Working in the Dark
Due largely to the rapid growth of endoscopic surgery and the use of mobile imaging, many anaesthetists find themselves confronted with the challenge of working in a darkened or semi-darkened theatre. Most operating rooms, even those built recently with ceiling-mounted endoscopic screens were not designed to cope with this. They lack directed lighting both for the anaesthetist who may be drawing up from hard to read ampoules to the scrub nurse handling ‘sharps’.
The options could be:
• Refusing to accept low lighting with the possible risk of surgical mishaps or increased operating times.
• Retrofitting the OR with directional spot lighting.
• Using personal lighting; headlights, anyone?
• Mounting battery-powered LED lights on our trolleys.
Before the matter is brought to the attention of an OH&S body or a coronial magistrate, I feel that it is incumbent upon anaesthetists and the hospitals to develop an approach to this situation.
Thirteen of your colleagues met under a full moon on the evening of Friday the 13th of June, to discuss (of all things) Post Operative Cognitive Dysfunction. A lively debate surrounded Dennis’s excellent presentation on this very topical subject.
Registered GCAPE users can download Dennis’s PowerPoint presentation and accompanying journal articles here:
Download POCD files
(Not registered? Click the “Register” link, top left.)
(Posted on behalf of Peter McLaren)
This is a last-minute reminder for the meeting this Friday.
The new topic for Friday’s meeting is “The Effect of Anaesthesia on Cognitive Decline” and will be presented by Dennis Wooller. It was an important part of the Singapore meeting and is the subject of a forthcoming meeting in Sydney. Patients will soon be asking for your opinion. Cosmetic surgery will be held over to another meeting.
The sponsor will be Donna Clarke, Product Specialist, INVOS Cerebral Oximetry, Covidien. Despite a lack of strong studies showing improvement in outcomes, it seems that the use of cerebral oximetry for patients in the ‘beach chair’ position will become more common and expected.
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.
Email lists facilitate email communication between large groups of people, and are a feature of GCAPE.
You are probably familiar with Peter’s email messages that notify us of the Friday night education sessions that he organises. You’ll notice at the start of each message that there is a long list of email addresses for the recipients. It’s quite a bit of work maintaining the list of addresses, and it is difficult if you want to send a reply to all the same people who received the original message.
An email list gets around these problems by storing a list of all the email addresses on a computer server, which then sends an individual email message to each subscriber on the list. Subscribers can join or leave the list by sending email commands to the list server or via a web page, can choose to receive individual or digests of messages, and can view archives of old messages.
Privacy is improved as well, as your email is not being broadcast in every message sent to every recipient. The system is “closed”, so you can’t send email to the list if you aren’t on the list. This prevents spam being sent through the list.
Here is Wikipedia’s article on email lists;
So if you would like to have your name put on a GCAPE email list, head over to the email list page and sign up.
If you would like to start your own email list on GCAPE, please contact me and I’ll help you out.
The Gold Coast Anaesthetic Project Exchange (GCAPE) is an information and resource sharing website for Gold Coast Anaesthetists.
It’s currently under construction, and will hopefully be launched by late 2014. Initial features will include;
- This blogging site, for comments and updates from various projects around the coast,
- Private discussion forums, for the discussion and exchange of ideas and information,
- Email lists to facilitate communication, and,
- A file repository for documents, journal articles, and other educational material.
(NOTE: Accessing the different sections requires separate registrations. Once registered you can choose to stay logged in between sessions.)
If you would like to be involved, please contact Ian Cameron.