Research

New indications for old molecules

New indications for old molecules

One of the Sunday symposia at this year’s Euroanaesthesia was an intriguing session on new indications for old molecules.

The first talk was on the role of cannabinoids for pain control, given by Caterina Aurilio, Professor in Anaesthesia, Intensive Care and Pain Medicine, University of Campania “L. Vanvitelli”, Naples, Italy.

She said: “Cannabis has been used for millennia to reduce pain and other somatic and psychological symptoms. Cannabinoids today have been studied in depth. They are a group of chemical compounds that activate cannabinoid receptors; they include the phytocannabinoids

Pro-Con debate: Sedation is routinely used in patients having surgery under regional anaesthesia

Pro-Con debate: Sedation is routinely used in patients having surgery under regional anaesthesia

One of the popular pro-con debates at this year’s Euroanaesthesia took place during Sunday’s program, with the motion: sedation is routinely used in patients having surgery under regional anaesthesia.

Arguing for the motion was Dr Imad Awad, Staff Anesthesiologist and Assistant Professor, Sunnybrook Health Sciences Centre, University of Toronto Canada.

“Regional anesthesia provides multiple benefits to patients such as superior pain control, faster recovery, opioid sparing and reduction in

Cardiac arrest on plane journeys: new guidelines proposed

Cardiac arrest on plane journeys: new guidelines proposed

New guidelines to deal with the in-flight emergency of cardiac arrest in a passenger or crew member were proposed at this year’s Euroanaesthesia meeting (abstract 10AP02-4) at this year’s Euroanaesthesia. The task force that has created the guidelines was led by Professor Jochen Hinkelbein, University of Cologne, Germany and President of the German Society for Aerospace Medicine (DGLRM).

Approximately 3 billion people worldwide travelled by commercial air transport in 2016. A calculation based on the number of passengers transported shows that between 1 out of 14,000 to 1 out of 50,000 passengers will

Ultrasound workshops

Ultrasound workshops

Due to huge demand in 2016, the Ultrasound workshops in Euroanaesthesia 2017 were expanded to cover all three days of the congress.

With the advent of ultrasound guidance there is renewed and increasing interest in regional anaesthesia, explained by alleged improved success rates and fewer complications. However, a lot remains to be done in terms of acquisition of a new skill set by both existing specialists and novices in anaesthesia.

One set of Ultrasound Workshops were chaired by Dr Eric Albrecht, Attending

Paediatric anaesthesia in Europe: the APRICOT study

Paediatric anaesthesia in Europe: the APRICOT study

One of the sessions on the final day of this year’s Euroanaesthesia meeting was dedicated to another successful study from the ESA’s Clinical Trials Network (CTN) – the APRICOT study.

On 28 March 2017, APRICOT (Anaesthesia PRactice In Children Observational Trial) was published in The Lancet Respiratory Medicine. The primary endpoint of this trial was incidence of severe critical events, defined by incidents occurring during and up to 60 minutes after anaesthesia or sedation (laryngospasm, bronchospasm, pulmonary aspiration, drug error, anaphylaxis, cardiovascular instability, neurological damage, cardiac arrest and post-extubation stridor) during and immediately following anaesthesia (PACU).

Preoperative strategies to minimise blood loss

Preoperative strategies to minimise blood loss

One of the Sunday’s sessions at this year’s Euroanaesthesia discussed the issues of anaemia and blood loss and the various preoperative strategies available to minimise the problem. The session began with a talk on ‘Preoperative strategies to own red cell mass’ by Dr Jens Meier, Department of Anaesthesiology and Intensive Care Medicine, Kepler University Hospital, Linz, Austria.

As Dr Meier pointed out: “Preoperative anaemia is a common problem. Depending on the country and the surgical intervention, 25% of patients are anaemic.” The situation is further complicated by the fact that most of these patients are not even aware that they have a problem since their anaemia is of mild or moderate severity, and may not present

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

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

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

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

A standard “Cardiac Arrest Call” – 2222

A standard “Cardiac Arrest Call” – 2222

Dr. David Whitaker – Chair Patient Safety Committee
whitaker2000@googlemail.com

Outside hospitals in Europe there is a single standard emergency telephone number, 112, that can be dialled free of charge to reach the emergency medical services (EMS).

At the limits of Intensive Care

At the limits of Intensive Care

Paul McConnell, Scotland
Edoardo De Robertis, Italy
Chris Danbury, England
Eldar Søreide, Norway
ederober@unina.it
eldar.soreide@sus.no

With the on-going advancements in life-sustaining therapies, we must increasingly ask ourselves not only “What can we do?”, but rather “What should we do?”.

Regional Anaesthesia and Cancer recurrence. Lessons after Euroanaesthesia 2016

Regional Anaesthesia and Cancer recurrence. Lessons after Euroanaesthesia 2016

Philipp Lirk
p.lirk@amc.uva.nl

On May 29th 2016 at the Euroanaesthesia Congress, a full lecture hall listened to the Pro-Con-Debate between our esteemed colleagues William Harrop-Griffiths and Donal Buggy regarding the potential of regional anaesthesia techniques to decrease the likelihood of metastases after cancer surgery.

Pre-congress European Trauma Course in London

Pre-congress European Trauma Course in London

Karl Thies
On behalf of SSC10 Critical Emergency Medicine – Trauma and Resuscitation
dunjamihajlovic@hotmail.com

The European Trauma Course in London, held as a pre-congress event, was a huge success.

The Anaesthetist, Obstetrics, and Ethics

The Anaesthetist, Obstetrics, and Ethics

Antoine Baumann | Department of Anaesthesiology and Intensive Care, Centre Hospitalier Universitaire de Nancy (CHU Nancy), Nancy, France
a.baumann@chru-nancy.fr

Over time, modern medicine has evolved from paternalism to a person’s autonomy and values-centred care. Obstetrics did not escape this progress. This evolution is indisputably a major advance regarding the respect of individual dignity, but it entails a number of difficult issues and risks in daily medical practice – especially in obstetrics. Alongside the obstetrician, the

‘Yesterday, We Included Your Son in a Clinical Trial’ Conducting Research in Critically Ill Patients, Without Prior Consent

‘Yesterday, We Included Your Son in a Clinical Trial’ Conducting Research in Critically Ill Patients, Without Prior Consent

Marjolein Timmers, Erwin J.O. Kompanje | Department of intensive Care, Erasmus MC University Medical Center, Rotterdam, The Netherlands
erwinkompanje@me.com

The mortality and morbidity rates in patients with acute, life-threatening conditions such as severe traumatic brain injury, cardiac arrest, severe sepsis, and stroke are high. Therefore, an ethical imperative exists to develop and test new therapeutic strategies for these conditions

“Big Data” in Perioperative Medicine Research:  Why We Need It and the Challenges in Employing its Potential

“Big Data” in Perioperative Medicine Research: Why We Need It and the Challenges in Employing its Potential

Linda M. Peelen, Teus H. Kappen and Wilton A. van Klei | University Medical Center Utrecht, Utrecht, The Netherlands
l.m.peelen@umcutrecht.nl

The phrase “big data” is used abundantly, both in science and in everyday life. A PubMed search on “big data” in 2015 yielded 695 hits (3 in 2009); within perioperative medicine literature big data has become of interest.[1-3]

Do we have big data?

Results of 2016 ESA Research Grant Applications

Results of 2016 ESA Research Grant Applications

Wolfgang Buhre | Chair Research Committee
wbuhre@me.com

On 26 November 2015, the Research Committee met to discuss the 93 Research Grant applications received. This year the following grants were open for applications: two project grants (60€k), two research support grants (15€k), two young investigator start-up grants (22.5€k) and one coordination

2014 Masterclass in Scientific Writing: Report

2014 Masterclass in Scientific Writing: Report

The Masterclass in Scientific Writing is an advanced scientific workshop dedicated to learning how to write critically and appraise scientific articles and abstracts. The 2014 Masterclass in Scientific Writing was held on 18-20 November 2014 in Brussels at ESA Headquarters…

CTN Studies: Get Involved!

CTN Studies: Get Involved!

The most important and challenging clinical questions are more likely to be answered by several centres joining forces!…

CTN proposals 2015 results

CTN proposals 2015 results

The ESA Research Committee is pleased to announce that the following three study proposals have been…

Research Grants Programme 2015 results

On 20 November 2014, the Research Committee met in Brussels to discuss the 79 Research Grant applications received: 35 in the Projects Grants (60€k) category, 15 applications in the Research Support Grants (15€k) category, 21 in the Young Investigator Start-Up Grant (30€k) category and 8 in the Meta-Analysis Grant (20€k) category.

The following applications were successful:
Research Project Grants 2015 (60,000€)
1. Michael O’Dwyer (UK), Barts and The London School of Medicine…

ESA Mentorship Programme – Call for leader

ESA Mentorship Programme – Call for leader

The ESA Research Committee (RC) is developing to a mentorship programme to promote professional development of young researcher and established investigators. The one-to-one mentoring model enables the development of a personal relationship and provides individual support for the mentee.

ESA Research Mentorship Programme aims are:

To preserve and transfer accumulated
To support individual academic anaesthetists in achieving their potential as researchers…