammadex reverses the action of drugs that are given earlier in the procedure to relax the patient’s muscles. The drug is known to interact with the hormone progesterone and may reduce the effectiveness of hormonal contraceptives, including the progesterone-only pill, combined pill, vaginal rings, implants and i
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Capnography: No Trace = Wrong Place
Patient Safety Learning posted an article in Patient management
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Perioperative approach of allergic patients
Patient-Safety-Learning posted an article in Allergies
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British Dental Association: Conscious sedation (November 2011)
Patient Safety Learning posted an article in Dentist
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Content ArticleRecommendations Informed consent for anaesthesia for caesarean section requires an explanation of neuraxial techniques and general anaesthesia. For neuraxial techniques, discuss the planned level of block and how it will be tested, the sensations that should be expected with an effective block, the possibility of pain and the potential ways of treating it, including general anaesthesia. For non-elective caesarean section, the discussion should include any potential fetal risks arising from the time taken to deliver the possible modes of anaesthesia. Use a recognised te
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Content ArticleIn this report, the Coroner states their concerns as follows: No formal risk assessment tool was adopted to assess preoperative risk prior to Mrs Shivalkar's total hip replacement revision surgery. Despite policy changes at Barts Heath NHS Trust since 2018, there remains no requirement to utilise such a tool. Poor communication between the orthopaedic surgical team and the anaesthetist during surgery led to a collective failure to identify a critically ill patient. General and non-specific questions regarding the patient's welfare passed between the two teams but no targeted que
