My Exchange Programme with the ESAIC in Budapest: A Transformative Experience

Participating in the ESAIC exchange programme in Budapest from March to May of this year was an incredible journey that significantly enriched my professional and personal life. As an anaesthesiologist, I had the unique opportunity to gain insights into both adult and paediatric cardiac surgery, work alongside experienced mentors, and expand my understanding of complex medical procedures. This experience not only broadened my clinical skills but also deepened my appreciation for international medical collaboration and education.

One of the most valuable aspects of my time in Budapest was the close involvement with my mentor, Prof. Szekely, who included me in all aspects of her work. Under her guidance, I was able to observe and participate in cardiac surgeries at the Városmajor Klinik. I was able to perform some cardiac operations myself, always under her supervision or at least to observe her or her colleagues during very complex cases. This hands-on experience was invaluable, as it helped me understand the intricacies of cardiac anaesthesia in adult patients. I learnt how to manage anaesthesia during cardiac bypass surgeries and gained practical knowledge about the use of various catecholamines to support cardiac function during those procedures and the post-surgical period.

Working in a Hungarian hospital and spending a few days in a cardiac intensive care unit provided me with a fresh perspective on healthcare delivery within a different system. Coming from a large general hospital that covers almost all specialities except cardiac surgery, I found that my prior experience helped me adapt quickly to the new environment. The exposure to this very specific (cardiac) care could improve my emergency management of very elderly and critically ill patients at home. It was also fascinating to see how different healthcare systems approach similar challenges, and I learnt a great deal about resource management, teamwork, and patient-centred care.

Beyond the clinical experience, I also had the opportunity to engage in academic activities at Semmelweis University, one of Hungary’s main medical schools. I was entrusted with designing and delivering a seminar for English-speaking students, which was initially intimidating given my limited teaching experience. However, this challenge proved to be a rewarding experience. I was able to share my clinical insights and practical knowledge of anaesthesia, which helped students connect theoretical concepts with real-world applications. It was fulfilling to see their engagement and curiosity grow as I explained complex topics in an accessible and relevant way. This teaching experience not only boosted my confidence but also highlighted the importance of effective communication and education in medicine.

Another highlight of my exchange was the opportunity to work with the paediatric cardiac anaesthesia team at GOKVI, thanks to the connection of Prof. Szekely. This was a particularly eye-opening experience, as I was able to observe and assist in the anaesthesia management of children with congenital heart defects. Working with infants and very young children, some of whom were critically ill, pushed my skills to a new level. I learnt how to handle the physiology and unique anatomical features of neonates and small children, including the challenges of maintaining stability during complex surgeries. Additionally, I gained a deeper understanding of congenital heart diseases, their surgical corrections, and the specific anaesthesiology considerations they entail. I also had the great opportunity to significantly enhance my manual skills related to peripheral and central lines, as well as airway management in young children. The team was incredibly supportive and fully involved me in their work, creating a welcoming environment that fostered my learning. Despite some minor language barriers, the team communicated very well and ensured I felt included and confident in my tasks. This experience has greatly enriched my practical abilities and deepened my understanding of paediatric anaesthesia.

This entire exposure significantly expanded my perspective on paediatric anaesthesia and intensive care. It underscored the importance of meticulous planning, precise monitoring, and compassionate care when working with vulnerable paediatric patients. The experience also reinforced my interest in paediatric anaesthesiology and inspired me to pursue further specialisation in this field.

Despite the considerable personal investment of time and financial resources required to participate in this programme, I can confidently say that it was a profoundly enriching experience both professionally and personally. The human connections I made, the skills I developed, and the cultural insights I gained have left a lasting impression on me. I am grateful for the opportunity to learn from colleagues in Hungary, to contribute to their team, and to bring back new knowledge and perspectives to my own practice. 

Author

• Anna-Lena Zaschka