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Wellbeing is a fashionable term at present and for some will cause instant eye-rolling. We sympathise with this reaction – the word has a lot of unhelpful connotations including, probably most problematically, that it offers yet another opportunity to fail at something else in your life. You are already overwhelmed by work and home stressors, and now you’re also not getting your wellbeing right and that’s why you’re struggling.
Please know this gentle advice comes from a place of compassion and acknowledgement of the wonderful job you all do. After everything anaesthetists have had to deal with over the last few years, we tip our hats to the courage and resilience of our profession.
Here are some top tips for anaesthetist wellbeing (in no particular order):
Authors:
- Dr Natalie Constable, ST6 Anaesthetic Registrar, Department of Anaesthesia, UHBW Foundation Trust, Bristol
- Dr Fiona Oglesby, ST6 Anaesthetic Registrar, Department of Anaesthesia, UHBW, Bristol
- Dr George Bainbridge, Anaesthetic Clinical Fellow, Department of Anaesthesia, UHBW, Bristol
- Dr Helen Howes, Consultant Anaesthetist, Department of Anaesthesia, UHBW, Bristol
- Dr Rachel McKendry, Consultant Anaesthetist, Department of Anaesthesia, UHBW, Bristol
The Bristol Royal Infirmary’s Difficult Airway Response Team (DART), developed in 2017, is a successful, innovative, cross-specialty response unit designed to expedite the arrival of clinical expertise and advanced equipment to the patient’s bedside in complex airway emergencies. Five years following DART’s inception, we intend to highlight the challenges intrinsic to maintaining the service and how we have attempted to overcome these.
Read the latest letters submitted by members in Winter's Bulletin. If you'd like to submit a letter to the editor, please email us.
Author: Dr Dave Murray, Consultant Anaesthetist South Tees NHS Trust; Chair NELA
The National Emergency Laparotomy Audit (NELA) is 10 years old this year, so this is a timely point to review progress, highlight achievements, and look at the persisting challenges ahead.
In the beginning
NELA was commissioned in 2012. One of the key pieces of evidence to support its funding was the paper published by the Emergency Laparotomy Network.1 This observational study of more than 1,800 patients highlighted a 15% mortality rate, but with a nine-fold variation in mortality across the 35 trusts. Consultant presence was 74% for surgeons and anaesthetist presence was 64%. Half the patients were admitted to critical care, and patients returning to the ward had a 6.7% mortality rate.