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Newsletter July 2023: New Guidelines for Managing Intraoperative Cardiac Arrest Provide Roadmap for Anaesthesiologists

Iulia FIlip (Medical Writer), Jochen  Hinkelbein     Despite advances in operative techniques, intraoperative cardiac arrest (IOCA) is a frequent complication that must be managed appropriately to improve the chances of survival and neurological outcomes. New guidelines presented at Euroanaesthesia 2023 address specific recommendations intended to guide the practising anaesthesiologist in the operating theatre. Perioperative mortality has continued to decrease since the first case of dea...

Newsletter July 2023: New version of the ESAIC guidelines on severe perioperative bleeding management

Sibylle Kietaibl Severe bleeding in major surgery is an emergency. Guidance for avoiding and controlling bleeding and anaemia and in reducing the need for allogeneic blood transfusions improves patient outcomes and makes our lives as clinicians easier. Accordingly, there was, and still is, a need for clinical guidelines.  About 15 years ago, direct oral anticoagulants became available. There was broader use of viscoelastic haemostatic assays (VHAs) and bedside platelet function analysers. Furt...

Newsletter July 2023: Practice guidelines of airway management in children under one year of age - ESAIC-BJA Foundation joint guidelines

Nicola Disma, Arash Afshari A multinational task force of 23 experts embarked on a mission to develop comprehensive clinical practice guidelines on airway management for neonates and infants. Motivated by the success of the Nectarine1 CTN and the recommendation of the Editor in Chief of the British Journal of Anaesthesia Foundation (BJA Foundation), the task force collaborated with BJA Foundation and ESAIC to address the critical aspects of paediatric airway management. The project aimed to redu...

Newsletter July 2023: ESAIC focused guideline for the use of cardiac biomarkers in perioperative risk evaluation

Giovanna Lurati Buse, Bernardo Bollen Pinto, Michelle S Chew The “ESAIC focused guideline for the use of cardiac biomarkers in perioperative risk evaluation” has recently been published in the European Journal of Anaesthesiology 34(4):p 192-214, April 2017, following feedback from all ESAIC members and approval from relevant ESAIC bodies.  Numerous publications on cardiac biomarkers, specifically cardiac troponin and B-type natriuretic peptides, have raised awareness of the impact o...

Newsletter July 2023: Update of the ESAIC guideline on the prevention and management of postoperative delirium

Claudia Spies, on behalf of the ESAIC Task Force and the ESAIC Advisory Board This project was motivated by the need to update the 2017 guideline on the prevention of postoperative delirium (POD) published by the European Society of Anaesthesiology (ESA). A comprehensive literature search in 2020 revealed a significant number of references, prompting a thorough review and analysis of the latest evidence.  Six working groups focused on various aspects of POD, conducting specific literature searc...

Newsletter July 2023: ESAIC CTN Study - MET: REevaluation for Peri-operative cArdIac Risk (MET-REPAIR)

Giovanna Lurati Buse ESAIC Clinical Trial Networking of 2016 was dedicated to MET-REPAIR by the chief investigator, by Prof. Giovanna LURATI BUSE. The study was published in April 2023.  The European Society of Anaesthesiology and Intensive Care established the Clinical Trial Network to foster large research cooperations across Europe in Anaesthesiology, Intensive Care, Peri-Operative Medicine, Emergency Medicine, and Pain Medicine. This support by the ESAIC allowed the successful conduction o...

Newsletter July 2023: Update on the practice of mechanical ventilation in non-ARDS ICU patients

An international, multi-centre, prospective, observational ICU cohort study of the PROVEnet supported by ESAIC (PRoVENT 2+) Martin Scharffenberg One of the current Research groups was selected in 2022: PRoVENT 2+. Martin Scharffenberg, MD, the task force chair, led this prospective, international, multi-centre, observational cross-sectional study on intensive care units to mainly assess current MV strategies and outcomes in consecutive patients included in a fixed time frame. We aim to significa...

Newsletter July 2023: There is only one patient on the operating table

Gabriel M. Gurman, MD Chief Editor A recent paper published in a highly esteemed journal (1) discussed the issues faced by patients with high-risk factors for surgical complications. It highlighted the challenges that surgeons encounter when deciding whether to undertake an elective procedure.  The paper presents a series of factors that could adversely affect the postoperative outcome, including obesity, smoking, and diabetes (2). It also recommends that surgeons assess the risks associated wi...

Empowering Collaboration and Innovation: Prof. Carolyn Weiniger's Journey with ESAIC

Prof. Carolyn Weiniger, Chair of the ESAIC Patient’s Forum; Member of the ESAIC Research Committee; Director of Obstetric Anesthesia in the Department of Anesthesia, Pain and Intensive Care Medicine of the Tel Aviv Sourasky Medical Center, affiliated with the Tel Aviv University Faculty of Medicine, Israel You have a rich history as both a member and chair of an ESAIC committee. What inspired you to become so actively involved, and how has ESAIC impacted your journey? I became actively involve...

Moving towards green anaesthesia: Are patient safety and environmentally friendly practices compatible? A focus on single-use devices

The research discussed in the article examines the differences between disposable and reusable items in preventing infections and contamination in hospitals and is based on various resources and studies made. It presents evidence that reusable equipment, such as laryngeal mask airways and anaesthetic medication platters, can have a lesser detrimental effect on the environment compared to their single-use counterparts. Reusable devices are also shown to offer cost reductions and significant finan...