Annual Meeting Newmarket 2015

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1 Annual Meeting Newmarket 2015 vestibulum: lorem ipsum Fusce tellus enim, semper vitae, malesuada vitae, condimentum vel, ligula. Vivamus in ipsum et nisl fringilla eleifend. Donec pulvinar placerat massa. Sed nec lorem. dolor lorem dolor Pellentesque ullamcorper ultricies turpis. Integer est. Sed nec lacus. Nunc est. Aenean diam velit, rutrum vitae, tempor ut, sodales eget, mauris. Sed nec lacus. Ut et nisl id turpis varius faucibus. Integer et felis. Sed libero. Geographically Newmarket is perfect As usual this is one of the best meetings of the year Venue was fantastic & easily reached by trainees throughout the region Core Topics 2015 & Harold Youngman Prize Tattersalls Conference Facilities, Newmarket The East Anglian Association of Anaesthetists Annual Meeting returned to Tattersalls Conference Facilities in Newmarket for Delegates attending the meeting enjoyed a wide mix of CPD topics including, Analgesia for children, How to gain anaesthesia clinical services accreditation, Remote site anaesthesia and a very entertaining talk on What s new in ICU. Dr Benji Marriage presented Free open access medical education and chaired the inaugural FOAM film festival. Lunchtimes were filled with good food, a trade exhibition and a spinal ultrasonography workshop. Sticking with tradition, the morning session of the 2 nd day was dedicated to trainee presentations a large number of abstracts were submitted and presented. The overall standard was very high and picking out the winners was not easy for the judges: Dr Kim Wild won first prize and the Harold Youngman medal. Runner up prizes were awarded to Drs Katie Allan, S King and Georgia Hacke. more on 2

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3 2014 A Service Improvement Project: Moving From Intraoperative Intravenous to Preoperative Oral Simple Analgesics in Day Surgery Kim Wild - ST7, Wasim Huda - Consultant, Shilpa Pangam - Consultant, West Suffolk Hospital Background Day surgery guideline standard: Prophylactic oral analgesics with long-acting NSAIDs should be given to all patients if not contraindicated 1.Practice at the West Suffolk Hospital (WSH) is to administer intravenous (IV) analgesia intraoperatively. Oral simple analgesics have been proven to be effective for acute pain postoperative pain. 2. Converting to preoperative oral analgesics would: save money and reduce our carbon footprint (fewer disposables), whilst still providing effective analgesia. We: 1. Audited analgesic practice for 50 DSU laparoscopic cholecystectomies (8/ /2014). 2. Reviewed the evidence base. 3. Questioned three hospitals that currently administer prophylactic oral analgesics. Key Findings 1. Only 2/50 (4%) received preoperative oral paracetamol 1g. All other analgesics were given IV intraoperatively (96%) received IV paracetamol 1g (94%) received IV NSAIDs % of IV analgesics were administered within 15 minutes of the start of anaesthesia. Potential Cost Savings: 1. The WSH day surgery spent ~ 1547 on paracetamol and ~ 7144 on NSAIDs over one year (03/ /2015). 2. If oral preoperative paracetamol and long-acting ibuprofen had been used instead, ~ 485 would have been spent, i.e. a 94% reduction in expenditure. Recommendations The findings were presented at an anaesthetic clinical governance meeting, and a recommendation was made to introduce the widespread use of oral preoperative analgesia (paracetamol and ibuprofen retard) in DSU. Actions 1. A successful business case was presented to obtain ibuprofen retard on formulary. 2. The DSU drug chart was revised to include preprinted prescriptions in the once only drugs section of: ibuprofen retard, and paracetamol. 3. A guideline to introduce preoperative analgesic practice was written. References 1. Verma R, Alladi R, Jackson I, et al. Day case and short stay surgery: 2, Anaesthesia 2011; 66: pages Fenlon S et al. Oral vs intravenous paracetamol for lower third molar extractions under general anaesthesia: is oral administration inferior? British Journal of Anaesthesia 2013; 110: pages DR KIM WILD was the 2015 WINNER of the Harold Youngman Medal and 1 st Prize for a trainee presentation at the East Anglian Association of Anaesthetists Annual Meeting. Kim also received a cheque for

4 Annual Meeting Newmarket 2016 The East Anglian Association of Anaesthetists Core Topics & Harold Youngman Prize 2016 will take place on Thursday 10 th and Friday 11 th November. The meeting venue will remain the Conference Facilities at Tattersalls, Newmarket. The educational programme for 2016 has been designed around the feedback received at the 2015 meeting, particularly in relation to format and content. On the first afternoon of the meeting there will be a new focused clinical update session addressing core areas of CPD for the general anaesthetist such as obstetrics, an update on hip fracture anaesthesia (SNAP2) and anaesthesia for amputation. The meeting organisers are Drs Claire Williams and Familia Alagarsamy, both from Addenbrooke s Hospital. Claire Williams Famila Alargarsamy Annual Meeting Newmarket 2017 In 2017, the Royal college of Anaesthetists will celebrate 25 years since gaining its Royal Charter. The East Anglian Association of Anaesthetists meeting has competitively won an RCoA Silver Jubilee Bursary for the 2017 meeting and this promises to be a special event. Quite how the Bursary will be spent to support the meeting is currently under review. The President of the RCoA, Dr Liam Brennan, will open the meeting. RCoA Silver Jubilee Bursary!! 4

5 Core Topics 2016 & Harold Youngman Prize PROGRAMME for 10 th & 11 th November Thursday 10th November Electronic patient record the future? 1G01, 3J01 Dr Ari Ercole, Consultant Anaesthetist, Cambridge Physicians Assistant (Anaesthesia) 3J02 Dr George Collee, Consultant Anaesthetist, London High flow nasal oxygen 2A01, 3A02 Dr Catriona Ferguson, Consultant Anaesthetist, London Poisoning accidental, deliberate or terrorism 3A14 Surg Cdr Steven Bland, Military Consultant in Emergency Medicine, Portsmouth Anaesthesia and oncology 2A12, 2G01 Dr Louise Oduro, Consultant Anaesthetist, Cambridge Non-obstetric procedures in the pregnant patient 2A09 Dr Anoop Surendran, Consultant Anaesthetist, King s Lynn Anaesthesia for amputation surgery 1I05, 2A12 Dr David Nunn, Consultant Anaesthetist, Norwich Anaesthesia for hip fractures 3A08 Dr Richard Griffiths, Consultant Anaesthetist, Peterborough Friday 11 th November Trainee presentations Trainee poster presentation round-up Dr Paul Roe, Consultant Anaesthetist, Cambridge FOAM Film Festival 2016 Dr Benji Marriage, Specialist Trainee, East of England Poster presentations Ultrasound assisted lumbar & thoracic epidural workshop Morale and wellbeing 1I03, 3I00 Dr Liam Brennan, President of the Royal College of Anaesthetists Planning high risk surgery 2A03 Dr Kath Rowe, Consultant Anaesthetist, Chelmsford Initial management of the head injured patient 2A02, 2F01 Dr Jeremy Mauger, Consultant Anaesthetist, Bury St. Edmunds Presentation of prizes AGM - East Anglian Association of Anaesthetists See: for registration details 5

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8 East Anglian Association of Anaesthetists Issue 1/ October 2015 Date for the diary: RCoA Silver Jubilee Regional Event: East Anglian Association of Anaesthetists Core Topics & Harold Youngman Prize 9 th and 10 th November President & newsletter editor: Janet Pickett Addenbrooke s Hospital Secretary: Frances Spears Luton & Dunstable Hospital Treasurer: Manasi Bhagwat Norfolk & Norwich Hospital Meeting Organisers: Claire Williams Famila Alargarsamy Addenbrooke s 8