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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

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

Tagged in 2019, Acute-Pain 6 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

21 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

Tagged in Education 22 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

Tagged in Acute-Pain 25 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

Tagged in Airway 20 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 54 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

Tagged in Acute-Pain 23 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

Tagged in 2019, Critical-Care, Obstetrics 26 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

Tagged in 2019, Airway, Critical-Care, Critical-Incident, Education 19 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?

Tagged in 2019, Orthopaedics 24 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

38 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

Tagged in 2019, Acute-Pain 22 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 407 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 737 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 709 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 683 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

 

Exploring the Learning Environment in Anaesthesia Popular

Tagged in 2015, Education 568 downloads

Exploring the Learning Environment in Anaesthesia

Jonathan Hetherington, Core Trainee & Jolene Moore, Specialty Trainee, Aberdeen Royal Infirmary

Anaesthesia offers a unique environment for post-graduate training with one-on-one supervision readily available in the operating theatre. This study utilised an online survey and semi-structured interviews to identify and explore factors that influence the learning environment within Aberdeen Anaesthetics department. 

Presented - ASME, 2015

Introduction of a modified obstetric early warning system to improve post-operative care at an Ethiopian referral hospital Popular

Tagged in 2016, Education, Obstetrics 484 downloads

Introduction of a modified obstetric early warning system to improve post-operative care at an Ethiopian referral hospital

Jolene Moore, Specialty Trainee 7, Aberdeen Royal Infirmary

There is a need for low-cost, simple methods to help reduce maternal mortality in low-resource settings. This study describes the impact of introducing a modified obstetric EWS (MOEWS) to the obstetric recovery room at Felege Hiwot Referral Hospital (FHRH), a tertiary referral hospital in Bahir Dar, Ethiopia with a catchment area of over 6 million people.

Presented - World Congress of Anaesthesia, Hong Kong, August 2016

Anaesthetic techniques & mortality/morbidity in patients undergoing lower limb amputation.pdf Popular

Tagged in 2016, Regional-Anaesthesia, Vascular 573 downloads

Anaesthetic techniques & mortality/morbidity in patients undergoing lower limb amputation.pdf

Jolene Moore, Specialty Trainee 7, Aberdeen Royal Infirmary

A retrospective review of patients who had major LLA between January 2014 and April 2016, including below (BKA) and above (AKA) knee amputation to evaluate anaesthetic & analgesic technique, assess morbidity & mortality in patients undergoing LLA in ARI and to compare with an earlier audit 3 years prior to determine any change in practice or outcomes.

Presented - NESSA October 2016

The effect of peripheral access devices on intravenous infusion rates Popular

Tagged in 2017, Critical-Incident 1468 downloads

The effect of peripheral access devices on intravenous infusion rates

Phil Jackson, Specialty Trainee 3, Aberdeen Maternity Hospital

Use of peripheral access devices for intravenous cannulae is mandated in hospital policies. This project demonstrates that the current devices in use in NHS Grampian have the potential to severely restrict flow through cannulae in an emergency situation. These access devices should be avoided and/or compensated for when rapid infusion is required. Hospital policies should be updated to reflect this.

Presented - Presented at Scottish Society of Anaesthetists Spring Meeting 27-28th April 2017, Dunkeld House Hotel.

Prizes - 2nd Prize