Dr Kirstin May marks one month since the introduction of the new SAS contract in England and Wales.
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Dr Sethina Watson gave the address at our Ceremony of Presentation of Diplomates on 8 September 2023. We share Sethina's inspirational words with gratitude.
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.
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.
After delayed transfer to a facility with critical care, she was found to be in multiple organ failure with a profound metabolic acidosis, leading to a further cardiac arrest from which, tragically, she died.
The coroner, finding concerns regarding preoperative risk assessment and poor communication between the surgical team and anaesthetist, issued a Report to Prevent Future Deaths to the RCoA and the Royal College of Surgeons for action.
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Find out more about the quality improvement team and working group.
In the second in our blog series from College Tutor Dr Jenny Parsons, she examines the value of Supervised Learning Events.
Vice President, Dr Fiona Donald, discusses the importance of giving yourself time to rest and recover.
Dr Sarah Hare, Deputy Director, RCoA Centre for Research and Improvement, welcomes us to the newly launched centre and gives us an overview of all its great projects.
Where ophthalmic surgery is performed as a daycase procedure, the facilities should conform to best practice guidance. Day surgery operating theatres should meet the same standards as inpatient operating theatres.23,24,25Room should be availa...
Where ophthalmic surgery is performed as a daycase procedure, the facilities should conform to best practice guidance. Day surgery operating theatres should meet the same standards as inpatient operating theatres.23,24,25Room should be available for patients to be seen in private by the anaesthetist and surgeon on the day of surgery.2 There...
Chapter 15: Guidelines for the Provision of Anaesthesia Services for Vascular Procedures 2025
All departments undertaking major vascular surgical cases should organise regular multidisciplinary audit meetings with vascular surgeons and radiologists. These meetings should occur in addition to departmental clinical governance meetings. Regular audit or evaluation of the following aspects of vascular patient care may include:
- survival of and complications in patients undergoing surgery, including review of unexpected outcomes
- survival in patients treated...
Your newly elected Anaesthetist in Training (AiT) members of the Bulletin’s editorial board introduce themselves and welcome you to the AiT edition of the magazine.
As your new elected anaesthetist in training (AiT) members of the Bulletin’s editorial board, we would like to welcome you to the AiT edition of the Bulletin. We're very excited to be taking over from Dr Susie Thoms and Dr Soumen Sen, and would like to thank them for their excellent work with both the Bulletin and The Gas Newsletter in recent years.
Looking at the current landscape, we wanted to touch on a few issues that we have recently been discussing within the College’s Anaesthetists in Training Representative Group and its Anaesthetists in Training Committee.