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1. Benefits and harms of perioperative high fraction inspired oxygen for surgical site infection prevention: a protocol for a systematic review and meta-analysis of individual patient data of randomised controlled trials

Author

Paul Myles, Markus W Hollmann, Janet Martin, Andrew Forbes, Benedetta Allegranzi, Kate Leslie, Robert Greif, Matthew TV Chan, Christian S Meyhoff, Marcel GW Dijkgraaf, Stijn W de Jonge, Carlos Ferrando, Kane Pryor, Andrea Kurz, Daniel I Sessler, Pascal Thibon, Marja Boermeester, Rick H Hulskes, Maedeh Zokaei Nikoo, Robert P Weenink, Ozan Akca, F Javier Belda, Gabriel M Gurman, Christina M Scifres, David S McKenna, and Jannicke Mellin-Olsen

Subjects
Medicine
Abstract

Introduction The use of high fraction of inspired oxygen (FiO2) intraoperatively for the prevention of surgical site infection (SSI) remains controversial. Promising results of early randomised controlled trials (RCT) have been replicated with varying success and subsequent meta-analysis are equivocal. Recent advancements in perioperative care, including the increased use of laparoscopic surgery and pneumoperitoneum and shifts in fluid and temperature management, can affect peripheral oxygen delivery and may explain the inconsistency in reproducibility. However, the published data provides insufficient detail on the participant level to test these hypotheses. The purpose of this individual participant data meta-analysis is to assess the described benefits and harms of intraoperative high FiO2compared with regular (0.21–0.40) FiO2 and its potential effect modifiers.Methods and analysis Two reviewers will search medical databases and online trial registries, including MEDLINE, Embase, CENTRAL, CINAHL, ClinicalTrials.gov and WHO regional databases, for randomised and quasi-RCT comparing the effect of intraoperative high FiO2 (0.60–1.00) to regular FiO2 (0.21–0.40) on SSI within 90 days after surgery in adult patients. Secondary outcome will be all-cause mortality within the longest available follow-up. Investigators of the identified trials will be invited to collaborate. Data will be analysed with the one-step approach using the generalised linear mixed model framework and the statistical model appropriate for the type of outcome being analysed (logistic and cox regression, respectively), with a random treatment effect term to account for the clustering of patients within studies. The bias will be assessed using the Cochrane risk-of-bias tool for randomised trials V.2 and the certainty of evidence using Grading of Recommendations, Assessment, Development and Evaluation methodology. Prespecified subgroup analyses include use of mechanical ventilation, nitrous oxide, preoperative antibiotic prophylaxis, temperature (2.5 hour).Ethics and dissemination Ethics approval is not required. Investigators will deidentify individual participant data before it is shared. The results will be submitted to a peer-review journal.PROSPERO registration number CRD42018090261.

Published
2023
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2. Global surgery, obstetric, and anaesthesia indicator definitions and reporting: An Utstein consensus report.

Author

Justine I Davies, Adrian W Gelb, Julian Gore-Booth, Janet Martin, Jannicke Mellin-Olsen, Christina Åkerman, Emmanuel A Ameh, Bruce M Biccard, Geir Sverre Braut, Kathryn M Chu, Miliard Derbew, Hege Langli Ersdal, Jose Miguel Guzman, Lars Hagander, Carolina Haylock-Loor, Hampus Holmer, Walter Johnson, Sabrina Juran, Nicolas J Kassebaum, Tore Laerdal, Andrew J M Leather, Michael S Lipnick, David Ljungman, Emmanuel M Makasa, John G Meara, Mark W Newton, Doris Østergaard, Teri Reynolds, Lauri J Romanzi, Vatshalan Santhirapala, Mark G Shrime, Kjetil Søreide, Margit Steinholt, Emi Suzuki, John E Varallo, Gerard H A Visser, David Watters, and Thomas G Weiser

Subjects
Medicine
Abstract

BackgroundIndicators to evaluate progress towards timely access to safe surgical, anaesthesia, and obstetric (SAO) care were proposed in 2015 by the Lancet Commission on Global Surgery. These aimed to capture access to surgery, surgical workforce, surgical volume, perioperative mortality rate, and catastrophic and impoverishing financial consequences of surgery. Despite being rapidly taken up by practitioners, data points from which to derive the indicators were not defined, limiting comparability across time or settings. We convened global experts to evaluate and explicitly define-for the first time-the indicators to improve comparability and support achievement of 2030 goals to improve access to safe affordable surgical and anaesthesia care globally.Methods and findingsThe Utstein process for developing and reporting guidelines through a consensus building process was followed. In-person discussions at a 2-day meeting were followed by an iterative process conducted by email and virtual group meetings until consensus was reached. The meeting was held between June 16 to 18, 2019; discussions continued until August 2020. Participants consisted of experts in surgery, anaesthesia, and obstetric care, data science, and health indicators from high-, middle-, and low-income countries. Considering each of the 6 indicators in turn, we refined overarching descriptions and agreed upon data points needed for construction of each indicator at current time (basic data points), and as each evolves over 2 to 5 (intermediate) and >5 year (full) time frames. We removed one of the original 6 indicators (one of 2 financial risk protection indicators was eliminated) and refined descriptions and defined data points required to construct the 5 remaining indicators: geospatial access, workforce, surgical volume, perioperative mortality, and catastrophic expenditure. A strength of the process was the number of people from global institutes and multilateral agencies involved in the collection and reporting of global health metrics; a limitation was the limited number of participants from low- or middle-income countries-who only made up 21% of the total attendees.ConclusionsTo track global progress towards timely access to quality SAO care, these indicators-at the basic level-should be implemented universally as soon as possible. Intermediate and full indicator sets should be achieved by all countries over time. Meanwhile, these evolutions can assist in the short term in developing national surgical plans and collecting more detailed data for research studies.

Published
2021
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3. Up to 206 Million People Reached and Over 5.4 Million Trained in Cardiopulmonary Resuscitation Worldwide: The 2019 International Liaison Committee on Resuscitation World Restart a Heart Initiative

Author

Bernd W. Böttiger, Andrew Lockey, Richard Aickin, Maria Carmona, Pascal Cassan, Maaret Castrén, SSC Chakra Rao, Allan De Caen, Raffo Escalante, Marios Georgiou, Amber Hoover, Karl B. Kern, Abdul Majeed S. Khan, Cianna Levi, Swee H. Lim, Vinay Nadkarni, Naomi Kondo Nakagawa, Kevin Nation, Robert W. Neumar, Jerry P. Nolan, Jannicke Mellin‐Olsen, Jacopo Pagani, Monica Sales, Federico Semeraro, David Stanton, Cristina Toporas, Heleen van Grootven, Tzong‐Luen Wang, Nilmini Wijesuriya, Gillian Wong, and Gavin D. Perkins

Subjects
“World Restart a Heart”, cardiac arrest, cardiopulmonary resuscitation, International Liaison Committee on Resuscitation, lay resuscitation, Diseases of the circulatory (Cardiovascular) system, RC666-701
Abstract

Abstract Sudden out‐of‐hospital cardiac arrest is the third leading cause of death in industrialized nations. Many of these lives could be saved if bystander cardiopulmonary resuscitation rates were better. “All citizens of the world can save a life—CHECK—CALL—COMPRESS.” With these words, the International Liaison Committee on Resuscitation launched the 2019 global “World Restart a Heart” initiative to increase public awareness and improve the rates of bystander cardiopulmonary resuscitation and overall survival for millions of victims of cardiac arrest globally. All participating organizations were asked to train and to report the numbers of people trained and reached. Overall, social media impact and awareness reached up to 206 million people, and >5.4 million people were trained in cardiopulmonary resuscitation worldwide in 2019. Tool kits and information packs were circulated to 194 countries worldwide. Our simple and unified global message, “CHECK—CALL—COMPRESS,” will save hundreds of thousands of lives worldwide and will further enable many policy makers around the world to take immediate and sustainable action in this most important healthcare issue and initiative.

Published
2020
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4. Migration and Workforce Planning in Medicine with Special Focus on Anesthesiology

Author

Jannicke Mellin-Olsen

Subjects
brain drain, migration, global health, workforce, recruitment, Medicine (General), R5-920
Abstract

Counting health personnel and defining migration is more complicated than one should think at first glance. Migrating health workers are not a homogenous group, and many factors cause people to migrate—not only low wages but also lack of professional development possibilities, poor job satisfaction, outdated equipment, unsafe environment, and more. The opposite factors encourage people to stay. Many countries, including high-income countries benefit from remittances from migrating individuals. The World Health Organization has installed a code of Practice on the international recruitment of health workers. Although member countries have committed to follow this Code, it is not widely adhered to. Planning for the future is difficult, also because there are so many unknown factors related to the development of health-care levels, policies, inflow and outflow and more. Action must be taken in both donor and receiving countries. In anesthesiology, there is a huge workforce deficit globally. The world would need 136,000 additional physician anesthesia providers today to achieve an absolute minimum of five per 100,000 population. This will not happen unless all countries follow those that already have taken proactive steps in leading the direction forward. Anaesthesiology Society involvement is crucial.

Published
2017
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5. Present and future of anaesthesiology

Author

Jannicke Mellin-Olsen

Subjects
patient safety, post-graduate training, examination, migration, Medicine
Abstract

The aim of the European Union of Medical Specialists is to improve and harmonise training and free movement of medical specialists in Europe. The training of European anaesthesiologists varies across country borders. The Section and Board of Anaesthesiology has chaired the development of new training guidelines and curriculum which will serve to make the training more uniform. We have also been pioneers in patient safety and in developing our specialty with its various areas of competence. We need to take charge of our own future, also when it comes to manpower and medical development.

Published
2012
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6. Anesthesia Patient Safety: Next Steps to Improve Worldwide Perioperative Safety by 2030

Author

Mark A. Warner, Daniel Arnal, Daniel J. Cole, Rola Hammoud, Carolina Haylock-Loor, Pedro Ibarra, Muralidhar Joshi, Fauzia A. Khan, Konstantin M. Lebedinskii, Jannicke Mellin-Olsen, Katsuyuki Miyasaka, Wayne W. Morriss, Bisola Onajin-Obembe, Robinson Toukoune, and Patricia Yazbeck

Subjects
Anesthesiology and Pain Medicine, Anesthesiology, Humans, Anesthesia, Patient Safety
Abstract

Patient safety is a core principle of anesthesia care worldwide. The specialty of anesthesiology has been a leader in medicine for the past half century in pursuing patient safety research and implementing standards of care and systematic improvements in processes of care. Together, these efforts have dramatically reduced patient harm associated with anesthesia. However, improved anesthesia patient safety has not been uniformly obtained worldwide. There are unique differences in patient safety outcomes between countries and regions in the world. These differences are often related to factors such as availability, support, and use of health care resources, trained personnel, patient safety outcome data collection efforts, standards of care, and cultures of safety and teamwork in health care facilities. This article provides insights from national anesthesia society leaders from 13 countries around the world. The countries they represent are diverse geographically and in health care resources. The authors share their countries' current and future initiatives in anesthesia patient safety. Ten major patient safety issues are common to these countries, with several of these focused on the importance of extending initiatives into the full perioperative as well as intraoperative environments. These issues may be used by anesthesia leaders around the globe to direct collaborative efforts to improve the safety of patients undergoing surgery and anesthesia in the coming decade.

Published
2022
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7. The COVID-19 Pandemic: Effects on Low- and Middle-Income Countries

Author

Choon-Looi Bong, Christopher Brasher, Robert J McDougall, Jannicke Mellin-Olsen, Angela Enright, and Edson Chikumba

Subjects
Coronavirus disease 2019 (COVID-19), Poverty, business.industry, Social distance, Developing country, Global Health, Special Article, Anesthesiology and Pain Medicine, Low and middle income countries, Development economics, Pandemic, Health care, Medicine, business, Personal protective equipment
Abstract

Coronavirus Disease 2019 (COVID-19) is spreading rapidly around the world with devastating consequences on patients, health care workers, health systems, and economies. As it reaches low- and middle-income countries, its effects could be even more dire, because it will be difficult for them to respond aggressively to the pandemic. There is a great shortage of all health care providers, who will be at risk due to a lack of personal protection equipment. Social distancing will be almost impossible. The necessary resources to treat patients will be in short supply. The end result could be a catastrophic loss of life. A global effort will be required to support faltering economies and health care systems.

Published
2020
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8. Sex difference and intra-operative tidal volume: Insights from the LAS VEGAS study

Author

Nijbroek, Sunny G, Hol, Liselotte, Swart, Pien, Hemmes, Sabrine N T, Serpa Neto, Ary, Binnekade, Jan M, Hedenstierna, Goran, Jaber, Samir, Hiesmayr, Michael, Hollmann, Markus W, Mills, Gary H, Vidal Melo, Marcos F, Putensen, Christian, Schmid, Werner, Severgnini, Paolo, Wrigge, Hermann, Gama de Abreu, Marcelo, Pelosi, Paolo, Schultz, Marcus J, Wolfgang Kroell, Helfried Metzler, Gerd Struber, Thomas Wegscheider, Hans Gombotz, Michael Hiesmayr, Werner Schmid, Bernhard Urbanek, David Kahn, Mona Momeni, Audrey Pospiech, Fernande Lois, Patrice Forget, Irina Grosu, Jan Poelaert, Veerle van Mossevelde, Marie-Claire van Malderen, Dimitri Dylst, Jeroen van Melkebeek, Maud Beran, Stefan de Hert, Luc De Baerdemaeker, Bjorn Heyse, Jurgen Van Limmen, Piet Wyffels, Tom Jacobs, Nathalie Roels, Ann De Bruyne, Stijn van de Velde, Brigitte Leva, Sandrine Damster, Benoit Plichon, Marina Juros-Zovko, Dejana Djonoviċ- Omanoviċ, Selma Pernar, Josip Zunic, Petar Miskovic, Antonio Zilic, Slavica Kvolik, Dubravka Ivic, Darija Azenic-Venzera, Sonja Skiljic, Hrvoje Vinkovic, Ivana Oputric, Kazimir Juricic, Vedran Frkovic, Jasminka Kopic, Ivan Mirkovic, Nenad Karanovic, Mladen Carev, Natasa Dropulic, Jadranka Pavicic Saric, Gorjana Erceg, Matea Bogdanovic Dvorscak, Branka Mazul-Sunko, Anna Marija Pavicic, Tanja Goranovic, Branka Maldini, Tomislav Radocaj, Zeljka Gavranovic, Inga Mladic-Batinica, Mirna Sehovic, Petr Stourac, Hana Harazim, Olga Smekalova, Martina Kosinova, Tomas Kolacek, Kamil Hudacek, Michal Drab, Jan Brujevic, Katerina Vitkova, Katerina Jirmanova, Ivana Volfova, Paula Dzurnakova, Katarina Liskova, Radovan Dudas, Radek Filipsky, Samir el Kafraw, Hisham Hosny Abdelwahab, Tarek Metwally, Ahmed Abdel-Razek, Ahmed Mostafa El-Shaarawy, Hany Yassin, Mohamed Magdy, Mahdy Abdelhady, Mohamed Mahran, Eiko Herodes, Peeter Kivik, Juri Oganjan, Annika Aun, Alar Sormus, Kaili Sarapuu, Merilin Mall, Juri Karjagin, Emmanuel Futier, Antoine Petit, Adeline Gerard, Emmanuel Marret, Marc Solier, Samir Jaber, Albert Prades, Jens Krassler, Simone Merzky, Marcel Gama de Abreu, Christopher Uhlig, Thomas Kiss, Anette Bundy, Thomas Bluth, Andreas Gueldner, Peter Spieth, Martin Scharffenberg, Denny Tran Thiem, Thea Koch, Tanja Treschan, Maximilian Schaefer, Bea Bastin, Johann Geib, Martin Weiss, Peter Kienbaum, Benedikt Pannen, Andre Gottschalk, Mirja Konrad, Diana Westerheide, Ben Schwerdtfeger, Hermann Wrigge, Philipp Simon, Andreas Reske, Christian Nestler, Dimitrios Valsamidis, Konstantinos Stroumpoulis, Georgios Antholopoulos, Antonis Andreou, Dimitris Karapanos, Kassiani Theodoraki, Georgios Gkiokas, Marios-Konstantinos Tasoulis, Tatiana Sidiropoulou, Foteini Zafeiropoulou, Panagiota Florou, Aggeliki Pandazi, Georgia Tsaousi, Christos Nouris, Chryssa Pourzitaki, Dmitri Bystritski, Reuven Pizov, Arieh Eden, Caterina Valeria Pesce, Annamaria Campanile, Antonella Marrella, Salvatore Grasso, Michele De Michele, Francesco Bona, Gianmarco Giacoletto, Elena Sardo, Luigi Giancarlo, Vicari Sottosanti, Maurizio Solca, Carlo Alberto Volta, Savino Spadaro, Marco Verri, Riccardo Ragazzi, Roberto Zoppellari, Gilda Cinnella, Pasquale Raimondo, Daniela La Bella, Lucia Mirabella, Davide D'antini, Paolo Pelosi, Alexandre Molin, Iole Brunetti, Angelo Gratarola, Giulia Pellerano, Rosanna Sileo, Stefano Pezzatto, Luca Montagnani, Laura Pasin, Giovanni Landoni, Alberto Zangrillo, Luigi Beretta, Ambra Licia Di Parma, Valentina Tarzia, Roberto Dossi, Marta Eugenia Sassone, Daniele Sances, Stefano Tredici, Gianluca Spano, Gianluca Castellani, Luigi Delunas, Sopio Peradze, Marco Venturino, Ines Arpino, Sara Sher, Concezione Tommasino, Francesca Rapido, Paola Morelli, Maria Vargas, Giuseppe Servillo, Andrea Cortegiani, Santi Maurizio Raineri, Francesca Montalto, Vincenzo Russotto, Antonino Giarratano, Marco Baciarello, Michela Generali, Giorgia Cerati, Yigal Leykin, Filippo Bressan, Vittoria Bartolini, Lucia Zamidei, Luca Brazzi, Corrado Liperi, Gabriele Sales, Laura Pistidda, Paolo Severgnini, Elisa Brugnoni, Giuseppe Musella, Alessandro Bacuzzi, Dalip Muhardri, Gecaj-Gashi Agreta, Fatos Sada, Adem Bytyqi, Aurika Karbonskiene, Ruta Aukstakalniene, Zivile Teberaite, Erika Salciute, Renatas Tikuisis, Povilas Miliauskas, Sipylaite Jurate, Egle Kontrimaviciute, Gabija Tomkute, John Xuereb, Maureen Bezzina, Francis Joseph Borg, Sabrine Hemmes, Marcus Schultz, Markus Hollmann, Irene Wiersma, Christa Boer, Anne Duvekot, Bas in ‘t Veld, Alice Werger, Paul Dennesen, Charlotte Severijns, Jasper De Jong, Jens Hering, Rienk van Beek, Stefan Ivars, Ib Jammer, Alena Breidablik, Katharina Skirstad Hodt, Frode Fjellanger, Manuel Vico Avalos, Jannicke Mellin-Olsen, Elisabeth Andersson, Amir Shafi-Kabir, Ruby Molina, Stanley Wutai, Erick Morais, Glória Tareco, Daniel Ferreira, Joana Amaral, Maria de Lurdes, Goncalves Castro, Susana Cadilha, Sofia Appleton, Suzana Parente, Mariana Correia, Diogo Martins, Angela Monteirosa, Ana Ricardo, Sara Rodrigues, Lucian Horhota, Ioana Marina Grintescu, Liliana Mirea, Ioana Cristina Grintescu, Dan Corneci, Silvius Negoita, Madalina Dutu, Ioana Popescu Garotescu, Daniela Filipescu, Alexandru Bogdan Prodan, Gabriela Droc, Ruxandra Fota, Mihai Popescu, Dana Tomescu, Ana Maria Petcu, Marian Irinel Tudoroiu, Alida Moise, Catalin-Traian Guran, Iorel Gherghina, Dan Costea, Iulia Cindea, Sanda-Maria Copotoiu, Ruxandra Copotoiu, Victoria Barsan, Zsolt Tolcser, Magda Riciu, Septimiu Gheorghe Moldovan, Mihaly Veres, Alexey Gritsan, Tatyana Kapkan, Galina Gritsan, Oleg Korolkov, Alexander Kulikov, Andrey Lubnin, Alexey Ovezov, Pavel Prokoshev, Alexander Lugovoy, Natalia Anipchenko, Andrey Babayants, Irina Komissarova, Karginova Zalina, Valery Likhvantsev, Sergei Fedorov, Aleksandra Lazukic, Jasmina Pejakovic, Dunja Mihajlovic, Zuzana Kusnierikova, Maria Zelinkova, Katarina Bruncakova, Lenka Polakovicova, Villiam Sobona, Barbka Novak-Supe, Ana Pekle-Golez, Miroljub Jovanov, Branka Strazisar, Jasmina Markovic-Bozi, Vesna Novak-Jankovic, Minca Voje, Andriy Grynyuk, Ivan Kostadinov, Alenka Spindler-Vesel, Victoria Moral, Mari Carmen Unzueta, Carlos Puigbo, Josep Fava, Jaume Canet, Enrique Moret, Mónica Rodriguez Nunez, Mar Sendra, Andrea Brunelli, Frederic Rodenas, Pablo Monedero, Francisco Hidalgo Martinez, Maria Jose Yepes Temino, Antonio Martínez Simon, Ana de Abajo Larriba, Alberto Lisi, Gisela Perez, Raquel Martinez, Manuel Granell, Jose Tatay Vivo, Cristina Saiz Ruiz, Jose Antonio de Andrés Ibañez, Ernesto Pastor, Marina Soro, Carlos Ferrando, Mario Defez, Cesar Aldecoa Alvares-Santullano, Rocio Perez, Jesus Rico, Monir Jawad, Yousif Saeed, Lars Gillberg, Zuleyha Kazak Bengisun, Baturay Kansu Kazbek, Nesil Coskunfirat, Neval Boztug, Suat Sanli, Murat Yilmaz, Necmiye Hadimioglu, Nuzhet Mert Senturk, Emre Camci, Semra Kucukgoncu, Zerrin Sungur, Nukhet Sivrikoz, Serpil Ustalar Ozgen, Fevzi Toraman, Onur Selvi, Ozgur Senturk, Mine Yildiz, Bahar Kuvaki, Ferim Gunenc, Semih Kucukguclu, Şule Ozbilgin, Jale Maral, Seyda Canli, Oguzhan Arun, Ali Saltali, Eyup Aydogan, Fatma Nur Akgun, Ceren Sanlikarip, Fatma Mine Karaman, Andriy Mazur, Sergiy Vorotyntsev, Guy Rousseau, Colin Barrett, Lucia Stancombe, Ben Shelley, Helen Scholes, James Limb, Amir Rafi, Lisa Wayman, Jill Deane, David Rogerson, John Williams, Susan Yates, Elaine Rogers, Mark Pulletz, Sarah Moreton, Stephanie Jones, Suresh Venkatesh, Maudrian Burton, Lucy Brown, Cait Goodall, Matthew Rucklidge, Debbie Fuller, Maria Nadolski, Sandeep Kusre, Michael Lundberg, Lynn Everett, Maka Zuleika, Peter Carvalho, Deborah Clements, Ben Creagh-Brown, Philip Watt, Parizade Raymode, Rupert Pearse, Otto Mohr, Ashok Raj, Thais Creary, Ahmed Chishti, Andrea Bell, Charley Higham, Alistair Cain, Sarah Gibb, Stephen Mowat, Danielle Franklin, Claire West, Gary Minto, Nicholas Boyd, Gary Mills, Emily Calton, Rachel Walker, Felicity Mackenzie, Branwen Ellison, Helen Roberts, Moses Chikungwa, Clare Jackson, Andrew Donovan, Jayne Foot, Elizabeth Homan, Jane Montgomery, David Portch, Pauline Mercer, Janet Palmer, Jonathan Paddle, Anna Fouracres, Amanda Datson, Alyson Andrew, Leanne Welch, Alastair Rose, Sandeep Varma, Karen Simeson, Mrutyunjaya Rambhatla, Jaysimha Susarla, Sudhakar Marri, Krishnan Kodaganallur, Ashok Das, Shivarajan Algarsamy, Julie Colley, Simon Davies, Margaret Szewczyk, Thomas Smith, Ana Fernandez- Bustamante, Elizabeth Luzier, Angela Almagro, Marcos Vidal Melo, Luiz Fernando, Demet Sulemanji, Juraj Sprung, Toby Weingarten, Daryl Kor, Federica Scavonetto, Yeo Tze, Nijbroek, Sunny G, Hol, Liselotte, Swart, Pien, Hemmes, Sabrine N T, Serpa Neto, Ary, Binnekade, Jan M, Hedenstierna, Goran, Jaber, Samir, Hiesmayr, Michael, Hollmann, Markus W, Mills, Gary H, Vidal Melo, Marcos F, Putensen, Christian, Schmid, Werner, Severgnini, Paolo, Wrigge, Hermann, Gama de Abreu, Marcelo, Pelosi, Paolo, Schultz, Marcus J,Wolfgang Kroell, Helfried Metzler, Gerd Struber, Thomas Wegscheider, Hans Gombotz, Michael Hiesmayr, Werner Schmid, Bernhard Urbanek, David Kahn, Mona Momeni, Audrey Pospiech, Fernande Lois, Patrice Forget, Irina Grosu, Jan Poelaert, Veerle van Mossevelde, Marie-Claire van Malderen, Dimitri Dylst, Jeroen van Melkebeek, Maud Beran, Stefan de Hert, Luc De Baerdemaeker, Bjorn Heyse, Jurgen Van Limmen, Piet Wyffels, Tom Jacobs, Nathalie Roels, Ann De Bruyne, Stijn van de Velde, Brigitte Leva, Sandrine Damster, Benoit Plichon, Marina Juros-Zovko, Dejana Djonoviċ- Omanoviċ, Selma Pernar, Josip Zunic, Petar Miskovic, Antonio Zilic, Slavica Kvolik, Dubravka Ivic, Darija Azenic-Venzera, Sonja Skiljic, Hrvoje Vinkovic, Ivana Oputric, Kazimir Juricic, Vedran Frkovic, Jasminka Kopic, Ivan Mirkovic, Nenad Karanovic, Mladen Carev, Natasa Dropulic, Jadranka Pavicic Saric, Gorjana Erceg, Matea Bogdanovic Dvorscak, Branka Mazul-Sunko, Anna Marija Pavicic, Tanja Goranovic, Branka Maldini, Tomislav Radocaj, Zeljka Gavranovic, Inga Mladic-Batinica, Mirna Sehovic, Petr Stourac, Hana Harazim, Olga Smekalova, Martina Kosinova, Tomas Kolacek, Kamil Hudacek, Michal Drab, Jan Brujevic, Katerina Vitkova, Katerina Jirmanova, Ivana Volfova, Paula Dzurnakova, Katarina Liskova, Radovan Dudas, Radek Filipsky, Samir el Kafraw, Hisham Hosny Abdelwahab, Tarek Metwally, Ahmed Abdel-Razek, Ahmed Mostafa El-Shaarawy, Hany Yassin, Mohamed Magdy, Mahdy Abdelhady, Mohamed Mahran, Eiko Herodes, Peeter Kivik, Juri Oganjan, Annika Aun, Alar Sormus, Kaili Sarapuu, Merilin Mall, Juri Karjagin, Emmanuel Futier, Antoine Petit, Adeline Gerard, Emmanuel Marret, Marc Solier, Samir Jaber, Albert Prades, Jens Krassler, Simone Merzky, Marcel Gama de Abreu, Christopher Uhlig, Thomas Kiss, Anette Bundy, Thomas Bluth, Andreas Gueldner, Peter Spieth, Martin Scharffenberg, Denny Tran Thiem, Thea Koch, Tanja Treschan, Maximilian Schaefer, Bea Bastin, Johann Geib, Martin Weiss, Peter Kienbaum, Benedikt Pannen, Andre Gottschalk, Mirja Konrad, Diana Westerheide, Ben Schwerdtfeger, Hermann Wrigge, Philipp Simon, Andreas Reske, Christian Nestler, Dimitrios Valsamidis, Konstantinos Stroumpoulis, Georgios Antholopoulos, Antonis Andreou, Dimitris Karapanos, Kassiani Theodoraki, Georgios Gkiokas, Marios-Konstantinos Tasoulis, Tatiana Sidiropoulou, Foteini Zafeiropoulou, Panagiota Florou, Aggeliki Pandazi, Georgia Tsaousi, Christos Nouris, Chryssa Pourzitaki, Dmitri Bystritski, Reuven Pizov, Arieh Eden, Caterina Valeria Pesce, Annamaria Campanile, Antonella Marrella, Salvatore Grasso, Michele De Michele, Francesco Bona, Gianmarco Giacoletto, Elena Sardo, Luigi Giancarlo, Vicari Sottosanti, Maurizio Solca, Carlo Alberto Volta, Savino Spadaro, Marco Verri, Riccardo Ragazzi, Roberto Zoppellari, Gilda Cinnella, Pasquale Raimondo, Daniela La Bella, Lucia Mirabella, Davide D'antini, Paolo Pelosi, Alexandre Molin, Iole Brunetti, Angelo Gratarola, Giulia Pellerano, Rosanna Sileo, Stefano Pezzatto, Luca Montagnani, Laura Pasin, Giovanni Landoni, Alberto Zangrillo, Luigi Beretta, Ambra Licia Di Parma, Valentina Tarzia, Roberto Dossi, Marta Eugenia Sassone, Daniele Sances, Stefano Tredici, Gianluca Spano, Gianluca Castellani, Luigi Delunas, Sopio Peradze, Marco Venturino, Ines Arpino, Sara Sher, Concezione Tommasino, Francesca Rapido, Paola Morelli, Maria Vargas, Giuseppe Servillo, Andrea Cortegiani, Santi Maurizio Raineri, Francesca Montalto, Vincenzo Russotto, Antonino Giarratano, Marco Baciarello, Michela Generali, Giorgia Cerati, Yigal Leykin, Filippo Bressan, Vittoria Bartolini, Lucia Zamidei, Luca Brazzi, Corrado Liperi, Gabriele Sales, Laura Pistidda, Paolo Severgnini, Elisa Brugnoni, Giuseppe Musella, Alessandro Bacuzzi, Dalip Muhardri, Gecaj-Gashi Agreta, Fatos Sada, Adem Bytyqi, Aurika Karbonskiene, Ruta Aukstakalniene, Zivile Teberaite, Erika Salciute, Renatas Tikuisis, Povilas Miliauskas, Sipylaite Jurate, Egle Kontrimaviciute, Gabija Tomkute, John Xuereb, Maureen Bezzina, Francis Joseph Borg, Sabrine Hemmes, Marcus Schultz, Markus Hollmann, Irene Wiersma, Christa Boer, Anne Duvekot, Bas in ‘t Veld, Alice Werger, Paul Dennesen, Charlotte Severijns, Jasper De Jong, Jens Hering, Rienk van Beek, Stefan Ivars, Ib Jammer, Alena Breidablik, Katharina Skirstad Hodt, Frode Fjellanger, Manuel Vico Avalos, Jannicke Mellin-Olsen, Elisabeth Andersson, Amir Shafi-Kabir, Ruby Molina, Stanley Wutai, Erick Morais, Glória Tareco, Daniel Ferreira, Joana Amaral, Maria de Lurdes, Goncalves Castro, Susana Cadilha, Sofia Appleton, Suzana Parente, Mariana Correia, Diogo Martins, Angela Monteirosa, Ana Ricardo, Sara Rodrigues, Lucian Horhota, Ioana Marina Grintescu, Liliana Mirea, Ioana Cristina Grintescu, Dan Corneci, Silvius Negoita, Madalina Dutu, Ioana Popescu Garotescu, Daniela Filipescu, Alexandru Bogdan Prodan, Gabriela Droc, Ruxandra Fota, Mihai Popescu, Dana Tomescu, Ana Maria Petcu, Marian Irinel Tudoroiu, Alida Moise, Catalin-Traian Guran, Iorel Gherghina, Dan Costea, Iulia Cindea, Sanda-Maria Copotoiu, Ruxandra Copotoiu, Victoria Barsan, Zsolt Tolcser, Magda Riciu, Septimiu Gheorghe Moldovan, Mihaly Veres, Alexey Gritsan, Tatyana Kapkan, Galina Gritsan, Oleg Korolkov, Alexander Kulikov, Andrey Lubnin, Alexey Ovezov, Pavel Prokoshev, Alexander Lugovoy, Natalia Anipchenko, Andrey Babayants, Irina Komissarova, Karginova Zalina, Valery Likhvantsev, Sergei Fedorov, Aleksandra Lazukic, Jasmina Pejakovic, Dunja Mihajlovic, Zuzana Kusnierikova, Maria Zelinkova, Katarina Bruncakova, Lenka Polakovicova, Villiam Sobona, Barbka Novak-Supe, Ana Pekle-Golez, Miroljub Jovanov, Branka Strazisar, Jasmina Markovic-Bozi, Vesna Novak-Jankovic, Minca Voje, Andriy Grynyuk, Ivan Kostadinov, Alenka Spindler-Vesel, Victoria Moral, Mari Carmen Unzueta, Carlos Puigbo, Josep Fava, Jaume Canet, Enrique Moret, Mónica Rodriguez Nunez, Mar Sendra, Andrea Brunelli, Frederic Rodenas, Pablo Monedero, Francisco Hidalgo Martinez, Maria Jose Yepes Temino, Antonio Martínez Simon, Ana de Abajo Larriba, Alberto Lisi, Gisela Perez, Raquel Martinez, Manuel Granell, Jose Tatay Vivo, Cristina Saiz Ruiz, Jose Antonio de Andrés Ibañez, Ernesto Pastor, Marina Soro, Carlos Ferrando, Mario Defez, Cesar Aldecoa Alvares-Santullano, Rocio Perez, Jesus Rico, Monir Jawad, Yousif Saeed, Lars Gillberg, Zuleyha Kazak Bengisun, Baturay Kansu Kazbek, Nesil Coskunfirat, Neval Boztug, Suat Sanli, Murat Yilmaz, Necmiye Hadimioglu, Nuzhet Mert Senturk, Emre Camci, Semra Kucukgoncu, Zerrin Sungur, Nukhet Sivrikoz, Serpil Ustalar Ozgen, Fevzi Toraman, Onur Selvi, Ozgur Senturk, Mine Yildiz, Bahar Kuvaki, Ferim Gunenc, Semih Kucukguclu, Şule Ozbilgin, Jale Maral, Seyda Canli, Oguzhan Arun, Ali Saltali, Eyup Aydogan, Fatma Nur Akgun, Ceren Sanlikarip, Fatma Mine Karaman, Andriy Mazur, Sergiy Vorotyntsev, Guy Rousseau, Colin Barrett, Lucia Stancombe, Ben Shelley, Helen Scholes, James Limb, Amir Rafi, Lisa Wayman, Jill Deane, David Rogerson, John Williams, Susan Yates, Elaine Rogers, Mark Pulletz, Sarah Moreton, Stephanie Jones, Suresh Venkatesh, Maudrian Burton, Lucy Brown, Cait Goodall, Matthew Rucklidge, Debbie Fuller, Maria Nadolski, Sandeep Kusre, Michael Lundberg, Lynn Everett, Maka Zuleika, Peter Carvalho, Deborah Clements, Ben Creagh-Brown, Philip Watt, Parizade Raymode, Rupert Pearse, Otto Mohr, Ashok Raj, Thais Creary, Ahmed Chishti, Andrea Bell, Charley Higham, Alistair Cain, Sarah Gibb, Stephen Mowat, Danielle Franklin, Claire West, Gary Minto, Nicholas Boyd, Gary Mills, Emily Calton, Rachel Walker, Felicity Mackenzie, Branwen Ellison, Helen Roberts, Moses Chikungwa, Clare Jackson, Andrew Donovan, Jayne Foot, Elizabeth Homan, Jane Montgomery, David Portch, Pauline Mercer, Janet Palmer, Jonathan Paddle, Anna Fouracres, Amanda Datson, Alyson Andrew, Leanne Welch, Alastair Rose, Sandeep Varma, Karen Simeson, Mrutyunjaya Rambhatla, Jaysimha Susarla, Sudhakar Marri, Krishnan Kodaganallur, Ashok Das, Shivarajan Algarsamy, Julie Colley, Simon Davies, Margaret Szewczyk, Thomas Smith, Ana Fernandez- Bustamante, Elizabeth Luzier, Angela Almagro, Marcos Vidal Melo, Luiz Fernando, Demet Sulemanji, Juraj Sprung, Toby Weingarten, Daryl Kor, Federica Scavonetto, Yeo Tze, Schultz, Marcus, J, Servillo, G, Vargas, M, Physiologie & médecine expérimentale du Cœur et des Muscles [U 1046] (PhyMedExp), Université de Montpellier (UM)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS), Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier), Anesthesiology research group, Supporting clinical sciences, Anesthesiology, Graduate School, AII - Amsterdam institute for Infection and Immunity, Intensive Care Medicine, AII - Inflammatory diseases, ACS - Heart failure & arrhythmias, APH - Quality of Care, ACS - Pulmonary hypertension & thrombosis, APH - Global Health, ACS - Diabetes & metabolism, ACS - Microcirculation, Marcus, J (LAS VEGAS study investigator, the PROVE Network and the Clinical Trial Network of the European Society of, Anaesthesiology), Zangrillo, A, Beretta, L, and Landoni, G

Subjects
Adult, Male, medicine.medical_specialty, Intra operative, health care facilities, manpower, and services, [SDV]Life Sciences [q-bio], Critical Illness, Las Vegas Study, Article, 03 medical and health sciences, 0302 clinical medicine, 030202 anesthesiology, Internal medicine, Tidal Volume, medicine, Humans, General anaesthesia, Lung, Tidal volume, Female, Respiration, Artificial, Sex Characteristics, Las vegas, business.industry, Respiration, respiratory failure, sex, respiratory system, Sex difference, respiratory tract diseases, Anesthesiology and Pain Medicine, 030228 respiratory system, Relative risk, Artificial, Cohort, Breathing, Observational study, business, intra-operative tidal volume, circulatory and respiratory physiology
Abstract

BACKGROUND: One key element of lung-protective ventilation is the use of a low tidal volume (V(T)). A sex difference in use of low tidal volume ventilation (LTVV) has been described in critically ill ICU patients. OBJECTIVES: The aim of this study was to determine whether a sex difference in use of LTVV also exists in operating room patients, and if present what factors drive this difference. DESIGN, PATIENTS AND SETTING: This is a posthoc analysis of LAS VEGAS, a 1-week worldwide observational study in adults requiring intra-operative ventilation during general anaesthesia for surgery in 146 hospitals in 29 countries. MAIN OUTCOME MEASURES: Women and men were compared with respect to use of LTVV, defined as V(T) of 8 ml kg(−1) or less predicted bodyweight (PBW). A V(T) was deemed ‘default’ if the set V(T) was a round number. A mediation analysis assessed which factors may explain the sex difference in use of LTVV during intra-operative ventilation. RESULTS: This analysis includes 9864 patients, of whom 5425 (55%) were women. A default V(T) was often set, both in women and men; mode V(T) was 500 ml. Median [IQR] V(T) was higher in women than in men (8.6 [7.7 to 9.6] vs. 7.6 [6.8 to 8.4] ml kg(−1) PBW, P*** < 0.001). Compared with men, women were twice as likely not to receive LTVV [68.8 vs. 36.0%; relative risk ratio 2.1 (95% CI 1.9 to 2.1), P*** < 0.001]. In the mediation analysis, patients’ height and actual body weight (ABW) explained 81 and 18% of the sex difference in use of LTVV, respectively; it was not explained by the use of a default V(T). CONCLUSION: In this worldwide cohort of patients receiving intra-operative ventilation during general anaesthesia for surgery, women received a higher V(T) than men during intra-operative ventilation. The risk for a female not to receive LTVV during surgery was double that of males. Height and ABW were the two mediators of the sex difference in use of LTVV. TRIAL REGISTRATION: The study was registered at Clinicaltrials.gov, NCT01601223

Published
2021
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9. Getting old

Author

Nancy Redfern, Paul Clyburn, Ioana Grigoras, Paul Calleja, Jannicke Mellin-Olsen, Vesna Novak-Jankovic, Ilona Bobek, Stefan De Hert, Kai Zacharowski, and Edoardo De Robertis

Subjects
Editorial, Anesthesiology and Pain Medicine
Published
2020
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10. A Global Anesthesia Training Framework

Author

Miodrag Milenović, Bisola Onajin-Obembe, Carolina Haylock-Loor, Julian Gore-Booth, Wayne W Morriss, Gonzalo Barreiro, Jannicke Mellin-Olsen, and Andrew J Ottaway

Subjects
business.industry, MEDLINE, Training (meteorology), medicine.disease, 03 medical and health sciences, 0302 clinical medicine, Anesthesiology and Pain Medicine, Text mining, 030202 anesthesiology, medicine, 030212 general & internal medicine, Medical emergency, business, 030217 neurology & neurosurgery
Published
2019
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11. Pulse oximetry-To bleep or not to bleep?

Author

Jannicke Mellin-Olsen, H. Lonnée, and Erik R Isern

Subjects
medicine.diagnostic_test, business.industry, 030208 emergency & critical care medicine, General Medicine, Norwegian, Visual scale, medicine.disease, language.human_language, 03 medical and health sciences, Pulse oximetry, 0302 clinical medicine, Anesthesiology and Pain Medicine, Register (music), medicine, language, 030212 general & internal medicine, Medical emergency, business
Abstract

Norwegian anaesthesiologists use a pulse oximeter for each and every case in the operating theatre. However, we suspected that most rely on the visual scale and alarm only (routinely set at 90% at our institution), and that the variable pitch sound of the pulse oximeter is not routinely audible during anaesthesia. In order to verify this, a short survey (3 questions) was emailed to all registered anaesthesiologists (specialists and trainees) in Norway during September 2020. The sample was based on the Norwegian Society of Anaesthesiology membership register, which includes both clinically active and non-active members.

Published
2020

12. Up to 206 Million People Reached and Over 5.4 Million Trained in Cardiopulmonary Resuscitation Worldwide: The 2019 International Liaison Committee on Resuscitation World Restart a Heart Initiative

Author

Cristina Toporas, Bernd W. Böttiger, Karl B. Kern, Heleen van Grootven, Raffo Escalante, Naomi Kondo Nakagawa, Kevin Nation, Swee Ho Lim, Cianna Levi, Marios Georgiou, Federico Semeraro, Pascal Cassan, Allan de Caen, Robert W. Neumar, Abdul Majeed S. Khan, Andrew Lockey, Jacopo Pagani, Jannicke Mellin-Olsen, David Stanton, Maria José Carvalho Carmona, Amber V. Hoover, Nilmini Wijesuriya, Maaret Castrén, Monica Sales, Ssc Chakra Rao, Richard Aickin, Tzong-Luen Wang, Gillian Wong, Gavin D. Perkins, Vinay M. Nadkarni, Jerry P. Nolan, HUS Emergency Medicine and Services, Department of Diagnostics and Therapeutics, University of Helsinki, and Helsinki University Hospital Area

Subjects
Liaison committee, Resuscitation, medicine.medical_specialty, medicine.medical_treatment, education, lay resuscitation, cardiac arrest, 030204 cardiovascular system & hematology, Global Health, cardiopulmonary resuscitation, 03 medical and health sciences, 0302 clinical medicine, Humans, Medicine, Bystander cardiopulmonary resuscitation, Cardiopulmonary resuscitation, health care economics and organizations, Cause of death, business.industry, Correction, 030208 emergency & critical care medicine, 3126 Surgery, anesthesiology, intensive care, radiology, “World Restart a Heart”, 3. Good health, 3121 General medicine, internal medicine and other clinical medicine, "World Restart a Heart", Emergency medicine, International Liaison Committee on, Cardiology and Cardiovascular Medicine, business, Developed country, Out-of-Hospital Cardiac Arrest, International Liaison Committee on Resuscitation
Abstract

Sudden out‐of‐hospital cardiac arrest is the third leading cause of death in industrialized nations. Many of these lives could be saved if bystander cardiopulmonary resuscitation rates were better. “All citizens of the world can save a life—CHECK—CALL—COMPRESS.” With these words, the International Liaison Committee on Resuscitation launched the 2019 global “World Restart a Heart” initiative to increase public awareness and improve the rates of bystander cardiopulmonary resuscitation and overall survival for millions of victims of cardiac arrest globally. All participating organizations were asked to train and to report the numbers of people trained and reached. Overall, social media impact and awareness reached up to 206 million people, and >5.4 million people were trained in cardiopulmonary resuscitation worldwide in 2019. Tool kits and information packs were circulated to 194 countries worldwide. Our simple and unified global message, “CHECK—CALL—COMPRESS,” will save hundreds of thousands of lives worldwide and will further enable many policy makers around the world to take immediate and sustainable action in this most important healthcare issue and initiative.

Published
2020

13. In Response

Author

Choon-Looi Bong, Christopher Brasher, Jannicke Mellin-Olsen, Edson Chikumba, Angela Enright, and Robert J McDougall

Subjects
medicine.medical_specialty, business.industry, SARS-CoV-2, Health Personnel, Pneumonia, Viral, COVID-19, Betacoronavirus, Anesthesiology and Pain Medicine, Nursing, Anesthesiology, Health care, medicine, Humans, Ethics, Medical, business, Letters to the Editor, Coronavirus Infections, Letter to the Editor, Developing Countries, Pandemics, Medical ethics
Published
2020

14. COVID-19 Preparedness within the Surgical, Obstetric and Anesthetic Ecosystem in Sub Saharan Africa

Author

Miliard Derbew, Stephen Tabiri, Isabeau Walker, Atul A. Gawande, Eric Borgstein, Mahelet Tadesse, Louis Litswa, Tihitena Negussie Mammo, Godfrey Muguti, Mekdes Daba Feyssa, Faustin Ntirenganya, Abebe Bekele, Thomas G. Weiser, Mary T. Nabukenya, PG Jani, Adesoji O Ademuyiwa, Serigne Magueye Gueye, Faye M. Evans, Jannicke Mellin-Olsen, Sherry M. Wren, Moses Galukande, Neema Kaseje, Nichole Starr, Eugene Ngoga, Nina Capo-Chichi, Stephen Rulisa, Ewen M Harrison, and Ataklitie Baraki Berhea

Subjects
2019-20 coronavirus outbreak, Infectious Disease Transmission, Patient-to-Professional, Medical staff, Sub saharan, Coronavirus disease 2019 (COVID-19), Pneumonia, Viral, Betacoronavirus, Medical Staff, Hospital, medicine, Humans, Ecosystem, Obstetrics and Gynecology Department, Hospital, Pandemics, Personal Protective Equipment, Africa South of the Sahara, Cross Infection, Commentary (by Invitation only), SARS-CoV-2, Infectious disease transmission, business.industry, COVID-19, medicine.disease, Anesthesia department, Preparedness, Surgery, Medical emergency, Anesthesia Department, Hospital, Coronavirus Infections, business, Surgery Department, Hospital
Published
2020
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16. Towards high‐quality peri‐operative care: a global perspective

Author

B M Biccard, Carol J. Peden, Emmanuel Makasa, Michael S Lipnick, Walt Johnson, Vatshalan Santhirapala, John G. Meara, Adrian W. Gelb, Jannicke Mellin-Olsen, Salome Maswime, Janet Martin, and Craig D. McClain

Subjects
Economic growth, Equity (economics), Right to health, Human rights, business.industry, Universal design, media_common.quotation_subject, Declaration, Psychological intervention, Global Health, Perioperative Care, 03 medical and health sciences, 0302 clinical medicine, Anesthesiology and Pain Medicine, Anesthesiology, 030202 anesthesiology, Health care, Global health, Humans, Medicine, 030212 general & internal medicine, business, Quality of Health Care, media_common
Abstract

Article 25 of the United Nations' Universal Declaration of Human Rights enshrines the right to health and well-being for every individual. However, universal access to high-quality healthcare remains the purview of a handful of wealthy nations. This is no more apparent than in peri-operative care, where an estimated five billion individuals lack access to safe, affordable and timely surgical care. Delivery of surgery and anaesthesia in low-resource environments presents unique challenges that, when unaddressed, result in limited access to low-quality care. Current peri-operative research and clinical guidance often fail to acknowledge these system-level deficits and therefore have limited applicability in low-resource settings. In this manuscript, the authors priority-set the need for equitable access to high-quality peri-operative care and analyse the system-level contributors to excess peri-operative mortality rates, a key marker of quality of care. To provide examples of how research and investment may close the equity gap, a modified Delphi method was adopted to curate and appraise interventions which may, with subsequent research and evaluation, begin to address the barriers to high-quality peri-operative care in low- and middle-income countries.

Published
2020
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17. 71st World Health Assembly, Geneva, Switzerland 2018

Author

Niki O'Brien, Adrian W. Gelb, Jannicke Mellin-Olsen, and Julian Gore-Booth

Subjects
03 medical and health sciences, Economic growth, 0302 clinical medicine, Anesthesiology and Pain Medicine, Anesthesiology, business.industry, Clinical Sciences, Neurosciences, Medicine, 030208 emergency & critical care medicine, 030212 general & internal medicine, business, World health
Published
2018
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18. The Role of the WFSA in Reaching the Goals of the Lancet Commission on Global Surgery

Author

Gonzalo Barreiro, Julian Gore-Booth, and Jannicke Mellin-Olsen

Subjects
MEDLINE, Commission, Global Health, Health Services Accessibility, 03 medical and health sciences, 0302 clinical medicine, Nursing, 030202 anesthesiology, Risk Factors, Medicine, Humans, Interdisciplinary communication, Anesthesia, Cooperative Behavior, Healthcare Disparities, Societies, Medical, business.industry, Surgical procedures, Anesthesiologists, Anesthesiology and Pain Medicine, 030220 oncology & carcinogenesis, Surgical Procedures, Operative, Practice Guidelines as Topic, Interdisciplinary Communication, Cooperative behavior, Patient Safety, business
Published
2018

19. In Response

Author

Wayne Morriss, Andrew Ottaway, Miodrag Milenovic, Julian Gore-Booth, Carolina Haylock-Loor, Bisola Onajin-Obembe, Gonzalo Barreiro, and Jannicke Mellin-Olsen

Subjects
Anesthesiology and Pain Medicine, Anesthesiology, Anesthesia, Dental
Published
2019
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20. Reply to: who takes the lead in critical illness?

Author

Bernd W. Böttiger, Jannicke Mellin-Olsen, Edoardo De Robertis, Karl-Christian Thies, De Robertis, Edoardo, Thies, Karl-Christian, Böttiger, Bernd W., and Mellin-Olsen, Jannicke

Subjects
medicine.medical_specialty, business.industry, Critical Illness, 030208 emergency & critical care medicine, 03 medical and health sciences, 0302 clinical medicine, Lead (geology), Anesthesiology and Pain Medicine, 030202 anesthesiology, Critical illness, medicine, Humans, Intensive care medicine, business
Published
2018

21. Reply to: Professionalisation rather than monopolisation is the future of emergency medicine in Europe

Author

Jannicke Mellin-Olsen, Karl-Christian Thies, Edoardo De Robertis, Bernd W. Böttiger, Thies, Karl-Christian, De Robertis, Edoardo, Böttiger, Bernd W., and Mellin-Olsen, Jannicke

Subjects
business.industry, MEDLINE, 030208 emergency & critical care medicine, medicine.disease, Europe, 03 medical and health sciences, 0302 clinical medicine, Anesthesiology and Pain Medicine, Correspondence, Emergency Medicine, medicine, Medical emergency, business, 030217 neurology & neurosurgery
Published
2018

22. In Response

Author

Wayne W. Morriss, Jannicke Mellin-Olsen, Julian Gore-Booth, and Peter Kempthorne

Subjects
Anesthesiology and Pain Medicine, Anesthesiology, Anesthesia, Dental, Surveys and Questionnaires, Workforce
Published
2017

23. Medicine Goes Female: Protocol for Improving Career Options of Females and Working Conditions for Researching Physicians in Clinical Medical Research by Organizational Transformation and Participatory Design

Author

Jannicke Mellin-Olsen, Marina Bortul, Silvia Palmisano, Wolfgang Buhre, Andrius Macas, A. E. W. Hamaekers, Sibyll Rodde, Tomáš Vymazal, Bettina Pfleiderer, Joachim Hasebrook, Juergen Hinkelmann, Klaus Hahnenkamp, Bibiana Metelmann, Janusz Andres, Camila Metelmann, Dianne de Korte-de Boer, Anna Prokop-Dorner, Anesthesiologie, RS: MHeNs - R3 - Neuroscience, MUMC+: MA Anesthesiologie (9), Hasebrook, Joachim, Hahnenkamp, Klau, Buhre, Wolfgang F. F. A., de Korte de Boer, Dianne, Hamaekers, Ankie E. W., Metelmann, Bibiana, Metelmann, Camila, Bortul, Marina, Palmisano, Silvia, Mellin Olsen, Jannicke, Macas, Andriu, Andres, Janusz, Prokop Dorner, Anna, Vymazal, Tomáš, Hinkelmann, Juergen, Rodde, Sibyll, and Pfleiderer, Bettina

Subjects
Service (systems architecture), 020205 medical informatics, IMPACT, media_common.quotation_subject, 02 engineering and technology, research in academic medicine, CULTURE, 03 medical and health sciences, 0302 clinical medicine, Nursing, gender equality plan, Participatory design, 0202 electrical engineering, electronic engineering, information engineering, Protocol, QUALITY, Quality (business), 030212 general & internal medicine, ddc:610, gender equality, media_common, PATIENT SATISFACTION, Discussion group, skills shortage, working conditions, business.industry, General Medicine, Public relations, Medical research, Personal construct theory, SKILLS, Job satisfaction, SEX, GENDER, business, Psychology, Legislation & jurisprudence
Abstract

Background: All European countries need to increase the number of health professionals in the near future. Most efforts have not brought the expected results so far. The current notion is that this is mainly related to the fact that female physicians will clearly outnumber their male colleagues within a few years in nearly all European countries. Still, women are underrepresented in leadership and research positions throughout Europe. Objectives: The MedGoFem project addresses multiple perspectives with the participation of multiple stakeholders. The goal is to facilitate the implementation of Gender Equality Plans (GEP) in university hospitals; thereby, transforming the working conditions for women working as researchers and highly qualified physicians simultaneously. Our proposed innovation, a crosscutting topic in all research and clinical activities, must become an essential part of university hospital strategic concepts. Methods: We capture the current status with gender-sensitive demographic data concerning medical staff and conduct Web-based surveys to identify cultural, country-specific, and interdisciplinary factors conducive to women’s academic success. Individual expectations of employees regarding job satisfaction and working conditions will be visualized based on “personal construct theory” through repertory grids. An expert board working out scenarios and a gender topic agenda will identify culture-, nation-, and discipline-specific aspects of gender equality. University hospitals in 7 countries will establish consensus groups, which work on related topics. Hospital management supports the consensus groups, valuates group results, and shares discussion results and suggested measures across groups. Central findings of the consensus groups will be prepared as exemplary case studies for academic teaching on research and work organization, leadership, and management. Results: A discussion group on gender equality in academic medicine will be established on an internationally renowned open-research platform. Project results will be published in peer-reviewed journals with high-impact factors. In addition, workshops on gender dimension in research using the principles of Gendered Innovation will be held. Support and consulting services for hospitals will be introduced in order to develop a European consulting service. Conclusions: The main impact of the project will be the implementation of innovative GEP tailored to the needs of university hospitals, which will lead to measurable institutional change in gender equality. This will impact the research at university hospitals in general, and will improve career prospects of female researchers in particular. Simultaneously, the gender dimension in medical research as an innovation factor and mandatory topic will be strengthened and integrated in each individual university hospital research activity. Research funding organizations can use the built knowledge to include mandatory topics for funding applications to enforce the use and implementation of GEP in university hospitals. [JMIR Res Protoc 2017;6(8):e152]

Published
2017

24. The Helsinki Declaration on Patient Safety in Anaesthesiology

Author

Jannicke Mellin-Olsen and Sven Staender

Subjects
Safety Management, medicine.medical_specialty, Medical Errors, Operations research, business.industry, Task force, Declaration, MEDLINE, medicine.disease, Task (project management), Helsinki declaration, Europe, Patient safety, Anesthesiology and Pain Medicine, Anesthesiology, Humans, Medicine, Patient Safety, Medical emergency, business, Helsinki Declaration
Abstract

Purpose of review Four years after the launch of the Helsinki Declaration on Patient Safety in Anaesthesiology, it is of interest to assess its role in European and Global Patient Safety efforts. Recent findings The Declaration is widely supported, not only in Europe, but also has attracted much attention and support globally. In Europe, it represented a major step in European-wide patient safety networking and initiatives. The European Patient Safety Task Force, created jointly by the European Board of Anaesthesiology and the European Society of Anaesthesiology, has developed useful monitoring and introduction tools. A new Patient Safety Committee is being introduced, and this will facilitate current and future initiatives. Summary The launch of Helsinki Declaration of Patient Safety in Anaesthesiology in 2010 was a major step forward for patient safety initiatives in European and Global anesthesiology. Several steps have been taken in the 4 years that have passed, but the task needs continuous attention to ensure that every patient received the safest possible anesthesiology care.

Published
2014
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25. Commentary on Burke TF et al. 'Safety and Feasibility of a Ketamine Package to Support Emergency and Essential Surgery in Kenya when No Anesthetist is Available: An Analysis of 1216 Consecutive Operative Procedures'

Author

Jannicke Mellin-Olsen, Gonzalo Barreiro, Fauzia Khan, and Davy Cheng

Subjects
medicine.medical_specialty, business.industry, Vascular surgery, Cardiac surgery, Surgery, 03 medical and health sciences, 0302 clinical medicine, Cardiothoracic surgery, 030220 oncology & carcinogenesis, medicine, Ketamine, 030212 general & internal medicine, business, Abdominal surgery, medicine.drug
Published
2018
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27. Ta faget tilbake!

Author

Vegard Bruun Wyller, Ivar Thomsen, Rune Heggedal, Jannicke Mellin-Olsen, Jan Størmer, Sven Erik Gisvold, Torgeir Bruun Wyller, Arnulf Heimdal, Egil Hagen, and Kjetil Karlsen

Subjects
Nursing, Political science, MEDLINE, General Medicine, Health policy
Published
2013
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28. WHO Guidelines to prevent surgical site infections

Author

Jannicke Mellin-Olsen, Robert J McDougall, and Davy Cheng

Subjects
medicine.medical_specialty, business.industry, MEDLINE, 030230 surgery, Antibiotic Prophylaxis, 03 medical and health sciences, 0302 clinical medicine, Infectious Diseases, 030202 anesthesiology, Who guidelines, Surgical site, medicine, Humans, Surgical Wound Infection, Antibiotic prophylaxis, Intensive care medicine, business
Published
2016

29. The European Board of Anaesthesiology recommendations for safe medication practice: First update

Author

Jonas Åkeson, Indrek Rätsep, Tomasz Gaszyński, Stefan Trenkler, Adela Stecher, Jurate Sipylaite, Flavia Petrini, Elena Copaciu, Guttorm Brattebø, Indulis Vanags, Carmel Abela, Sibylle A. Kozek-Langenecker, Jannicke Mellin-Olsen, Zuhal Aykaç, David K. Whitaker, Vladimir Cerny, Stephan A. Loer, Dan Longrois, ACS - Diabetes & metabolism, and Anesthesiology

Subjects
medicine.medical_specialty, Pediatrics, Safety Management, Critical Care, Pain medicine, Alternative medicine, 03 medical and health sciences, Patient safety, 0302 clinical medicine, 030202 anesthesiology, Anesthesiology, Intensive care, medicine, Humans, Medication Errors, Anesthesia, 030212 general & internal medicine, Safety culture, Drug Labeling, Risk Management, business.industry, Medical practice, medicine.disease, Europe, Anesthesiology and Pain Medicine, Practice Guidelines as Topic, Medical emergency, Patient Safety, business
Abstract

These European Board of Anaesthesiology (EBA) recommendations for safe medication practice replace the first edition of the EBA recommendations published in 2011. They were updated because evidence from critical incident reporting systems continues to show that medication errors remain a major safety issue in anaesthesia, intensive care, emergency medicine and pain medicine, and there is an ongoing need for relevant up-to-date clinical guidance for practising anaesthesiologists. The recommendations are based on evidence wherever possible, with a focus on patient safety, and are primarily aimed at anaesthesiologists practising in Europe, although many will be applicable elsewhere. They emphasise the importance of correct labelling practice and the value of incident reporting so that lessons can be learned, risks reduced and a safety culture developed.

Published
2016
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30. Intensive care medicine: a multidisciplinary approach!

Author

Hugo Van Aken, Jannicke Mellin-Olsen, and Paolo Pelosi

Subjects
medicine.medical_specialty, Critical Care, business.industry, Perspective (graphical), Treatment options, Intensive Care Units, Anesthesiology and Pain Medicine, Multidisciplinary approach, embryonic structures, multidisciplinary approach, medicine, Humans, Interdisciplinary Communication, European Union, Intensive care medicine, business, Specialization
Abstract

Intensive care medicine (ICM) is unique in that it deals with the most severely ill patients in almost all fields of medicine. It is demanding in all aspects from a theoretical, practical, co-operational and personal perspective. It is also characterised by a rapid development in diagnostic and treatment options. Furthermore, the organisational and manpower characteristics of European healthcare have been changing over time. Hence, the official status of ICM warrants unbiased consideration., Journal of the Portuguese Society of Anesthesiology, v. 21, n. 4 (2012): Revista da SPA Vol 21 N4 2012

Published
2016

31. The future role of the Scandinavian anaesthesiologist: a web-based survey

Author

Anders Aneman, Eldar Søreide, and Jannicke Mellin-Olsen

Subjects
medicine.medical_specialty, Demographics, business.industry, Pain medicine, Specialty, General Medicine, Common framework, Diversification (marketing strategy), Anesthesiology and Pain Medicine, Family medicine, Workforce, Medicine, business, Web based survey
Abstract

Background: The Board of the Scandinavian Society for Anaesthesiology and Intensive Care Medicine (SSAI) decided in 2008 to undertake a survey among members of the SSAI aiming at exploring some key points of training, professional activities and definitions of the specialty. Methods: A web-based questionnaire was used to capture core data on workforce demographics and working patterns together with opinions on definitions for practice/practitioners in the four areas of anaesthesia, intensive care medicine, emergency medicine and pain medicine. Results: One thousand seven hundred and four responses were lodged, representing close to half of the total SSAI membership. The majority of participants reported in excess of 10 years of professional experience in general anaesthesia and intensive care medicine as well as emergency and pain medicine. While no support for separate or secondary specialities in the four areas was reported, a majority of respondents favoured sub-specialisation or recognition of particular medical competencies, notably so for intensive care medicine. Seventy-five percent or more of the respondents supported a common framework of employment within all four areas irrespective of further specialisation. Conclusions: The future of Scandinavian anaesthesiology is likely to involve further specialisation towards particular medical competencies. With such diversification of the workforce, the majority of the respondents still acknowledge the importance of belonging to one organisational body.

Published
2010
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32. Shaping the future of Scandinavian anaesthesiology: a position paper by the SSAI

Author

Jannicke Mellin-Olsen, O. Nørregaard, Anders Aneman, Eldar Søreide, P. Pere, and Sigridur Kalman

Subjects
Scope of practice, business.industry, 030208 emergency & critical care medicine, General Medicine, 3. Good health, Fully developed, 03 medical and health sciences, 0302 clinical medicine, Anesthesiology and Pain Medicine, Nursing, Intensive care, Health care, Position paper, media_common.cataloged_instance, Medicine, 030212 general & internal medicine, European union, business, human activities, media_common
Abstract

Traditionally, Scandinavian anaesthesiologists have had a very broad scope of practice, involving intensive care, pain and emergency medicine. European changes in the different medical fields and the constant reorganising of health care may alter this. Therefore, the Board of the Scandinavian Society of Anaesthesiology and Intensive Care Medicine (SSAI) decided to produce a Position Paper on the future of the speciality in Scandinavia. The training in the various Scandinavian countries is very similar and provides a stable foundation for the speciality. The Scandinavian practice in anaesthesia and intensive care is based on a team model where the anaesthesiologists work together with highly educated nurses and should remain like this. However, SSAI thinks that the role of the anaesthesiologists as perioperative physicians is not fully developed. There is an obvious need and desire for further training of specialists. The SSAI advanced educational programmes for specialists should be expanded and include formal assessment leading to a particular medical competency as defined by the European Union of Medical Specialists (UEMS). In this way, Scandinavian anaesthesiologists will remain leaders in perioperative, intensive care, pain and critical emergency medicine.

Published
2010
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33. The Helsinki Declaration on Patient Safety in Anaesthesiology

Author

Sven Staender, David K. Whitaker, Andrew F Smith, and Jannicke Mellin-Olsen

Subjects
Pediatrics, medicine.medical_specialty, Declaration, Specialty, MEDLINE, Risk Assessment, World health, Helsinki declaration, Patient safety, Anesthesiology, Risk Factors, Blueprint, Humans, Medicine, Anesthesia, Helsinki Declaration, Quality of Health Care, business.industry, Patient Selection, medicine.disease, Anesthesiology and Pain Medicine, Practice Guidelines as Topic, Perioperative care, Clinical Competence, Guideline Adherence, Medical emergency, Analgesia, business
Abstract

Anaesthesiology, which includes anaesthesia, perioperative care, intensive care medicine, pain therapy and emergency medicine, has always participated in systematic attempts to improve patient safety. Anaesthesiologists have a unique, cross-specialty opportunity to influence the safety and quality of patient care. Past achievements have allowed our specialty a perception that it has become safe, but there should be no room for complacency when there is more to be done. Increasingly older and sicker patients, more complex surgical interventions, more pressure on throughput, new drugs and devices and simple chance all pose hazards in the work of anaesthesiologists. In response to this increasingly difficult and complex working environment, the European Board of Anaesthesiology (EBA), in cooperation with the European Society of Anaesthesiology (ESA), has produced a blueprint for patient safety in anaesthesiology. This document, to be known as the Helsinki Declaration on Patient Safety in Anaesthesiology, was endorsed by these two bodies together with the World Health Organization (WHO), the World Federation of Societies of Anaesthesiologists (WFSA), and the European Patients' Federation (EPF) at the Euroanaesthesia meeting in Helsinki in June 2010. The Declaration represents a shared European view of that which is worthy, achievable, and needed to improve patient safety in anaesthesiology in 2010. The Declaration recommends practical steps that all anaesthesiologists who are not already using them can successfully include in their own clinical practice. In parallel, EBA and ESA have launched a joint patient safety task-force in order to put these recommendations into practice. It is planned to review this Declaration document regularly.

Published
2010
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34. Varieties of Teaching Programs Matched to Country Needs

Author

Jannicke Mellin-Olsen

Subjects
Transients and Migrants, medicine.medical_specialty, business.industry, International Cooperation, Teaching, International Agencies, Anesthesiology and Pain Medicine, Anesthesiology, Pedagogy, Humans, Wounds and Injuries, Medicine, Education, Medical, Continuing, business, Societies, Medical
Published
2010
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35. Reclaim the profession!

Author

Vegard Bruun, Wyller, Sven Erik, Gisvold, Egil, Hagen, Rune, Heggedal, Arnulf, Heimdal, Kjetil, Karlsen, Jannicke, Mellin-Olsen, Jan, Størmer, Ivar, Thomsen, and Torgeir Bruun, Wyller

Subjects
Norway, Health Policy, Humans, Delivery of Health Care, Quality of Health Care
Published
2013

37. Postgraduate training in anaesthesiology, pain and intensive care: the new European competence-based guidelines

Author

Jannicke Mellin-Olsen, Elisabeth Van Gessel, Leila Niemi-Murola, and Helle Thy Østergaard

Subjects
Critical Care, business.industry, Guidelines as Topic, Competency-Based Education, Europe, Anesthesiology and Pain Medicine, Nursing, Anesthesiology, Education, Medical, Graduate, Intensive care, ddc:610/370, Humans, Pain Management, Medicine, Curriculum, business, Postgraduate training, Competence (human resources)
Published
2012

38. Postgraduate training in anaesthesiology, resuscitation and intensive care: state-of-the-art for trainee evaluation and assessment in Europe

Author

Jannicke Mellin-Olsen, Zeev Goldik, and Elisabeth Van Gessel

Subjects
Resuscitation, Critical Care, business.industry, education, Large range, Europe, Anesthesiology and Pain Medicine, Nursing, Anesthesiology, ddc:610/370, Intensive care, Medicine, Humans, Education, Medical, Continuing, Clinical Competence, business, Postgraduate training, Curriculum, Program Evaluation
Abstract

In the last decade, competency-based curricula in anaesthesiology, resuscitation and intensive care have been slowly implemented in Europe, based mainly on the Canadian Medical Education Directions for Specialists (CanMEDS) framework for doctor competencies, which requires that a competent doctor should be proficient in seven distinct roles. This framework is an outcomebased education model spanning a large range of domains of activities and associated competencies to be acquired. Learning outcomes have been defined that underpin these competencies and should permit appropriate trainee evaluation and assessment.

Published
2010

39. Patient safety in anaesthesiology

Author

Paolo Pelosi, Sven Staender, Hugo Van Aken, and Jannicke Mellin-Olsen

Subjects
safety, Safety Management, Patient safety, Anesthesiology and Pain Medicine, Anesthesiology, business.industry, Humans, Medicine, Medical emergency, business, medicine.disease, Helsinki Declaration
Published
2011
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41. Norwegian Air Ambulance: A Concept for Integrated Helicopter Emergency Medical Systems (HEMS)

Author

Jannicke Mellin-Olsen

Subjects
medicine.medical_specialty, Defibrillation, business.industry, medicine.medical_treatment, Norwegian, Emergency Nursing, medicine.disease, language.human_language, law.invention, law, Emergency medicine, Ventilation (architecture), Emergency Medicine, medicine, language, Intubation, Medical emergency, business, Medical systems, First aid
Published
1999
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43. Reply to: collaboration in emergency medical care in Europe: the ten principles of CRitical Emergency Medicine (CREM)

Author

Bernd W. Böttiger, Jochen Hinkelbein, Edorado De Robertis, Luca Brazzi, Karl-Christian Thies, Lorenz Theiler, Kurt Rützler, Jannicke Mellin-Olsen, Eldar Søreide, Böttiger, Bernd W., Brazzi, Luca, De Robertis, Edoardo, Hinkelbein, Jochen, Mellin-Olsen, Jannicke, Rützler, Kurt, Søreide, Eldar, Theiler, Lorenz, and Thies, Karl-Christian

Subjects
Emergency Medical Services, business.industry, 030208 emergency & critical care medicine, medicine.disease, Europe, 03 medical and health sciences, Emergency medical care, 0302 clinical medicine, Anesthesiology and Pain Medicine, 030202 anesthesiology, Emergency Medicine, Medicine, Medical emergency, 610 Medicine & health, business, Emergency Treatment

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