"Issue 68"

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