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From the ESA President

From the ESA President

Zeev Goldik
President
zeev.goldik@esahq.org

Dear Friends and Colleagues,

2017 is well on its way and so is the work of the new ESA Board. After several years of service on the Board, Daniela Filipescu (President 2014–2015), Walid Habre, and Andreas Sandner-Kiesling have finished their terms of office. I would like to thank them all for their tireless dedication to the society and our members. It is my pleasure to introduce the

Older than old, sicker than sick

Older than old, sicker than sick

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

The ESA Focus Meeting on Perioperative Medicine: The Ageing Patient, in November 2016 in Lisbon was a real success.

For the first time a full scientific event was dedicated to the older patient, and the various presentations referred not only to his/her medical condition, but also to the psychological aspects of older age and its specific problems pertinent to the anaesthesiologist.

Two old patients at the ICU door

Two old patients at the ICU door

Matti Reinikainen
matti.reinikainen@siunsote.fi

Chief Editor’s note: Prof Reinikainen’s paper truthfully reflects the physician’s dilemma regarding the indication for transferring a critically ill patient to an intensive care unit (ICU). I have no doubt that his presentation will be followed by our readers’ comments. The Newsletter will be glad to publish your opinion on this very sensitive subject.

My phone rang twice within a short time frame.

ESA Focus Meeting on Regional Anaesthesia in the Perioperative Setting

ESA Focus Meeting on Regional Anaesthesia in the Perioperative Setting

Gabriella Iohom
Past-Chair SSC3 – Scientific Subcommittee on Regional Anaesthesia
giohom@ucc.ie

The idea of holding a yearly two-day ESA meeting in autumn in an attractive location came to life at the beginning of the decade. The first four were called Autumn Meetings and were held in Budapest, Hungary (2010); Krakow, Poland (2011), Prague, The Czech Republic

Important and urgent issues in perioperative patient safety – views of an expert panel

Important and urgent issues in perioperative patient safety – views of an expert panel

Johannes Wacker – On behalf of the Organisers
Chair, Patient Safety and Quality Committee (PSQC)
jwac@gmx.net

If you ever thought of patient safety as something rather theoretical, or something that is mostly detached from your everyday clinical life, a lively expert meeting during Euroanaesthesia 2016 in London could have easily proven you wrong.

How stressful is a surgical procedure? We know now!

How stressful is a surgical procedure? We know now!

Peter Biro
peter.biro@usz.ch

For estimation of outcome after anaesthesia it is evident that the impact of surgery must also be taken into account. In contrast to various grading systems that we have for the assessment of preoperative morbidity and risk, such as Goldman’s Cardiac Risk Index or the ASA classification, there is no comparably simple and practical scale to quantify the invasiveness of surgical interventions. Therefore, any post-anaesthesia outcome assessment remains incomplete and of limited

Cadaver Course on invasive procedures in Critical Emergency Medicine – Euroanaesthesia 2017

Cadaver Course on invasive procedures in Critical Emergency Medicine – Euroanaesthesia 2017

Karl Thies
Chair, ESA SSC 10 – Critical Emergency Medicine: Trauma and Resuscitation
kcthies@me.com

The ESA Subcommittee for Critical Emergency Medicine – Trauma and Resuscitation in cooperation with colleagues from the European Society for Trauma and Emergency Surgery (ESTES) will be providing for the first time a cadaver course on invasive procedures in Critical Emergency Medicine.

Trainee Exchange Programme – 3 Months in Amsterdam

Trainee Exchange Programme – 3 Months in Amsterdam

Alexandra Lazar
University Hospital Targu Mures, Romania
alexandralazar7@gmail.com

Since the second year of my training as an anaesthesiologist I had been very interested in regional anaesthesia and I always looked to learn or do more of these procedures. Unfortunately, in Romania regional anaesthesia is not much developed in terms of using it on a larger scale, for both analgesia and anaesthesia. This is why by the fifth year of my residency I had only learned to do ultrasound-guided axillary brachial plexus block.

Medical Hypnosis in Anaesthesia: Call for a research collaboration

Medical Hypnosis in Anaesthesia: Call for a research collaboration

Sebastian Schulz-Stübner
schulz-stuebner@bzh-freiburg.de

Chief Editor’s note: With this article we inaugurate another new rubric, which tries to put together various European anaesthesiologists interested in the same field or domain of activity.

The finding that communication between the anaesthesiologist and the patient is helpful in reducing stress and anxiety is not new,[1],[2] but got somewhat forgotten with the availability (and marketing) of a broad range of

Anaesthesia in a modern, global context

Anaesthesia in a modern, global context

Julian Gore-Booth, WFSA Chief Executive Office
ceo@wfsahq.org

Note from Jannicke Mellin-Olsen, ESA Secretary. The WFSA is dedicated to improving patient care around the world, representing hundreds of thousands of anaesthesiologists in over 150 countries, including in Europe. The ESA is a Regional Section of the WFSA, meaning that ESA represents the combined European voice to the anaesthesiology world globally. ESA members are active on many levels in the WFSA. As WFSA is the only anaesthesiology partner to the World Health Organization, it means that ESA also has a voice into WHO via the WFSA.

Be part of this exceptional community

Be part of this exceptional community

Membership allows you to be part of a unique community at the forefront of anaesthesiology and perioperative medicine.

Membership gives you access to all the resources you need from Clinical Practice Guidelines and Journals, to state-of-the-art e-learning and webcasts of congress sessions; educational programmes to strengthen the knowledge of members starting off in their career to the experienced clinician. It allows you to network with peers and eminent colleagues, to share your ideas, expand your horizons and advance your career.

Join us today

Nothing is carved in stone

Nothing is carved in stone

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

In the era of evidence-based medicine, it would be logical to accept as an axiom the fact that most of our activity could be considered as correct, proved, and lacking question marks. But we, physicians, must be aware that in spite of the numerous indications regarding the correctness of our decisions, there is still a place for uncertainty.

This is the topic of a recently published paper (New Engl J Med 2016;375:1713) that encourages the physician to take uncertainty as a fact of life and to try to coexist with this reality

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”.

Overview of the ETPOS study

Overview of the ETPOS study

The ETPOS Study Group
Jens Meier
jens.meier@akh.linz.at

Some costly and laborious parts of modern medicine (e.g., cancer medicine) are rigorously regulated, and in these fields standard operating procedures force the physician to follow given clinical pathways. Surprisingly, for other fields of medicine variety of care and the diversity of clinical pathways are the norm. For example, perioperative transfusion habits

ESA 2017 Membership – renew / join today so you don’t miss out!

ESA 2017 Membership – renew / join today so you don’t miss out!

European Society of Anaesthesiology (ESA)
Susan De Bièvre

The ESA is the largest anaesthesiologist society in Europe, currently counting 33 568 members from 129 countries (*) from around the world.

The ESA interacts closely with our 38 European National Society and 10 Specialist Society members, is the European regional section of the WFSA and has established and long standing relationships with other leading anaesthesiology societies out of Europe as well as societies relevant to our speciality.

Anaesthesiology and radiology, a match made in heaven?

Anaesthesiology and radiology, a match made in heaven?

Paul M. Parizel,1 Nick Van de Voorde,1 Robert Slappendel,2 Marcel Vercauteren2
1 Department of Radiology, Antwerp University Hospital and University of Antwerp, Belgium
2 Department of Anesthesiology, Antwerp University Hospital and University of Antwerp, Belgium
Paul.parizel@uza.be

As medicine continues to evolve towards minimally invasive procedures (often obviating the need for open surgery), the range and complexity of image-guided interventional procedures in the radiology department has

An Honorary Member of the European Society of Aneasthesiology speaks about the past and future of our profession

An Honorary Member of the European Society of Aneasthesiology speaks about the past and future of our profession

Prof. Maurice Lamy, Belgium
mlamy@chu.ulg.ac.be

During the opening ceremony of the 2016 ESA Congress in London, I received an ESA Honorary Membership from the hands of the president, Zeev Goldik. On this occasion, I had the opportunity to express my deep gratitude to the Board of Directors:

“I feel very much honoured. This award is a real privilege for me and for my parents, who would

China Embraces the OLA

China Embraces the OLA

Dr. Sue Hill, MA, PhD, FRCA
Chairperson, ESA Examinations Committee

2016 is an important landmark year in European Examinations and Assessments. For the first time we translated the OLA into a non-European language: Chinese. This development complements the increasing co-operation between the Chinese Society of Anesthesiologists and ESA. Within mainland China seven centres opened for the OLA including two in Beijing, two in Shanghai, and the rest in other provinces including Chengdu.

Anaesthesiologists and coffee – do they have anything in common?

Anaesthesiologists and coffee – do they have anything in common?

Gabriel M. Gurman
gurman@bgu.ac.il

I have no doubt that the above question would be encountered with a big lack of interest, or as an alternative, with a big smile. Of course, physicians, anaesthesiologists among them, drink coffee, more or less in the same amount as other professions, such as nurses, administrators, or physiotherapists.

I cannot but agree with this opinion.

TURKISH ANAESTHESIOLOGY and REANIMATION SOCIETY (TARD)

TURKISH ANAESTHESIOLOGY and REANIMATION SOCIETY (TARD)

Neslihan ALkis
Immediate Past President of TARD
alkisneskihan@gmail.com

Chief Editor note: We are pleased to host in our Newsletter short presentations of the National Societies. Here is the first one, on the Turkish Anaesthesiology and Reanimation Society.

The Society of Anaesthesiology in Turkey, founded in 1956 was thereafter named the Anaesthesiology and Reanimation Society

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.

Story of Dunja Mihajlovic

Story of Dunja Mihajlovic

Dunja Mihajlovic
dunjamihajlovic@hotmail.com

My name is Dunja Mihajlovic; I work at the Emergency Centre at the Clinical Centre of Vojvodina in Novi Sad as a specialist in anaesthesiology, reanimation, and intensive care.

My story begins during the last year of my training in anaesthesiology, in the autumn of 2014, on a regular working day, with my colleague Dr Arsen Uvelin. I expected to pass the specialist exam in the near future and he had passed his the year before, so we were sharing our opinions about the education system of anaesthesia trainees in Serbia. He told me about an amazing experience that he had at Utrecht University Medical Centre, as one of the winners of the ESA trainee exchange

First feedback on the new ESA Mentorship Programme: a great start!

First feedback on the new ESA Mentorship Programme: a great start!

Claude Meistelman (Mentorship programme leader)
c.meistelman@chru-nancy.fr

Jaume Canet (mentor)
jcanet54@gmail.com

Vincenzo Russotto (mentee)
vinrussotto@gmail.com

The idea of the ESA Mentorship Programme was born a few years ago on behalf of the Research Committee. The basic idea was to create support for young potential researchers. If some of them are already working in well-structured groups, it is obvious that other trainees do not benefit from such support and do not have access to defined research

Heritage Days in Brussels

Heritage Days in Brussels

Alina Rotaru on behalf of ESA
communication@esahq.org

The ESA office located on 24 rue des Comédiens in Brussels was happy to be part of the Heritage Days of Brussels organized on the 17th and 18th of September.

We were pleased and honoured to accept the invitation of the City of Brussels to participate in this event, which was dedicated this year to the recycling of styles. Maybe many of our members are not aware of it, as it has been a while since we published articles related to this subject, but the ESA office in Brussels is located in a beautiful 19th century Maison de Maître, a historically-listed house, built in 1898 by architect Albert Dumont. A renowned architect of his time, Albert Dumont created several important buildings in Brussels and Belgium and

Minutes General Assembly 2016

Minutes General Assembly 2016

The General Assembly of the ESA took place in the ExCel International Exhibition Centre in London, on Sunday 29 May 2016 during the Euroanaesthesia 2016 congress of the society. The meeting was chaired by Zeev Goldik, ESA President.

1. Welcome and approval of the minutes of the 2015 General Assembly

The minutes of the General Assembly on 31 May 2015 in Berlin are approved.

2. Presentation of new Council members

The following Council members have been appointed starting their term on 1st April 2016:
Macedonia: Mirjana Shoscholcheva
Estonia: Juri Karjagin
Bosnia-Herzegovina: Jasmina Smajic

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.

News from the Examination Committee

News from the Examination Committee

Sue Hill, Chairperson Examinations Committee
sue.hill@uhs.nhs.uk

With the elevation of our previous Chairman to the Presidency of ESA, there has been a change of order in the Examinations Committee.

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