The Board of the Scandinavian Society of Anaesthesiology and Intensive Care Medicine (SSAI) recognises that the diversity of our members and of our professional and patient community must be reflected in all parts of our organisation. Diversity metrics include, but are not limited to, individual (e.g., age, gender, ethnicity, sexual orientation), cultural (e.g., religious affiliation) and geopolitical (e.g., nationality). These characteristics may cause individuals to feel naturally included in, or excluded from, a group 1 (Table 1).The purpose of this document is to outline a policy to ensure that the diversity of the Nordic community of anaesthesiologists, our workplace and our patients is explicitly addressed in the governance of SSAI, including the SSAI board and committees, clinical practice guidelines, conference speakers/chairs, meetings at local, national and international levels to (i) ensure representativeness, (ii) provide role models and (iii) foster a sense of community based on inclusion. This also applies to events that the SSAI may co-host or for which SSAI nominates a representative (e.g., a representative at meetings held by other networks/organisations or international meetings/ conferences).
Hyperammonaemic encephalopathy in adults is a rare condition in the absence of liver disease and is associated with a high mortality and risk of permanent neurological deficits. Seldomly, the condition is caused by an inborn error of metabolism in the urea cycle, triggered by an exogenic factor such as gastrointestinal haemorrhage, gastric bypass surgery, starvation, seizures, vigorous exercise, burn injuries, or drugs hampering the elimination of ammonia. Here, we present a fatal case of an unrecognized genetic ornithine transcarbamylase deficiency (OTCD) presenting with a subacute progressive encephalopathy. We review the current literature and discuss the differential diagnosis and treatment options. As swift diagnosis and initiation of treatment is vital, awareness of hyperammonaemic encephalopathy and its possible causes can help improve the prognosis of this condition.
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