Aberdeen Anaesthesia

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TRAINEE PRESENTATIONS

Listed below are poster presentations that Aberdeen trainees have submitted to local and national meetings. Click on the image to see a preview, or click on download to see the PDF.

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Documents

Unlicensed Use of Chloraprep

20 downloads

Unlicensed Use of Chloraprep

Li Yen Liew, Specialty Trainee 6
Piotr Orzylowski, Specialty Trainee 7
Graham Wilson, Consultant Anaesthetist

Chloraprep (2% chlorhexidine gluconate in 70% alcohol) remains unlicensed for use in children less than 2 months of age. This is due to issues with skin irritation and systemic absorption. For this reason many centres advocate abandoning its use in this age group altogether. Our aim was to review skin antisepsis in theatre for surgery and line insertion in children less than 2 months of age at the Royal Aberdeen Children's Hospital.

Peebles: Scottish Society of Anaesthetists Spring Meeting (Third Place)

Identifying Local Training Needs in Paediatric Anaesthesia

17 downloads

Identifying Local Training Needs in Paediatric Anaesthesia

Li Yen Liew, Specialty Trainee 6
Emmanuel Feldano, Specialty Trainee 3
Donald Irvine, Consultant Anaesthetist

Paediatric anaesthesia is a foundation of the training curriculum of the Royal College of Anaesthetists, usually delivered and assessed using various workplace based assessments. Anecdotal reports from trainee colleagues in our centre indicated these competencies were achieved at varying rates, directly related to clinical exposure and out of hours opportunities. We intend to improve the delivery of training in paediatric anaesthesia linked directly to the RCOA curriculum outcomes in our hospital.

Edinburgh: Scottish Paediatric Anaesthetic Network Spring Meeting 2022 (Selected for Oral Presentation)

Development of a New Paediatric Anaesthetic Emergencies Simulation Session

16 downloads

Development of a New Paediatric Anaesthetic Emergencies Simulation Session

Emmanuel Feldano, Specialty Trainee 3
Li Yen Liew, Specialty Trainee 6
Donald Irvine, Consultant Anaesthetist

Simulation teaching is a well validated method of delivering clinical learning outcomes successfully in medical education. It is particularly useful in enabling ‘hands on’ experience in a safe and controlled space.

Edinburgh: Scottish Paediatric Anaesthetic Network Spring Meeting 2022

The Use of Iron Supplementation in Patients with Iron Deficiency Anaemia Prior to Elective Colorectal Surgery

18 downloads

The Use of Iron Supplementation in Patients with Iron Deficiency Anaemia Prior to Elective Colorectal Surgery

Dinushi Jayasuriya, 5th Year Medical Student
Li Yen Liew, Specialty Trainee 6
Ross Thomson, Consultant Anaesthetist

The use of iron supplementation in patients with iron deficiency anaemia that underwent elective colorectal surgery was assessed. 87% of patients were managed as per recommendations indicating that there is still room for improvement to ensure that iron supplementation prior to elective surgery is provided to all patients that are iron deficient. This could be achieved by implementing more robust pathways to refer such patients.

Peebles: Scottish Society of Anaesthetists Spring Meeting 2022 (Medical Student Prize)

"Fractured Care" - An Evaluation of Rib Fracture Management in a New Major Trauma Centre Popular

Tagged in 2019, Acute-Pain 54 downloads

"Fractured Care" - An Evaluation of Rib Fracture Management in a New Major Trauma Centre

Ross Thomson, Specialty Registrar 6

Colin Patterson, Consultant Anaesthetist

A Major Trauma Centre was commissioned in October 2018. There was no agreed local clinical pathway for managing rib fractures despite high morbidity and mortality. This project aimed to evaluate the management of patients presenting with rib fractures assessing analgesia, use of regional techniques and respiratory deterioration requiring ventilatory support.

Manchester: National Acute Pain Symposium 2019

PONV at Royal Aberdeen Children's Hospital: A Re-Audit Popular

63 downloads

PONV at Royal Aberdeen Children's Hospital: A Re-Audit

Piotr Orzylowski, Specialty Trainee 5

Kay Davies, Consultant Anaesthetist

Swapnil Aswar, Consultant Anaesthetist

Post-operative nausea and vomiting (PONV) continues to be an issue in the paediatric population. The incidence is almost twice as high as in adults and varies between and 42%. It is associated with morbidity, delayed discharge and parental and patient dissatisfaction. Our department at the Royal Aberdeen Children’s Hospital (RACH) in Aberdeen continues to support regular re-auditing of the incidence of PONV in children.

Virtual: APAGBI Annual Scientific Meeting 2021

Collaborative Learning in Online Tutorials – Regaining the interaction of face to face learning Popular

Tagged in Education 62 downloads

Collaborative Learning in Online Tutorials – Regaining the interaction of face to face learning

Sarah-Anne Milne, Core Trainee 2

Jill Austin, Consultant Anaesthetist

We employed the flipped classroom in our online Anaesthesia tutorials to improve engagement and collaborative learning during the Covid 19 pandemic.

Virtual: Keck School of Medicine of USC 18th Annual Innovation in Medical Education Conference

Post operative modified release opioids: Prescribing practice among anaesthetists Popular

Tagged in Acute-Pain 68 downloads

Post operative modified release opioids: Prescribing practice among anaesthetists

Seong Hoon Lee, Foundation Year 1

Andrea Harvey, Consultant Anaesthetist

National and international consensus statements have recently published guidelines evidencing increased postoperative risks associated with modified-release opioids (MRO), especially when used within 48 hours of surgery. We aimed to ascertain the rate of MRO prescription by anaesthetists for post-operative day 0 use in surgical patients at ARI.

Virtual: Scottish Society of Anaesthetists Annual Spring Meeting 2021

Second Place Poster Prize

Unusual complication of ACDF leads to airway challenge Popular

Tagged in Airway 67 downloads

Unusual complication of ACDF leads to airway challenge

Michael Kirkham, Specialty Trainee 6

David Seath, Consultant Anaesthetist

A patient presented to her GP with odynophagia, dysphagia and reduced oral intake over several weeks. She was referred to gastroenterology and upper GI endoscopy revealed a foreign body in the pharynx. This was thought to be a screw related to a nterior cervical discectomy and fusion (ACDF) surgery 6 years previously.

Virtual: Scottish Society of Anaesthetists Annual Spring Meeting 2021

Shortlsted for Poster Prize

Textbook Wisdom for the YouTube Age: How We Are Learning to Teach Modern Remote Learners? Popular

Tagged in Education 144 downloads

Textbook Wisdom for the YouTube Age: How We Are Learning to Teach Modern Remote Learners?

Charles Moore, Specialty Trainee 6

Jill Austin, Consultant Anaesthetist

The advent of the Covid-19 pandemic necessitated a rapid expansion into the realm of online learning, with a resultant need to review the curriculum and develop modalities that were suitable for an online, distanced model of learning. Simply recording teaching that works effectively in a face to face format does not lead to the same results when delivered online, and prolonged exposure to narrated powerpoint presentations does not produce an effective and engaging learning experience.

Virtual: Keck School of Medicine of USC 18th Annual Innovation in Medical Education Conference

Costs, beliefs and use of intravenous versus oral paracetamol in an orthopaedic trauma unit Popular

Tagged in Acute-Pain 107 downloads

Costs, beliefs and use of intravenous versus oral paracetamol in an orthopaedic trauma unit

Ben Tanner, Foundation Year 2

Eanna Mulvihill, Foundation Year 2

Karen Cranfield, Consultant Anaesthetist

NICE guidance recommends that oral paracetamol should be offered perioperatively and that the intravenous route should only be offered if an oral route is not available.

Virtual: Scottish Society of Anaesthetists Annual Spring Meeting 2021

 

Maternal admissions to a Scottish intensive care unit Popular

Tagged in 2019, Critical-Care, Obstetrics 99 downloads

Maternal admissions to a Scottish intensive care unit

Philip Jackson, Specialty Trainee 5

Due to the construction of a new women's hospital in Aberdeen, a review of historic and current ICU provision to obstetric cases was undertaken.

Newcastle-Gateshead: Obstetric Anaesthetists' Association Annual Scientific Meeting 2019

Improving Tracheostomy Safety: An Educational Intervention Popular

Tagged in 2019, Airway, Critical-Care, Critical-Incident, Education 71 downloads

Improving Tracheostomy Safety: An Educational Intervention

Linzi Moir, Specialty Trainee 3

Andrew Bayliss, Consultant Anaesthetist

Leanne Duffy, Senior Charge Nurse

Critical incidents involving tracheostomies have a 60-70% risk of harm, with a relative risk of seven in the ward environment. While this increased risk is multifactorial, lack of training plays a part. Junior doctors on hospital wards may face managing an acutely unwell patient who has had a tracheostomy or laryngectomy until expert help arrives. In NHS Grampian, we initiated a quality improvement project focusing on educating junior doctors in airway management for these patients.

Glasgow: Association of Anaesthetists Annual Congress 2019

Tranexamic acid use in elective hip and knee arthroplasty: how are we dosing? Popular

Tagged in 2019, Orthopaedics 72 downloads

Tranexamic acid use in elective hip and knee arthroplasty: how are we dosing?

Sarah Rae, Specialty Trainee 6

Hal Robinson, Specialty Trainee 7

There is increasing evidence to suggest that tranexamic acid (TXA) can significantly lower blood loss by up to 30% in patients undergoing lower limb arthroplasty with seemingly no significant increase in risk. However, there remains a wide discrepancy on the agreed dose and timing.

London: Association of Anaesthetists Winter Scientific Meeting 2019

Second Place Poster Prize

Use of Regional Anaesthesia in Patients with Rib Fractures in Aberdeen Royal Infirmary Popular

120 downloads

Use of Regional Anaesthesia in Patients with Rib Fractures in Aberdeen Royal Infirmary

Michael Smart, Core Trainee 1

Colin Patterson, Consultant Anaesthetist

Rib fractures are common injures, seen in a wide range of patients and a wide range of patterns. Providing good analgesia in some of these patients can be challenging, usually due to:

  • Poor response to opioids
  • Complex injuries
  • Excess opioid side effects

Traditionally Thoracic Epidurals (TE) were used to help these patients, but the use is limited by contraindications, side effects, technical skills and need for HDU care. Similarly to other centres, Aberdeen Royal Infirmary’s Acute Pain Service (APS) has started to use Erector Spinae Plane (ESP) and Serratus Anterior Plane (SAP) blocks and catheters to provide analgesia for these patients.

Aberdeen: North East Scotland Society of Anaesthetists Meeting 2019

Six Week Follow Up of Patients Discharged on Strong Opioids Popular

Tagged in 2019, Acute-Pain 76 downloads

Six Week Follow Up of Patients Discharged on Strong Opioids

Jill Marshall, Foundation Year 2

Colin Patterson, Consultant Anaesthetist

There is a growing awareness of the prescription opioid crisis, with rising numbers of deaths being linked to these medications. Despite this, there is a lack of guidance to aid the clinician faced with a patient who requires strong opioids on hospital discharge. The acute pain team see patients at Aberdeen Royal Infirmary (ARI) and Woodend Hospital (WH) during admission and telephone review at six weeks post-discharge, for those who have been started on opioids by an anaesthetist or directly by the acute pain team.

Manchester: National Acute Pain Symposium 2019

 

Screening for anxiety and depression in patients with chronic pain in the North East of Scotland Popular

Tagged in 2018, Chronic-Pain 443 downloads

Screening for anxiety and depression in patients with chronic pain in the North East of Scotland

Philip Jackson, Specialty Trainee 4 in Anaesthesia, Aberdeen Royal Infirmary

Calum Laird, Specialty Trainee 4 in Pyschiatry, New Craigs Hospital, Inverness

Ravi Nagaraja, Consultant Anaesthetist, Aberdeen Royal Infirmary

There is a high prevalence of anxiety and depression amongst patients with chronic pain. Concomitant treatment of these conditions have been shown to influence outcomes. Identifying these patients allows appropriate referral to specialist services.

Presented - Scottish Society of Anaesthetists Spring Meeting 2018

A standard for performing percutanous tracheotomy Popular

Tagged in 2013, Airway, ICU 787 downloads

A standard for performing percutanous tracheotomy

Philip Jackson, Core Trainee 2, Aberdeen Royal Infirmary

Angus Mitchell, Core Trainee 2, Aberdeen Royal Infirmary

Tracheotomy is a procedure commonly performed in patients in the ICU. Historically, surgical tracheotomy (ST) was the standard technique; however, percutaneous tracheotomy has become the preferred procedure in suitable patients. At present, although there is guidance for the performance of the procedure, there is little guidance as to patient preparation, staffing and what level of anaesthetic monitoring and recording is appropriate to safely carry out this procedure in the ICU. This project suggests a potential standard based on the collective opinions of Anaesthetists and Intensivists.

Presented - Scottish Intensive Care Society Annual Scientific Meeting. Old Course Hotel, St Andrews. January 2013.

Venous access hubs significantly restrict flow through intravenous cannulae Popular

Tagged in 2014, Critical-Incident, Obstetrics 765 downloads

Venous access hubs significantly restrict flow through intravenous cannulae

Philip Jackson, Core Trainee, Raigmore Hospital

Venous access hubs (e.g. the "Bionector®") have become ubiquitous in the labour ward environment. There is a significant restriction in maximum fluid flow when they are used. Their use may be appropriate when intermittent or slow infusion are being used in stable patients, but not when rapid infusions are required.

Presented - Scottish Obstetric Anaesthesia Study Day. Teacher Building, Glasgow, October 2014

Prizes - 2nd Prize oral presentation

Shifting priorities over the course of core training amongst Scottish Anaesthesia trainees Popular

Tagged in 2016, Staffing 753 downloads

Shifting priorities over the course of core training amongst Scottish Anaesthesia trainees

Jolene Moore, Specilaty Trainee, Aberdeen Royal Infirmary

Many hospital specialties are experiencing problems with recruitment and retention. Anaesthesia is facing difficulties with retention at higher levels of training. In order to attract and retain trainees, it is essential to identify factors of importance to trainees at different points of entry into training programmes, as these may impact on retention. We investigated trainee priorities, and how these change over time in Anaesthesia training.

Presented - NHS Education, 2016