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July Tuesday educational sessions

Tuesday 8 a.m. Meetings July 2012 Venue: ICU conference room July 3rd Morbidity and Mortality Department 10th NCHD meeting 17th Introduction to the Labour ward Dr Joey Costello 24th Introduction to educational program and mini-quiz Dr Leo Kevin 31st The difficult airway Dr Brian Harte

Tuesday 8am meetings May 2012

Tuesday 8 a.m. Meetings   Venue: ICU conference room  May 1st Thoracic anaesthesia Dr Brian Harte   8th The surgical patient with a pacemaker Dr Leo Kevin 15th Cardiac anaesthesia Dr Paul Naughton 22nd Oral opioids for acute pain: do you know your oxycontin from your oxynorm? Dr Tadgh Lynch 29th Pre-operative optimisation (Provisional title) … Continue reading

WAS speakers at international events in 2012

WAS speakers will travel a little beyond Galway in 2012!  Here are some 2012 international events that feature lectures from WAS regulars: Dr Brian Harte on advanced airway management ESA Paris June 9 – 12 http://www.euroanesthesia.org/sitecore/Content/Congresses/Euroanaesthesia%202012.aspx Dr Patrick Neligan on bariatric anaesthesia World Congress of Anesthesia, Buenos Aires, Argentina, March 25 -30 http://www.wca2012.com/en/ Dr Leo … Continue reading

Ultrasound for central venous access

The ASA has published its guidelines for central venous access (see link below).  I am regularly amused by the slavish credence given by trainees to use of ultrasound as ‘mandatory’ for central  venous access.  Why I ask?  That ‘s what the NICE guideline says, they reply.  Do you work in the NHS I ask? Yes … 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