https://www.um.edu.mt/library/oar/handle/123456789/144 2026-08-19T00:08:22Z 2026-08-19T00:08:22Z Camilleri Podestà, Anne Marie Redfern, Nancy Abramovich, Igor Mellin-Olsen, Jannicke Oremuš, Krešimir Kouki, Pinelopi Guasch, Emilia Novak-Jankovic, Vesna Sabelnikovs, Olegs Bilotta, Federico Grigoras, Ioana https://www.um.edu.mt/library/oar/handle/123456789/148530 2026-08-18T10:24:46Z 2024-01-01T00:00:00Z

Title: Fatigue among anaesthesiologists in Europe : findings from a joint EBA/NASC survey Authors: Camilleri Podestà, Anne Marie; Redfern, Nancy; Abramovich, Igor; Mellin-Olsen, Jannicke; Oremuš, Krešimir; Kouki, Pinelopi; Guasch, Emilia; Novak-Jankovic, Vesna; Sabelnikovs, Olegs; Bilotta, Federico; Grigoras, Ioana Abstract: BACKGROUND: Anaesthesiologists deliver an increasing amount of patient care and often work long hours in operating theatres and intensive care units, with frequent on-calls and insufficient rest in between. In the long term, this will negatively influence mental and physical health and well being. As fatigue becomes more prevalent, this has predictable implications for patient safety and clinical effectiveness.; OBJECTIVE: This study aimed to evaluate the prevalence, severity, causes and implications of work-related fatigue amongst specialist anaesthesiologists.; DESIGN: An online survey of specialist anaesthesiologists.; PARTICIPANTS: The survey was sent to anaesthesiologists in 42 European countries by electronic mail.; MAIN OUTCOME MEASURES: Responses from a 36-item online survey assessed work-related fatigue and its impact on anaesthesiologists in European countries.; RESULTS: Work-related fatigue was experienced in 91.6% of the 1508 respondents from 32 European countries. Fatigue was caused by their working patterns, clinical and nonclinical workloads, staffing issues and excessive work hours. Over 70% reported that work-related fatigue negatively impacted on their physical and mental health, emotional well being and safe commuting. Most respondents did not feel supported by their organisation to maintain good health and well being.; CONCLUSION: Work-related fatigue is a significant and widespread problem amongst anaesthesiologists. More education and increased awareness of fatigue and its adverse effects on patient safety, staff well being and physical and mental health are needed. Departments should ensure that their rotas and job plans comply with the European Working Time Directive (EWTD) and introduce a fatigue risk management system to mitigate the effects of fatigue.

2024-01-01T00:00:00Z Berger-Estilita, Joana Burlacu, Crina L. Østergaard, Doris Sinai, Yitzhak Brzezinski Preckel, Benedikt Crişan, Iulia Diaz-Navarro, Cristina Camilleri Podestà, Anne Marie Langenecker, Sibylle Guasch, Emilia Sabelnikovs, Olegs Ringvold, Else-Marie Buhre, Wolfgang Matot, Idit https://www.um.edu.mt/library/oar/handle/123456789/148528 2026-08-18T10:26:37Z 2026-01-01T00:00:00Z

Title: The Østergaard declaration : a European society of anaesthesiology and intensive care statement on advancing simulation-based education and training Authors: Berger-Estilita, Joana; Burlacu, Crina L.; Østergaard, Doris; Sinai, Yitzhak Brzezinski; Preckel, Benedikt; Crişan, Iulia; Diaz-Navarro, Cristina; Camilleri Podestà, Anne Marie; Langenecker, Sibylle; Guasch, Emilia; Sabelnikovs, Olegs; Ringvold, Else-Marie; Buhre, Wolfgang; Matot, Idit Abstract: Introduction: From Evidence to Action Simulation-based education and training (SBET) is now an essential component in anaesthesiology, intensive care, peri-operative medicine and team-based clinical practice. It enables clinicians to apply knowledge, refine procedural and social and cognitive skills, think critically, act decisively, communicate effectively and respond appropriately under pressure.1,2 Beyond individual competence, SBET strengthens team dynamics, exposes systems vulnerabilities and enhances patient safety in high-stakes environments.3-5 Despite compelling evidence, major policy reports and professional consensus,6,7 SBET remains inconsistently implemented, unevenly funded and frequently regarded as ancillary rather than integral to training. This contradiction lies at the centre of the current challenge. The question is no longer whether simulation is effective, but why healthcare and education systems have yet to integrate it systematically into routine training and clinical practice. The European Society of Anaesthesiology and Intensive Care (ESAIC) asserts that the time has come to move beyond advocacy and pilot initiatives. SBET must now be formally recognised, governed and funded as core education and healthcare infrastructure.

2026-01-01T00:00:00Z https://www.um.edu.mt/library/oar/handle/123456789/148527 2026-08-18T09:59:26Z 2026-08-01T00:00:00Z

Title: The fragile bonds of love : the hidden dangers of self-value in relationships Abstract: In the intricate dance of human relationships, self-worth plays an essential role. It shapes how individuals see themselves and the way they interact with others. But what happens when the delicate balance of self-worth becomes skewed? When one person assigns a rigid or exaggerated value to themselves in a relationship, it can lead to fractures that are often irreparable. This phenomenon, while subtle, can profoundly damage the bonds of love, trust, and mutual respect that hold relationships together.

2026-08-01T00:00:00Z Koch, Susanne Bilotta, Federico Brazzi, Luca Camilleri Podestà, Anne Marie Canle, Mois es De Robertis, Edoardo Gibb, Sebastian Gonzalez-Pizarro, Patricio Henderson, Philip H.Y. Ip, Vivian Jöbges, Susanne Kranke, Peter Kreutziger, Janett McConnell, Paul Metaxa, Victoria Montrucchio, Giorgia Muret, Jane Pecher, Sabine Romero, Caroline S. Weiland, Nicolaas H. Sperna Tomassi, Andrea Trinks, Alexandra Buhre, Wolfgang https://www.um.edu.mt/library/oar/handle/123456789/148511 2026-08-18T10:28:26Z 2026-01-01T00:00:00Z

Title: 2026 ESAIC consensus document on mitigation strategies in intensive care medicine : consensus document of the European Society of Anaesthesiology and Intensive Care Authors: Koch, Susanne; Bilotta, Federico; Brazzi, Luca; Camilleri Podestà, Anne Marie; Canle, Mois es; De Robertis, Edoardo; Gibb, Sebastian; Gonzalez-Pizarro, Patricio; Henderson, Philip; H.Y. Ip, Vivian; Jöbges, Susanne; Kranke, Peter; Kreutziger, Janett; McConnell, Paul; Metaxa, Victoria; Montrucchio, Giorgia; Muret, Jane; Pecher, Sabine; Romero, Caroline S.; Weiland, Nicolaas H. Sperna; Tomassi, Andrea; Trinks, Alexandra; Buhre, Wolfgang Abstract: Due to the continued use of fossil fuels and other chemical pollutants, atmospheric greenhouse gas concentrations and environmental pollution continue to rise. The health sector is both a driver and a victim of these developments, and intensive care medicine (ICM), with its high energy demands, extensive use of disposable products, and large variety of pharmaceuticals, contributes substantially to the climate crisis and environmental degradation. The European Society of Anaesthesiology and Intensive Care (ESAIC) therefore aimed to develop consensus recommendations to reduce the environmental footprint of ICM across Europe. A total of 37 recommendations were initially drafted by four topic groups (1) energy, (2) waste management, (3) medication, and (4) ethics—each composed of three to five experts. To facilitate implementation in both middle- and high-income European countries, the agreement threshold was set at 80%. The recommendations were validated by 37 experts from 20 countries using a two-step Delphi procedure. In the first round, all recommendations reached at least 75% agreement. After amendments to four recommendations based on expert feedback, all achieved over 80% approval in the second round, with 32 receiving more than 90% agreement. The final recommendations address: (1) a complete transition to renewable energy and implementation of energy-saving strategies; (2) optimisation of procurement in clinical processes (10Rs) and waste management solutions for single-use plastics; (3) reduction of greenhouse gas emissions (mainly fluorinated gases) and water toxicity caused by medications, as well as prevention of a further increase in antimicrobial resistance (AMR); and (4) implementation of an environment-related, ethically guided precautionary principle. This ESAIC consensus provides a practical framework for sustainable ICM. Stakeholders at all levels should now introduce these recommendations through institutional policies, procurement criteria, guidelines and quality improvement programmes to align intensive care practice with planetary health goals.

2026-01-01T00:00:00Z