Editorial

World cup football… in the theatres now, everyday

way the system works smoothly is because of strict protocols developed by the anesthesia-surgical or the football team. Everyone learns them, practices them and follows them, and does that at all time.

The football “Carniball” is on with all frenzy and all eyes are on Brazil. The world is watching their favorite 2014 Fédération Internationale de Football Association (FIFA) World Cup Football after a long wait of 4 years.[1]

Communication is the keyword for a sure shot win. Constant and meaningful communication among the members of the team is very important for a successful outcome.[2] Imagine Lionel Messi taking the ball towards the goal, all by himself without communicating and passing on to the others! Argentina will never let it happen. So is the scene in our theatres. A surgeon, or may be sometimes an anesthetist, cannot sail through any case entirely on his own. Everyone needs a team - a team that works together, a team that understands each other, a team that plays to win. In this issue, Answine and Lamberg have also highlighted the issues of “communication over the drapes, especially for a young anesthesia provider” with respect to administering neuromuscular blocking agents.[3] They have suggested meaningful communication with the surgical colleagues as one of the important points in order to prevent pulmonary complications because of residual neuromuscular blockade. Considering interpatient variability and inconstant progress of some surgeries, it is imperative to have constant monitoring, clear understanding and good communication with the surgical colleagues.

It happens every day… in our theatres. The game… surgery. The teams… neuro, uro, ortho, plastic, gastrointestinal, obstetrics and gynecology, dental and many others, alongside the team of anesthetists. The venue…operation theater. The spectators…the world. The stakes… Life, the lives of many.

Game Preparation • • • •

Training… structured postgraduate program and continuing medical education. Practice sessions… simulation based training sessions and hands on clinical work under supervision. Mental practice… development of systemic mental imagery that simulates crisis scenarios and builds up sensory and motor skills robustness. Time frame… years.

The Game The ground rules of the game are strict discipline, unchallenged teamwork and constant 360° monitoring (including audio-visual); and an unblinking eye on the other teammates (cannot term them as opponents). The only Access this article online Quick Response Code:

Website: www.joacp.org

There are brilliant strokes, there are precise incisions. There are injuries in the game; there are adverse effects of the drugs. There are mistakes, there are drug errors. There are challenges, there are solutions. The game never stops…

The Aim-only Win, No Loss

DOI: 10.4103/0970-9185.137259

316

Decision-making is another very crucial aspect that decides the outcome of the game or the surgery, as the case may be. The decision can be deliberate or intuitive, or both; cognitive or emotional, or both. The most crucial decisions usually have to be taken very fast, in a very short time thereby increasing the risks-to-outcome numbers and the scope for errors. We know this and there is an extensive thinking and research dedicated to minimize this “human factor” to the errors made on the field (read “theater”).[4]

All the teams sweat for just one thing-the goal, the patient’s well-being, his/her life. Loss is unacceptable.

Journal of Anaesthesiology Clinical Pharmacology | July-September 2014 | Vol 30 | Issue 3

Goyal: Football and operation theatre

The stakes are very high and the training is targeted for the win only.

Address for correspondence: Dr. Rakhee Goyal, NP-5 MH, CTC, Pune - 410 040, Maharashtra, India. E-mail: [email protected]

The Difference

References

Well, when all is same, something is different. There are no opponents or opposing teams in the theatre (or so we would wish to believe!) and all teams can share the same goal. “We are One” by Pitbull, Jennifer Lopez and Claudia Leitte, the official song of 2014 FIFA World Cup, All in one rhythm™ and “One Love, One Rhythm,” the official album exemplifies it all.

1.

The World Cup in the theaters now… the world is watching. Rakhee Goyal Department of Anesthesia and Critical Care, Armed Forces Medical College, Pune, Maharashtra, India

2. 3.

4.

The official website of the FIFA World Cup. Available from: http:// www.fifa.com. [Last updated on 2014 Jun 22]. Goyal R. Surgeons and anesthesiologists: Need to communicate? J Anaesthesiol Clin Pharmacol 2013;29:297-8. Answine JF, Lamberg JJ. In response: Interdisciplinary intraoperative communication and collaboration needed for optimal neuromuscular blockade management. J Anaesth Clin Pharmacol 2014;30:443-4. Moppett I, Sevdalis N. From pilots to Olympians: enhancing performance in anaesthesia through mental practice. Br J Anaesth 2013;110:169-72.

How to cite this article: Goyal R. World cup football... in the theatres now, everyday. J Anaesthesiol Clin Pharmacol 2014;30:316-7. Source of Support: Nil, Conflict of Interest: None declared.

Announcement

GLASGOW COMA SCALE IN INDIAN LANGUAGES Glasgow Coma scale (GCS) is the most frequently used scoring system for neurologic assessment. The translaƟon in Indian languages is now available at: www.isnacc.org. The same can be used for teaching and training purposes of various healthcare personnel. Please email your suggesƟons and feedback at: [email protected] Journal of Anaesthesiology Clinical Pharmacology | July-September 2014 | Vol 30 | Issue 3

317

Copyright of Journal of Anaesthesiology Clinical Pharmacology is the property of Medknow Publications & Media Pvt. Ltd. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use.

World cup football… in the theatres now, everyday.

World cup football… in the theatres now, everyday. - PDF Download Free
316KB Sizes 0 Downloads 6 Views