Login to myESAIC Membership


The ESAIC is dedicated to supporting professionals in anaesthesiology and intensive care by serving as the hub for development and dissemination of valuable educational, scientific, research, and networking resources.



The ESAIC hosts the Euroanaesthesia and Focus Meeting congresses that serve as platforms for cutting-edge science and innovation in the field. These events bring together experts, foster networking, and facilitate knowledge exchange in anaesthesiology, intensive care, pain management, and perioperative medicine. Euroanaesthesia is one of the world’s largest and most influential scientific congresses for anaesthesia professionals. Held annually throughout Europe, our congress is a contemporary event geared towards education, knowledge exchange and innovation in anaesthesia, intensive care, pain and perioperative medicine, as well as a platform for immense international visibility for scientific research.


Professional Growth

The ESAIC's mission is to foster and provide exceptional training and educational opportunities. The ESAIC ensures the provision of robust and standardised examination and certification systems to support the professional development of anaesthesiologists and to ensure outstanding future doctors in the field of anaesthesiology and intensive care.



The ESAIC aims to advance patient outcomes and contribute to the progress of anaesthesiology and intensive care evidence-based practice through research. The ESAIC Clinical Trial Network (CTN), the Academic Contract Research Organisation (A-CRO), the Research Groups and Grants all contribute to the knowledge and clinical advances in the peri-operative setting.

Learn more about the ESAIC Clinical Trial Network (CTN) and the associated studies.


EU Projects

The ESAIC is actively involved as a consortium member in numerous EU funded projects. Together with healthcare leaders and practitioners, the ESAIC's involvement as an EU project partner is another way that it is improving patient outcomes and ensuring the best care for every patient.


Patient Safety

The ESAIC aims to promote the professional role of anaesthesiologists and intensive care physicians and enhance perioperative patient outcomes by focusing on quality of care and patient safety strategies. The Society is committed to implementing the Helsinki Declaration and leading patient safety projects.



To ESAIC is committed to implementing the Glasgow Declaration and drive initiatives towards greater environmental sustainability across anaesthesiology and intensive care in Europe.



The ESAIC works in collaboration with industry, national societies, and specialist societies to promote advancements in anaesthesia and intensive care. The Industry Partnership offers visibility and engagement opportunities for industry participants with ESAIC members, facilitating understanding of specific needs in anaesthesiology and in intensive care. This partnership provides resources for education and avenues for collaborative projects enhancing science, education, and patient safety. The Specialist Societies contribute to high-quality educational opportunities for European anaesthesiologists and intensivists, fostering discussion and sharing, while the National Societies, through NASC, maintain standards, promote events and courses, and facilitate connections. All partnerships collectively drive dialogue, learning, and growth in the anaesthesiology and intensive care sector.



Guidelines play a crucial role in delivering evidence-based recommendations to healthcare professionals. Within the fields of anaesthesia and intensive care, guidelines are instrumental in standardizing clinical practices and enhancing patient outcomes. For many years, the ESAIC has served as a pivotal platform for facilitating continuous advancements, improving care standards and harmonising clinical management practices across Europe.



With over 40 years of publication history, the EJA (European Journal of Anaesthesiology) has established itself as a highly respected and influential journal in its field. It covers a wide range of topics related to anaesthesiology and intensive care medicine, including perioperative medicine, pain management, critical care, resuscitation, and patient safety.



Becoming a member of ESAIC implies becoming a part of a vibrant community of nearly 8,000 professionals who exchange best practices and stay updated on the latest developments in anaesthesiology, intensive care and perioperative medicine. ESAIC membership equips you with the tools and resources necessary to enhance your daily professional routine, nurture your career growth, and play an active role in advancing anaesthesiology, intensive care and perioperative medicine.

Membership opportunities
at the ESAIC

Newsletter 2022

Newsletter April 2022: The clinical corner: Multimodal analgesia The need of the hour

Jyoti Gupta, MD


As per the IASP definition, pain is an unpleasant sensory and emotional experience associated with or resembling that associated with actual or potential tissue damage.1 Modern-day anaesthesia, with its focus on fast-track techniques and enhanced recovery after surgery (ERAS), demands equally good perioperative analgesia with minimum possible side effects. There has been a shift towards opioid-sparing analgesia in the past decade. This along with recent advances in the field of analgesia has led to the propagation of the administration of multiple pharmacological and non-pharmacological agents for pain management.


The pathophysiology of pain is not new to physicians. The modern-day knowledge and improvisation of older techniques is the result of continuing research and understanding of the interactions at various levels of pain transmission and propagation. Multiple receptors are present throughout the pain pathway. At one point, there could be mu-receptors, NMDA receptors, and alpha-2 receptors either individually existing or in a combination. Blockade of a single receptor cannot provide a fool-proof analgesic effect. However, targeting multiple receptors not only provides a better quality of analgesia but also lowers the side-effect profile of individual analgesic agents. Multi-modal analgesia involves the use of additive or synergistic combinations of analgesics to achieve clinically required analgesia while minimizing significant side effects associated with a higher dose of a single equianalgesic medication such as an opioid analgesic.2


Various pharmacological agents with differing mechanisms of action target pain pathways. Some of these agents include alpha-2 agonists, NMDA receptor antagonists, dexamethasone, NSAIDs, gabapentinoids and acetaminophen. Alpha-2 agonists have been shown to have opioid-sparing effects but have their own side effect profile.3 Hypotension and bradycardia should be considered seriously while administering these agents. Ketamine has been proven to be a wonderful analgesic agent, but tachycardia and hypertension are the limiting factors for its use. Dexamethasone when administered prior to initial insult in an appropriate dosage acts not only as a wonderful pre-emptive analgesic but also anti-emetic. Paracetamol 4 is widely used in the perioperative period as a safe analgesic agent. NSAIDs like ketorolac and diclofenac are commonly used but patients with an abnormal renal profile and asthma are limiting factors for their use. The addition of magnesium sulphate 5, lidocaine and tramadol to the analgesic regime offers superior analgesia.  Regional anaesthesia techniques offer a safe alternative across a range of patient populations ranging from minimal to high-risk cases. Administration of multi-modal analgesia along with regional anaesthesia not only improves the quality of analgesia but also decreases the breakthrough pain and opioid requirement.


The use of a combination of pharmacological and non-pharmacological agents for perioperative analgesia not only provides a better quality of analgesia but also decreases the requirement for opioids and related side effects. The degree of patient satisfaction obtained through early mobilisation and hence earlier hospital discharge is attributed to a great deal to improved analgesia among other factors. Utilising the understanding of the mechanism of action of multiple analgesics and a judicious combination of multiple agents can not only provide a better quality of analgesia but decrease the side effects as well.  Multimodal analgesia covering multiple facets of the pathophysiology of pain is, therefore, the need of the hour.

Conflicts of interest: None
Source of funding: None



  1. https://www.iasp-pain.org/publications/iasp-news/iasp-announces-revised-definition-of-pain/
  2. Bhatia A, Buvanendran A. Journal of Spine Surgery 2019;5( Suppl 2):S160-S165
  3. Erik M Helander, et al. Curr Pain Headache Rep. 2017 Jan; 21(1):3
  4. Graham GG, Scott KF. Am J Ther 2005;12:46–55
  5. Koinig H, Wallner T, Marhofer P, et al. Anesth Analg 1998;87:206–10


[maxbutton id=”1″ url=”https://www.esaic.org/newsletter/” text=”Read the Newsletter” ]

Related news

See all news