British-Ukrainian Symposium in Anaesthesiology, Intensive Care and Pain Medicine

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Maksym Pylypenko
Associate Professor
of the Department of Anaesthesiology and IT
of National Medical Academy
for Postgraduate Education, Kyiv, UA

  During this 2 weeks fellowship in neuroanaethesia and neuro IT I receive valuable Clinical experience and improve my level as clinician to treat patients according to high international standards. I saw interesting clinical cases of severe hemorrhagic stroke and brain tumors treating. Observing the trombolisys conducting in acute ischemic stroke push me to find the way how to introduce this effective treatment in daily practice Ukrainian hospitals, because this method remains unexplored in our country.
   Attending the excellent library The National Hospital for Neurology and Neurosurgery where we have wide access to contemporary scientific helped me to update my knowledge and facilitate to writing the chapters in the book in anaesthesia and intensive therapy devoted to residents in this specialty. The drafts of these chapters have been also compared to practical experience in Neuro ITU of NHNN this fellowship helped me to check the correctness and validity of conclusions and practical recommendations provided in the forthcoming book.
    Observing Good Clinical Practice of patient treatment in one of the best Neuro ITU in UK provide me an opportunity to planning research that will test hypothesis that implementing some aspects of respiratory care, patient nursing, restrictive policy for antibiotics could improve outcomes in Ukrainian patients.
   During this fellowship I meet many specialists who were kin to share their knowledge and experience for other doctors and express readiness for cooperation. Such contacts allows hoping to continue further British-Ukrainian cooperation and bring it on a new higer and more effective level.
In conclusion I’m thankful for our British partners who spent time and resources allowing me and my colleagues to visit London and I hope that many other Ukrainian specialists will have the same opportunity.

Lesya Zgrzheblovska
Assistant Professor of Department of Anaesthesiology
and Critical Care of
National Academy of Medical Postgraduate Education named after P.L.Shupik
Senior Doctor of Surgical Critical Care Unit of Emergency Municipal Hospital,
Kyiv, UA

During April 20-May 12 2009 I have passed the educational course in anaesthetic department of University College London Hospital and in Surgical Critical Care Unit of Kings College Hospital. Inspite that fact that we have a lot of available information (books, textbooks, lectures, journals, Internet) devoted to the problems of critical care, there are a lot of unresolved problems in surgical ICU of Kyiv Emergency Municipal Hospital such as: nosocomial infections, fluid management and catecholamine support of critical patients, early weaning from mechanical ventilation, nutritional support of critical patients, renal replacement therapy, management of multiply-injured patients, management of patients with severe sepsis. I think that if you want to understand how to provide correctly management of critical patient, you must observe every day his physical state, his laboratory and instrumental datas, his X-rays, CT-scans, medication charts. To my mind, the dynamic observation of correct management of critical patients is one of the most important points in education of the critical care doctors and probably it can not be substituted even by the most brilliant articles, textbooks, lectures.
I want to express my great thanks to the leaders and coordinators of British-Ukraine project for the wonderful opportunity to pass an educational course in Great Britain. I am very thankful to the Assosiation of Anaesthetists of Great Britain and Ireland. I am also especially thankful to British coordinators of this project: Briggita Brander, Jemmy Smart, Roman Cregg, all professors and consultants of University College London Hospital for their every day help, support and care. I am also very grateful to the consultants of surgical ICU of Kings College Hospital, especially to Max Ervine, Sara Leonard, Andre Vercueil, Tom Best, Clemens Paul, Chris Holland, Phill Hopkins, Stephanie Strachan for their everyday work, patience, attention, kind attitude. I want also to express thanks to all doctors and nurses of the surgical ICU of Kings College Hospital, they became my good friends during this month. I want to thank once more for the acquired very valuable knowledge and experience, and I promise I shall do my best in order to introduce all the progressive advanced methods of intensive care, that I leaned in Great Britain in the every day practice of Ukrainian ICUs and into the educational process of young critical care doctors.

Mychaio Lysianskyi
Doctor of
Neurointensive Care Unit of Emergency Municipal Hospital,
Kyiv, UA

2-weeks Fellowship in Neuroanaethesia was very interesting and useful. Taking part in daily ward round in Neuro ITU with prof. M.Smith and in discussion of patients promoted to receiving of newest knowledge (according to world standarts) about some problems and directions in IT of patients with CNS pathology. Besides, NHNN has a splendid library, where we were given an access.
Particularly, I would like to emphasize very friendly and hospitable relation of organizers of Fellowship and doctors of ITU.

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