REPACC – A Retrospective Evaluation of Post-operative Alternatives to Critical Care
Key Dates: March 2024
REPACC is a project investigating the provision and delivery of enhanced care, a model of care that lies somewhere between HDU and normal wards, such as post anaesthetic care units (PACU) or overnight intensive recovery (OIR) units. The hope is to use this data to make enhanced care services more efficient, reduce pressure on critical care beds, and prevent unnecessary surgical cancellations.
How to get involved:
If you are a trainee interested in becoming involved with this project please contact us; waarencommittee@gmail.com
The day will include ‘how to’ practical sessions, inspirational talks from academics, and opportunities to network and learn from your peers and colleagues.
Supported by the RCoA and BJA
Visit the NIAA website here (or link below) for more details and the chance to book a place.
The next annual meeting is on the 31st March 2023, held in our very own Cardiff Principality Statium, and hosted by the Welsh Trainee Research Network.
Head to the CME website for more details about the event, including the programme and tickets. Visit the website here.
RAFT 4: POPPY – Patient reported Outcomes, postoperative Pain and Pain relief in daY case surgery
RAFT (Research and Audit Federation of Trainees) has announced RAFT 4! A project investigating patient reported outcomes following day surgery, led by the team at SWARM.
Planning is still underway, so keep an eye out for more information on getting involved.
Key Dates: 2023
This observational cohort study will create a picture of current UK day-case surgery using patient centred outcomes measured after discharge from hospital. Longer-term measured outcomes will focus on defining the rate of persistent opioid use after surgery and placing this in the context of persistent post- operative pain. This has never been done before in the UK. The POPPY study spans the special interest areas of perioperative medicine, pain medicine and day case surgery.
Optithermm is a trainee-led collaborative research project aiming to establish current practice in peri-operative thermoregulation for burns patients undergoing surgery. We are running an online survey of consultant burns surgeons, anaesthetists and intensive care doctors. No patient data is involved.
Key Dates: We are actively recruiting collaborators in the UK as of October 2022 and data collection will begin in October 2022.
From the OptiTHERMM site:
We are a trainee-led collaborative research initiative which has set out to answer important questions concerning the perioperative management of patients with major burns undergoing surgery.
We have developed an online survey attempting to establish current practice in perioperative thermoregulation for burns patients undergoing surgery in the acute setting. No patient data is involved.
Perioperative hypothermia has been shown to be associated with poor patient outcomes including an increased mortality rate. Patients with major burns are at a particularly high risk of perioperative hypothermia but there is no universally recognised international standard for the monitoring and management of patient body temperature around the time of surgery.
The primary outcome is the consensus concerning the major burn patient body temperature which is deemed to be safe during surgery and in the perioperative period.
How to get involved:
If you are a Consultant or Fellow who has completed recognised training in surgery, anaesthetics, or intensive care, you can complete the survey on behalf of WAAREN by following this link.
To understand how local sites are set up to deliver and evaluate perioperative blood management services and assess individuals attitudes and practice.
Key Dates: January 2023
This project, run by RAFT, focuses on organisational structure and variation of practice in regards to perioperative blood management of adults (>18 years). We want to work towards getting a clear picture on what is happening across different hospitals in the UK. This project is designed to be something that is easy and not time consuming, whilst allowing collaborators to increase their experience and achieve key curriculum goals. It will involve an organisational survey along with a survey for individual anaesthetists on their experience and practice in common clinical scenarios. We hope this will not only answer some interesting questions but also identify some key areas for quality improvement.
Obs-TIVA UK is a prospective, multicentre service evaluation investigating the use of TIVA in Obstetrics.
Key Dates: Recruiting from November 2022 to November 2023
Obs-TIVA UK aims to explore the current practices with regards to total intravenous anaesthesia (TIVA) for obstetric surgical interventions in the United Kingdom. The primary aim is to look at incidences of TIVA use in this cohort. The secondary aim is to explore practices with regards to use of TIVA (equipment, drugs, pharmacokinetic models, monitoring), maternal and fetal outcomes.
Obs-TIVA UK is run by a main project team who have collaborated with the trainee research networks (TRNs) and individual departments in an effort to maximise participation. The project lead is Dr Yavor Metodiev, Consultant Anaesthetist at University Hospital of Wales, Cardiff. He is supported by Dr Lucy de Lloyd, Dr Rachel Collis, Dr Sarah Bell, Dr Ben Sharif, Dr Helen Iliff and WAAREN (Welsh Anaesthesia Audit Research and Engagement Network).
Data collection for the PREdS Study has now finished, keep an eye out for results and any follow-ups!
The Perioperative Replacement of Exogenous Steroids (PREdS Study)
PREds is a trial designed by a team from the Severn Trainee Anaesthetic Research Network (STAR) to assess management of perioperative steroids.
Key Dates: The study window will run from 26/09/20022 to 04/12/2022
A prospective, multicentre study to assess the number of patients presenting for elective, urgent or emergency procedures who are taking long-term oral steroids and determine how perioperative steroid replacement is currently being managed.
