There can be few more challenging scenarios for non-paediatric intensive care teams than the initial management and stabilisation of a sick neonate. The 2 articles in this series will provide practical advice for doctors and nurses from adult critical care, anaesthesia, paediatric and emergency medicine backgrounds. The first part of the series focuses on recognition and initial management of neonatal collapse.
Anaesthesiologists’ mental health is commonly overlooked and disregarded. Ensuring favourable professional well-being requires awareness, recognition and dedication for cultivating a healthy mindset. This tutorial discusses occupational related stress in anaesthesia, associated risk factors, coping capacities, individual and organisational initiatives to safeguard professional well-being.
An airway fire can be defined as a fire that occurs within a patient’s airway or that which involves an in-situ airway device or contiguous breathing circuit. Though uncommon event since the discontinuation of older more flammable anaesthetic agents, they are nonetheless associated with potentially devastating patient morbidity and mortality. An awareness of its risk factors is important for anesthesia providers in order to minimize its occurrence and to provide prompt and effective treatment should it arise.
Prolonged fasting in children, especially infants can result in dehydration, hypoglycaemia, hypovolaemia, hypotension, and other metabolic complications. A lot of debate in the recent years has risen about the usefulness of prolonged periods of fasting. Ideally children should not be starved for longer than absolutely necessary. This article explores the new guidelines surrounding this issue.
Many assume that healthcare providers see the effects of substance use disorders (SUD) on individuals as well as society. It is believed that such exposure serves to discourage the use of such drugs. Healthcare providers are in no way protected from such diseases. In fact healthcare providers have about the same incidence as the general population but unlike those outside of medicine, have the lives of members of society in their hands.
Bone Cement Implantation Syndrome (BCIS) is a potentially fatal complication of orthopaedic surgery involving pressurised bone cement. This tutorial describes the clinical features and classification of BCIS, along with its incidence and proposed pathophysiological mechanisms. It also covers the prevention, recognition and management of BCIS, which is important for every anaesthesia provider.
This tutorial discusses the feasibility of neuraxial anesthesia in a parturient with scoliosis or previous spinal surgery with emphasis on the challenges, practical tips as well as alternative approaches to labor analgesia.
Ultrasound is a favourite tool of the anaesthetist, but is seldom used in neuraxial anaesthesia. This tutorial aims to enlighten the reader; show the evidence behind neuraxial ultrasound, and guide them through the process of performing ultrasound guided neuraxial blocks, so they may consider integrating it into their own practice.
Minimally invasive aortic valve replacement using transcatheter techniques has become commonplace in health centre’s worldwide. As experience of the technique and valve technology rapidly progress anaesthesiologists are increasingly required to help facilitate safe care in hybrid operating theatres. This tutorial aims to provide a summary on the perioperative management of patients for this procedure.
Intrathecal opioids provide effective analgesia for a variety of surgical procedures. This tutorial provides an overview of the clinical indications, complications and recommendations on their safe and effective use.