DOCSLIB.ORG

The Anaesthesia Science Viva Book, Second Edition Simon Bricker Index More Information

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text

Load more

Cambridge University Press 978-0-521-72644-3 - The Anaesthesia Science Viva Book, Second Edition Simon Bricker Index More information Index A a2-adrenoceptor agonists abciximab 261 local anaesthesia spinal adjuncts 229 abdominal obesity 171 stress response to surgery 175 abnormal placentation, postpartum haemorrhage a2-adrenoceptor blockers, cardiac output 233 (PPH) 383 b-adrenoceptors 239 abnormal respiration 113 adrenaline 179 abnormal waveforms, capnography 292 b-adrenoceptor blockers 237, 238–41 ABO blood group, see blood groups cardiac output 232 absolute humidity 332 cocaine overdose management 254 absolute pressure 318 intraocular pressure 152 absorption atelectasis 136 b2-adrenoceptor blockers 267 acarbose 277 adrenocortical suppression, etomidate 201 acceleromyography 156 AEP, see auditory evoked potentials ACE inhibitors 242 afferents, autonomic nervous system 23 acetylcholine 23 age/ageing 172–4 muscle action potentials 154 subarachnoid (spinal) anaesthesia 83 postjunctional nicotinic receptors 154 air embolism N-acetylcysteine, paracetamol overdose 252 ultrasound 338 acidosis venous cannulation 18 hypercapnic 121 air-filled spaces, nitrous oxide 206 lactic 111 airway(s) acquired immune response, see immune response awareness 284 activated protein C, sepsis management 399 goitre effects 187 active scavenging systems 312 irritation 203–4 acute haemolytic reactions 372 thyroid disease 187 acute lung disease, compliance 120 upper, see upper airways acute normovolaemic haemodilution 371 airway management acute phase proteins, sepsis 399 neonates/infants 165 acute respiratory distress syndrome (ARDS) 122–3 nose 28 acyanotic congenital heart disease, see congenital albumin 185 heart disease alcohol Addisonian crisis 176 overdose 253, 255 additives, nutritional support 190 withdrawal, clonidine 234 adenosine 237 alcohol thermometers 328 adenylyl cyclase, inotropes 246 alfentanil, patient-controlled analgesia (PCA) 215 adjuvant drugs, subarachnoid (spinal) anaesthesia 83 alkalinization, see local anaesthesia adrenaline 178–80, 247 allergic reactions hypotension management 246 blood transfusion 372 local anaesthesia 223 local anaesthesia 222 a-adrenoceptors, adrenaline 179, 180 thiopental 201 a-adrenoceptor blockers, systemic vascular see also anaphylaxis resistance (SVR) 231 a1-acid glycoprotein, local anaesthetic binding 221 405 © Cambridge University Press www.cambridge.org Cambridge University Press 978-0-521-72644-3 - The Anaesthesia Science Viva Book, Second Edition Simon Bricker Index More information Index altitude effect, vaporizers 303 anterior cardiac vein 48 ambient light interference, pulse oximetry anterior radicular artery of Adamkiewicz 62 289 anterior spinal artery 61, 62 amethocaine 220 anti-arrhythmic drugs 235–8 aminergic neurotransmitters 181 ‘Sicilian Gambit’ classification 237 amiodarone 220 Vaughan–Williams classification 236–7 AMPA receptors, general anaesthesia 361 see also specific drugs amphetamines, abuse of 256 antibiotics, sepsis management 399 amplification, biological potentials 350 antibodies 400 Amsorb 310 anticholinesterases 230 anaemic hypoxia, hyperbaric oxygen 133 anticoagulant drugs 258–62 anaesthesia intra-arterial injection 80 breathing effects 116 antidepressant drugs 251 depth of, see depth of anaesthesia antidiuretic hormone (ADH) 351 heat loss mechanisms 329 antidopaminergic drugs 250 during magnetic resonance imaging 336 anti-hypertensive drugs 241–3 monitoring 336 anti-inflammatory effects, non-steroidal pneumothorax 101, 102 anti-inflammatory drugs 263 postoperative nausea and vomiting 168, antimuscarinic drugs 250 249 antineoplastic effects, non-steroidal anaesthetic breathing systems 304–9 anti-inflammatory drugs 264 anaesthetic machine 296–8 antiplatelet drugs 261 analgesia/analgesics 393 antipyretic action, non-steroidal anti-inflammatory complex regional pain syndromes 388 drugs 263 foot 95 antiserotoninergic drugs 250 magnesium sulphate 265 antisialogogue effect, clonidine 234 nitrous oxide 206 antithrombotic effects, non-steroidal non-steroidal anti-inflammatory drugs anti-inflammatory drugs 263 263 anxiolysis, clonidine 234 analysis of variance (ANOVA), statistics 354 aorta anaphylactoid reactions 397 lumbar region 99 see also allergic reactions surgery, spinal cord injury 62 anaphylaxis aortic incompetence 379–80 adrenaline 178 aortic stenosis 378–9 management 364 aortic valve disease 378–80 suxamethonium 212 see also aortic incompetence; aortic stenosis see also allergic reactions aortocaval compression, see pregnancy anatomy 7–8, 13–99 apnoea 112, 116–18 aneroid pressure gauges 318 testing, brain stem death 366 angina pectoris 50–1 apnoeic oxygenation 116 b-adrenoceptor blockers 239 appearance 2–3 stellate ganglion block 45 aqueous humour 98 angiotensin antagonists 242 intraocular pressure 151 angiotensin-converting enzyme (ACE) inhibitors arachnoid mater 81 242 argon lasers 334 ankle block 96 arrhythmias, see cardiac arrhythmias antecubital fossa 76–8 arterial pressure, cerebral blood flow 150 anterior approach arterial pulmonary hypertension 141 sciatic nerve block 94 arterial supply, cerebral circulation 13–14 stellate ganglion block 46 arterial tourniquet 400–3 406 © Cambridge University Press www.cambridge.org Cambridge University Press 978-0-521-72644-3 - The Anaesthesia Science Viva Book, Second Edition Simon Bricker Index More information Index arytenoid cartilage 35, 36 beta-blockers, see b-adrenoceptor blockers aspirin 261 Bezold–Jarisch reflex 243 asthma 123–5 bicarbonate magnesium sulphate 265 diabetic ketoacidosis management 390 atelectrauma 121 local anaesthesia alkalinization 223 atenolol, cardiac output 232 biguanides 276 atracurium 209 bile synthesis 59 metabolism 210 bilirubin formation 362 atrial fibrillation (AF) 238, 345 binding effects, local anaesthesia 221 atrial septal defect (ASD) 161 bioavailability 277–80 attenuation, ultrasound 338 biological potentials 349–50 auditory evoked potentials (AEP) 288 biotrauma 121 depth of anaesthesia measurement 285 bipolar surgical diathermy 348 auriculotemporal nerve block 31 birth, uterine activity 269 autologous blood donation 371 bispectral analysis, depth of anaesthesia 286 autonomic nervous system 21–4 bispectral index (BIS), depth of anaesthesia ageing 172 286 denervation, cardiac transplants 49 bleeding, see blood loss myocardial innervation 50 blinding, clinical trials 281 stress response to surgery 174 blood, fluid therapy 109 autonomic neuropathy 22 blood–gas partition coefficient 203 autonomic regulation failure, complex blood groups 369–73 regional pain syndromes (CRPS) blood loss 386 compensatory responses 110–12 Avogadro’s law 314 fluid therapy 108 relevance 315 percutaneous tracheostomy 44 awake patient, pneumothorax 102 subarachnoid 14 awareness 283–4 blood solubility, inhalational anesthetics 203 ‘a’ wave, central venous pressure (CVP) 103 blood supply, nose 27 axillary brachial plexus block 70 blood temperature, massive blood transfusion 372 B blood transfusion 369–71 back bar, anaesthetic machine 298 complications 371–3 baclofen 230 massive transfusion 372 trigeminal neuralgia 25 sepsis management 400 Baralyme (barium lime) 310 blood volume barbotage, subarachnoid (spinal) anaesthesia 83 children 167 bariatric surgery 170 neonates/infants 167 barium lime (Baralyme) 310 B lymphocytes 396 barotrauma, protection from 298 body fluid compartments 107 basal metabolic rate (BMR), neonates/infants body mass index (BMI), obesity 170 165 body temperature 327–9 basilic vein 77 cerebral blood flow 148, 149 basophils 396 changes, arterial tourniquet 402 Battle’s sign 29 children 166 behaviour 3 Bohr effect 131 benzodiazepines 241 boiling point 316 antidepressant overdose management 251 bone marrow toxicity, nitrous oxide 207 overdose 252 Boyle’s law 313 stress response to surgery 175 relevance 314 407 © Cambridge University Press www.cambridge.org Cambridge University Press 978-0-521-72644-3 - The Anaesthesia Science Viva Book, Second Edition Simon Bricker Index More information Index brachial plexus 67–71 capnography 291, 292 cross-section 98 capsaicin, complex regional pain syndromes (CRPS) brachial plexus block 68–70 388 brain stem death 365–7 carbamazepine, trigeminal neuralgia 25 evoked potentials 367 carbohydrate metabolism exclusions 365 insulin 276 eye signs 367 liver 58 methods 365 carbonation, local anaesthesia alkalinization 224 see also specific methods carbon dioxide absorption 310 preconditions 365 carbon dioxide lasers 334 pupillary signs 367 carbon dioxide measurement 290–3 breathing 112–16 carbon monoxide heat loss mechanisms 329, 331 poisoning 132 Brewer–Luckhardt reflex 24 production 310 bronchi 38–42 carboxyhaemoglobin 131 bronchoconstriction, asthma 124 carboxyhaemoglobinaemia 290 bronchodilatation, adrenaline 178 carcinoid syndrome 181 bronchomotor tone 123–5 cardiac action potential 235, 236 bronchopulmonary segments 41 cardiac arrhythmias left lung 41 adrenaline 180 right lung 40 b-adrenoceptor blockers 239 bronchoscopy, awareness 284 halothane 202 buffering, plasma proteins 186 local anaesthesia 220 bupivacaine 220, 225–8 magnesium sulphate 265 chirality 193 venous cannulation 18 structure 219, 226 see also anti-arrhythmic drugs toxicity 227 cardiac disease ‘buzz words’ 10–12 adrenaline 180 heart rate reduction 243 C cardiac function Caesarean section 385 body temperature 327 calcium channel blockers 237, 241 hypothermia 330 tocolytic effects 268 ultrasound 338 calcium modifying drugs, complex regional pain cardiac function, preoperative assessment syndromes (CRPS) 388 125–7 calibration
Recommended publications
  • Study Protocol and Statistical Analysis Plan

    Study Protocol and Statistical Analysis Plan

    The University of Texas Southwestern Medical Center at Dallas Institutional Review Board PROJECT SUMMARY Study Title: Ultrasound-guided fascia iliaca compartment block versus periarticular infiltration for pain management after total hip arthroplasty: a randomized controlled trial Principal Investigator: Irina Gasanova, MD Sponsor/Funding Source: Department of Anesthesiology and Pain Management, UT Southwestern Medical School IRB Number: STU 122015-022 NCT Number: NCT02658240 Date of Document: 01 April 2016 Page 1 of 7 Purpose: In this randomized, controlled, observer-blinded study we plan to evaluate ultrasound-guided fascia iliaca compartment block with ropivacaine and periarticular infiltration with ropivacaine for postoperative pain management after total hip arthroplasty (THA). Background: Despite substantial advances in our understanding of the pathophysiology of pain and availability of newer analgesic techniques, postoperative pain is not always effectively treated (1). Optimal pain management technique balances pain relief with concerns about safety and adverse effects associated with analgesic techniques. Currently, postoperative pain is commonly treated with systemic opioids, which are associated with numerous adverse effects including nausea and vomiting, dizziness, drowsiness, pruritus, urinary retention, and respiratory depression (2). Use of regional and local anesthesia has been shown to reduce opioid requirements and opioid-related side effects. Therefore, their use has been emphasized (3, 4, 5, 6). Fascia Iliaca compartment block (FICB) is a field block that blocks the nerves from the lumbar plexus supplying the thigh (i.e., lateral femoral cutaneous femoral and obturator nerves). The obturator nerve is sometimes involved in the FICB but probably plays little role in postoperative pain relief for most surgeries of the hip and proximal femur.
  • Ultrasound-Guided Fascia Iliaca Compartment Block (FICB)

    Ultrasound-Guided Fascia Iliaca Compartment Block (FICB)

    Ultrasound-Guided Fascia Iliaca Compartment Block (FICB) Hip Fracture Any of the following present? 1) Neurologic deficit 2) Multisystem Trauma 3) Allergy to local anesthetic Yes *Anticoagulated patients – physician No discretion Standard Care Procedure Details 1) Document distal neurovascular exam in EPIC 1) PO acetaminophen 2) Consult ortho (do not need to await callback) (1,000mg) 3) Obtain verbal consent from patient 2) Consider 0.1 mg/kg 4) Position Patient and U/S Machine morphine or opioid 5) Order Bupivacaine (dose dependent) a. Max 2 mg/kg equivalent b. i.e. 100 mg safe for 50 kg patient 3) Screening labs, CXR, 6) Standard ASA monitoring (telemetry during procedure with ECG, type and screen continuous pulse oximetry, BP measurement, and IV access) 7) Perform FICB 4) Consult orthopedics and medicine as 8) Inform patients on block characteristics: a. Onset ~ 20 minutes necessary b. Duration ~ 8-12 hours Equipment Required Counseling Ultrasound Machine 1) Linear/Vascular Probe set to “Nerve” Benefits setting for best results Decreases: Anesthetic: 1) Pain 1) 0.5% Bupivacaine (20-30 cc) 2) 1% Lidocaine (3-5 cc) 2) Delirium 3) Opioids Saline (10 cc) 4) Hypoxia Syringes: 1) 30 cc 2) 3-5 cc Risks Needles: 1) Pain at injection site 1) Blunt fill 2) Temporary nerve palsy 2) 25G 3) 18G LP needle 3) Intravascular injection Chloroprep or Alcohol swab(s) 4) Local Anesthetic Systemic Toxicity * (LAST) * LAST (local anesthetic systemic toxicity) 1) Rare and only with intravascular injection which an ultrasound guided approach prevents. 2) Signs include arrhythmias, seizures, convulsions 3) Treatment a.
  • Herestraat 49, B-3000 Leuven Yves Kremer, CU Saint-Luc, Av

    Herestraat 49, B-3000 Leuven Yves Kremer, CU Saint-Luc, Av

    Editor | Prof. Dr. V. Bonhomme CO-Editors | Dr. Y. Kremer — Prof. Dr. M. Van de Velde ACTA ANAESTHESIOLOGICA JOURNAL OF THE BELGIAN SOCIETY OF ANESTHESIOLOGY, RESUSCITATION, PERIOPERATIVE MEDICINE AND PAIN MANAGEMENT (BeSARPP) BELGICA Indexed in EMBASE l EXCERPTA MEDICA ISSN: 2736-5239 Suppl. 1 202071 Master Theses www.besarpp.be Cover-1 -71/suppl.indd 1 12/01/2021 12:37 ACTA ANÆSTHESIOLOGICA BELGICA 2020 – 71 – Supplement 1 EDITORS Editor-in-chief : Vincent Bonhomme, CHU Liège, av. de l’Hôpital 1, B-4000 Liège Co-Editors : Marc Van de Velde, KU Leuven, Herestraat 49, B-3000 Leuven Yves Kremer, CU Saint-Luc, av. Hippocrate, B-1200 Woluwe-Saint-Lambert Associate Editors : Margaretha Breebaart, UZA, Wilrijkstraat 10, B-2650 Edegem Christian Verborgh, UZ Brussel, Laarbeeklaan 101, B-1090 Jette Fernande Lois, CHU Liège, av. de l’Hôpital 1, B-4000 Liège Annelies Moerman, UZ Gent, C. Heymanslaan 10, B-9000 Gent Mona Monemi, CU Saint-Luc, av. Hippocrate, B-1200 Woluwe-Saint-Lambert Steffen Rex, KU Leuven, Herestraat 49, B-3000 Leuven Editorial assistant Carine Vauchel Dpt of Anesthesia & ICM, CHU Liège, B-4000 Liège Phone: 32-4 321 6470; Email: [email protected] Administration secretaries MediCongress Charlotte Schaek and Astrid Dedrie Noorwegenstraat 49, B-9940 Evergem Phone : +32 9 218 85 85 ; Email : [email protected] Subscription The annual subscription includes 4 issues and supplements (if any). 4 issues 1 issue (+supplements) Belgium 40€ 110€ Other Countries 50€ 150€ BeSARPP account number : BE97 0018 1614 5649 - Swift GEBABEBB Publicity : Luc Foubert, treasurer, OLV Ziekenhuis Aalst, Moorselbaan 164, B-9300 Aalst, phone: +32 53 72 44 61 ; Email : [email protected] Responsible Editor : Prof.
  • An Introduction to Anaesthesia

    An Introduction to Anaesthesia

    What You Need to KNoW about An introduction to anaesthesia Introduction divided into three stages: induction, main- n Central neuraxial block, e.g. spinal or Anaesthetic experience in the undergradu- tenance and emergence. epidural (Figure 1 and Table 1). ate timetable is often very limited so it can In regional anaesthesia, nerve transmis- remain somewhat of a mysterious practice sion is blocked, and the patient may stay Components of a general well into specialist training. This introduc- awake or be sedated or anaesthetized dur- anaesthetic tion to the components of an anaesthetic ing a procedure. Techniques used include: A general anaesthetic always involves an will help readers to get more from clinical n Local anaesthetic field block hypnotic agent, usually an analgesic and attachments in surgery and anaesthetics or n Peripheral nerve block may also include muscle relaxation. The serve as an introduction to the topic for n Nerve plexus block combination is referred to as the ‘triad of novice or non-anaesthetists. anaesthesia’. Figure 1. Schematic vertical longitudinal section The relative importance of each com- Types and sites of anaesthesia of vertebral column and structures encountered ponent depends on surgical and patient The term anaesthesia comes from the when performing central neuraxial blocks. * factors: the intervention planned, site, Greek meaning loss of sensation. negative pressure space filled with fat and surgical access requirement and the Anaesthetic practice has evolved from a venous plexi. † extends to S2, containing degree of pain or stimulation anticipated. need for pain relief and altered conscious- arachnoid mater, CSF, pia mater, spinal cord The technique is tailored to the individu- ness to allow surgery.
  • Prepare a Checklist for Spinal Anaesthesia

    Prepare a Checklist for Spinal Anaesthesia

    Prepare A Checklist For Spinal Anaesthesia Secernent Klaus shamoying his tilde blacklead statutorily. Single-breasted and unpresumptuous SiegfriedSebastian entangled desiring her so ameerpartially tissues that Wolfgang deplorably lippen or ostracizes her wiper? exceptionally, is Wesley hieratic? Which Physician about five obstetric anesthesia and other surgeries do i wake up advance directives: check equipment and identify spinal anaesthesia for a checklist was maintained May be associated with induction or spinalepidural anaesthesia. Preparing for minor Patient Guide PDF Sunnybrook. 5 most painful surgeries What many expect Medical News Today. Anesthesia history pending order to develop a patient-specific who for analgesia and. If you still any questions about our Day when Surgery Checklist please strike the. This checklist experience and subcutaneous tissue debris or with epidural or a labor analgesia including after regional anesthesia has been observed in nursing assessment aims to prepare for those just outside the information? If the effects of the spinal anesthesia move now rather and down the spinal cord. Only patients who participate receive sedation or anesthesia during the procedure as to be NPO No significant food or milk products for 6 hours prior to the hello No. Correctly Prepare develop assemble all necessary equipment. Prepare a Patient therefore an Exam Department of Radiology. Anaesthesia for surgery under any other addition to ensure women the wizard is in optimal. Postoperative Care procedure recovery blood pain. Epidural anesthesia will run your contractions feel less intense and like you to relax during your labor Epidurals do not always provide complete debt relief. Pre-operative Preparation &MDI MED Freecon. We also provide additional instructions about how cut prepare your surgery based on.
  • Fascia Iliaca Block in the Emergency Department

    Fascia Iliaca Block in the Emergency Department

    The Royal College of Emergency Medicine Best Practice Guideline Fascia Iliaca Block in the Emergency Department 1 Revised: July 2020 Contents Summary of recommendations ...................................................................................................... 3 Scope ..................................................................................................................................................... 4 Reason for development ................................................................................................................. 4 Introduction .......................................................................................................................................... 4 Considerations ..................................................................................................................................... 4 Safety of FIB ...................................................................................................................................... 4 Improving safety of FIB .................................................................................................................. 5 Controversies regarding FIB ......................................................................................................... 5 Efficacy of FIB ................................................................................................................................... 6 Procedures within ED ....................................................................................................................
  • Education and Implementation of the Fascia Iliaca Block for Acute Hip Fracture Patients

    Education and Implementation of the Fascia Iliaca Block for Acute Hip Fracture Patients

    Education and Implementation of the Fascia Iliaca Block for Acute Hip Fracture Patients Item Type text; Electronic Dissertation Authors Roberts, Chrisanna Marie Citation Roberts, Chrisanna Marie. (2021). Education and Implementation of the Fascia Iliaca Block for Acute Hip Fracture Patients (Doctoral dissertation, University of Arizona, Tucson, USA). Publisher The University of Arizona. Rights Copyright © is held by the author. Digital access to this material is made possible by the University Libraries, University of Arizona. Further transmission, reproduction, presentation (such as public display or performance) of protected items is prohibited except with permission of the author. Download date 07/10/2021 05:44:23 Link to Item http://hdl.handle.net/10150/658627 EDUCATION AND IMPLEMENTATION OF THE FASCIA ILIACA BLOCK FOR ACUTE HIP FRACTURE PATIENTS by Chrisanna Roberts ________________________ Copyright © Chrisanna Roberts 2021 A DNP Project Submitted to the Faculty of the COLLEGE OF NURSING In Partial Fulfillment of the Requirements For the Degree of DOCTOR OF NURSING PRACTICE In the Graduate College THE UNIVERSITY OF ARIZONA 2 0 2 1 2 3 ACKNOWLEDGMENTS I would like to acknowledge my fellow group members, Kaitlin Tilton and Jenna Hernandez for their hard work and collaboration on this project. I would like to acknowledge Dr. Sarah Torabi for chairing this project and academic guidance throughout my doctoral degree. Without her hard work and leadership, this project would not have been possible. I would like to acknowledge Dr. Kristie Hoch and Dr. Chris Herring for their mentorship and educational contributions to my nurse anesthesia practice. I would like to acknowledge Dr. Patricia Daly for her involvement in this project as a committee member.
  • Update in Anaesthesia

    Update in Anaesthesia

    Update in Anaesthesia Pentazocine Karen Henderson Correspondence Email: [email protected] Introduction use with 30 - 40 mg of pentazocine equivalent In 1967 pentazocine became the first opioid to 10 mg morphine. When given by mouth, the agonist-antagonist to be introduced into analgesic action of pentazocine is much weaker clinical practice as an analgesic. It was hoped than morphine and is thought to lie somewhere that pentazocine would prove to be a powerful between that of peripherally acting analgesics analgesic, free of the side-effects of opioid such as paracetamol and weak opioids such as narcotics, particularly avoiding drug dependency. codeine. In practice pentazocine has proved to be less Other actions of pentazocine mirror those of effective than hoped, but it is still used widely in other opioids including respiratory depression, Clinical Overview Articles resource-poor countries. cough suppression, miosis, decreased gastric Chemistry emptying and constipation and increased smooth Pentazocine is a benzmorphan which is muscle tone in the uterus and bladder. However chemically related to morphine. It is a white or in normal use these effects are usually of little cream, odourless, crystalline powder. It consists clinical significance. of a racemic mixture of dextro- (d) and laevo- In contrast to other strong opioid analgesics Summary (l) isomers which is soluble in acidic aqueous however, there is a dose-related systemic This article describes solutions. Pentazocine hydrochloride is used for and pulmonary hypertension, increased left the pharmacology oral use and the lactate form is used for parenteral ventricular end-diastolic pressure and a rise in and rectal administration. and clinical uses of central venous pressure, probably as a result of the opioid agonist- Molecular weight (free base)........................321.9 a rise in plasma catecholamine concentrations.
  • The Anaesthetic Machine August 2017 What Does the Anaesthetic Machine Do?

    The Anaesthetic Machine August 2017 What Does the Anaesthetic Machine Do?

    The Anaesthetic Machine August 2017 What does the anaesthetic machine do? What does the anaesthetic machine do? • Controlled delivery of gases and drug • Control of gas flow and pressure • Monitoring of gas and drug delivery • Multiple safety features to protect machine and patient Who is responsible for the machine? Who is responsible for the machine? • Anaesthetist? • ODP? • Trust? Why do a machine check? Why learn about the machine check? • Safe delivery of anaesthesia – Oxygen – Anaesthetic gases • Useful in exams • Part of the basic competence certificate Machine Check Self-inflating bag AMBU bag Power Supply Power supply • Find power supply • Are the lights on? Gas Supply and Suction Tug Test • Wall: Schrader valves – Colour/name coded wall outlet and hose – Shaped index collar connection – Anti-kink hose • Machine: NIST – Colour/name coded Gas cylinders Gas cylinders • Back up gas supply • Colour coded • Fill level? • Turned on?off? Gas cylinders • Back up gas supply • Colour coded • Fill level? • Turned on?off? Pressure Gauges • Cylinder • Pipeline Flowmeters • Controls O2:Air:N2O mix • Working? Sticking? Spinning? • Hypoxic guard • Colour, shape and location coding Electronic Controls Emergency O2 Flush • High Flow O2 (75L/min at pipeline pressure) • Risk: – Volutrauma – Barotrauma – Awareness Suction • Clean • Working • To hand Breathing System Vapourisers • Tec • Aladin Cassettes – Select-a-tec – Correct agent – Meniscus level – Meniscus level – Seated securely Vapourisers • Provision of volatile agent • Check fill level • Desflurane
  • Perioperative

    Perioperative

    Health Care Guideline: Perioperative Index Table Sixth Edition January 2020 1. General Preoperative Management Preoperative Health Screening and Assessment Preoperative Testing Electrocardiogram Chest X-ray Hemoglobin/Hematocrit Testing Potassium/Sodium Testing Renal Function (Creatinine) Testing Pregnancy Testing Hemostasis (Coagulation) Testing Glucose Testing in Nondiabetic Patients Sleep Apnea Nicotine Cessation Preparation for Surgery 2. Perioperative Management of Select Conditions Cardiovascular Considerations Prevention of Endocarditis Anticoagulants/Antithrombotics Diabetes Mellitus 3. Perioperative Opioid Management Preoperative Opioid Management Preoperative Patient Education Preoperative Opioid Risk Assessment and Mitigation Preoperative Opioid Use Intraoperative Pain Management Postoperative Opioid Management Postoperative Opioid Prescribing Postoperative Patient Education Perioperative Considerations for Patients with Opioid Use Disorder (OUD) Patients on Medication-Assisted Treatment (MAT) Patients Not on Medication-Assisted Treatment (MAT) Return to Table of Contents www.icsi.org Copyright © 2020 by Institute for Clinical Systems Improvement 1 Perioperative Sixth Edition /January 2020 Table of Contents Perioperative Perioperative Annotations ..........................................................................................1–59 Guideline Work Opioid Index Table ................................................................................................1 Group Leader Management Evidence Grading .....................................................................................3
  • Treatment for Acute Pain: an Evidence Map Technical Brief Number 33

    Treatment for Acute Pain: an Evidence Map Technical Brief Number 33

    Technical Brief Number 33 R Treatment for Acute Pain: An Evidence Map Technical Brief Number 33 Treatment for Acute Pain: An Evidence Map Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Contract No. 290-2015-0000-81 Prepared by: Minnesota Evidence-based Practice Center Minneapolis, MN Investigators: Michelle Brasure, Ph.D., M.S.P.H., M.L.I.S. Victoria A. Nelson, M.Sc. Shellina Scheiner, PharmD, B.C.G.P. Mary L. Forte, Ph.D., D.C. Mary Butler, Ph.D., M.B.A. Sanket Nagarkar, D.D.S., M.P.H. Jayati Saha, Ph.D. Timothy J. Wilt, M.D., M.P.H. AHRQ Publication No. 19(20)-EHC022-EF October 2019 Key Messages Purpose of review The purpose of this evidence map is to provide a high-level overview of the current guidelines and systematic reviews on pharmacologic and nonpharmacologic treatments for acute pain. We map the evidence for several acute pain conditions including postoperative pain, dental pain, neck pain, back pain, renal colic, acute migraine, and sickle cell crisis. Improved understanding of the interventions studied for each of these acute pain conditions will provide insight on which topics are ready for comprehensive comparative effectiveness review. Key messages • Few systematic reviews provide a comprehensive rigorous assessment of all potential interventions, including nondrug interventions, to treat pain attributable to each acute pain condition. Acute pain conditions that may need a comprehensive systematic review or overview of systematic reviews include postoperative postdischarge pain, acute back pain, acute neck pain, renal colic, and acute migraine.
  • Anaesthetic Machine Anatomy

    Anaesthetic Machine Anatomy

    Anaesthetic Machine Anatomy Year Group: BVSc3 + Document Number: CSL_A00 Equipment list: Anaesthetic Machine Anatomy Equipment for this station: • Anaesthetic machine • Name labels • Function labels Considerations for this station: • Do not attempt to attach cylinders or connect the oxygen pipeline, this machine is for reference only and is NOT a working machine. • The first time you try to complete this task it may be worth refreshing your memory of the anaesthetic machine by reading the section of this booklet marked ‘Answers’. Anyone working in the Clinical Skills Lab must read the ‘CSL_I01 Induction’ and agree to abide by the ‘CSL_I00 House Rules’ & ‘CSL_I02 Lab Area Rules’ Please inform a member of staff if equipment is damaged or about to run out. Clinical Skills: Anaesthetic Machine Anatomy 1 2 3 Using the name labels On the bottom of the name On some of the function provided, name each part of label, place a function label labels there are additional the anaesthetic machine (match the circular tabs). questions. (match/stick the white square Place the correct answers in velcro tab to the yellow the space provided (match square tab). the semi-circular tabs). 4 5 You will need to lift the lid Once you have placed all of to find all of the the labels, use the components! information on the following pages of this booklet to check your answers. Here are some online resources and tutorials that you may find useful: 1. http://mhra.gov.uk/learningcentre/AnaestheticMachines/player.html 2. https://www.youtube.com/watch?v=1LY0eAzrIrE ANSWERS: Anaesthetic Machine Anatomy ANSWERS The following pages contain the answers i.e.