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Latest Documents

Posted in: ATOTW > Basic Sciences 2020 Language: english

This tutorial explores the basic science and physiology of the endogenous hormone vasopressin, and the uses of vasopressin and its synthetic analogues in modern medical practice.

Posted in: ATOTW > Paediatric Anaesthesia 2020 Language: english

O uso da cirurgia laparoscópica atualmente é o padrão de terapia para muitos procedimentos abdominais e pélvicos em crianças de todas as idades. Oferece vantagens em comparação a procedimentos abertos em pacientes adultos e pediátricos, incluindo tempos de internação mais curtos, custos mais baixos, menos infecções e complicações (1.2). Os procedimentos aos quais a laparascopia pode ser aplicada incluem várias indicações abdominais, pélvicas e urológicas, como mostrado na Tabela 1. O manejo perioperatório dessas cirurgias apresenta desafios únicos ao anestesista, e os pacientes pediátricos em particular exigem considerações especiais quando comparados a adultos. Isso exige uma compreensão abrangente da fisiologia pediátrica e das nuances do procedimento cirúrgico. Após concluir este tutorial, o aprendiz entenderá o escopo de cirurgias laparoscópicas pediátricas, as alterações fisiológicas associadas e o manejo anestésico de tais casos.

Posted in: ATOTW > Regional Anaesthesia 2020 Language: english

Introduced by Blanco et al, serratus plane block is a novel form of ultrasound guided regional anaesthesia which can achieve complete paraesthesia of the hemithorax. In this tutorial, we will provide an overview of the serratus plane block, considering the anatomy, indications, sonoanatomy and technique.

Posted in: All > COVID-19 2020 Language: english

The impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on postoperative recovery needs to be understood to inform clinical decision making during and after the COVID-19 pandemic. This study reports 30-day mortality and pulmonary complication rates in patients with perioperative SARS-CoV-2 infection

COVID-19 will be around for the foreseeable future and infection rates may fluctuate as public health measures relax. A significant backlog of surgical work is being created in addition to those patients on waiting lists before the present crisis. Retaining an expanded workforce and resources to deal with all of these patients is essential, but illness, fatigue and social issues among healthcare workers all threaten the necessary increase in surgical activity that is needed. This document from the Royal College of Surgeons provides a list of principles, recommendations and key considerations in order to facilitate elective surgery. These can be used in combination with national, specialty and local trust recovery plans.

Preventing a Parallel Pandemic — A National Strategy to Protect Clinicians’ Well-Being

Posted in: ATOTW > COVID-19 2020 Language: english

As the COVID-19 pandemic continues to place unprecedented demands on healthcare systems across the globe our understanding of how best to care for these patients continues to evolve and presents many fresh challenges. Here we present a systems-based, practical guide for the management of COVID-19 patients in intensive care.

Posted in: ATOTW > Pain 2020 Language: english

This tutorial covers basic physiology and the principles of pain management including assessment, pharmacologic and regional analgesia techniques in elderly patients.

Posted in: Other > COVID-19 2020 Language: english

Pediatric anesthetists have an important role to play in the management of patients suspected or confirmed to have COVID-19. In many institutions, the COVID-19 intubation teams are staffed with anesthetists as the proceduralists working throughout the hospitals also in the ICU and Emergency Departments. As practitioners who perform aerosol generating procedures involving the airway, we are at high risk of exposure to the virus SARS-CoV-2 and need to ensure we are well prepared and trained to manage such cases. This article reviews the relevant pediatric literature surrounding COVID-19 and summarizes the key recommendations for anesthetists involved in the care of children during this pandemic.

Posted in: Other > COVID-19 2020 Language: english

Word version of Covid-19 Surgical Patient Checklist for local adaptation

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WFSA's virtual library is a resource hub made up of our own publications and other open source material that we recommend for anaesthesia providers around the world. It contains a variety of media and can be searched according to keyword, publication and specialist category ensuring that the user finds the most relevant resource for their needs.

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The WFSA Virtual Library is for use by qualified anaesthesia providers and those pursuing a qualification in anaesthesia. Its content is supplementary to more formal education and is offered for informational purposes only. Whilst the WFSA has taken every care to ensure that content is accurate we can not be held responsible for any loss, damage or inconvenience caused as a result of any error or inaccuracy within the library.

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