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Posted in: ATOTW > Anaesthesia 2019 Language: english

ARDS is a syndrome of hypoxaemic respiratory failure associated with non-cardiogenic pulmonary oedema which occurs in 10% of ICU patients. ARDS is often associated with multiple organ dysfunction and carries a high mortality, morbidity and financial cost. Due to its prevalence in the critical care patient population, it is important for physicians to understand some principles of management that may help reduce the mortality and morbidity of the syndrome.

Posted in: UIA > Obstetric Anaesthesia 2019 Language: english

Postpartum hemorrhage remains the leading cause of maternal mortality and morbidity. Oxytocic drugs are the main stay in prevention as well as treatment. Oxytocin remains the drug of choice

Posted in: UIA > Obstetric Anaesthesia 2019 Language: english

Deaths of babies in the first 28 days of life in resource-limited countries can be significantly reduced with a small number of low-tech interventions. This article summarises the core equipment and skills needed for the resuscitation of newborns where equipment is limited and skilled paediatric support is not available.

Posted in: UIA > Obstetric Anaesthesia 2019 Language: english

Physiological changes in the parturient occur due to the needs of the developing foetus. Understanding these changes is important when administering anaesthesia to the obstetric patient. Additionally, understanding the physiological effects in the foetus allows for appropriate intrauterine monitoring and expedient delivery if there are signs of foetal hypoxia.

Posted in: UIA > Obstetric Anaesthesia 2019 Language: english

Sepsis remains one of the four main causes of maternal mortality. Common causes of severe sepsis & septic shock during pregnancy include pyelonephritis, infection during labour and peurpurium & respiratory infection.

Posted in: UIA > Obstetric Anaesthesia 2019 Language: english

Trauma during pregnancy is the leading non-obstetrical cause of maternal death and remains the most common cause of foetal demise. Trauma management needs multidisciplinary team of emergency physician, obstetrician, anesthesiologist & surgeons. Major trauma causes obstetric & fetal complications & may end by maternal death.

Posted in: UIA > Obstetric Anaesthesia 2019 Language: english

Obesity is one of the greatest public health challenges of the 21st century. Obesity during pregnancy puts the mother, fetus and neonate at higher risk of morbidity and mortality during the antenatal, intrapartum and postnatal periods.

Posted in: UIA > Obstetric Anaesthesia 2019 Language: english

The anaesthesiologist’s expertise in treatment of the parturient and massive haemorrhage resuscitation is a valuable component of the multidisciplinary care team’s capacity to reduce maternal and perinatal morbidity and mortality. This article reviews recent updates in the diagnosis and management of placental pathology and will present challenges facing today’s obstetric anesthesiologist.

Posted in: UIA > Obstetric Anaesthesia 2019 Language: english

Pre-eclampsia causes significant morbidity and mortality to both mother and foetus worldwide, the major causes being delayed diagnosis and poor management. Identifying the parturient at risk of developing pre-eclampsia is paramount and optimising this patient cohort is key. Early management of pre-eclampsia favours a better outcome with magnesium sulphate and anti-hypertensive medications being the mainstay of treatment.

Posted in: UIA > Obstetric Anaesthesia 2019 Language: english

The cause of maternal collapse and cardiorespiratory arrest is not always immediately apparent. A generic approach based on Basic and Advanced Adult Life Support is recommended. Key modifications to these algorithms are required in pregnancy. These include early intubation and the use of lateral tilt or uterine displacement.

Posted in: UIA > Obstetric Anaesthesia 2019 Language: english

The health of women correlates strongly with the social and economic well-being of a community. However, pain during childbirth is undertreated in variable resource environments Epidurals provide safe and efficient provision of anesthesia for unplanned or emergent cesarean delivery. This article focuses on establishing an epidural service to provide labour analgesia and anesthesia for nonscheduled cesarean delivery.

Posted in: UIA > Obstetric Anaesthesia 2019 Language: english

Labour epidurals provide safe, effective analgesia with minimal side effects to mother and fetus. Knowledge of anatomy and pain pathways are key to providing epidural analgesia to labouring parturients. Consent can be challenging during active labour.

Posted in: UIA > Obstetric Anaesthesia 2019 Language: english

Total spinal or a high neuraxial blockade is a recognised complication of central neuraxial techniques. A high number of incidents of a high neuraxial block are being reported in obstetrics following the increased use of neuraxial anaesthesia.

Posted in: UIA > Obstetric Anaesthesia 2019 Language: english

Caesarean section is the most frequently performed obstetric surgical procedure, and spinal anaesthesia is a common anaesthetic technique used across the world. It produces rapid, dense, predictable block, is relatively easy to perform with a definite end point and has a very high success rate.

Posted in: UIA > Obstetric Anaesthesia 2019 Language: english

General anaesthesia for caesarean section entails the risk of life-threatening complications such as difficult airway management and aspiration pneumonia, and it is therefore recommended that it be avoided whenever possible in favour of neuraxial anaesthesia.

Posted in: UIA > Obstetric Anaesthesia 2019 Language: english

Obstetric airway management has long been associated with an increased risk of failed tracheal intubation and airway-related morbidity and mortality. However, there is little evidence that failed intubation rates have fallen despite recent advances in airway equipment and techniques.

Posted in: UIA > Obstetric Anaesthesia 2019 Language: english

Members of WFSA's Obstetric anaesthesia committee and experts in obstetrics anaesthesia from around the globe, offers an important contribution to improve patient care and access to safe peripartum care.

Posted in: UIA > Obstetric Anaesthesia 2019 Language: english

A significant number of women undergo anesthesia and surgery during pregnancy for procedures unrelated to delivery. In order to provide safe anaesthesia for mother and fetus, it is essential for the anesthetist to have thorough understanding of the physiological and pharmacological changes that characterize the three trimesters of pregnancy. A multidisciplinary team approach is highly recommended to ensure an adequate standard of care.

Posted in: UIA > Obstetric Anaesthesia 2019 Language: english

Update in Anaesthesia the official education journal of the WFSA. provides clear, concise and clinically-relevant overview articles for anaesthetists working with limited resources around the world.

Posted in: ATOTW > General Topics 2019 Language: english

The tutorial aims to raise awareness of irrigation fluids that are commonly come across in operations. It covers the pharmacological properties of irrigation fluid, potential complications associated with its intraoperative use and measures to limit negative outcomes.

Posted in: ATOTW > Regional Anaesthesia 2019 Language: english

This tutorial provides a review of the ultrasound guided infraclavicular brachial plexus block including clinical indications and contraindications, sonoanatomy, and helpful tips on block performance.

Posted in: ATOTW > General Topics 2019 Language: english

This tutorial reviews the anaesthetic considerations for urological robotic procedures, covering the pre, intra and post operative stages.

Posted in: ATOTW > Pain 2019 Language: english

Tramadol and tapentadol are two related molecules that are being used to treat acute pain. In this tutorial we discuss the basic pharmacology, safety and efficacy of both medications. As well, indications for use, safety recommendations and abuse potential are discussed.

Posted in: ATOTW > Basic Sciences 2019 Language: english

This tutorial reviews the clinical uses of tranexamic acid, its mechanism of action and pharmacokinetics, contraindications and side effects.

Posted in: ATOTW > Basic Sciences 2019 Language: english

Non steroidal inflammatory drugs are an effective simple analgesic medication that all anaesthetists should be familiar with. Although highly effective they have a complex mode of action and many possible side effects and drug interactions. It is vital to know the basic pharmacology when prescribing these medications to avoid any complications.

About the Library

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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