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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.


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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.

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Newsletter 2021

Newsletter November 2021: Patient safety in anaesthesia

Tzima Maria,MD,MSc,PhD(c)
Hippokrateion General Hospital of Thessaloniki, Greece

Albert Einstein had once said, ‘a person who never made a mistake never tried anything new’. Last year marks the 10th anniversary of the Helsinki Declaration on patient safety in Anaesthesiology and September 17th is established as World Patient Safety Day. Nowadays, there is a great interest in patient safety and foundations have been established to deal with patient safety.1

When it comes to patient safety in anaesthesia, Elaine Bromiley’s story is the first to be brought in mind.2 Elaine Bromiley, aged 37, was admitted for a scheduled nasal septum scoliosis correction, when difficult airway management was noticed and precious time until successful intubation was spent, resulting in cerebral oedema and death. Her husband, Mr Bromiley, a pilot, instead of blaming,  is working in a campaign in order to improve patient safety and quality. 3

Anaesthesia fields of care include a wide range of clinical situations such as preoperative assessment, equipment and drug availability check, syringe labelling, airway management, monitoring, pain management, postanaesthetic care and critical events management (malignant hyperthermia, local anaesthetic toxicity, massive bleeding, transfusions, anaphylaxis).

According to the International Code of Medical Ethics, doctors should maintain the highest standards for patients benefit.4 According to the Oxford English dictionary, an error is defined as “something is incorrectly done through ignorance or inadvertence; a mistake, e.g., in calculation, judgment, speech, writing, action, etc”.5 Bates et al noticed that 2% of patients experience a preventable adverse drug event, which prolongs hospital stay, ICU admissions and total costs and a two-fold increase of errors during anaesthesia training. When talking about safety in anaesthesia an unscheduled ICU admission the first 24 hours after surgery is an index of patient safety and is related to anaesthesia or surgery complications.6

The Swiss cheese model suggests that only when different holes of imaginary cheese slices align, then it becomes possible for an arrow to cross all of them at once, and practically allow an accident to happen. These various “slices” include environment, technical and non-technical skills, decision making, violation of protocols.7 Errors may be classified according to their different nature as to a complication after an action, equipment or material failure, communication error, limited diagnostic criteria, poor surveillance, limited resources.6

Personnel burnout has been always an issue of concern, but after the COVID-19 pandemic, deserves greater concern along with psychological stress assessment. During this period, the commonest errors reported were due to distraction and fatigue, replacement expectation or the wrong dosage of drug and half of them happened during anaesthesia maintenance. Almost half (47.8%) of them were not harmful to the patient. Errors were increased for overnight and post-call orders.8 A systematic Review on Healthcare Staff Wellbeing, Burnout, and Patient Safety correlated doctors’ poor wellbeing with poor patient safety outcomes and showed that poor wellbeing and moderate to high levels of burnout were associated, in the majority of studies reviewed, with poor patient safety outcomes such as medical errors. 9

What should we do about it?

When a drug is to be administered, its identity, dosage, route, patient, interactions and allergy history should be checked. Every error should be recognised, reported and when possible corrected. Colour coding templates should be applied, as well as syringe labelling. Non-technical skills development is necessary for better communication and collaboration. In case of troubleshooting, various aviation protocols have also been proposed, such as the SBAR-DR model (Situation-Background-Assessment-Responsibilities and Risks-Discussion and Disposition-Read back and Record).10  In this direction, WHO has created a three-part surgical safety checklist, at critical time points as anaesthesia induction, skin incision and patient departure from the operating room.11 An interesting device called VEINROM, may protect patients against erroneous drug administration. It is a unique eight-port manifold and syringe assembly. Specific syringes fit only specific ports, labelled V for vasopressors, E for emergency drugs, I, N for induction agents, R for reversal agents, O for opiates and M for miscellaneous drugs. 12

Error detecting and reporting and communication skills improvement are crucial skills deserving any investment. We as anesthesiologists are all responsible for our patients’ safety and the best outcome. This is not just a clinical but also a moral duty originating from Hippocrates.



  1. https://www.apsf.org
  2. https://elearning.rcog.org.uk//new-human-factors/teaching-resources/case-study-just-routine-operation
  3. Cooper A, Gray J, Willson A et al, J Commun Healthc. 2015;8(1):76
  4. https://www.wma.net/wp-content/uploads/2006/09/International-Code-of-Medical-Ethics-2006.pdf
  5. https://www.oxfordlearnersdictionaries.com/definition/english/error
  6. Rayan, Ayman, Aly et al. Anesthesia, essays and researches, 2019;13: 193
  7. Wheeler SJ, Wheeler DW.. 2005;60:257
  8. Erdmann TR, Soares Garcia JH et al, Bras.Anestesiol, 2016;66-105