A survey of trainee experience with total intravenous anaesthesia (TIVA) in the northern deanery. E. Pugh, H. Husaini on behalf of INCARNNET Freeman Hospital,

Slides:

Advertisements

Similar presentations

GMC National Trainer Survey What did you say in 2011? St Cadocs Hospital.

Advertisements

Consent Form 1 Name of proposed procedure Angiogram with possible angioplasty & stenting Explanation of procedure Your angiogram allows us to assess your.

A COPY OF THIS CONSENT FORM HAS BEEN OFFERED TO THE PATIENT

Standard 6: Clinical Handover

Revalidation + Trainer Recognition School of Surgery Annual Conference Dr Bret Claxton, APD Health Education Yorkshire and the Humber. April 2013.

Mike Sury APA Linkman Meeting 2014

Agenda Why the survey matters NTS 2014: what the survey told us last year Survey content Confidentiality How to take part.

BackgroundBackground Accidental disconnection of an indwelling epidural catheter from the filter is not uncommon There is no quoted incidence rate in the.

Forerunner Projects Overview. Four projects: 1.ITEC – Intelligent Technologies Enhancing Communication. 2.Mentorship Skills: Development of an innovative.

“Wardcraft”: Equipping medical students with the procedural knowledge and skills to make them more confident junior doctors Dr Meng Wang (ACF CMT2) and.

Day surgery: Nursing’s contribution to this new surgical era Dr. Mark Mitchell Faculty of Health and Social Care University of Salford Greater Manchester.

Survey Design Training OFFICE OF PLANNING, RESEARCH & INSTITUTIONAL EFFECTIVENESS CAÑADA COLLEGE.

SAS Doctors Job Development and Personal Profile Dr V R Alladi.

Agenda Why the survey matters NTS 2013: what the survey told us last year Survey content Confidentiality How to take part.

Chief Executive’s Update 31 st May 2007 TRUST BOARD.

Nurses Experiences of Control & Restraint in an Acute Mental Health Setting By Tiziana Portelli.

Domain 2 – Classroom Environment This domain discusses establishing a respectful learning culture with clear procedures and high expectations.

National Framework for Induction & Introduction to Histopathology (England/Wales) Strand B: Direction and Standardisation of programme for School Leads.

Recognition for Trainers in Job Plans Rick Turnock Head of the Mersey Deanery School of Surgery Regional Representatives’ Meeting RCS 5 th November 2009.

A ( RELATIVELY ) JUNIOR DOCTOR ’ S PERSPECTIVE ON MEDICAL STATISTICS Carl Ilyas CT1 Anaesthetics Leeds.

Challenges facing mature returners to Education and an evaluation of strategies to address these.

TRACHEOSTOMY MANAGEMENT IN THE HOSPICE SETTING DR JESS BRIGGS SPR PALLIATIVE CARE Kelly Keane, Ward Sister; Suzie Doe, practice development; Dr Jo Rogers,

Update - ATSM Recent changes. Regulations for the Advanced Training Skills Modules Generic: The applicant must be working in the UK for the duration of.

A Modular Approach to an Airway Management Curriculum Dr Andrew McKechnie, Dr Branavan Retnasingham, Dr Jay Dasan Kings College Hospital, London Background.

Concerns and performance Dr Barry Lewis Director GP Education.

I MPLEMENTATION OF A S UCCESSFUL T RAINEE -L ED R EGIONAL -W IDE J OURNAL C LUB #journalclubandbeer P Shorrock, M Jackson*, N Plummer On behalf of NWRAG.

Cardiac Output Monitor Survey The impact of NICE guidance and CQUIN payments on Cardiac Output Monitors in the NHS: A trainee led national survey Claire.

Enabling Grids for E-sciencE EGEE-III INFSO-RI EGEE Training Follow-on survey 2009 Conducted on past EGEE training course participants 120 respondents.

GPs and Bereavement – survey and findings Donal Gallagher – Bereavement Development Programme Manager Sridevi Singh – End of Life Care Project Officer.

Anaesthetic Core Training in Mersey Deanery Elaine Allsop Core Training Program Director v Oct 2014.

Anaesthesia & ACCS Jeremy Lermitte College Tutor Anaesthetics.

Tracheostomy Training Survey – Assessing the Need for Education Dr Andrew McKechnie Dr Tom Bishop, Dr Shona Love, Dr Jay Dasan Kings College Hospital,

TCL to Cycle Trainer- Bikeability Scotland 11. Bikeability Scotland Level 1 Session outcomes 2.

Name of Pilot Project: Developing pedagogy through collaboration, action research and reflection. Aim of the Project: to set up a collaborative partnership.

KSS School of Anaesthesia ST3 Trainee Induction 5 th September 2012.

References 1.Royal College of Anaesthetists 3 rd National Audit Project (NAP3) Major Complications of Central Neuraxial Block in the United Kingdom, Report.

Anaesthetic Specific Information. Within the specialty in our Trust… Consultants in – Anaesthesia – Intensive Care Medicine and Anaesthesia – Pain Medicine.

Simulated Patients Improve Medical Student Comfort Level with Breaking Bad News and End of Life Issues Skotti Church, MD Carl J Fichtenbaum, MD, FACP University.

ICO ANNUAL TRACK TOPLINE FINDINGS SEPTEMBER 2014.

Crisis in ANZCA survey research Dave Story Head of Research, Department of Anaesthesia, Austin Health; A/Prof, Department of Surgery, The University of.

What proportion of basic surgical trainees continue in a surgical career?A survey of the factors which are important in influencing career decisions. Richards.

Developing an Effective Ethics Program

Department of Surgery Development of PGY-1 Surgery Preparatory Course Curricula: Identification of Key Curricular Components Mara B. Antonoff MD Jonathan.

Drug Errors and Awake Paralysis Jon Mackay Kate O’Connor Tim Cook September 2014 NAP5 The 5th National Audit Project ■ ■ ■ ■ ■

NAP6 Perioperative Anaphylaxis The Royal College of Anaesthetists’ 6 th National Audit Project Starting on 5 th February 2016.

AAGA in Cardiothoracic Anaesthesia Jonathan Mackay September 2014 NAP5 The 5th National Audit Project ■ ■ ■ ■ ■

NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ TIVA Dr Alastair.

NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Depth of Anaesthesia.

NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Main results.

NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ The Baseline.

Myanna Duncan Doctoral Researcher Work & Health Research Centre Loughborough University.

East Midlands Healthcare Workforce Deanery Managing Trainees A School Perspective Dr J Greiff.

Using Research-Teaching Linkages to Enhance Graduate Attributes George Gordon, Cherie Woolmer University of Strathclyde 5 March 2009.

Acute Care Simulation Courses for Foundation Training Dr Alasdair Strachan Co-Director Montagu Clinical Simulation Centre Foundation School Director, South.

 SNAP-1 Coming to your hospital: Tuesday 13 th and Wednesday 14 th May 2014.

BACKGROUND Acute Kidney Injury (AKI) is common, with an incidence of one in five emergency admissions in the UK and up to 100,000 deaths each year in hospital.

NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Neuromuscular.

This is the biggest, trainee led, prospective national paediatric audit to date Our hospital is taking part.

Teaching foundation doctors about tracheostomy management

NAP6 Perioperative Anaphylaxis

Helmy Mashaly Mid Yorkshire Hospitals NHS Trust

F Eljelani, J Womack, B Goodman, A Blackburn, MK Varma

Safety in Office-Based Anesthesia

Anglia School of Anaesthesia Advanced Obstetric Anaesthesia

Developing an FY1 post in a Crisis Resolution & Home Treatment Team

A national survey of anaesthetists (NAP5 Baseline) to estimate an annual incidence of accidental awareness during general anaesthesia in the UK† J.J.

Activity Survey Harriet Kemp Research & Audit Federation of Trainees

Emergency Laparotomy Cymru

The Audio-COT (Clinically Observed Tool) – a friend or foe

Delivering a High quality Intraoperative Cell Salvage Service.

Presentation transcript:

A survey of trainee experience with total intravenous anaesthesia (TIVA) in the northern deanery. E. Pugh, H. Husaini on behalf of INCARNNET Freeman Hospital, Newcastle-upon-Tyne, UK Total intravenous anaesthesia (TIVA) is an important method of delivery of anaesthesia, however its teaching is widely variable. Regional surveys in two other deaneries have illustrated trainees’ desire for further training in this area [1,2] We undertook a survey of anaesthetic trainees in the Northern region to establish their experience of TIVA and their desire for a formal regional teaching course. Methods An online survey (Survey Monkey  ) was sent to all trainee anaesthetists in the Northern region. There were 8 questions; all were compulsory. Data collection was conducted over a two-week period at the beginning of August Ethical approval was not required. Results 69 (32%) trainees completed the survey; 28% were core trainees, 20% ST3-4, 51% ST5-7 and 1% other. All respondents had experience with TIVA. 26% reported rarely using (0-10 cases), 51% infrequently used the technique (10-40 cases) and 23% were more experienced (40+ cases). 90% had received informal training with only 6% undertaking education at a course or conference. Chart 1 - A patient with malignant hyperthermia presents for an emergency laparotomy requiring urgent surgery whilst you are the anaesthetist on-call overnight. Would you feel confident using TIVA in this scenario? Risk of awareness is a key concern for those using TIVA. Failure of delivery of anaesthetic agent is an important cause of unintended awareness as described in the recent National Audit Project (NAP) 5 report [3]. Over 80% of trainees in the region would use a depth-of-anaesthesia (DOA) monitor. The only DOA monitor used was BIS ™. The two most common perceived advantages for using TIVA were less postoperative nausea and vomiting and safety in malignant hyperthermia. In a theoretical case of a patient with malignant hyperthermia presenting out-of-hours for an emergency laparotomy (see Chart 1), the majority of trainees (59%) stated they would feel confident managing a TIVA-based anaesthetic however 6% felt very uncomfortable with this situation. Finally, 86% felt a regional teaching session would be beneficial. Discussion TIVA is a widely used technique in the region with all respondents being exposed at some point during their training. Only a small proportion receive formal teaching in the scientific and practical basis of TIVA with trainees overwhelmingly feeling that a regional teaching session would be useful. As a quality improvement programme, we will be introducing a half-day programme to our regional teaching programme in 2015 to address this and will take the findings of this survey into consideration when planning the content. References 1. S.C.Griffiths et al. Training in TIVA: A survey of anaesthetic trainees in Merseyside and the Northwest. 2. P. Madhivathanan, R. Kasivisvanathan, A. Cohen. Training in total intravenous anaesthesia: a regional survey Anaesthesia, 2010, 65; 540– Pandit, J. J., et al. "The 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: summary of main findings and risk factors." Anaesthesia (2014):