Scientific

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

“I’m an anaesthetist, can I help?” – Providing unexpected care in unusual circumstances

“I’m an anaesthetist, can I help?” – Providing unexpected care in unusual circumstances

Many anaesthetists — indeed many doctors of any specialty — have found themselves in the position of providing care in unusual circumstances. This can range from helping someone falling in the street to major medical emergencies on commercial aircraft.

The first talk in this three-part session delivered in Monday’s Euroanaesthesia programme was by an expert who can see both the doctor’s side and the legal issues – UK-based Adam Sandell, who works as both a barrister and a general practitioner. He confronted the audience with a theoretical situation they may face on any international flight: you are an Italian

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

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

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 new 2015 ERC Resuscitation Guidelines – Focus on lay people, dispatch centres, hospitals, and prognostication

The new 2015 ERC Resuscitation Guidelines – Focus on lay people, dispatch centres, hospitals, and prognostication

Bernd W. Böttiger | University Hospital of Cologne, Germany
bernd.boettiger@uk-koeln.de

Sudden cardiac death following unsuccessful out-of-hospital cardiopulmonary resuscitation (CPR) is most probably the third leading cause of death in industrialized nations, and is responsible for more than 350,000 deaths every year in Europe. In addition, many patients are dying following in-hospital cardiac arrest.

The Clinical Corner: Overview of the GAS-Study

The Clinical Corner: Overview of the GAS-Study

Jurgen De Graaff | Wilhelmina Children’s Hospital, UMC Utrecht, The Netherlands
jgraaff2@umcutrecht.nl

Nicola Disma | Istituto Giannina Gaslini, Genoa, Italy
nicoladisma@tin.it

The GAS-study is the first international multicentre randomized trial looking at the effects of anaesthesia in infants on long-term development of the brain. Recently, some secondary outcomes from the GAS-study have been published