By William Harrop-Griffiths, Richard Griffiths, Felicity Plaat
In keeping with the organization of Anaesthetists of serious Britain & Ireland's (AAGBI) carrying on with schooling lecture sequence, this clinically-oriented e-book covers the most recent advancements in learn and the medical software of anesthesia and soreness control.
- Reviews most modern advancements in study and practice
- Clinically-oriented yet rooted in easy science
- Concise and informative articles on key topics
- Road-tested via CPD roadshows
- Designed in particular for carrying on with scientific education
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Additional info for AAGBI Core Topics in Anaesthesia 2015
R Local anaesthetic techniques should be used where possible: catheterbased techniques allow the continuous infusion of local anaesthetic in the postoperative period, decreasing the amount of additional opioid required. r Ketamine can decrease pain scores and postoperative opioid use in opioid-tolerant patients after surgery. Ketamine acts primarily as a noncompetitive antagonist of NMDA receptors, which are believed to be involved in the development of opioid tolerance and opioid-induced hyperalgesia.
There is increasing debate as to the role that long-term opioids should play in the management of this group of patients, particularly with our increasing knowledge about the risks of endocrine dysfunction and the development of opioid-induced hyperalgesia associated with long-term opioid use. However, long-term opioids still play a major role in the management of this group of patients and are thus frequently encountered during elective and emergency surgery. 2. Patients with persistent cancer pain Opioids remain the mainstay of initial treatment for both background and breakthrough pain in patients with cancer.
The performance of echocardiography in hip fracture patients with undiagnosed heart murmurs is controversial given that it may delay operative fixation. The relevance of recognising severe aortic stenosis before surgery is twofold. First, it allows appropriate modification of the anaesthetic technique, possibly combined with use of an uncemented prosthesis to avoid cement implantation syndrome. Second, it ensures the timely diagnosis of a potentially life-limiting treatable disease. A focused echocardiogram performed by a trauma anaesthetist as part of their pre-operative assessment is a potential solution to the problem.
AAGBI Core Topics in Anaesthesia 2015 by William Harrop-Griffiths, Richard Griffiths, Felicity Plaat