CICO Workshop 26/7/2014

Registration is now open for the inaugural Gold Coast CICO Workshop.

9.00 am Saturday 26th July 2014, Southport.

Please head over to the CICO page to register online.

Obligatory ANZCA statement:

Participants in the ANZCA CPD Program may claim this CICO course as an emergency response activity in their CPD portfolio.

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.

Please note the following important points
    • It’s free!
    • It’s low stress!
    • It’s on Saturday 26th July, at 9am.
    • It’s being held in the SAS rooms, Suite 12, 82-86 Minnie St Southport. Everyone is welcome.
    • The course will be based on the CICO algorithm and packs that have recently been introduced into Allamanda and Pindara.
    • Due to College requirements numbers are strictly limited, so it’s first in, first served. If you miss out we’ll put you on a reserve list, but don’t worry, the course will be repeated until everyone who wants to do it gets the chance.
    • If you have already done your CPD Emergency Response Activities, please let those who haven’t have first dibs.
Frequently Asked Questions
  • Is this a high fidelity wet lab workshop?
    • No, this workshop is decidedly Lo-Fi, with airway models made out of old tubes and sticky tape.
  • Then why on earth should I bother?
    • It’s free!
    • It’s CPD!
    • It’s good for you! You’ll get to learn the CICO algorithm and practice with the CICO kits that are being introduced into the hospitals.
  • Will you be serving champagne and caviar?
    • No, we will not be providing any refreshments, although there will be plenty of water in the tap.
  • Will you be providing printed handouts, USB sticks, or CD’s?
    • No, you will be emailed documents prior to the workshop which you can print out. Can you sense a bit of a theme here?
  • What’s in it for you, and why are you doing this?
    • Your CICO instructors are not receiving any payments, inducements, or freebies, just a warm fuzzy feeling from helping the local community tackle the new CPD. Cook Medical has helped out by supplying some of the equipment.
  • I’m a CICO expert!
    • Well, that’s not a question, but thanks for letting us know. Please volunteer as an instructor for future workshops.


Registration – a necessary evil

Why do you have to register to access some parts of GCAPE?

Well, there are a few reasons.

Firstly, I’m hoping that I’ll be less likely to be accused of copyright infringement or piracy if I only allow registered users to download content. I don’t want GCAPE to become a worldwide repository for bootleg journal articles, which would also impact GCAPE download and bandwidth quotas.

Secondly, spam. When the site first went live I had a contact form that emailed comments to me. Within hours I was being hit with spam. This is also why I haven’t published my email address, and have a rather unhelpful note just to contact me if you need further information. If you need to contact me, then you’ll already know how.

And finally, there is just some stuff that needs to stay private within the local anaesthetic community. When the discussion forums launch in a month or two they will be locked down tight, anaesthetists only!

So, sorry about the hassle. Personally, I hate having to register for websites, so it’s not a decision I took lightly. Most web browsers will remember log in user names and passwords, and you can always check the “remember me” box to stay logged in for a couple of weeks.

Theatre lighting

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.

Friday Meeting 13/6/2014 Report

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.)

Clinical Meeting, Friday 13th June

(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.


Peter McLaren

About Email Lists

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.

All About GCAPE

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.


Gold Coast Anaesthetic Project Exchange