There are numerous clinical indications and benefits of using propofol-based total intravenous anaesthesia (TIVA) in children. While many aspects of TIVA can be translated from adults to children, there are some important considerations and limitations that anaesthetists should be aware of. This tutorial will discuss a practical approach to providing propofol-based TIVA for children.
The tutorial covers anatomy and physiology of the pancreas and the pathophysiology and perioperative management of patients with pancreatic adenocarcinoma and neuroendocrine tumours. Risk stratification, management of preoperative anaemia and role of enhanced recovery programme for Whipple’s procedure are discussed.
This tutorial discusses the importance of blood conservation techniques and the strategies to achieve this during the pre-operative, intra-operative and post-operative period of patient journey.
Anaemia is a common, modifiable risk factor contributing to post-operative morbidity and mortality. A complex range of aetiologies can often co-exist in an individual patient, leading to confusing and conflicting results. This tutorial discusses screening, diagnosis, and management of pre-operative anaemia.
Accidental Awareness during General Anaesthesia (AAGA) has been demonstrated to be more common in obstetric practice than in any other area of anaesthesia. Factors contributing to this increased risk include maternal stress or anxiety, emergency surgery and the “intravenous-inhalational” interval. This tutorial describes some strategies for managing this increased risk.
The management of the pregnant woman with a history of addiction or substance abuse can be challenging. This tutorial focuses on the pathophysiological effects of drug addiction, providing safe perioperative care and achieving effective analgesia both during labour and post-caesarean section.
Trans-Oral Robotic Surgery (TORS) is used for minimally invasive procedure for head and neck surgery. Potentially difficult airway and stimulating nature of the procedure requires a specific anaesthetic technique. Opioid based multi-modal analgesia is required for possible severe post-operative pain. This tutorial presents anaesthesia management for TORS.
The tutorial describes post-operative cognitive disorders and the implications on anaesthesia practice. An understanding of post-operative delirium and use of preventative strategies can improve morbidity and mortality in this vulnerable patient group.
This tutorial is a practical guide to ultrasound guided supraclavicular brachial plexus block. Relevant anatomy and indications for the block are described in detail. It also contains useful advice on which local anaesthetic to use, relevant doses, potential complications and side effects.
The Maternal Early Warning Score (MEWS) is a system designed to help early detection of sick mothers and potentially allows the opportunity to intervene and prevent deterioration. This tutorial discusses the application of MEWS and the evidence behind its use.