The concept of ‘complexity’ is synonymous with healthcare systems and is becoming increasingly prevalent in perioperative care. Advancing surgical technologies and approaches are driving the complexity of operations.
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Dr John Francis Nunn died after an acute episode of respiratory failure. He had spent the last four years of his life in residential care due to progressive vascular dementia.
Mrs Shivalkar was a 78-year-old patient with debilitating co-morbidities scheduled for elective revision hip surgery at a stand-alone surgical unit without Level 2 or 3 care facilities. The surgical procedure was prolonged, and intraoperatively there was prolonged significant hypotension. In recovery this hypotension continued, but despite this the patient was discharged to the ward, where she sustained cardiac arrest.
‘May you live in interesting times’ has a heavy degree of irony at present. However, It is my honour to write my first piece as fifth dean of the Faculty and following our historic public statement, made in conjunction with the RCoA, of plans to start work to develop a UK College of Intensive Care Medicine.
This article looks at how the ‘DrEaMing’ care bundle supports patients to Drink, Eat and Mobilise within 24 hours of major surgery and is associated with decreased length of stay for patients and a lower rate of late postoperative complications.
Dr Charlotte Redshaw discusses her personal experience of juggling a busy job with being a mum of four and shows us all it's more than possible.
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.
We're keen for SAS doctors to get the recognition and support they deserve, so in this article, we share the stories of two of our SAS members and spotlight their impressive achievements.
As NELA enters its second decade, it's important to look at persisting challenges as well as successes, and consider where improvement efforts should now be concentrated. This article highlights three areas of emphasis from Year 10 (2023) of the audit.
The following new appointments were approved, and with sadness we record the deaths of some of our fellows.