President's Column - Lifebox Foundation
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December 2013 | Issue 36 The newsletter of the New Zealand Society of Anaesthetists
INSIDE ISSUE: President’s Column
This year’s AGM providing advocacy and support for
was a very special their wellbeing.”
occasion for our
NZSA ACTIVITIES
Society, for me
personally and for Education
Dr Ted Hughes who We have underwritten or supported
we welcomed as AQUA, the Visiting Lectureships
our President for and BWT Ritchie Scholarships
New President
the next 2 years. administered by NZAEC, the NZ
Dr Ted Hughes
Ted is sure to bring fresh ideas, Anaesthesia ASM, and have the 2014
Dunedin ASM highlights enthusiasm and energy to this role, Combined AACA/ASURA Meeting
NZSA Prizes Winners Announced and he will lead our Society to new coming up in February. We receive
heights. In my new role as Immediate our journal Anaesthesia and Intensive
Trainee Corner Past President on the Executive Care. We provide prizes for: academic
Committee I am looking forward to presentations at the ASM; the
working with Ted and to return the outstanding Anaesthetic Technician
support Ted has always afforded to graduate each year; the best paper at
me over the past 3 years. I joined the the Post Anaesthesia Nurses of New
Executive Committee in 2008 and Ted Zealand conference each year; and
has served on the Committee since the best QA/Audit paper at the Annual
2007. We have shared common goals Registrar’s Meeting.
Retired Anaesthetist throughout our respective tenures and
Dr Anne Wills
NZSA is a member of the Australian
I am truly grateful for the opportunity
and New Zealand Tripartite
I have had to lead the Society in this
Anaesthesia Data Committee
role. The Society issued a press
(ANZTADC) which collects anaesthetic
release following the formal handover
morbidity data across Australasia.
of the Presidency from me to Ted at
Our representative on this committee
our AGM which was held during the
is Russell Rarity, along with our
New Zealand Anaesthesia Annual
President and EO. The initial Chair
Scientific Meeting from 6-9 November.
of this Committee has been Alan
Strategic review Merry. This is building to be a superb,
Working for the Lifebox Foundation: Our Society is a small group which internationally recognised resource.
Grant Waters on Mercy Ships achieves great things with the limited We jointly underwrite, with the New
resources we have, and I think that Zealand National Committee of
we “punch far above our weight”. We ANZCA, the annual “Part 3” course
have a real presence on the national aimed at senior trainees about to enter
and international stages, and we do the specialist workforce. This course
good work. is the brainchild of Annick Hood and
The Executive Committee spent some Julian Dimech. The course was held
time early in the year on reviewing away from Auckland for the first time
what we do as a Society and what this year – in Dunedin after the ASM.
our vision and mission for the future David Rusk and Nav Sidhu have
Dr Ha Nguyen anaesthetist and of the Society should offer our
interpreter with Dr Le Quoc Anh organised an annual 2-day “Part Zero”
members. We agreed that our vision course for three years now, aimed at
discussing the use of Lifeboxes
should be “To represent and support those brand new to anaesthesia, or
the best interests of the community contemplating a career in anaesthesia.
of medically registered anaesthetists It covers the very basics of training,
The New Zealand Anaesthesia’s newsletter design includes the NZSA’s
in New Zealand and promote the and a second day introduces the
logo (safety through knowledge) and the symbol on our constitution. perioperative safety of their patients” very basics of some anaesthesia
The Kotuku, a white Heron, represents the physical person, its shadow
represents the spirit. Te Kotuku can be translated as ‘safe’ and Rerenga and that our mission is “To serve our techniques – this day is open to junior
Tahi as ‘journey’. The flight and return home of the Kotuku, is likened membership by facilitating education, doctors from other disciplines as well
to a patient’s experience under anaesthesia.
President’s Column Continued…
as anaesthesia. We are very grateful within the perioperative continuum.” Auckland. We were unsuccessful
to members of NZNC ANZCA for We have been invited to be part in our bid, largely we think because
supporting this meeting. of a working group on this issue. we had no more than a promise of
We remain very supportive of our an International Convention Centre.
Advocacy
anaesthetic technician colleagues, That promise is well on the way to
Through the year we have written 17
we share conferences with them and becoming a reality. Final legislation
submissions, and more consultations
we share office space with them. to build the centre was passed in
are underway:
Parliament last month.
Overseas Aid
• Pharmac (Medical devices, twice.
Alan Goodey and the Overseas We have been in discussion with
Decision criteria review. Funding of
Aid Subcommittee are active in the Tourism New Zealand, who provides
sugammadex, gabapentin, methoxyflurane,
Pacific, assisting with equipment, support for bids for international
COX-II blockers);
infrastructure, teaching and locum conferences, and they would be
• NZ Nursing Council (Prescribing by relief so anaesthetists can attend prepared to support our further bid
Nurses, Merging of Regulatory Authorities) conferences. for the 2024 World Congress. We
are considering this.
• The Perioperative Nurses College of Lifebox continues to be a major focus
NZNO (Nurses as assistants to the for NZSA, and we are proud to be Special contributions to NZSA work
Anaesthetist - twice) part of this excellent initiative where As always, there are a number
ordinary anaesthetists can make a of members making outstanding
• Medical Sciences Council (Scope of
tangible contribution to patient safety contributions to our Society, and
Practice of Anaesthetic Technicians)
in other parts of the world. to our professional wellbeing, in a
• Ministry of Health (National Consensus variety of ways. This list is by no
Common Issues Group
Guidelines for PPH management, means exhaustive and I apologise if I
In June I was invited as a guest to
Updating the pregnancy and parenting have missed people by mistake.
the “Common Issues Group” meeting
education service)
in Banff, Alberta, immediately Campion Read and his team have
• Medical Council of NZ (Standards and prior to the Canadian Society worked extremely hard over the last
processes for recognition of vocational of Anesthesiologists Meeting in several years to put together our
scopes of practice and accreditation). Calgary. The CIG comprises the Annual Scientific Meeting this year.
Officers of the Australian, American, The vibes were good - it was an
I thank our Executive Committee for outstanding meeting.
Canadian and Great Britain and
their considerable work on these
Irish Societies of Anaesthetists.
submissions, particularly Graham Kerry Gunn has led the NZ
The President of the South African
Roper, Phil Eames and Kathryn Hagen. Anaesthesia Education Committee
Society and I were invited as
ably for the last two years. Our
We have met with representatives guests. This was an amazing and
visiting lecturers this year were
from ACC on two occasions this illuminating meeting. I learned
Professor Brian Anderson, Drs Matt
year, and will contribute to their that anaesthesia societies from all
Taylor, and Rachelle Williamson, and
review of services. corners of the English-speaking
I thank them for their contribution to
world share similar concerns – be
Members have expressed concern the education of our community.
they over patient safety, monitoring,
over the expansion of Southern drug supply, education, workforce, Kerry, Neil MacLennan and Martin
Cross Healthcare’s Affiliated Provider legislation or finance. We all Misur once again organised a
Scheme. We commissioned a legal approach these concerns differently, very successful AQUA meeting in
opinion, which we have made available and these differences were very Queenstown, which 130 delegates
to members. We anticipate further interesting. NZSA hopes to be enjoyed in August.
involvement in this delicate issue. invited to “Associate Membership”
Neil MacLennan, Martin Misur,
Our Economic Advisory Committee has of this group, where our President
Simon Mitchell, Chris Nixon and
been quiet over the last couple of years, might be invited to attend these
their teams are working frantically to
and we plan to see this resurrected late annual meetings without having the
prepare our next major meeting, and
this year/early next year. There is much responsibility and expense of hosting
I know we are looking forward to the
that needs to be done. this meeting in turn.
Combined AACA/ASURA meeting in
We maintain good relationships NZSA Newsletter February 2014.
with the New Zealand College of We publish this newsletter four
Alan Merry, Wayne Morriss and Neil
Midwives, and meet regularly with times each year. We believe this
MacLennan are all heavily involved
them and with the Royal Australian is important for communication,
in WFSA activities (Alan is Assistant
and New Zealand College of profile, and our community. We are
Treasurer, Wayne is Chair of the
Obstetricians and Gynaecologists. well aware that production costs
Education Subcommittee, and Neil
of this are significant and continue
We maintain close relationships is on the Board of the AARS). This
to rise each year. The newsletter is
with the New Zealand Medical work is arduous and largely unseen,
well received and appreciated by
Association. and I acknowledge their commitment
members and we thank members for
and thank them.
We have spent considerable energy their contributions.
on our submissions regarding the Alan Merry leads the Lifebox
World Congress
“Proposal of formalising the role and Project for WFSA, and Maurice
In March 2012 we bid in Buenos
education pathway of the Registered Lee and Indu Kapoor have worked
Aires to hold the 2020 World
Nurse who is providing anaesthetic extremely hard on the New Zealand
Congress of Anaesthesiologists in
assistance to the Anaesthetist contribution to this, each making
Page 2 | December 2013 NZSA Representing, Supporting and Promoting NZ Anaesthetists since 1948
President’s Column Continued…
several trips to Vietnam in recent patient safety advocate and for March. Three years is a year longer
years. I acknowledge their work, scholarly contributions to this topic.” than I anticipated being President,
and also that of the others who have and my heart goes out to Nigel and
In Memoriam
just returned from Vietnam – Emma Gail Waters over the circumstances
I note with sadness the deaths of
Patrick, John Hyndman, David of Nigel’s early resignation from
these members of our Society:
Murchison, and Tomas Goscinski. the post of President. During my
Hugh Spencer (Hamilton). Life tenure I have enjoyed some amazing
I would like to thank the New
Member of NZSA; former Head experiences, met some phenomenal
Zealand National Committee ANZCA
of the Waikato Department; Life people and been taken far from my
for their support and help over the
Member of the Pacific Society; comfort zone. I have had my eyes
past 3 years in many areas, and Ted
Honorary Member of the Australian opened to the larger national and
and I look forward to developing this
Society; valiant servant of ANZCA in international world of anaesthesia.
relationship.
New Zealand, receiving an ANZCA Highlights include sitting at the
I must acknowledge the work of the citation in 2004; ONZM 2010 for table with the ANZCA and the ASA
Executive Committee. Together they services to medicine. Hugh’s obituary Councils and attending the Common
cover a wide span of geography, age was printed in the August issue of Issues Group in Banff. What makes
and experience, and I thank them for this newsletter. A further Tribute to these such highlights is the warmth
their huge support of me, and their the late Dr Hugh Spencer by Kester and positivity of the people there –
ready help with opinion and advice. Brown of Melbourne, who is Past people who willingly give their own
Ted Hughes in particular has been a Chair of the Education Committee time and energy for the benefit of
rock-solid support for me. and Past President of the WFSA, is their colleagues and their patients.
on the WFSA website.
Office I have loved working with Renu
Renu Borst leads a lean staff of two, Brian Johnston (Tauranga). Borst and Liz Stone in our office.
aided capably by Liz Stone. Deb Willing servant of the Tauranga We are lucky to have them. They
Smart left the office late last year, and Whakatane Departments of achieve far more than would seem
and we thank her for her contribution Anaesthesia and communities; Family possible. I have enjoyed working with
to the work of the Society. man; Missionary. Brian’s obituary the Society’s Executive Committee
was published in the May 2013 issue members over the past three years,
The staff of NZ National Committee,
of this newsletter. and all have served willingly and
ANZCA and our staff meet regularly
with great good humour. I thank
over coffee, and Heather Ann Sudhakar Mayadeo (Auckland).
them for their huge support, and
Moodie, General Manager of NZNC Dedicated servant of the Palmerston
for keeping me on the straight and
and Renu Borst, our EO, have North, Auckland, and National
narrow. Andrew Warmington and Ted
regular meetings. Relationships Womens’ Anaesthesia Departments
Hughes deserve special mention here
between our offices are good. since emigrating to New Zealand in
and I thank them for their support
1967. Sudhakar’s obituary is printed
Congratulations to: and wise counsel.
in this issue.
Leona Wilson - awarded the Orton
I wish Ted and the NZSA well.
Medal, the highest honour awarded Finally
by ANZCA. This is my final President’s Report for Rob Carpenter
this newsletter. I am looking forward November 2013
Alan Merry - awarded honorary
to reading Dr Ted Hughes’ editorial
membership of the American Society
that will feature on these pages
of Anesthesiology for “International
starting with our first issue for the
recognition as a highly respected
2014 year which will be published in
The New President of NZSA – Dr Ted Hughes
The President of the New Zealand Shore Hospital (NSH), where he is usually to be found in the great
Society of Anaesthetists, Dr Ted did anaesthetics and ICU work. outdoors riding a bicycle or paddling
Hughes, is a fulltime specialist He was Supervisor of Training for a kayak, usually with his family.
anaesthetist at North Shore and NSH ICU for 6 years. He joined the
Auckland Hospitals. On his way to an NZSA Executive Committee after
MBChB in 1986 he did two masters being appointed to the PMMRC
degrees, one in physiology and the (NZ Perinatal Maternity Mortality
other in pharmacology. The logical Review Committee) in 2007. He was
progression was into anesthesia education officer, currently chairs
training mainly in Auckland, with a ACECC, does obstetric liaison, and
final year in Sydney at St Vincents is involved in anaesthesia technician
(1993). He was at Greenlane training. As the first President of
and National Womens’ from 1993 Pacific Islands descent Ted has been
to 2000. At these two adjacent heavily involved in NZSA aid work in
hospitals he did cardiothoracic, the Cook Islands and was deployed
transplant, vascular, ENT, O&G to Samoa after the tsunami. At work
Dr Ted Hughes and his wife, Dr Margaret
anaesthesia, acute and chronic Ted enjoys helping out as part of a Blakeley crossing the Auckland Harbour
pain. In 2000 he shifted to North team. When Ted’s not at work he Bridge the day after the Dunedin ASM -
What a great view!
NZSA Representing, Supporting and Promoting NZ Anaesthetists since 1948 December 2013 | Page 3
Page 4 | December 2013 NZSA Representing, Supporting and Promoting NZ Anaesthetists since 1948
New Zealand Anaesthesia Annual Scientific
Meeting (NZA ASM) in Dunedin 6–9 November 2013
At the New Zealand Anaesthesia
Annual Scientific Meeting (NZA ASM)
which is co-sponsored by the New
Zealand Society of Anaesthetists and
the Australia New Zealand College
of Anaesthetists, anaesthetists from
around New Zealand and abroad
gather to develop their professional
and medical educational expertise.
This year’s NZA ASM at the
magnificent Dunedin Town Hall was
a wonderful educational event with
a fabulous social programme and an Larnach Castle
exceptional turnout.
Mayor of Invercargill, Hon Tim Shadbolt
addressing delegates at the opening
of the ASM
The Mayor of Invercargill, Hon Tim Keynote speaker
Keynote speaker
Shadbolt, was the first guest speaker Professor Professor
and his entertaining address was Mark Warner Eric Jacobsohn
warm, funny and set the scene for the
guest speakers to follow.
At this year’s conference the keynote
speakers were: Professor Mark
Warner, the Annenberg Professor of
Anesthesiology at the Mayo Clinic
and a past President of the American
Society of Anesthesiologists;
Professor Eric Jacobsohn, Professor
and Head of the Department of
Anesthesia University of Manitoba,
and Professor Jamie Sleigh, specialist
anaesthetist at Waikato.
Professor Mark Warner’s Dinner at Larnach Castle
fascinating speech to delegates
on the ground-breaking marvels of
nanotechnology entitled “The Future of
Anaesthesiology” is covered in a press
release published on the ANZCA
website entitled “Tiny technology,
huge benefits – medical use of
nanocrystals”.
In addition, the keynote speakers and
a number of other invited speakers
provided workshop and PBLD
presentations.
ANZCA Vice-President Dr Genevieve Goulding presented Dr Rob Carpenter
with a gift to mark the end of his tenure as President of the NZSA
NZSA Representing, Supporting and Promoting NZ Anaesthetists since 1948 December 2013 | Page 5
NZSA ASM Continued…
Left and right: Drs Emma Patrick and Phil Dr Neil MacLennan (seated) at one of the
Eames, both current NZSA Executive Committee workshops. Dr MacLennan is the co-convenor
members, and former Trainee Representative on of the 2014 Combined AACA/ASURA Meeting
the committee Dr Nathan Kershaw which will take place in Auckland from 21-25
February
Immediate Past President of Professor Mark Warner
and his wife, Dr Mary NZSA President Dr Ted Hughes and
NZSA Dr Rob Carpenter and his
Ellen Warner his wife Dr Margaret Blakeley at
wife Claire Carpenter at the
the ASM Dinner
ASM Dinner
President of the Australian
ASM Convenor Dr Campion Read
Society of Anaesthetists Dr
and Dr Ulla Reymann, organising
Richard Grutzner and his wife
committee member and convenor of
Jane Grutzner
Workshops and PBLDs
At left and right: Nicola Smith-Guerin
NZATS Examination Co-ordinator and
Chair of NZATS Kylie Parry. Middle: Renu
Borst Executive Officer NZSA
Lucky winner of the book A Practice of
Anaesthesia for Infants and Childern co-
authored by Dr Brian Anderson was
Dr Rob Carpenter. NZSA President Dr
Ted Hughes awarded the prize and Pat
Johnston, Manager, Destination Conference
Management Services made the draw
Page 6 | December 2013 NZSA Representing, Supporting and Promoting NZ Anaesthetists since 1948
Message of thanks
from ASM
NZSA New Zealand
Anaesthetic
Convenor, Prizes Technicians’
Dr Campion Read The following prizes were awarded by Society Best Anaesthetic
“It was my privilege and pleasure to incoming NZSA President Dr Ted Hughes Technician Speaker Prizes
convene the recent NZA ASM Dunedin at this year’s Annual Scientific Meeting.
~ sponsored by NZSA
2013 on behalf of the New Zealand
Society of Anaesthetists and the ANZCA 2013 John Ritchie At its September Executive Committee
New Zealand National Committee. The Prize Winner Meeting the NZSA Executive Committee
dedication and unstinting hard work of 1. Dr Colin Marsland approved sponsorship to the value of
everyone on the organising committee of Wellington won the $800 for the NZSA Prize for the NZATS
made my job a pleasant one. We all Ritchie Prize for his Best Anaesthetic Technician Speaker.
relied on the inspiration and leadership abstract “Emergency Dr Mark Featherston, NZSA Treasurer,
of Kerry Gunn at the NZAEC, as well as percutaneous transtracheal ventilation congratulated the following prize winners
everyone working so hard on our behalf in in an obstructed airway model in sheep: who received first, second and third
the Society and National Committee. To oxygenation, airway pressure and carbon places in the competition which attracted
meet and work with excellence, and have dioxide clearance using the Ventrain® eleven speakers.The NZSA Prize for the
it rewarded by an appreciative reception and Manujet®”. Dr Marsland received a NZATS Best Anaesthetic Technician
from the many registrants, is humbling.” cheque for NZ$5,000 with his certificate. Speaker was awarded as follows:
Dr Campion Read, Convenor NZSA Trainee Prize
1. First Prize awarded
Dr Hansjoerg Waibel Winner
to Matt Savage for the
Scientific Convenor, NZA ASM Dunedin 2013 2. Dr Yiyi Zhang of Hamilton “Malignant Hyperthermia
won the Trainee Prize for Workshop”.
The organising “Standardization of Propofol-
Remifentanil Co-induction for
committee of the NZA Electroconvulsive Therapy”. Dr Zhang received
2. Second Prize awarded to
ASM Dunedin 2013 a cheque for NZ$2,500 with her certificate.
Hazel Harrison for “Human
Factors in Relation to
We acknowledge the dedicated and
NZSA Poster Prize Communication in the OR”.
hardworking team effort that made the
Winner
conference such a success and thank
3. Dr Phillip Quinn of 3. Third Prize was
the Convenor Dr Campion Read, the
Wellington won the Poster awarded to Paul Butler
scientific convenor Dr Hansjoerg Waibel
Prize for “Hyperoxia During for “Jehovah’s Witnesses;
and Drs Andrew Smith; Angela Dewhirst;
Cardiopulmonary Bypass: transfusion considerations”.
Carol Padgett; David Hunt; Duncan
A Systematic Review”. Dr Quinn received a
Watts; Geoff Laney; Helen Weir; Jason
cheque for NZ$500 with his certificate.
Henwood; Joe Sherriff; Justin Holborow;
Kerry Gunn; Lisa Horrell; Marcus Renner; Entries for the Ritchie Prize and Trainee
Mathew Zacharias; Patricia Yelavich; Paul Prize were presented during an excellent Book competition
Templer; Robyn Chirnside; Tim Wright session during the ASM, while posters were at the ASM
and Ulla Reymann for this. The meeting presented during lunchtimes over the course Professor Brian Anderson,
was a great success for Pat Johnston, of the meeting. The standard of research Adjunct Professor of
Director of the professional conference and presentation was excellent, and we Anaesthesiology University
organising company Destination congratulate all presenters.” of Auckland and Paediatric
Conference Management Services, and Anaesthetist/Intensivist at
her team. Starship Childrens’ Hospital
edited and co-authored,
Continuing Professional with Charles Cote and Jerrold Lerman,
the major paediatric anaesthesia textbook
Development at the ASM released in February this year titled: A
Details about the category and level Practice of Anesthesia for Infants and
of CPD credits allocated for this event Children.
are provided on the ANZCA website
We thank Prof. Anderson for donating two
www.anzca.edu.au/fellows/continuing-
profesional-development. For assistance copies of the book to the NZSA. Dr Rob
with credit allocation please contact the Carpenter won the Lifebox donation draw
CPD Unit at cpd@anzca.edu.au. at the Larnach Castle ASM dinner and Dr
Colin Marsland received the other copy on
the night for volunteering to review the book.
Lifebox Donations
at the ASM ASM Competition
We appealed for Lifebox donations again this year There was a Health Care Industry
at the ASM. At the ASM Dinner which was held Competition at the ASM that caused a lot
at Larnach Castle, a total of $7,600 was pledged of excitement amongst the delegates with
in donations and this included a combined the first prize being the new iPad Air. Six
bid of $1,500 by Professor Eric Jacobsohn people scored 100% on the quiz and names
Immediate Past President
and Professor Mark Warner for a packet of of NZSA, Dr Rob Carpenter, were drawn out of a hat. NZSA member Dr
Vietnamese Coffee donated by Dr Maurice Lee. accepting the book prize from Lars Molving was the lucky winner and the
Thank you everyone for your donations - it’s your President Dr Ted Hughes recipient of the iPad. His partner, Dr Felicity
generosity that makes this appeal successful. Pugh, who is also an NZSA member, won
the Smith Medical Prize.
NZSA Representing, Supporting and Promoting NZ Anaesthetists since 1948 December 2013 | Page 7
New Life Member of the NZSA
Dr VB (Bruce) Cook was nominated one guinea (one pound shilling) and that Bruce was a member of the NZSA
for Life Membership of the NZSA by Dr was a standard fee no matter what the Executive in the late 1960s and early
Graham Sharpe. Dr Sharpe’s citation surgical case. An anaesthetic colleague 1970s, taking various roles culminating in
was presented at the AGM and is printed recently tendered a fee to Bruce for one being President in 1972-73.
below. guinea, but after some research Bruce Bruce was a favourite with his registrars.
Life Membership Citation for Dr objected to paying the 2012 cost of a In fact he was often the “go to” consultant
(Vernon) Bruce Cook gold guinea coin, last minted in 1821 and because his advice was always helpful
now valued at £3,500 (NZ$6,500). For and practical. But more importantly, Bruce
Bruce Cook is an icon of New Zealand
some reason, Bruce thought this fee was had a collection of anaesthetic aphorisms
Anaesthesia.
extortionate, and settled the account with a that stayed with his trainees long after they
He is 90 years old this year, living in bottle of Single Malt Whisky. had forgotten the pulmonary gas equation.
retirement in Marlborough. His family were
In 1961, Bruce formed the Mayfair Some of his “Cookisms” include:
originally from the East Coast of Scotland,
Anaesthesia Group (known by local “Surgery is like sex – it’s a non-spectator
and he always claimed lineage from
surgeons as the Mafia) with Alf Slater and sport”
Captain James Cook, who was actually a
Dave Wright. The group was named after
Yorkshireman from Whitby but sailed up “Signs of a surgeon in trouble: adjust
the Mayfair Chambers on the Terrace
and down the north-eastern coast of the UK lights; adjust table; ask for more relaxation;
where Alf Slater had rooms, but was
in his collier many years before becoming remove alternative organ and close.”
also a nod to Sir Robert Macintosh, who
a Royal Navy explorer. The veracity of this “Moving an operating light always resuts in
had started the Mayfair Gas Company
claim remains open to debate. the surgeon placing the back of his head in
in England before the War. The group
He graduated MBChB from Otago in 1948. established the practice of anaesthetists the focus point.”
After house surgeon years in Wellington, charging their own fees, and when Bowen “Hate all surgeons, but hate slow surgeons
he went overseas for anaesthetic training, Hospital opened in Ngaio in 1971 they the most.”
in the US (at Cleveland) and then the UK. had a base from which they could run a “Surgery begets surgery.”
Whilst in Britain he managed to fall between comprehensive private anesthesia practice.
the old DA and the (then) new FFARCS. “Three essentials for a safe anaesthetic: a
Bruce continued as part time consultant at tube in the trachea; a needle in the vein; a
This allowed him to return to New Zealand
Wellington Hospital until 1988, and gave roll of one inch sticky tape.”
with both qualifications. He gained the
his last private anaesthetic at the Home of
FFARACS in 1958 by, he claims, paying a Recognition also came in The Press from
Compassion in 1993.
fee and having a chat with some Australians Raybon Kan, no less, when he was doing
over tea and biscuits. He gave the first anaesthetic for a private a story for the Evening Post on cardiac
CAVG in Wellington in 1984, at the surgery at Wakfield. He referred to Bruce
Bruce was appointed senior registrar in
then Calvary Hospital. The nuns were as “…the Jack Pallance of anaesthesia...”
Wellington in 1955 on a salary of £1,250
uncertain about the propriety of this, and with “...the voice of a Shakespearian
a year. His neighbour was a watersider
their concerns were well confirmed by the thespian combined with the face of a
on a base income of £1,350, and Bruce
almost inevitable take back at 3 am the professional pugilist!”
contemplated a move to the wharves to
next morning for anastomotic bleeding. The
finance his growing family, but decided to Dr Bruce Cook has dedicated a
Head Nun fixed Bruce and the surgeon
stay on in anaesthesia. Bruce was on a professional lifetime to the practice of
with her eye and said “I trust this is not
constant one in two or three night roster anaesthesia in New Zealand, and has
going to become a habit!”
with eight or nine full clinical sessions served the Society in its highest office. We
each week. There was no such thing In retirement Bruce settled in Renwick. feel that his recognition is late in coming,
as Continuing Medical Education leave, He had an interest in the wine industry, but surely it is time for him to be made a
although he did once have a bus fare to and was an initial owner of Le Brun, who Life Member of the New Zealand Society of
Rotorua paid by the hospital so he could pioneered methode champenois in New Anaesthetists.
attend an NZSA meeting. After 5 years he Zealand. This association led to a wine tour
Dr Graham Sharpe
was promoted to junior specialist and in of France in 1990, followed by an ESA
conference in Warsaw. The conference NZSA Life Member
1961 he went part time.
included a day trip to Auschwitz, this visit Dr Phil Thomas
In those days, anaesthetists were paid by
having a profound affect on Bruce as he NZSA Member
the surgeon. Bruce’s first private fee was
faced the ultimate inhumanity by the Nazis.
Introducing New NZAEC Chair
- Dr Graham Roper
Dr Graham Roper Dr Roper attended Otago Medical In 2005, Dr Roper became the Clinical
is a Specialist School and undertook his Anaesthetic Director of Anaesthesia Christchurch
Anaesthetist based training in Hawkes Bay, Wellington, Hospital CDHB, and held this post for
at Christchurch and New South Wales gaining six years. Twelve months ago Dr Roper
Hospital and took his Fellowship in 1997. After took up an appointment as Head of
over as Chair of the New Zealand postgraduate work in Oxford UK, Anaesthesia Services at Greymouth,
Anaesthesia Education Committee Dr Roper returned to Christchurch West Coast District Health Board.
(NZAEC) in November 2013. Dr in 1999 as a full-time Specialist Dr Roper has been an ANZCA Primary
Roper has been a member of the Anaesthetist at Canterbury District Examiner for about 8 years, regularly
New Zealand Society of Anaesthetists Health Board (CDHB) with interests participates in the annual Christchurch
(NZSA) Executive Committee for in cardiothoracic anaesthesia and anaesthesia primary examination
three years. teaching. course and is a resuscitation trainer.
Page 8 | December 2013 NZSA Representing, Supporting and Promoting NZ Anaesthetists since 1948
OBITUARY: Dr Sudhakar Vishnu Mayadeo
By Vasu Hatangdi Dr Dick Rawstron. Sudhakar was vineyards for wine tasting and was
FANZCA, Auckland a very competent anaesthetist and always excited when he saw or read
New Zealand was very popular and well-liked by about any new high quality wines and
his colleagues in the department. made sure his wine cellar was well
Sudhakar Mayadeo,
He moved to Auckland in 1971 and stocked. He even had a personalised
formerly of
joined the Department of Anaesthesia car registration plate - Vintage 35.
Auckland, New Zealand, was
at Auckland Hospital under the
born on 3 November 1935 and Although he had a few health issues
Directorship of Dr Jack Watt, and
passed away peacefully in his sleep over the last few years after he
later gained his FFARACS in 1972.
on the morning of 18 February 2013. retired, he was certainly blessed to
After his fellowship, Sudhakar was have passed away peacefully without
Sudhakar received his formal
transferred to work as a full-time much suffering,
education in India having gained his
specialist at the National Women’s
MBBS in 1959 from the University He leaves behind to cherish his
Hospital where he worked for many
of Puna (Pune) in the state of memories, his wife Anuradha, a
years and was actively involved with
Maharashtra, India. He gained his daughter, a son, three grandchildren
anaesthesia for O&G and epidural
Diploma in Anaesthetics (DA) from and many friends and colleagues. I
service for obstetrics. He joined
the University of Bombay 1961 and am deeply touched by his tragic loss
the Anaesthesia Auckland Group
later continued his further studies to as I have known Sudhakar from the
in 1980 as a part-time practicing
complete his MD (Anaesth) in 1965 time we were training together at
anaesthetist, specialising mainly in
from the prestigious All India Institute Bombay and over the years watched
anaesthesia for O&G and plastic
of Medical Sciences (AIIMS) in New with interest our mutual progress in
and cosmetic surgical procedures.
Delhi. New Zealand has had a close professional development and seen
Sudhakar developed a flourishing
association with AIIMS over many our families grow. May his soul rest
and successful private practice until
years, having partly funded the initial in peace.
he retired in 2005.
cost of setting up of AIIMS in 1955
Originally published in the ANZCA
under the Colombo Plan. In his leisure time, he enjoyed
Bulletin, June 2013.
reading and was keen on music and
Not surprisingly, the winds of
cricket and played an active role in
fate brought Sudhakar to New
promoting the language and culture
Zealand in 1967 when he joined
of his state of Maharashtra. Being a
the Anaesthesia Department at
dedicated oenophile he often visited
Palmerston North Hospital under
NZSA Representing, Supporting and Promoting NZ Anaesthetists since 1948 December 2013 | Page 9
NZSA Executive Welcome and Farewell
Committee 2014 This year we welcomed trainee Meeting dates in 2014
representatives Drs Kate Romeril and The Executive Committee will meet
Kerry Holmes and co-opted Drs Yvonne on the following dates in 2014:
Dr Ted Hughes, Wagner, Kaye Ottaway and Paul
President Templer to our Executive Committee. 14 March
At its final meeting for the year 27-28 June (joint meeting
during the ASM in Dunedin, the between NZNC ANZCA
Executive Committee bade farewell
Dr Rob Carpenter, to Dr Kathryn Hagen who first served and NZSA)
Immediate Past President
on the Committee as the Trainee 23-24 August and
representative in December 2012 AGM at the Annual
and later as a consultant. Dr Hagen
has been a very active and supportive Queenstown Update in
Dr Mark Featherston,
Treasurer member of the committee throughout Anaesthesia meeting
her tenure and is moving to Ireland (dates TBC)
to take up a Fellowship in 2014. We
wish Kathryn all the very best and look 21 November
Dr Phil Eames forward to catching up with her when
Honorary Secretary/
Deputy Treasurer she returns to New Zealand in 2015.
Dr Graham Roper
Education Representative
Trainee Corner
The end of the year is rapidly These markets clearly move in cycles,
approaching and hopefully holiday but it seems that the medical job
plans are coming along nicely for market is being actively oversupplied
Dr Emma Patrick everyone. It’s a good time to really so will not ease up for new graduates
push the ‘life’ component of work- anytime soon. Talks of clearing the
life balance as lists slow down and pipeline for training seem to be in
everyone gets at least a little break progress, it remains to be seen how
for a brief period. Make sure you use this will affect Anaesthesia.
Dr David Kibblewhite your leave, plan something nice and try
to leave theatre/pain rounds/surgical Exams
registrars behind.
Congratulations to everyone that made
Workforce it over one of these immense hurdles
Dr Sammy Lee in the second sitting. Hopefully the
A recent meeting of the Doctors-in- world is looking a brighter place and
Training Committee produced some you are finding things to do with all
interesting statements from Health your free time. For those that missed it
Workforce NZ. There were difficulties this time, commiserations. Read your
Dr Kathryn Hagen, placing all new Medical Graduates feedback, try to take it on board and
Co-opted until December
2013
into Intern jobs at the start of this year. please make sure you take some time
Apparently this was not unexpected, off to relax your brain and enjoy the
but was a situation that had developed sunshine before getting back into it.
sooner than expected. Medical Student
Dr Kaye Ottaway, Dr Kerry Holmes
Co-opted November 2013 numbers will increase to a total of
550, an increase of 200 from the initial
Trainee Representative
baseline. This number is based on
what HWNZ believes can be safely NZSA Executive Committee
Dr Yvonne Wagner, trained, not what is demanded by the
Co-opted November 2013 market. They are hoping to reach a
position of zero doctor vacancies in the
next decade, this essentially means an
oversupply of doctors. Trainees were
Dr Paul Templer, told they would have to come to terms
Co-opted November 2013
with the labour market, so it appears that
a job at the end of your training is no
longer a reasonable expectation unless
one is prepared to undertake training in
Dr Kerry Holmes
Trainee Representative areas of need such as Palliative Care.
This situation is exacerbated by a low
SMO turnover rate (3% vs 5-10% in other
Dr Kate Romeril
industries), and the removal of Australia as
Deputy Trainee a labour market ‘blow-off valve’.
Representative
Page 10 | December 2013 NZSA Representing, Supporting and Promoting NZ Anaesthetists since 1948Profile of Dr Rachelle Williamson who
has recently joined the Society
I am your good friend, consider “twittering” if a member of royalty of becoming a better teacher. I would
Rachelle Williamson. told me they were “my good friend.” recommend this to any consultant who
You may not have I have been a proud wife and Mum teaches registrars or trainees in theatre.
met me yet, but it is a of two wonderful stepdaughters for But most of all, the thing that makes me
distinct possibility, should you wish nearly 10 years. Despite our fantastic happy at work is having fun, and feeling
it to be. relationship they will not twitter or friend valued. As such, I take the time to be
I recently learned that the Queen of England me on Facebook. Devastating. approachable and diplomatic, working hard
signs off on all of her letters to fellow Heads I am an Anaesthetic Specialist at to ensure all members of my theatre team
of State, as above. I have no delusions Christchurch Hospital, and will be entering feel appreciated.
of grandeur, and will never be queen of my third year as a Fellow of ANZCA upon Merry Christmas
anything, including my own household. But publication of this article. I thoroughly enjoy Happy New Year
I thought I would address my Fellows of the being a general anaesthetist. I find the variety
College in a similar manner and see how it of work, the multidisciplinary interaction, Contributions to
takes off. I am sure you will all be tracking and the practical aspects of my job, both New Zealand Anaesthesia
the viral progress, via social media sites with challenging and rewarding. Welcome!
great anticipation! Currently a significant amount of my To contribute your profile for this
Well so far I have told you very little except enjoyment is derived from teaching, and column or submit an article for the
my name and antiquated ways, including my participation in continuing clinical education. newsletter please contact us.
complete derision and distaste for all forms This year I attended the Foundation Teacher
of electronic social media. I would possibly Course run by ANZCA in my pursuit
2013 Part 3 Course Review
This year’s Part 3 Course was held on from any other location in New Zealand Jamie Sleigh enlightened participants
Saturday 9 November, at the end of the and the number of North Island attendees about research and academia; and the
ASM in Dunedin. The course provides an was more than double the South Island art of work/life balance was addressed
opportunity for advanced trainees to explore contingent. by Dr Robyn Chirnside in her ‘working
issues they face in making the transition smart’ session. Interestingly, the most
For the morning session, participants
from being an RMO to an SMO. It is known popular topic in this session was
split into smaller groups of 3 or 4 to
as the “Part 3 Course” because the path presented by Dr Cambell Bennett who
discuss CVs and interview techniques.
to qualifying as a consultant and Fellow of promoted the benefits of rural practice.
Each group was led by a facilitator (Drs
the Australian and New Zealand College of
N Chadderton, A Depuydt, J Dimech, All presenters were ranked highly and
Anaesthetists is achieved on completion of
J Henwood and N O’Brien). Cornwall the course evaluations have provided
three stages in the examination process.
Strategic’s Steve McCrone, who has useful feedback for the course
The course was initiated by ANZCA’s NZ a background in Human Resources, organisers to take on board. The
Trainee Committee and is hosted jointly provided useful information to common theme was that the participants
by ANZCA and NZSA. Drs Julian Dimech participants about how to present gained most from pragmatic sessions
and Annick Depuydt were invited to themselves at interviews and create/ that gave a well rounded overview within
convene the first course in 2011 because maintain a positive reputation throughout a timeframe appropriate to the attention
of experience they had providing a similar their career. Denys Court from the span of the group. A conversational
course at Middlemore Hospital and they Medical Protection Society worked with approach to presentation rather than via
have run the course every year since then. Dr Julian Dimech to present and discuss Powerpoints was preferred and getting
This year, Dr Jason Henwood of Dunedin a medico-legal case. Various aspects of a job was cited as being a greater
assisted them. the case introduced specific themes to motivator than money, which perhaps
keep in mind or address when dealing accounts for the popularity of the topic
Next year the course will return to the Ko
with difficult cases that have the potential on rural practice.
Awatea Centre at Middlemore where the
to lead to legal action.
first two courses were held. However, Dr Annick Depuydt chaired the final
the intention has always been to have the The first of the afternoon sessions was session of the day, ‘Things I wish I
course move around the country and in entitled ‘Where will FANZCA take you?’ had known …’, which included a panel
2015 it is likely to be held in Wellington. comprising six presentations on a ‘day in discussion using many of the session
the life’ from a variety of anaesthetists. two presenters.
The programme for this year’s course
Dr Geoff Long covered ‘College life’
was ‘Leaving the Nest…and Soaring into After the course the participants and
and gave an overview of ANZCA and
the Future’ - aptly put considering that Faculty reconvened at Ironic Café,
the various ways that consultants can
the course is about the coming of age as a short walk from the Town Hall, the
interact or become involved with the
an SMO and that the Otago Peninsula venue of the ASM. Overall, feedback
College, such as becoming an examiner,
is home to some of the rarest wildlife in on the course was positive with
sitting on the New Zealand National
the world including the breeding colony additional comments given such as
Committee or being a Supervisor of
of the one of the world’s rarest birds, the ‘Fantastic course – will recommend to
Training, etc; Dr Rob Carpenter spoke
Royal Albatross. registrars who haven’t been’, and ‘Really
about the pros and cons of private
worthwhile. Thank you :)’.
A total of 67 registrars have attended this practice and was followed by Dr Jason
course since it began. Of the 18 registrars Henwood who spoke about ‘making
who attended this year’s course, more changes’ and becoming an influential
travelled from Wellington to attend than member of your department; Professor
NZSA Representing, Supporting and Promoting NZ Anaesthetists since 1948 December 2013 | Page 11Dr Nick Lightfoot – Seeking broader horizons
in Toronto’s ‘Discovery District’
During my Provisional Administration. One major difference – similar Toronto is a large and multi-cultural city which
Fellowship at Middlemore to what Tin Lun alluded to in his description is ideally located to explore both Canada
Hospital I realised that of his time in New York (August 2013 and the United States. The Canadian people
to be more complete issue of this newsletter) was the lack of a are by and large very helpful and generous.
as a consultant I would need to experience dedicated assistant to the Anaesthetist. We To date I have been on a camping trip on
how Anaesthesia was practiced away from the have Anaesthesia Assistants who are able to the shores of Lake Ontario with some locals
Australasian (and ANZCA based) system. After place IV and arterial lines and deliver simple and have explored both Ontario and Quebec
an elective in the United States in my final year sedation to a patient – however these are a with trips to the Niagara Region, Ottawa,
of medical school I was always keen to return precious resource and are often not available Montreal, and Quebec City. Quebec offers
to North America to experience their healthcare when required, such as with induction of some contrast to the largely anglophile
system as a practising doctor to compare and Anesthesia and during the placement of Ontario – you can drive down the street
contrast how this system works compared with Central Lines or Neuraxial Blocks. As such, and see road signs flashing in French and
what I have grown up with and am used to one thing I have learnt from my time here is have no idea what they mean. I have also
back home. to be more independent: how to run through had the chance to go further afield with
In February of 2012 I started to look for a fluid or arterial line; prepare equipment weekends away to Chicago and shortly to
positions in Canada. I had contact with for invasive procedures; and how to give Washington DC. Next year, the Canadian
a Consultant who worked in Halifax, directions to nursing or ancillary staff to assist Anesthesiologists Society is having their
Nova Scotia who provided me with a list with various tasks. annual conference in St John, Newfoundland.
of fellowship positions available in various In general I am with a Staff Anaesthetist in This will give me a chance to network with
Anaesthetic Departments around Canada. an operating room providing anaesthesia for other Canadian Anaesthetists and to see
After some emails I finally placed an surgery or at times outside the operating suite another part of the country which is bound
application to the Toronto General Hospital in places such as Interventional Radiology to offer some contrast to that which I have
for a Fellowship in Anaesthesia for Liver or assisting in Intensive Care Units. Most already seen.
Transplantation; Hepato-Biliary Surgery and of my time is spent providing Anaesthesia Overall I am enjoying my experiences in
Surgical Oncology. After completing the for Liver and Pancreatic Resections and Canada. As with any move to a new country
application process I heard I had attained Urological Surgery including Robotics and there will always be struggles and I do miss
a position in April 2012. At this point I Gynaecological Oncology. In addition to the my family, friends, and colleagues back
commenced the long and onerous task of Monday to Friday workload there are also home. However, balanced with this are the
obtaining a work permit and registration with on call requirements. One week in four I am new skills I have attained, the ability to make
the College of Physicians and Surgeons of on call for 7 days for Liver and Pancreatic new friends, and the convenience of living in
Ontario. Despite filing all the paperwork in transplantation which can mean call backs a large city. I am looking forward to returning
plenty of time this was only finally completed at unusual hours to perform anaesthesia for to Middlemore Hospital in July of 2014 to
two days before I was scheduled to start work. a transplant. Four times per month I take a continue working as a consultant and to try
Toronto General Hospital is a quaternary 24-hour call (at times from home) for general and build on my time away by integrating
500-bed hospital situated in the ‘Discovery emergencies – this can be very busy and at what I have already learnt from my training in
District’ of downtown Toronto and is affiliated times very unwell patients come through for New Zealand with new skills I am picking up
with the University of Toronto. Nearby there laparotomies or relook procedures. from my time away.
are numerous other hospitals and research Transplantation is a fascinating part of my job Should any trainee or member have any
institutes. The Hospital for Sick Children is and is something that I had not experienced questions about arranging time in Canada
across the road; as are Mount Sinai Hospital in New Zealand. The breadth of my clinical please do not hesitate to be in contact with
and the Princess Margaret Cancer Centre. experience has been amazing in Toronto. This me through the New Zealand Society of
There is a strong history of research and centre performs around 150 Liver Transplants Anaesthetists’ office.
innovation with the initial clinical use of per year – this is amongst the most of any
Nicholas Lightfoot
both insulin and heparin occurring here. centre in North America and is a particular
More recently the Hospital has become a leader in Live Donor Liver Transplantation. The NZSA Member
centre of excellence in Canada for Organ number of Whipple Resections is also large
Transplantation and the care of those with with some surgeons doing upwards of 50 per
Cardiovascular Diseases. annum. I am given considerable autonomy in
I arrived in Canada in the middle of June the Operating Room meaning I have learnt
when Toronto was just emerging from how to manage some extremely complex
another long winter. After sorting out final situations, but with the ability to call for help
issues with registration and affiliation with should it be needed. To date I am very happy
the University I was able to start work with with the scenarios I have been exposed to and
four other new fellows, including two other the skill mix I have been able to attain.
New Zealanders, on 2 July. Toronto General Outside of the Operating Room I have
Hospital has around 21 operating rooms with developed some research interests including
numerous sites of service outside of these. conducting small studies assessing the use
There are around 45 Consultant or ‘Staff’ of new equipment in Liver Transplant patients
Anaesthetists who are supported by around and am involved with the planning and conduct
20 Clinical Fellows and 10 Residents. of a meta-analysis with some of the Cardiac
The Staff Anaesthetists, in addition to working Anaesthetists. I hope to cultivate and
in Clinical Anaesthesia, manage to balance continue with some research on my return
a busy research workload; with time spent in to New Zealand with the connections I have
Intensive Care Units, the Pain Service, and made in Toronto.
Page 12 | December 2013 NZSA Representing, Supporting and Promoting NZ Anaesthetists since 1948AQUA No. 5
This year’s fifth Annual Queenstown Update in trends in vascular surgery and an
Anaesthesia held in August was a great success. entertaining view of evidence-based
The convenors, Neil MacLennan and Martin medicine from Tony Smith (a cynic’s
Misur put together a scientific programme guide to evidence-based medicine).
covering a wide range of topics relevant to The programme and full abstracts are
anaesthesia practice. Professor David Story featured on the AQUA website www.
from Melbourne, spoke on perioperative aqua.ac.nz.
mortality and on the management of patients As usual, the scientific programme
with diabetes. The latter presentation was well balanced with learning
was particularly insightful given his own and recreation. The event was set
experience as a diabetic. There were in a family friendly environment
presentations from local speakers on difficult that allowed the doctors to attend
patients in the PACU (post-op pricklies), meetings in the morning and catch up
aortic stenosis, orthopaedics, and what to with colleagues, friends and family on
do at a road crash. We also heard about the ski slopes in the afternoon.
Dr Anna Winning Entries in the AQUA
Petrocelli Scarf Competition
– the “AQUA This year the NZSA prize was offered for
“the most innovative way to wear the AQUA
It was harder to decide on an overall winner
in the childrens’ section so the three winners
scarf”. There were a number of enthusiastic in this section were awarded $30 each.
Experience” entries and due to the high number of entries
the prize money was split into two categories,
As usual AQUA 2013 not only met one for kids and one for adults.
my expectations but exceeded Dr Petrocelli received the loudest applause
them. The meeting kicked off with for her entry and won first prize. Dr Petrocelli
a lively and thoroughly enjoyable donated her prize of $100 to the Starship
cocktail party where old friends, Foundation.
colleagues and reps of the
sponsoring companies met.
The academic program covered
a broad range of relevant topics
ranging from periop medicine to
post op problems, blood issues and
medico legal issues to mention a
few. The lectures and the speakers
while of a high standard were also
fun and entertaining. Despite the
grumblings of lack of snow most of
us managed to find some snow and
do some skiing!
The meeting ended with an
amazing evening on Coronet Peak
on the Saturday night with much
fun, laughter, the AB’s winning the
rugby and, of course, me winning
the prize!!
Thank you to Martin Misur, Kerry
Gunn, Neil MacLennan, and Karen
Patching for their hard work. Also
thanks to the companies who
sponsored the meeting, and,
last but not least to the NZSA
for supporting this meeting and
sponsoring the prize. What’s on the programme for
Dr Anna Petrocelli
NZSA member
AQUA 2014?
Details and dates of next year’s meeting Zealand College of Anaesthetists (NZNC
will be posted on the AQUA website early ANZCA) will hold their AGMs at AQUA.
next year. Early in 2014 we will be calling for nominations
for the position of President-Elect, Treasurer,
NZSA AGM 2014
and Secretary on the NZSA Executive
In 2014 both the NZSA and the New Zealand Committee. More details will be published in
National Committee of the Australian and New our weekly newsletter to members, the Ezine.
NZSA Representing, Supporting and Promoting NZ Anaesthetists since 1948 December 2013 | Page 13webAIRS News
There are currently opposite. The mobile version can be the catheter during insertion. In the
61 sites registered reached at www.anztadc.net/mobile/ case reported the guidewire was not
with webAIRS and mobile.aspx and a demo version can be removed prior to commencing the
1957 incidents have viewed at www.anztadc.net/demo/mobile. infusion. The catheter subsequently
been reported as of aspx. There are also enhanced registration fractured and the guidewire migrated
September 2013. Data from these assistance links, frequently asked requiring surgical removal, which was
incidents were used in a presentation questions and further development of the fortunately possible percutaneously.
entitled ‘Incident Reporting and webAIRS’ morbidity and mortality reporting tool. This incident reinforces the need to
and in the workshop ‘Critical Incident Recent Alerts carefully read the manufacturer’s
Monitoring using webAIRS’ at the New Recent alerts include these reports. instructions if the user is not familiar
Zealand Annual Scientific Meeting in 1. WebAIRS has received an alert that with the device. Although it is possible
November 2013. two patients within the space of a week to infuse liquid through the catheter
Mobile app have bitten through the wall and into with the guidewire in place, the
The Australian the lumen of a Pro-Breathe Armourflex guidewire should be removed prior
and New LMA (Proact Medical). Both cases to commencing the infusion. The
Zealand Tripartite occurred during the emergence phase company has been contacted and a
Anaesthetic after eye surgery. At this webAIRS site response will be published in the next
Data Committee one of the anaesthetists performed a issue of this Newsletter.
(ANZTADC) and comparison bite test with this model WebAIRS thanks the reporters for these
the web-based LMA and a standard reinforced interesting alerts. We plan to release more
Anaesthetic endotracheal tube. He easily bit de-identified alerts in coming webAIRS
Incident Reporting through the wall of the Pro-Breathe reports. ANZTADC will be grateful if future,
System (webAIRS) LMA but was unable to bite through unusual reports are flagged as alerts
has released a the standard reinforced ETT. The when reported. Also remember to report
mobile version of webAIRS. The original manufacturer has been contacted and problems with LMAs or other devices
development of the incident reporting page a response will be published when as suggested above via webAIRS or
was performed by Dr Pieter Peach, the available. The company literature directly to ANZTADC@anzca.edu.au if not
local webAIRS administrator at Cabrini recommends the use of a bite block registered with webAIRS.
Hospital, Malvern, Victoria and forwarded with the device (which they also Adjunct Professor Martin Culwick
to webAIRS for consideration. The web manufacture). FANZCA, MIT Medical Director,
app was then further customised for the 2. An alert has been notified to webAIRS ANZTADC
webAIRS website to include a mobile login regarding a single lumen peripherally Email: mculwick@bigpond.net.au
and to save the data in the database. inserted central line (PICC). The Administration Support
A screenshot of the application is shown catheter has a guidewire to stiffen Email: anztadc@anzca.edu.au
From the Archives ~ Forty Years Ago!
There was a wealth of material in the November 1973 Newsletter. Australasian Society of Clinical and Experimental Pharmacologists and invited
Editor Pen Brown commented on the role of this publication, anaesthetists to join. There were notices for the 4th Asian and Australasian Congress
anaesthetic technician training, continuing education of of Anaesthesiologists to be held in Singapore in September 1974, and the 4th
anaesthetists, and the beneficent role of Dr Humphrey Rainey and the European Congress of Anaesthesiology in Madrid in the same month.
Tasman Vaccine Laboratory in sponsoring our Newsletter. Society News introduced eleven new members, there was the President’s Report
Tom Magner of Rotorua wrote on the Need for Anaesthetic Technicians, their for 1972 from Bruce (Spotty) Cook, and minutes of the AGM of the Society held
training and then-poor remuneration; Cressy Free (Wellington) described a Simple in Wairakei on 30 June 1973. A report from the Auckland Chairman (Bill Peskett)
Anti-Pollution Device, and wrote about Dopamine; Pen Brown (Wellington) wrote on followed and there were reports from Otago, Wellington and Westland. There was
Clinical Experience with Oral Pentazocine (Fortral), and AG Buist (Hawera) wrote on also a report on the South Island Meeting held in Timaru on 24 June. Dr Prys-
Clinical Experiences with Ketamine in Dental Surgery. Roberts presented two papers - Problems in the management of the hypertensive
The Annual North Island Meeting which had been held at the Wairakei Hotel, 29 patient, and How much oxygen during one lung anaesthesia? Other papers were by
June-1 July, 1973, marked the 25th Anniversary of our Society. A well attended Jim Clayton (Dunedin) Complacency or thromboembolism; John Ritchie (Dunedin)
conference drew nearly fifty anaesthetists, and the guest speaker was Dr Cedric Safety in anaesthesia; David Bush (Christchurch) Anaesthetic problems associated
Prys-Roberts of Oxford. Summaries of papers included Patricia McDonald’s with the injector technique for bronchoscopy; Betty Main (Dunedin) Anaesthesia for
(Auckland) Premedication with rectal thiopentone in children; AJ De Silva (Hamilton) children’s tonsillectomy: Bill Pryor (Christchurch) Anaesthetic problems associated
presented a case of magnesium intoxication (with prolonged curarisation); Ron with laparoscopy, and Gwenda Lewis (Christchurch) Ketamine - an anaesthetic or
Trubuhovich (Auckland) spoke on organophosphorous poisoning; VS Pavan a trip?
(Hamilton) on use of the Air-Shields Ventimeter in neonatal and paediatric David Wright (Wellington) reported on the 46th GSM of the RACS in the Shangri-La
anaesthesia; Paul Kempthorne (Hamilton) on ketamine for status asthmaticus; Hotel, Singapore, May 6-10, and at that meeting Tony Newson (Auckland) shared
Russell Comber (Auckland) on death associated with anaesthesia; Preston Calvert the Gilbert Brown Prize with David Pilditch (Brisbane, and later Dunedin). Tony’s
(Whangarei) on gross cardiac irregularities, and Stewart Robinson’s (Auckland) paper was ‘The clinical significance of elevated creatine phosphokinase levels’.
‘Down at the seaside’ was about cardiovascular defence against wet asphyxia, and Other New Zealanders presenting at this conference were Jack Watt (Auckland)
the diving reflex. ‘Induced hypotension - a case report’, and he with Harry Shaw (Auckland) presented
Correspondence included Colin Chilvers’ (Wairoa) letter on bronchospasm and ‘Ketamine in post-operative analgesia’. For the first time, a large book containing all
anaphylaxis on induction; HK Windle of Glaxo (Palmerston North) on the unwanted the surgical and anaesthetic papers presented was produced and those attending
effects of althesin; Malcolm Fisher’s (Wellington) letter was titled ‘Should ambulance the conference received a copy.
drivers do lumbar punctures?’ in which he asked was it realistic for ambulance This bumper issue of the Newsletter (64 pages) closed with a list of all members with
officers to do intubations - a suggestion from a pathologist. Things have changed a their addresses, and the usual advertisements.
lot since then! Dr Basil Hutchinson
Holdings of audio-digest tapes by the Anson Foundation were detailed by Jack Life member
Watt, while EG McQueen (Prof. Pharmacology, Dunedin) wrote about the
Page 14 | December 2013 NZSA Representing, Supporting and Promoting NZ Anaesthetists since 1948You can also read
