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.

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

Learning from the law. A review of 21 years of litigation for nerve injury following central neuraxial blockade in obstetrics.

Medicolegal claims for neurological injury following the use of central neuraxial blockade in childbirth represent the second most common claim against obstetric anaesthetists. We present an analysis of 55 cases from a database of 368 obstetric anaesthetic claims. Common themes that emerge from the analysis include: consent; nature of nerve injury (non-anaesthetic; direct; chemical; compressive); recognition; and management.

Obstetric anesthesia management of the patient with cardiac disease.

Cardiovascular disease is the leading cause of maternal mortality in much of the developed world. Risk stratification models can predict which patients are at greatest risk for maternal or fetal morbidity or mortality. Particular cardiac diseases hold significant risk of mortality during pregnancy including pulmonary hypertension, aortic aneurysm, left-ventricular outflow tract obstruction, and severe cardiomyopathy. High-risk patients should deliver at high-resource hospitals under the care of experts in cardiology, obstetrics, perinatology, neonatology and anesthesiology.

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