//
archives

anaesthesiawest

Western Anaesthesia Society Ireland
anaesthesiawest has written 11 posts for AnaesthesiaWest

Regional or General Anaesthhesia for Hip Fracture

A 78 year old female patient is brought to the operating room with a fractured hip. She tells you that she wants to “go asleep” for the operation. How do you advise her? Two papers in July’s Anesthesiology have shed light on this issue. Both studies mine large databases and so care must be taken … Continue reading

Anaesthesia Trainees Reject Subconsultant Grade

Trainees in Anaesthesia in Ireland have given the thumbs down to the Minister of Health’s proposal for a “specialist” or “sub consultant grade”. These findings are contained in an impressive survey carried out by the group of anesthetists in training. What might be more worrying for Dr Reilly, is the sheer number of trainees planning … Continue reading

College Announces Run-Through Training

The College of Anaesthetists of Ireland have announced the greatest shakeup in training structure ever. Anaesthesia will now become a 6 year categorical programme with semi-automatic progression from year to year. The final year is a fellowship year in Ireland or abroad. This is an effective 2-3 year reduction in training duration. The Western Anaesthesia … Continue reading

Symposium 2013: What would you like to hear?

The proposed date for the Western Anaesthesia Symposium 2013 is April 26/27.  Once more it will be held in the Radisson Blu Hotel Galway.  The program is already in evolution but we warmly invite submissions for suggested topics.  Are there areas of your anesthesia or intensive care practice that have intrigued, confused or challenged you? … Continue reading

Ultrasound for Neuraxial Anaesthesia

Most of the time that we palpate the spine (70%) we are incorrect at assessing the level of the spine that we are palpating blindly. In the future ultrasound guidance will be standard of care for spinal anesthesia, according to Jose Carvlho, from Toronto at the Western Anaesthesia Symposium. Does the line drawn across the … Continue reading

Difficult Airway in the Obstetric Population

Is there anything more scary than a difficult intubation in a patient undergoing emergency Caesarian delivery? The subject was discussed by Conan McCaul at the Western Anaesthesia Symposium. The vast majority of women in the 3rd trimester have a Mallampati score of 3 or 4. The MP grade may actually become worse during the course … Continue reading

Analgesia Following Caesarian Delivery

Jose Carvalho discussed pain following Caesarian Delivery at the Western Anaesthesia Symposium. 12-15% of patients have chronic pain 10 months following Caesarian section. This is not related to previous surgery, vertical incision, obesity or infection. The more pain a patient has postpartum, the more likely they are to have chronic pain and it is associated … Continue reading

Critical Illness in Pregnancy

John Laffey has presented Critical Illness in Pregnancy at the Western Anaesthesia Symposium Today. Critical illness is an uncommon but potentially devastating complication of pregnancy. The majority of pregnancy-related critical care admissions occur postpartum. Antenatally, the pregnant patient is more likely to be admitted with diseases non-specific to pregnancy, such as pneumonia. Pregnancy-specific diseases resulting in … Continue reading

Post Dural Puncture Headache

At today’s Western Anaesthesia Symposium, Joey Costello presented the latest data on post-dural puncture headache. This occurs with 1-3% of epidurals. Unfortunately, the majority of interventions that have been proposed are largely ineffective: caffeine, coca-cola, epidural saline, lying supine etc. There are promising data for co-syntropin and epidural morphine. The epidural blood patch remains the … Continue reading

Western Anaesthesia Meeting is Nearly Here

This year’s Western Anaesthesia Symposium (the “Galway Meeting”) will be held in the Radission Hotel in Galway on March 2nd and 3rd. This year most of the sessions will be interactive – using audience response systems. In addition you will be able to text in questions for the experts on the panels. There will also … Continue reading