Amanda Baric AM is an Australian anaesthesiologist. [1] She has been key to the Australian collaboration with Mongolia to develop training courses for anaesthesiologists [2] [3] for which work, she was awarded the Order of the Polar Star of Mongolia. This work has also extended to Myanmar. [4]
She has been a key person in developing the website developinganaesthesia which promotes "the advancement of anaesthetic practice and to empower(s) anaesthetists in countries with limited resources", [5] and has contributed to that website with works on peri-operative anaesthesia, [6] and obstetric anaesthesia. [7]
Anesthesia or anaesthesia is a state of controlled, temporary loss of sensation or awareness that is induced for medical or veterinary purposes. It may include some or all of analgesia, paralysis, amnesia, and unconsciousness. An individual under the effects of anesthetic drugs is referred to as being anesthetized.
General anaesthesia (UK) or general anesthesia (US) is a method of medically inducing loss of consciousness that renders a patient unarousable even with painful stimuli. This effect is achieved by administering either intravenous or inhalational general anaesthetic medications, which often act in combination with an analgesic and neuromuscular blocking agent. Spontaneous ventilation is often inadequate during the procedure and intervention is often necessary to protect the airway. General anaesthesia is generally performed in an operating theater to allow surgical procedures that would otherwise be intolerably painful for a patient, or in an intensive care unit or emergency department to facilitate endotracheal intubation and mechanical ventilation in critically ill patients. Depending on the procedure, general anaesthesia may be optional or required. Regardless of whether a patient may prefer to be unconscious or not, certain pain stimuli could result in involuntary responses from the patient that may make an operation extremely difficult. Thus, for many procedures, general anaesthesia is required from a practical perspective.
Anesthesiology or anaesthesiology is the medical specialty concerned with the total perioperative care of patients before, during and after surgery. It encompasses anesthesia, intensive care medicine, critical emergency medicine, and pain medicine. A physician specialized in anesthesiology is called an anesthesiologist, anaesthesiologist, or anaesthetist, depending on the country. In some countries, the terms are synonymous, while in other countries, they refer to different positions and anesthetist is only used for non-physicians, such as nurse anesthetists.
Spinal anaesthesia, also called spinal block, subarachnoid block, intradural block and intrathecal block, is a form of neuraxial regional anaesthesia involving the injection of a local anaesthetic or opioid into the subarachnoid space, generally through a fine needle, usually 9 cm (3.5 in) long. It is a safe and effective form of anesthesia usually performed by anesthesiologists that can be used as an alternative to general anesthesia commonly in surgeries involving the lower extremities and surgeries below the umbilicus. The local anesthetic with or without an opioid injected into the cerebrospinal fluid provides locoregional anaesthesia: true anaesthesia, motor, sensory and autonomic (sympathetic) blockade. Administering analgesics in the cerebrospinal fluid without a local anaesthetic produces locoregional analgesia: markedly reduced pain sensation, some autonomic blockade, but no sensory or motor block. Locoregional analgesia, due to mainly the absence of motor and sympathetic block may be preferred over locoregional anaesthesia in some postoperative care settings. The tip of the spinal needle has a point or small bevel. Recently, pencil point needles have been made available.
A nurse anesthetist is an advanced practice nurse who administers anesthesia for surgery or other medical procedures. Nurse anesthetists (NA's) administer or participate in administration of anesthesia services in 107 countries, working with or without anesthesiologists. Because of different historical backgrounds, anesthetist responsibilities and roles vary widely between countries. Depending on the locality, their role may be limited to intraoperative care during anesthesia itself or may also extend before and after. The International Federation of Nurse Anesthetists was established in 1989 as a forum for developing standards of education, practice, and a code of ethics.
The Association of Anaesthetists, in full the Association of Anaesthetists of Great Britain and Ireland (AAGBI), is a professional association for anaesthetists in the United Kingdom and Ireland.
In the United Kingdom, operating department practitioners (ODPs) are allied healthcare professionals who are involved in the planning and delivery of perioperative care. As the name suggests, they are primarily employed in surgical operating departments, but they may also work directly within a variety of acute clinical settings, including pre-hospital emergency care, emergency departments, intensive care units (ICUs), endoscopy suites, interventional radiology, cardiac catheter suites, obstetric theatres and reproductive medicine.
Harold Randall Griffith was a Canadian anesthesiologist and a leader in the fields of anesthesiology.
Eric Anson was New Zealand's first specialist anaesthetist. He was the first President of the New Zealand Society of Anaesthetists (NZSA) and a member of the NZ Committee of the Faculty of Anaesthetists.
Perioperative nursing is a nursing specialty that works with patients who are having operative or other invasive procedures. Perioperative nurses work closely with surgeons, anaesthesiologists, nurse anaesthetists, surgical technologists, and nurse practitioners. They perform preoperative, intraoperative, and postoperative care primarily in the operating theatre.
The Australian Society of Anaesthetists is an association that seeks to further the best interests of anaesthesia and anaesthetists.
Geoffrey Kaye (1903–1986) was an Australian anaesthetist.
In anesthesia, neuromuscular blocking agents may be required to facilitate endotracheal intubation and provide optimal surgical conditions. When neuromuscular blocking agents are administered, neuromuscular function of the patient must be monitored. Neuromuscular function monitoring is a technique that involves the electrical stimulation of a motor nerve and monitoring the response of the muscle supplied by that nerve. It may be used from the induction of to recovery from neuromuscular blockade. Importantly, it is used to confirm adequacy of recovery after the administration of neuromuscular blocking agents. The response of the muscles to electrical stimulation of the nerves can be recorded subjectively (qualitative) or objectively (quantitatively). Quantitative techniques include electromyography, acceleromyography, kinemyography, phonomygraphy and mechanomyography. Neuromuscular monitoring is recommended when neuromuscular-blocking drugs have been part of the general anesthesia and the doctor wishes to avoid postoperative residual curarization (PORC) in the patient, that is, the residual paralysis of muscles stemming from these drugs.
The following outline is provided as an overview of and topical guide to anesthesia:
Dato' Dr. Sachithanandan Thambinathan, better known as T. Sachithanandan, was a Malaysian anaesthesiologist.
In the United Kingdom, an anaesthesia associate (AA) is a healthcare worker who provides anaesthesia under the medical direction and supervision of a consultant anaesthetist. Anaesthesia associates are not doctors themselves, but rather enter the role by completing a 27-month full-time training programme which leads to the award of a postgraduate diploma, or alternatively a 24-month training programme via University College London leading to a master's degree. The University of Birmingham, University College London and Lancaster University deliver General Medical Council approved courses to qualify and register as an AA. It is classed as a medical associate profession. To be eligible, a candidate must have a previous degree in a biomedical or science subject, or recognised previous healthcare experience in another role. There is usually high demand for posts when advertised, with high application to places ratios. Recruitment is usually undertaken directly by the NHS employer, before enrolling with on a chosen course.
The Order of the Polar Star is a state award of Mongolia. It is the highest civilian award Mongolia can present to a foreign citizen. The order was created in 1936. The regulation was approved by the resolution of the Presidium of the Small Khural and the Council of Ministers of the MPR on May 16, 1941.
Isabella Epiu is an anesthesiologist and critical care medicine specialist in Uganda, who is reported to be the first female anesthesiologist in the countries of the East African Community, to graduate with a Doctor of Philosophy degree. In 2023, she graduated from the University of New South Wales in Sydney, Australia with a PhD in Medicine, specializing in neuro-respiratory physiology and health economics.
Vanessa Shona Beavis is a New Zealand anaesthesiologist and honorary senior lecturer of the University of Auckland. From 2020 to 2022, Beavis was president of the Australian and New Zealand College of Anaesthetists (ANCA).
Katherine (Kate) Leslie AO FAHMS is an acclaimed anaesthetist, medical practitioner, and medical researcher. She is head of research in the Department of Anaesthesia and Pain Management at the Royal Melbourne Hospital (RMH). Leslie was the first anaesthetist to be honoured with a Doctor of Medical Science by the University of Melbourne in 2017.