STAR Group

🔓Emergency treatment of peri-operative anaphylaxis: Resuscitation Council UK algorithm for anaesthetists👇 @jas_soar @LouiseSavic @Assoc_Anaes @RCoANews @BSACI_Allergy @britsocimm @ResusCouncilUK 🔗associationofanaesthetists-p…

We now have much new data from #NAP7 on complications and risks associated with anaesthesia. @doctimcook asks, is it now time for a standardised, written anaesthetic consent form? Lots of views for and against in the room, what does @X think? @RCoANews @NAPs_RCoA @jas_soar

What did the #NAP7 activity survey show? @adk300 takes us through the data: -89% of cases occur during weekdays -only 4% of elective workload undertaken at the weekend -relative fewer patients at the extremes of age, who are usually higher risk -minimum monitoring standards from @Assoc_Anaes less well followed during procedural sedation and transfers to PACU/ICU -median age of surgical patients has increased by 2.3 years -rates of BMI >30 and >35 much higher in NAP7 than previous NAPs. More so in the obstetric population. -less patients are now ASA grade 1, with increases in numbers of ASA grade 2, 3 and 4 grade patients. -TIVA use has increased 3-fold in 5 years, and pEEG has increased too -circulation complications most prevalent > airway > breathing/metabolic -severe hypotension the most common complication (117 in 10,000), but complications more generally common in emergency cases -these data have enormous implications for what we can and what we should tell patients @RCoANews @NAPs_RCoA

As announced by @STHJournalClub at @Assoc_Anaes #AC2023, here are our best papers from 2022! 10 Right ventricular dysfunction in patients with COVID-19 pneumonitis whose lungs are mechanically ventilated👇 associationofanaesthetists-p… 9 A prospective observational study of the effects of sugammadex on peri-operative oestrogen and progesterone levels in women who take hormonal contraception👇 associationofanaesthetists-p… 8 Glycated haemoglobin and the risk of postoperative complications in people without diabetes: a prospective population-based study in UK Biobank👇 associationofanaesthetists-p… 6 Litigation related to anaesthesia: analysis of claims against the NHS in England 2008–2018 and comparison against previous claim patterns👇 associationofanaesthetists-p… 6 Major complications of airway management: a prospective multicentre observational study👇 associationofanaesthetists-p… 5 Severe maternal morbidity in Scotland👇 associationofanaesthetists-p… 3 Effectiveness of emergency surgery for five common acute conditions: an instrumental variable analysis of a national routine database👇 associationofanaesthetists-p… 3 A model to predict difficult airway alerts after videolaryngoscopy in adults with anticipated difficult airways – the VIDIAC score👇 associationofanaesthetists-p… 2 Aerosol precautions and airway complications: a national prospective multicentre cohort study👇 associationofanaesthetists-p… 1 Neurodevelopmental outcomes after prenatal exposure to anaesthesia for maternal surgery: a propensity-score weighted bidirectional cohort study👇 associationofanaesthetists-p… Congratulations to @noolslucas; @t_Potter_1; @john_n_cronin; @justin_kua; @EvieNurmi; @dannyjnwong; @dr_imranahmad; @doctimcook; @elboghdadly; @PeriopResearch; @STAResearch; @SQuAResNet; @NWRAG; @WAARENgroup; @SHARCgroup; @wostraq; @dlugopal; @RJ_Silverwood; @robhinchliffe1; @LSHTM_GHECO; @ICUlone; @bucksgasdoc; @FiOglesby; @doctimcook; @Bhaskar23859803; @ketandhatariya; @DrNatalieSmith1; @philipmccall; @SivellScotland; @DrJSAllan; @lisaarkley3; @apuxty; @domstrachan; @ColinBerryMD; and @GJanaesresearch!