Outcomes following the intensive care management of critically ill children have improved dramatically over the past few decades. Advances in the provision of intensive care has led to increased rates of survival, but for some children who experience critical illness there are lasting consequences.
Pain is described as “an unpleasant sensory and emotional experience associated with, or resembling that associated with, actual or potential tissue damage”. This definition from IASP guides clinicians to potential prevention and intervention points for a reduction in the experience of pain for our patients.
Perioperative medicine (POM) is the multidisciplinary, integrated care of patients from the moment surgery is contemplated through to recovery. Perioperative Medicine is a key strategic focus of the Australian and New Zealand College of Anaesthetists (ANZCA).
Surgery is essential for improving a nation’s health, but it has been under-recognised in global public health initiatives. In 2015, three important events highlighted this: The World Bank cost-effectiveness analysis of surgery and anaesthesia, the Lancet Commission on Global Surgery, and the World Health Assembly resolution on Safe Surgery and Anaesthesia.
This Grand Round will describe current research and clinical advances in the Department of Anaesthesia and Pain Management. The springboard for the Grand Round is acknowledging background work done by Dr Rob Eyres, who recently retired after a 40 year association with RCH.
Over the last three years there has been a dramatic change in the vascular access services that the Department of Anaesthesia and Pain Management has been able to provide
