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      • Preparing for surgery
      • Preparing your mind before surgery
      • Leaflets and video resources
      • For children, parents and carers
      • Anaesthesia and risk
      • Accessible resources and translations
      • Leave your feedback on our patient resources
    • Patient and Public Involvement
      Patient and Public Involvement
      • Our commitment to PPI
      • The Patient Information Group
      • PatientsVoices@RCoA
      • The PatientsVoices@RCoA Award 2025
      • PatientsVoices@RCoA Strategy
      • PatientsVoices@RCoA commitment on equality, diversity and inclusion
    • About anaesthesia
      About anaesthesia
      • FAQs about anaesthesia
      • Anaesthesia explained
      • Shared decision making
      • The anaesthesia team
      • A to Z of medical terms
      • Anaesthesia & the environment
  • Training & careers
    Training & careers
    • Considering a career in anaesthesia
      Considering a career in anaesthesia
      • What do anaesthetists do?
      • The stages of training
      • Medical school anaesthesia societies
      • Career resources
    • Training Hub
      Training Hub
      • Recruitment into anaesthesia
      • Stage 1
      • Stage 2
      • Stage 3
      • Supporting resources
      • Legacy curricula
      • Flexibility in training
      • Supervising and assessing
      • Portfolio Pathway
      • External Adviser for ARCP
    • Working in anaesthesia
      Working in anaesthesia
      • Industrial action advice and FAQs
      • AACs and JD approvals
      • BJA Education online
      • Anaesthesia Associates
      • Revalidation
      • SAS and Specialty Doctors
      • Workforce planning
      • Simulation
    • Lifelong Learning
      Lifelong Learning
      • Account request form
      • CPD accreditation of courses and events
      • Change of School form
      • Curriculum change form
      • Contact the Lifelong Learning team
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      • System updates and improvements
      • Help and support
      • Change Request Form
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    • Primary FRCA examination
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      • Examination Syllabus Stage 1
      • Primary FRCA MCQ examination
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      • Final FRCA pass rates
      • Reports
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      • Videos
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  • Research
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    • Research bodies
      Research bodies
      • National Institute of Academic Anaesthesia
      • Centre for Research and Improvement
      • Perioperative Medicine Clinical Trials Network
      • Trainee Research Networks
      • NIHR Clinical Research Networks
    • Research projects
      Research projects
      • National Audit Projects (NAPs)
      • National Emergency Laparotomy Audit (NELA)
      • eFONAr: Emergency Front of Neck Airway Registry
      • Perioperative Quality Improvement Programme (PQIP)
      • Sprint National Anaesthesia Projects (SNAPs)
      • Children's Acute Surgical Abdomen Programme (CASAP)
      • Timeliness to Emergency Laparotomy
    • Get involved in Research
      Get involved in Research
      • Research grants and awards
      • Research priorities
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      • CR&I Fellowships
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      Anaesthesia Clinical Services Accreditation
      • ACSA Online Portal
      • The ACSA standards
      • The ACSA process
      • Who is accredited?
      • ACSA resources and information
    • Guidance and resources
      Guidance and resources
      • Guidelines for the Provision of Anaesthetic Services
      • Coronavirus COVID-19
      • Consultation and Endorsement
    • Patient safety
      Patient safety
      • Cappuccini Test
      • Flash card team training
      • Patient safety strategy
      • Safe Anaesthesia Liaison Group
      • Unrecognised oesophageal intubation
    • Professional support
      Professional support
      • Clinical Leaders
      • Invited Reviews
      • Networks
      • Prehabilitation
    • Quality Improvement
      Quality Improvement
      • The Quality Improvement Working Group and Vacancies
      • Quality Improvement Strategy
      • Raising the standards: QI Compendium
      • Quality Network
      • Career Development Programme and QI Training Resources
      • Quality Improvement Case Studies
      • Quality Network Projects
      • Quality Improvement Newsletter
      • QI and BJA Open
  • About us
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      Governance
      • Board of Trustees
      • Charter, Ordinances and Regulations
      • College Calendar
      • Council
      • Elections and Appointments
      • Executive Team
      • Boards and Committees
      • Devolved Nations Boards
      • Annual Report and Accounts
    • Strategy and vision
      Strategy and vision
      • Environment and sustainability
      • Trustees’ Fiduciary and Environmental, Social & Governance Investment Statement
      • Equality, Diversity and Inclusion
      • Perioperative care
      • A new home for the College
    • Global Partnerships
      Global Partnerships
      • Global Partnerships Strategy
      • Our global projects
      • Overseas doctors training in the UK
      • Working in Low and Middle Income Countries
      • International Academy of Colleges of Anaesthesiologists
      • Global Fellowship Scheme
    • Venue hire
      Venue hire
      • Our rooms
      • Capacity and prices
      • Contact the venue hire team
      • Terms and conditions
      • Book now for up to 30% off room hire in July and August
    • Heritage
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      • Founding Fellows
      • History Articles
      • History of Anaesthesia
      • Influence of two World Wars
      • Lives of the Fellows biography listings
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      • Coat of Arms
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      • Media Centre
      • Work for us
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President's view: shaping the future of our specialities through research

I write this month’s President’s View in the week following the death of Her Majesty Queen Elizabeth. On behalf of the College, I extend our condolences to the Royal Family. I hope that the expression of admiration and love felt for the Queen worldwide has been of some comfort to them. Her Royal Highness the Princess Royal has long been a dedicated and supportive patron of the Royal College of Anaesthetists, and our thoughts are with her at this time of personal sadness, with which many of us can empathise.

I write this month’s President’s View in the week following the death of Her Majesty Queen Elizabeth. On behalf of the College, I extend our condolences to the Royal Family. I hope that the expression of admiration and love felt for the Queen worldwide has been of some comfort to them. Her Royal Highness the Princess Royal has long been a dedicated and supportive patron of the Royal College of Anaesthetists, and our thoughts are with her at this time of personal sadness, with which many of us can empathise.

CEO update: getting the basics right

If there is one thing we have learnt recently, it is to make sure we engage with you, our members. We need your valuable experience and views to shape the future of the College. You may remember that back in February we took a single proposal regarding governance of the College to an Extraordinary General Meeting (EGM), asking members to back a package of measures to change the governance of the College and bring us in line with the laws which govern us in our legal status as a charity. This proposal, while receiving the majority of votes, did not get the support of the two-thirds of attendees needed to pass it.

If there is one thing we have learnt recently, it is to make sure we engage with you, our members. We need your valuable experience and views to shape the future of the College.

How the College is run for patients, and on behalf of its members

You may remember that back in February we took a single proposal regarding governance of the College to an Extraordinary General Meeting (EGM), asking members to back a package of measures to change the governance of the College and bring us in line with the laws which govern us in our legal status as a charity.

This proposal, while receiving the majority of votes, did not get the support of the two-thirds of attendees needed to pass it. Listening to feedback after the event, we learnt that members had not felt sufficiently involved in the drawing-up of proposals and that including all the proposals in a single vote was complicated.

Less Than Full-Time (LTFT) Matters 2025

Join us online to explore Less Than Full-Time (LTFT) Training from the perspectives of both residents and trainers.

President's view: Autumn 2024

We chat with our new President, Dr Claire Shannon to find out more about who she is and what she thinks about several hot topics.

My first President’s View features edited highlights from a podcast I recorded with fellow Council Member and Bulletin Editor Dr Ramai Santhirapala. We discussed several topics including questions submitted by our membership engagement panel. 

You can listen to the full conversation on our Anaesthesia on Air podcast. I also recommend that you take a moment to watch or read the CEO update, in which Jono Brüün provides an update on recent decisions about Churchill House and finding a new home for the College.

RCoA response to Professor Chris Witty, Chief Medical Officer, and Sir Patrick Vallance, Chief Scientific Advisor press conference on COVID-19

The College response to Professor Chris Witty, Chief Medical Officer, and Sir Patrick Vallance, Chief Scientific Advisor press conference on COVID.

Disruption to the supply of remifentanil

The Association of Anaesthetists, Royal College of Anaesthetists, Intensive Care Society and Faculty of Intensive Care Medicine have been informed by NHS England of an impending disruption to the supply of all ampoule sizes of remifentanil.

Paediatric imaging under general anaesthetic

The College is pleased to announce the publication of a joint Paediatric imaging under general anaesthetic statement.

NovPod, Season 2, Episode 6: Obstetric emergencies part 1 and 2

Listing summary
Novpod, Season 2: Episode 6 part 1 and 2

Guidance for trainers on achieving regional anaesthesia outcomes in the RCoA curriculum

New guidance from RA-UK and the RCoA will help trainers support anaesthetists in training to meet the regional anaesthesia capabilities of the curriculum in situations where clinical training opportunities are limited.

Letters to the Editor: Spring 2024

Read the latest letters submitted by members in Spring's Bulletin.

Dear Editor

Arterial cannulation is a frequent practice that comes with its own set of risks and complications. We would like to report an incident that occurred in an obstetric HDU involving bleeding from an arterial catheter that could have led to severe complications.

A radial arterial cannula was inserted due to development of postpartum haemorrhage, cardiovascular instability and the need for massive blood transfusion. While the patient was monitored in HDU, an emergency call went out alerting the team about an arterial bleed possibly due to the patient’s positioning. The midwife present in the room applied manual pressure to the bleeding site with gauze. The anaesthetist on call asked what happened while taking over the manual pressure and explained to the patient that the insertion site needed to be inspected.

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