Pindara Grand Rounds – Thursday 22nd March 2018

Details

WHEN: 6.15pm – 9.00pm Thursday, 15 June 2017

WHERE: The Lakeside Terrace, HOTA, 135 Bundall Rd, Surfers Paradise

PROGRAM:

  • 6.15pm Registration & welcome drinks
  • 6.40pm Dinner served
  • 7.00pm Presentation#1 Dr Hanlon Sia (Haematology)
  • 8.00pm Presentation#2 Dr Sean Holland (O&G)
  • 9.00pm Close

RSVP is essential.

ANZCA CPD

I have checked with the college and you can claim 2 hours (4 credits) under “Practice Evaluation – Case Discussions/Conferencing”. Participation certificates are handed out on the night, please contact Kathryn O’Reilly at OReillyK@ramsayhealth.com.au for enquiries.

Poorly labelled drug ampoules: The wall of shame.

I am putting this post up to upload pictures of ampoules which are difficult to read, or which are easily confused with other drugs.

 Here is a new candidate which has just appeared at Pindara. I saw the LIN and thought I wonder why Lincomycin is in the drug drawer. The font size of the manufacturer’s name is nearly 3x that of the drug.

 

 

 

 

I found this ampoule of lignocaine in a box of normal saline. I put this up first because I found they have appeared in Pindara OT.

 

Here is a contender for worst ever label. The writing was so small, we had to photograph it and blow it up to see what the drug was.

 

 

 

 

 

We had a similar problem with granisetron a few years ago, but the manufacturer improved the label when they were notified.

 

 

 

 

 

 

A couple from Aspen pharmaceuticals. Almost impossible to read, even in the best lighting.

 

 

 

 

 

Some more from Pfizer.

Lignocaine, midazolam and heparinised saline all very similarly labelled. Pfizer’s reply was that this label was designed to improve safety as can be seen by the Pfizer label being rotated and the black highlighting on the lignocaine dose.

They also reminded me that secondary means of product identification do not absolve the anaesthetist from the legal responsibility to check the ampoule.


 

 The lignocaine 10% is markedly different from lignocaine 1%!

Anaphylaxis Workshop Saturday 29th July

Helen Crilly  is running another Anaphylaxis workshop at John Flynn Hospital. This workshop is approved by ANZCA as an Emergency Response Activity for CPD purposes.

  • Venue: Auditorium, John Flynn Hospital
  • Date and Time: Saturday 29th July
  • Cost: Nil
  • Workshop description: The format involves some pre-reading, then practically using the updated anaphylaxis box to complete 3 different case scenarios in pairs, followed by a small group discussion to debrief and time for questions at the end. It will take 90 minutes.

To register, please log in and submit the form on the Anaphylaxis page.

Clinical meeting Friday 28th July

(Posted on behalf of Peter McLaren.)

  • Date: Friday 28th July, 2017
  • Time: 5.30 for 6.00pm
  • Topic: Nerve Block Workshop
  • Presenter: Stuart Greenway from Admedus
  • Venue: Gold Coast Private Hospital

Hi,

Due to conflicts with every other date we could come up with, Stuart Greenway from Admedus has offered to hold a nerve block workshop in the evening on Friday, 28th July and it’s at GCPH! There will be a couple of presenters, an u/s machine and the usual food and drink. The company felt that for a workshop with small numbers and a short time, it would be difficult applying to ANZCA for higher points.

Still, it is an opportunity for those who do blocks in particular to network with others and discuss any problems they be having with equipment, assistants or their working environment. GCPH is close to GCUH and I would hope that the change of venue may attract some anaesthetists who work at both hospitals and find the trip to Pindara for other meetings a little difficult. It is a Friday but it should be over by 7.30!

I am trying the occasional Wednesday and here is a new venue. Please make every effort to support these local meetings!

Regards,

Peter McLaren

Clinical meeting Wednesday 19th July

(Posted on behalf of Peter McLaren.)

  • Date: Wednesday 19th July
  • Time: 5.30 for 6.00pm
  • Topic: Myasthenia gravis and anaesthesia – is it all now just a non-event?
  • Presenter: Peter McLaren
  • Venue: Pindara Boardroom.

The topic is a case presentation and review of the literature by me on ‘myasthenia gravis and anaesthesia – is it all now just a non-event?’ I would hope that others might also have contributions to the discussion. The venue is the boardroom, Pindara Hospital. Note that this is located in the main hospital at the end of the corridor leading from the main entrance in Allchurch St. 5.30 for 6. Food and drink supplied. Sponsored by Stephen Shields from MSD, the distributers of sugammadex, who will give a short presentation from 5.45. Surgeons interested in the topic are welcome to attend.

SPANZA Advisory on Tramadol

Recommendations Following FDA Warnings about Tramadol Use in Children
  1. Tramadol can have a useful role as part of a multimodal analgesic regimen for managing acute pain in children.
  2. Tramadol dose should be limited for acute pain after tonsillectomy (e.g., maximum dose 1 mg/kg 6-8 h, max 400 mg/day). We suggest starting with a lower dose of 2 mg/kg daily in divided doses (e.g., 0.5 mg/kg 6-8 h). Tramadol overdose is a greater danger than CYP variants.
  3. Children with obstructive sleep apnoea who have undergone tonsillectomy should continue to be monitored in hospital overnight to assess both response and sensitivity to opioids before discharge. While evidence is lacking, it may be prudent to observe any child given opioids during a period of sleep before discharge.
  4. The use of any opioid in children after day-stay surgery should be done so with caution.

The full document can be downloaded here.

Pindara Grand Rounds – Thu 15th June 2017

Details

WHEN: 6.15pm – 9.00pm Thursday, 15 June 2017

WHERE: The Lakeside Terrace, The Arts Centre Gold Coast, 135 Bundall Rd, Surfers Paradise

PROGRAM:

  • 6.15pm Registration & welcome drinks
  • 6.40pm Dinner served
  • 7.00pm Presentation#1 Dr Dan Robinson (ENT)
  • 8.00pm Presentation#2 Dr James Reidy (Orthopaedics)
  • 9.00pm Close

RSVP is essential.

ANZCA CPD

I have checked with the college and you can claim 2 hours (4 credits) under “Practice Evaluation – Case Discussions/Conferencing”. Participation certificates are handed out on the night, please contact Kathryn O’Reilly at OReillyK@ramsayhealth.com.au for enquiries.

Gold Coast Anaesthetic Project Exchange