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.
PECS blocks are regional fascial blocks that block the pectoral and intercostal nerves and provides analgesia for breast surgery and other procedures involving the thoracic wall. This tutorial covers the anatomy, technique and tips for performing PECS blocks.
Management of pregnant women with haemoglobinopathies and thrombophilia disorders can be challenging. This tutorial provides an overview of clinical presentation and key elements of anaesthetic management of these patients.
An update on learning from recent anaesthesia-related patient safety incidents reported in the UK. This tutorial covers three areas featured in these reports: complications of vascular access, local anaesthetic systemic toxicity, and anaphylaxis.
Accurate risk prediction allows identification of high risk patients and improves decision making including allocation of critical care resources. This article below describes both surgery and patient specific risk stratification tools and their applicability and limitations.