Contemporary collecting by the Association of Anaesthetists Heritage Department | Association of Anaesthetists

Contemporary collecting by the Association of Anaesthetists Heritage Department

Box 2

Ten things about working in PPE that I had never thought about:

  1. It hurts. It seems alright when you first put it on. An hour later the tips of your ears are necrotic and you can’t adjust the mask straps. 
  2. Mouth like the Sahara. The masks make you mouth breathe. Then your mouth gets dry but obviously you can’t have a sip of water. 
  3. You can’t recognise your mates. You’ve been talking to someone for 20 minutes and then you realise who it is. 
  4. You’ve no idea what anyone is saying. Masks muffle the sounds and you can’t see lips moving. “Big breasts!” “What?!” “I said BIG BREATHS!” 
  5. It’s hot. Man it’s hot some days. Add a lead gown for X-ray protection and you come out of there a stone lighter from sweating. 
  6. You can’t wee. If you do ‘doff’, which takes a while, wee and ‘don’ again, you’re aware you’re wasting PPE. Not drinking enough for fear of needing a wee also compounds #2. 
  7. You can’t ‘pop’ anywhere. You can’t run and ask something because you can’t leave or enter different areas. Communication becomes a nightmare. We should consider pigeons. 
  8. You’ve never got a pen. Pens go into red zones and don’t come out. They are presumably eaten by the red zone pen monster. 
  9. You can’t see. The visors are heavy and sag, and glare badly. Not being able to see wouldn’t be so bad if you weren’t also deaf (see #4). 
  10. It makes everything an effort. It’s like moving around in a fake ‘fat suit’. Or fancy dress when you ordered the full face outfit because it’s all they had left and it’s 16:55 on a Friday and you live to regret it deeply. After a 13 hour shift you’re far more knackered than usual, despite having moved a total of about 1 km all day.

Contemporary collecting by the Association of Anaesthetists Heritage Department

It was acknowledged early on during the COVID-19 pandemic that, with the symptom mix, anaesthetists and intensivists would become involved rapidly in the care of many patients in addition to their usual case load. Preparations were made for redeployment of non-intensivist anaesthetists, and other health care professionals, to provide care in proliferating areas of the hospital environment where ventilatory support could be provided. It was felt that there was little formal experience of similar events, or training in management, even though global pandemics are regrettably not that infrequent; even verbatim reports from the medical profession involved in the early 20th Century pandemics might have been of value.

As the country went into lockdown, the Heritage Team began preparations for a contemporary collecting project to collect and document anaesthetists’ and intensivists’ role in the fight against COVID-19. Our ambition was to collect equipment and testimonies proactively related to anaesthesia and anaesthetists, intensivists and intensive care. Alongside anaesthetists’ oral history interviews, we wanted to collect patients’ voices to gain a new perspective on anaesthesia. On the 1 May 2020, the Board of Trustees approved the Contemporary Collecting policy and the team launched the project.

Box 1

Name Age  Role and Hospital Pandemic Role/Story
Dr Richard Birks  70 * Retired Anaesthetist
* Past President of the Association of Anaesthetists 
Contracted COVID-19 
Dr Carl Waldmann 60  * Intensivist, Royal Berkshire NHS Foundation Trust
* Past Chair of the Intensive Care Society
 
Dr Tim Meek 50 * Consultant Anaesthetist, South Tees Hospitals NHS Foundation Trust
Redeployed and contracted COVID-19
Dr John Shubhaker 30   * SAS Anaesthetist Training Team, Nightingale Hospital, London
Dr Alan McGlennan 50  * Consultant Anaesthetist Medical Director, Nightingale Hospital, London
Dr Jane Lim  30 * Anaesthetic Trainee, Royal Free London NHS Foundation Trust Deployed to a COVID-19 ward
Prof Andrew Farmery  60  * Academic and clinician Clinical leader of the OxVent ventilator project
Dr Alison Pittard  55 * Consultant Anaesthetist and Intensivist
* Dean of the Faculty of Intensive Care
 
Dr Natalie Mincher 38  * Consultant Anaesthetist, Royal Gwent Hospital, Newport, Wales Redeployed to COVID-19 ICU
Dr Shanath Ramachandran
 27 * F2 Trainee, Leighton Hospital, Crewe Contracted COVID-19 and spent eight days on ICU intubated
 Dr Nuala Lucas   - * Lead Obstetric Anaesthetist, Northwick Park Hospital, London
* Past Honorary Secretary of the Obstetric Anaesthetists’ Association
* Dean of the Faculty of Intensive Care
 MBE recipient for services to anaesthesia during COVID-19
Dr Fiona Roberts  31 * Final Year Trainee Anaesthetist, St Vincent’s University Hospital, Dublin
Irish perspective on COVID-19
Dr Sarah Ramsay  53 * Consultant Anaesthetist and Intensivist, QEH Glasgow
* Member of the Royal College of Anaesthetists, Scottish Board

Scottish perspective on COVID-19
Dr Rory Dwyer 64  * Consultant Anaesthetist and Intensivist, Beaumont Hospital, Dublin
* Clinical Lead National Audit Office, Dublin
Irish perspective on COVID-19

The Heritage Volunteers meet regularly with the Heritage Team, and at their virtual meeting in June 2020 the contemporary collecting plans were outlined. Dr Michael Ward immediately began collecting oral testimony from a cross section of anaesthetists who had become involved, in any capacity, in the global fight against this virulent virus.

To date, 14 interviews have taken place with Michael as the interviewer, using the training acquired by the Oral History Project of the Greats of Anaesthesia (Box 1). It is hoped that beyond a record of the pandemic, these audio recordings could be used to give confidence and aid management in the event of future similar pandemics.

In terms of other collecting, we have been promised: 

  • UCL Ventura breathing aid developed by UCL engineers, UCLH clinicians and Mercedes-AMG High Performance Powertrains 
  • OxVent ventilator

We are awaiting confirmation from the Ventilator Challenge Consortium team about the ventilator they developed.

We have also acquired: 

  • Photographs by Jonathan Williamson, anaesthetist and photographer working in a London Hospital during the pandemic. 
  • Two written testimonies: an ST6 working at Evelina Children’s Hospital at Guy’s and St Thomas’ during the pandemic; and an anaesthetist told to ‘stand down’ due to pregnancy, and how her return to work was supported.
  • Breath artworks created during the Creating Breath: a mindful hour of art and breath workshop run for members working on the frontline.

These interviews and objects will be included in our Heritage collection, to be held in perpetuity. Their historical value is self-evident: they will help us tell the pandemic story, and anaesthetists’ and intensivists’ role on the frontline, now and in the future.

We hope to have a display of the collection in the museum in the near future, and the oral history recordings have been made available online.

Finally, a touch of humour to end: a COVID-19 skit by Dr Mincher who was interviewed for the oral history project:

I thought the worst thing about working in a pandemic would be fear of catching the disease. Actually, I trust my PPE. What I’d never really thought about was how wearing it would be so different (Box 2). Thank goodness we’ve all got each other. My colleagues are the absolute business.

Caroline Hamson
Heritage Manager, Association of Anaesthetists 

Michael Ward
Retired Consultant Anaesthetist and Heritage Volunteer


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