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Extra vigilance required While working as anaesthetists and intensive care specialists over the past few years, and in talking to our colleagues around the world, we have noticed that extra vigilance and attention is required when our surgical colleagues voice certain concerns or comments. The list below is a compilation of those comments. You know you should worry when the surgeon says: 1. She is 91 but otherwise healthy. 2. This will take me two minutes. I'll just be in and out. 3. He was initially admitted to the medical service. 4. Just give him a quick general anaesthetic. 5. There is no need to intubate him; just put in an LMA. 6. I need lots more relaxation. 7. Can you show me that computed tomogram one more time? 8. Are you sure you white balanced the scope? 9. This aorta is like paper. 10. How many units did you type and cross? 11. You are not using nitrous oxide, are you? 12. Get me some suction that works. 13. Do we have that fibrin glue stuff? 14. These scissors are blunt. 15. This is not surgical bleeding . . . are the blood products here yet? 16. The intern will be closing. 17. It must be mostly irrigation. There is no way I lost so much blood. 18. I think we should start broad spectrum antibiotics. 19. What do you mean she received 5 litres of crystalloid? 20. Let's start some renal dose dopamine. 21. She needs a PA catheter STAT! 22. Do not feed him quite yet. 23. The anastomosis is fine, but just to be sure, keep the BP below 150. 24. Just keep him in the intensive care unit one more day. 25. In my personal experience . . . ********************************************************************** This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you have received this email in error please notify the system manager ([log in to unmask]) www.bma.org.uk **********************************************************************