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Opioids and Surgery MOOC

This article looks at an innovative approach to improve the understanding and implementation of perioperative opioid stewardship and transform practice.

Dr Dermot McGuckin, ST7 Anaesthesia & Pain Medicine, University College London Hospitals
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Dr Fausto Morell-Ducos, Consultant in Anaesthesia & Pain Medicine, University College London Hospitals
Dr Jamie Smart, Consultant in Anaesthesia & Pain Management, University College London Hospitals
Dr Brigitta Brandner, Consultant in Anaesthesia & Pain Management, University College London Hospitals

Opioids play an important role in facilitating recovery and return to function after surgery.

However, it is now well-established that surgery is a risk factor for persistent postoperative opioid use,¹ and preoperative opioid use is associated with an increased risk of perioperative complications.²

Perioperative opioid stewardship is a practical approach providing a systemic, multi-layered framework aimed at minimising the risks associated with opioid use around the time of surgery, while allowing their safe administration to those patients most likely to benefit from them. It is increasingly regarded as a solution to the problem of prescription opioid-related harm but there is a lack of structured curricula to develop healthcare professionals’ skills in competent opioid management.

Equality, diversity and inclusion form

We have a strong commitment to equality, diversity and inclusion within the College, and these principles are embedded into our values and the way we work. We encourage you to complete the following questionnaire on ethnicity, diversity and inclusion.

RCoA welcomes and acknowledges Anaesthetists in Training feedback

The College acknowledges that the authors have produced a timely and sobering representative snapshot of the opinions and experiences of our anaesthetists at this stage in their training.

Examinations statement

This statement is an update of our progress to support the large number of our members who require examination places this academic year.

International Women's Day 8 March 2023

In this year's Women's Day podcast, #Embrace Equity, Dr Ramai Santhirapala talks to the RCoA President, Fiona Donald and Council Member and SAS doctor, Ashwini Keshkamat about their journey from trainees to leaders, the changing face of medicine and their hopes and fears for the next generation.

SAS doctors as Educators

In this episode of Anaesthesia on Air, Dr Ashwini Keshkamat talks to Dr Sarah Thornton and Dr Roger Sharpe about SAS doctors in Educational roles.

Anaesthesia 2019 | It is all about the patient podcast

TopMedTalk is at Anaesthesia 2019. It’s one of the big events of the global perioperative calendar. Find out what the hot topics and big talking points are. What else can we expect to come from the conference this year?

Dr Simon Maguire

Co-opted member of Council representing Regional Advisors

NovPod, a beginner’s guide to anaesthetics, Episode 7: Induction and airways feat. Dr Kwame Asante

NovPod returns with A&E trainee and stand-up comedian Dr Kwame Asante, discussing airways and induction of anaesthesia.

RCoA and BJA webinar: Perioperative Management of the Frail Older Surgical Patient: from Research to Clinical Practice

The RCoA and British Journal of Anaesthesia are pleased to announce a series of webinars available to our members on how to optimise your reading of the medical literature. These webinars will feature members from our international editorial team and their guests including authors, experts and fellows addressing topics such as how to read the literature, the editorial process, and journal club discussions of important articles appearing in the BJA.

Each webinar will also feature a methodological tip targeted to trainees. These sessions will provide opportunities to engage with the editors and other leaders in the field of anaesthesia.

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