Editor

Our profession in the public’s eyes – do we have to worry?

Our profession in the public’s eyes – do we have to worry?

Gabriel M. Gurman, MD
Chief Editor
gurman@bgu.ac.il

I must confess that although this topic interests me a lot, and not only from yesterday or yesteryear, the decision to discuss it in our Newsletter came out of a recent article published in September 2016 in the prestigious English newspaper The Guardian and signed “Anonymous”.

The production pressure and the anaesthesiologist – how do we perform?

The production pressure and the anaesthesiologist – how do we perform?

Gabriel M. Gurman
Chief Editor
gurman@bgu.ac.il

It has been a long time since hospital administrations, all over the world, found out that the operating room (OR) represents a genuine financial source, rather than an embarrassing place of work, full of demands and high wages.

This “discovery” led almost instantaneously to a sustained campaign of increasing the OR performance by increasing not only the number of active hours but also the efficiency of the staff per unit of time. This phenomenon was named “production pressure” and it was clearly documented in the classical paper of Gaba et al.

Did we really close the gap?

Did we really close the gap?

Gabriel M. Gurman
Chief Editor

Many years ago, immediately after the fall of the Iron Curtain, a serious process of closing the professional distances between the two parts of the continent started, and the WFSA promoted a series of programs and projects with the aim of offering our colleagues from Eastern Europe the necessary help to overcome the huge differences in their daily practice.

Interview with Dr. Claudia Marquez Simoes

Interview with Dr. Claudia Marquez Simoes

Dr. Claudia Marquez Simoes, Sao Paolo, Brazil, from the Sao Paolo State Society of Anaesthesiology (SAESP), attended Euroanaesthesia, London, May 2016.
She was very kind to answer some questions related to this event and the continuation of the relations between the two societies.

We Are Too Few … Why So Few?!

We Are Too Few … Why So Few?!

Gabriel M. Gurman, Chief Editor
gurman@bgu.ac.il

Here is the old news: there is a perennial shortage of anaesthesiologists in Europe. The news is old because this problem is as old as our profession.

But the paradox exists in the fact that the more European physicians choose anaesthesia as their future career, the more evident is this lack of anaesthesia manpower all over the continent.

How New Will Be the Old or How Old Would Be the New?

How New Will Be the Old or How Old Would Be the New?

Gabriel M. Gurman | Chief Editor
gurman@bgu.ac.il

People used to ask this kind of question any time new leaders take in their own hands the fate of any organization.

Every democratic system is built on the principle of regular elections. Terms are limited, men and women decide to compete for the available positions, and thus the healthy life of the organization is assured.

Letter to the Editor

Letter to the Editor

Dear Editor,

I received some news from the publications of various national societies of anesthesiologists about a real possibility that in the near future access to ketamine will not be as easy as it is today.

I sincerely believe that this will be a mistake.

I have practiced anesthesia for the last 30 years and, like many of my colleagues, I have resorted to the use of this drug in many cases using its

The WHEN “syndrome”

The WHEN “syndrome”

Gabriel Gurman
Chief Editor
gurman@bgu.ac.il

The idea of presenting an all too well known situation under this rather odd name came to me after I realized that the average European patient knows that there are some days and even hours during the week when it would be better to keep away from any medical

Changing directions?

Changing directions?

Crina L Burlacu
c.burlacu@svhg.ie

The Department of Anaesthesia, Intensive Care and Pain Medicine at St. Vincent’s University Hospital (SVUH) in Dublin is staffed by 29 Consultant Anaesthetists and 30 Non-Consultant Hospital Doctors (NCHD). The NCHDs are bringing an enormous contribution

Editor’s corner

Editor’s corner

Nagappan Kumar
Cardiff Liver Unit, UK
nkumar1402@gmail.com

ESA members read papers which deal with professional and organisational aspects of our specialty

Letter to the Editor

Dominik Daszuta
dominik.daszuta@gmail.com

Dear Sir,

Thank you for your insight, and inspiring and thought provoking words in the last Newsletter regarding our education in Anesthesiology, continuing on from your previous work and lectures.

As a successful 2014 ESA diplomate I agree that unifying the examination is only one step on the way of improving education in Anesthesiology and Intensive Care around Europe.

In my opinion there should be European centres at least in some university hospitals

Literary contest: Dawn

Literary contest: Dawn

Katherine MacGloin | United Kingdom
katherine.macgloin@googlemail.com

This is my dawn; my morning offering. Early enough that the town lags behind me in its rising. My journey culminates somewhere in your consciousness. Had I met you yesterday, we would have been passers by.

Short Clinical Studies: Hand contamination in the anaesthetic induction room

Subrahmanyam Radhakrishna
University Hospitals Coventry & Warwickshire
yesarek@hotmail.com

Cross contamination in the hospital is of prime importance to all the heath care trusts concerned. Though a lot of steps have been taken across various sites in the hospital to bring about a reduction, cross contamination in the anaesthetic induction room has surprisingly been missed…

Short Case Report: Connecting the dots before anaesthesia

Mohamed Mahmoud
Cincinnati Children’s Hospital Medical Center
mohamed.mahmoud@cchmc.org

Most people think of their anaesthesiologist only as the “doctor behind the mask” who keeps the patient unconscious and pain-free during an operation and who wakes them up when the operation is complete. Beyond this simple description of our job, we are the last line of defense for avoiding potential major complications…

CEEA Course in Turkey

ceea@esahq.org

During the 48th National Congress of Turkish Society of Anesthesiology and Reanimation, held from October 25 to 29, 2014 in Ankara, a special session on Continuous Education in European Anesthesiology (CEEA) was organised on October 27 andchaired by Professors Zuhal Aykaç and Philippe Scherpereel.

The CEEA courses started in Turkey on 1999 under the Professor Mois Bahar’s leadership…

Letter to Editor

Magdalena Mierzewska-Schmidt
Medical University of Warsaw, Poland
mcdosia@gmail.com

As a young specialist in Anaesthesiology and Intensive Therapy, employed in a university hospital and a great enthusiast of teaching, I was lucky to be selected to participate in the first course of the International School for Instructors of Anesthesia (ISIA). It was a newly developed project under the auspices of the World Federation of the Societies of Anesthesiologists whose “father” and Faculty Chairman was Professor Gabriel Gurman (Israel). Five national societies each sent a group of four young specialists…

WFSA’s Virtual Library

WFSA’s Virtual Library

Julian Gore-Booth
CEO, World Federation of Societies of Anaesthesiologists
ceo@wfsahq.org

The World Federation of Societies of Anaesthesiologists (WFSA) first published Update in Anaesthesia (UIA) in 1992…

LICAGE: A very active professional group in Europe

Alistair Lee
Secretary LICAGE
alistairlee101@gmail.com

LICAGE (Liver Intensive Care Group of Europe) was formed in 1987 by Dr. John Farman and a committed group of anaesthetists and intensive care doctors in Addenbrooke’s Hospital, Cambridge, UK. At that time liver transplantation was in the process of becoming an established treatment, rather than an experimental procedure, following the pioneering work of surgeons Sir Roy Calne in Cambridge and Dr. Thomas Starzl in the US. The aim was to bring together from throughout Europe, workers of all disciplines involved in the perioperative care of liver transplant…

History of Anaesthesia – Flash 9 Ancillary drugs and concepts George Liarczek – Romania

George Liarczek
Romania
glitarczek@yahoo.com

This is a series of flashes to cover the evolution of medicine from its beginnings until anaesthesia appeared and later developed to what it is today.

Actually Anaesthesia is considered to have 4 pillars: analgesia, hypnosis (sleep, unconsciousness), muscular relaxation and homeostasis. In previous flashes we discussed some of the main substances considered as anaesthetics. But modern anaesthesia uses much more and…

A Journal of Anaesthesia and Intensive Care: 21 years of Publishing in Romania

Iurie Acalovschi
Editor-in-Chief, Romanian Journal of Anaesthesia and Intensive Care
iacalovschi@hotmail.com

The publication of the first issue of the Romanian Journal of Anaesthesia and Intensive Care in May 1994 represented an important step for promoting scientific research among Romanian anaesthesiologists.

The medical speciality of anaesthesia has a long tradition in Romania. Training of anaesthesia started in 1951 and six years later it was recognised by the health authorities as an independent specialty. In 1975 the first postgraduate…