Dr. Gonzalo Barreiro

BRIEFING FOR THE EXECUTIVE MEETING IN DURBAN September 2001

DEFINITION OF ANESTHESIOLOGY AS A MEDICAL SPECIALTY.

It's clear that there are regions in which there are no medical doctors to administer Anesthesia and a solution must be quickly defined.

But the situation created in the United States (not solved yet) is really different and illustrative of what may happen when things become out of control. It's the case of a wealthy first world country we are talking about and of main importance it's "the example to imitate" for many third world governments.

After all the efforts made by the CLASA to state Anesthesiology as a medical specialty in Latin America, having this dilemma in USA is not the best situation for us (and probably for many other countries).

Therefore I propose the creation of a commission to definitively and clearly state the medical condition of the specialty: one medical doctor specialized in Anesthesiology for each anesthetic administration. In addition this commission would state the steps to be taken when this is impossible for practical reasons.


WEB PAGE OF THE WFSA.


This an important and urgent issue due to the necessity of reaching those Anesthesiologists who need continuous medical education and cannot leave their cities for work reasons.

The web page of the WFSA must be a friendly one and must be,if possible, written in the Anesthesiologist own language.

The aid and presence of the WFSA would be reinforced,a fact to take into account specially when in several conutries of Latin America the role of our organization is not clearly perceived.


REINFORCEMENT OF THE ACTIVITY OF THE SAFETY COMMITTEE


Safety is a so important issue that almost everything in Anesthesia may have a role to play there and on the other hand Safety may have a role to play in all fields of the Speciality.

Safety is a very important issue for nonmedical players: governments, journalists, lawyers, general public as potential users and so on. Due to this situation we could incorporate powerful allies in our fight for patient safety.

Proposals for the activity of the Safety Committee might include:

1)
Development of a worldwide collecting center of critical incidents and sentinel events.
2)
Practical issues as label protocolization, coloured liquid for dangerous drugs,etc.

In addition to this, permanent feedback to regional and national societies of information would be implemented. This feedback must be very practical and easy to understand and must reach the target: the Anesthesiologist who administers Anesthesia every day without much time to study long and complicated reports.

I don't know if, to achieve these goals it's necessary to change the Safety Committee to a standing one but it might be a possibility to be discussed in Durban.


VOLVER