RezumatIntroducere: Anemia şi transfuzia reprezintă factori de risc independenţi de evoluţie nefavorabilă în cancerul colorectal. Anemia severă poate creşte agresivitatea tumorală iar transfuzia poate induce imunosupresie, promovând astfel recurenţa cancerului. Strategiile de Gestionare a Sângelui Pacientului (GSP), specifice pentru pacienţii oncologici, sunt în prezent insuficient definite şi recomandate. Obiectiv primar: Evaluarea prevalenţei anemiei şi a ratei de transfuzie perioperator la pacienţii cu neoplasm colorectal. Obiectiv secundar: Analiză subgrup pacienţi anemici versus non-anemici, cancer de colon versus cancer rectal. Metodă: Am evaluat retrospectiv datele pacienţilor oncologici chirurgicali consecutivi admişi în intervalul Ianuarie-Iunie 2017. Am selectat pacienţii cu chirurgie abdominală inferioară şi ulterior chirurgie colo-rectală. Au fost înregistrate dinamica perioperatorie a valorilor hemoglobinei (preoperator = Hb1, postoperator = Hb2, la externare = Hb3), prevalenţa şi severitatea anemiei, rata de transfuzie. Analiza statistică a utilizat testele t Student, Wilcoxon şi Chi-pătrat din programul SPSS 17.0. Rezultate: Din 1284 pacienţi evaluaţi, 546 au fost supuşi chirurgiei abdominale inferioare şi 260 chirurgiei colorectale. Vârsta medie a fost de 65.6 ± 11.1 ani, 57.7% gen masculin. Dinamica perioperatorie a hemoglobinei a fost Hb1/Hb2/Hb3=12/10.6/10.4g/dl. Prevalenţa anemiei preoperator/ postoperator/ la externare a fost

BACKGROUND There is a growing awareness of the effects of fatigue on trainee wellbeing and health. Trainees in anaesthesiology and intensive care work long hours, switching work schedules frequently with insufficient rest. This may have unwanted long-term effects on mental and physical health and emotional well being, resulting in burnout and affecting patient safety. OBJECTIVE The study aimed to evaluate the prevalence, severity, causes and effects of work-related fatigue in trainees in anaesthesiology and intensive care. DESIGN Online survey of trainees in anaesthesiology and intensive care. SETTINGS A total of 31 countries within Europe were included in the survey. PARTICIPANTS European anaesthesiology and intensive care trainees who responded to an invitation to take part by electronic mail or through social media. MAIN OUTCOME MEASURES Responses from a 29-item online survey to assess the realities within European countries with regards to work-related fatigue. RESULTS One thousand and two hundred trainees from 31 European countries answered the survey demonstrating that an alarming number of trainees were fatigued by their working patterns and night shifts. Trainees reported effects on personal well being, safe commuting and potential for clinical errors. Respondents described a lack of support from hospitals and management for recovery during and after night shifts. CONCLUSION Fatigue among trainees in anaesthesiology and intensive care has a significant impact on their well being and potentially, on the incidence of clinical errors. Current measures from authorities and hospital management are not sufficient to prevent serious fatigue, and therefore a fatigue risk management system should be considered. Failure to address this issue might lead to a further decline in trainees’ wellbeing, their capacity to work in the speciality in the future, and potentially increase patient care errors.