Dr Helen Crilly’s ANZCA approved Anaphylaxis Workshop is now full, and no further bookings are being accepted.
If you would like to attend a future workshop, please submit an expression of interest over on the Anaphylaxis page.
(Posted on belaf of Peter McLaren)
The topic of this meeting is “Algorithms for Difficult Airway Scenarios”. Adrian Skidmore has offered to kick off the discussion with a presentation of the algorithms used in the RBH airway management workshops. I hope we will then continue on looking at some of these questions:
In the known difficult intubation patient with a full stomach, should we switch to awake fibreoptic intubation or is the use of a videolaryngoscope ‘good enough’?
If you have ideas, protocols, experience or strong feelings on any of these scenarios, please feel free to hijack them and present them yourself.
Same format: 5.30 for 6, Boardroom, first floor, Pindara Professional Centre, 8 Carrara St, Benowa, opposite the laneway to Pindy Day, food and drink supplied, please RSVP for catering purposes, further notice in the week prior.
(Posted on behalf of Helen Crilly)
Happy 2015 everyone.
Just a quick note to let everyone know registration for the 2015 Anaphylaxis Emergency Response Workshop to be held Saturday 14 March 2015 at John Flynn Hospital is now on the Anaphylaxis page.
A big thankyou to Dr Helen Crilly for organising this most worthwhile workshop. The 2014 workshops were filled very quickly, however Helen has indicated that she will run the course again in 2015 depending on demand. If you would like to send as expression of interest, you can do so from the Anaphylaxis Page.
(Posted on behalf of Paul Slocombe)
Thank you for your time and effort completing the recent computer survey on survey monkey regarding safety checklists prior to regional anaesthesia.
The survey was sent to all Anaesthetists and trainees at Gold Coast University Hospital and Private Anaesthetists via GCape. The purpose of the survey was to gauge how common wrong sided blocks are (given they are believed to be under reported) and also to gauge opinion around the introduction of the “Stop before you block” checklist.
There were 54 responses, the majority of which were consultants (38 or 70%), with 4 fellows, 6 advanced trainees and 6 basic trainees. There was a variety of level of experience with blocks with the majority reporting they perform blocks weekly.
There were 7 respondents that reported they had performed a wrong sided block (13% of respondents). The wrong sided blocks were a range of different types (eye blocks, shoulder, paravertebral, femoral and ankle blocks).
There was no real relationship with wrong-sided blocks and being awake (2), sedated (3) or asleep (2). This is similar to other surveys with a survey from the UK reporting that 40% of wrong-sided blocks were performed on patients that were awake, so having an awake patient does not prevent against wrong-sided block.
There were also 7 respondents that reported “near misses” where they had been stopped from performing a wrong-sided block, 6 by the anaesthetic nurse. The majority of anaesthetists never mark the site of their block (66%).
To the question of should a site check be performed the majority (94%) said yes, with 92% in favour of one just prior to needle insertion.
Of the replies, the majority (96%) preferred a quick verbal check and 64% would document it in the anaesthetic record.
So in summary the survey had a good response from consultants with varying experience with blocks. 7 had performed a wrong-sided block with a further 7 near misses. The majority were in favour of performing a site check, with a quick verbal check preferred.
Stop Before You Block has been introduced to Gold Coast University and Robina Hospitals. Simon Pattullo has provided the following references should you wish to institute Stop Before You Block in your hospital;
Dr Helen Crilly will be running a College recognised Anaphylaxis Workshop at John Flynn on Saturday morning 1st November 2014. Helen, the ANZAAG Coordinator, ran a workshop at the recent ASA NSC however it was quickly booked out. To satisfy demand for an encore, Helen has graciously agreed to repeat the workshop, giving local Anaesthetists the opportunity to attend at no cost.
You are able to claim this course as an “Emergency Response” activity in your college CPD. If you were on your toes and attended the CICO activity earlier this year you could attend Helen’s workshop and satisfy all your emergency response requirements for the triennium before the end of the first year, all for free!
Registration is now open at the GCAPE Anaphylaxis page.
(Please note that this activity has been recognised as suitable to be claimed in the emergency responses category of the ANZCA CPD program. The course content has not been assessed and this recognition does not represent endorsement by ANZCA.)
Updated Consensus Guidelines for PONV were published in Anesthesia and Analgesia in January. You can download the article below.
Also hot off the press are the 2014 ACC/AHA Guidelines on Perioperative Cardiovascular Evaluation and Management of Patients Undergoing Noncardiac Surgery. You can download the 100+ pages of the full article and the executive summary below.