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The BELGIAN ANESTHESIA TRAINEES (BAT) is an independent organisation that represents the interests of the Belgian anesthesia trainees in different institutions on different levels. All BAT members act voluntarily and without financial compensation to improve the position of Belgian anesthesia trainees by elaborating the BAT vision points and adhering to the BAT aims.

The role of pharmacokinetics and pharmacodynamics in clinical anaesthesia practice

Purpose of review: Growing concerns about the environmental effects of volatile anaesthetics are likely to lead to increased use of intravenous anaesthetic drugs. Pharmacokinetic/pharmacodynamic (PKPD) models can increase the accuracy of intravenous drug titration, especially in populations that differ from the 'average.' However, with a growing number of PKPD models, and other technology available to date, it can be hard to see the wood for the trees. This review attempts to guide the reader through the PKPD jungle.

Reconfiguring the scope and practice of regional anesthesia in a pandemic: the COVID-19 perspective

The COVID-19 outbreak is on the world. While many countries have imposed general lockdown, emergency services are continuing. Healthcare professionals have been infected with the virulent severe acute respiratory syndrome coronavirus-2 (SARS), which spreads by close contact and aerosols. The anesthesiologist is particularly vulnerable to aerosols while performing intubation and other airway related procedures. Regional anesthesia (RA) minimizes the need for airway manipulation and the risks of cross infection to other patients, and the healthcare personnel.

PROSPECT guideline for hallux valgus repair surgery: a systematic review and procedure‐specific postoperative pain management recommendations

Hallux valgus repair is associated with moderate-to-severe postoperative pain. The aim of this systematic review was to assess the available literature and develop recommendations for optimal pain management after hallux valgus repair. A systematic review using PROcedure SPECific Postoperative Pain ManagemenT (PROSPECT) methodology was undertaken.

Cricothyroid Approach for Emergency Access to the Airway

Airway emergencies are life-threatening events that face providers of many different backgrounds. In cannot-intubate-cannot-ventilate situations, emergent access to the airway can be obtained through the cricothyroid membrane by cricothyroidotomy. The 3 main techniques are open, percutaneous, and needle cricothyroidotomy. To date, there is no compelling evidence demonstrating superiority of a particular approach. Ultimately, the method used for cricothyroidotomy should be based on the comfort and experience of the provider performing the procedure.

Ten Years of the Helsinki Declaration on Patient Safety in Anaesthesiology: An Expert Opinion on Peri-Operative Safety Aspects

Patient safety is an activity to mitigate preventable patient harm that may occur during the delivery of medical care. The European Board of Anaesthesiology (EBA)/European Union of Medical Specialists had previously published safety recommendations on minimal monitoring and postanaesthesia care, but with the growing public and professional interest it was decided to produce a much more encompassing document. The EBA and the European Society of Anaesthesiology (ESA) published a consensus on what needs to be done/achieved for improvement of peri-operative patient safety.

COVID-19 crisis

The COVID-19 crisis is an exceptional crisis in every aspect.

The BAT has been informed of situations where specialist candidates of other disciplines have been forced into technical unemployment by their local department heads, currently residents in anesthesia have not been exposed to this.

The status of the resident is a hybrid Sui Generis state which does not give access to unemployment benefits as described in the labour law for employees in Belgium. This would lead to critical situations where those medical providers find themselves without ANY income.

The BAT wishes to support the initiative led by the VASO to alarm the academic, political and professional world to correct this situation as soon as possible. The BAT will support and take notice of any anesthesia resident who encounters this situation and will adress this matter. Also the professional and scientific society have given their full support to condemn this practice and will provide a strong statement to support us!

Our country claims to mobilize all the necessary forces to take full responsibility for the unprecedented tragedy we are currently experiencing. An inconsistency such as the suspension of all salaries to doctors in training must be fought in the most vigorous way!

Wishing you all the best! The BAT board

Belgian Anesthesia Trainees vzw/asbl
 Kroonlaan 20, 1050 Elsene
 Enp. number: 0707.717.938