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Posted in: ATOTW > Paediatric Anaesthesia 2019 Language: english

Diabetes mellitus is the most common endocrine disorder in children. The peri-operative period can disrupt glucose control resulting in hypo and hyperglycaemia. Multi-disciplinary management is important to optimise glucose control and minimise complications. Insulin pump therapy is increasing in children and anaesthetists should be familiar with management.

Posted in: ATOTW > Regional Anaesthesia 2019 Language: english

A review of the anatomy of the sciatic nerve and its branches, and the indications, contraindications and technique for ultrasound guided popliteal block.

Posted in: ATOTW > Regional Anaesthesia 2019 Language: english

This tutorial reviews the anatomy of the brachial plexus and adjacent structures relevant to the interscalene block. It also discusses of the indications, contraindications, side effects and complications of the interscalene block and a step-by-step description of the ultrasound guided interscalene nerve block technique.

Posted in: ATOTW > Paediatric Anaesthesia 2019 Language: english

This tutorial aims to describe the available national society guidelines on managing pediatric airways, and to compare the difficult airway trolleys of two different institutions from different resource settings.

Posted in: ATOTW > Intensive Care Medicine 2019 Language: english

Pre-hospital emergency anaesthesia refers to induction of anaesthesia and securing the airway in the pre-hospital environment. It is high risk due to patient factors and the pre-hospital environment. Many factors should be addressed to minimise risks. This tutorial explores some of these factors and discusses recent changes in practice.

Posted in: UIA > Patient Safety 2019 Language: english

This article explores the future of surgical capacity indicators.

Posted in: UIA > Patient Safety 2019 Language: english

This article outlines The Anesthesia Patient Safety Foundation (APSF)'s vision statement, mission and focus.

Posted in: UIA > Patient Safety 2019 Language: english

In this narrative review, the authors discuss two commonly used long-term venous access devices: implantable ports and tunnelled catheters.

Posted in: UIA > Patient Safety 2019 Language: english

This article explores in detail the The Vital Anaesthesia Simulation Training (VAST) course, which was developed for anaesthesia providers and is a collaborative project between partners in Rwanda and Canada.

Posted in: UIA > Patient Safety 2019 Language: english

This article provides an overview and commentary of the WFSA SAFE-T Summit in 2018.

Posted in: UIA > Patient Safety 2019 Language: english

This article explores the management of malignant hyperthermia, a rare inherited disorder that develops following exposure to volatile anaesthetic agents and depolarising muscle relaxants.

Posted in: UIA > Patient Safety 2019 Language: english

What is needed next for global surgery, obstetrics and anaesthesia is not a simple linear process; rather, it is a cycle of three co-dependent elements: data, NSOAPs and funding.

Posted in: UIA > Patient Safety 2019 Language: english

Patient safety is normally defined as omission of harm during medical care in hospital. Relative to the global challenge, a wider scope is needed, including the primary care sector and coverage of care, or lack thereof, as well as quality of care.

Posted in: UIA > Patient Safety 2019 Language: english

This article focuses on the SAFE-T Summit 2018 and its implications.

Posted in: UIA > Patient Safety 2019 Language: english

Surgical and anaesthesia care are undeniably critical to strengthening healthcare systems worldwide and they are steadily gaining support from the World Health Organization (WHO).

Posted in: UIA > Patient Safety 2019 Language: english

This article explores a human resource shortage compounded by the fact that the skills, competencies and clinical experience of providers are often poorly suited to the health needs of the populations being served.

Posted in: UIA > Patient Safety 2019 Language: english

Following the production of International Standards for a Safe Practice of Anaesthesia by the World Federation of Societies of Anaesthesiologists (WFSA) in 1992, which were revised in 2008 and 2010, the European Society of Anaesthesiologists (ESA) and European Board of Anaesthesiology (EBA) launched the Helsinki Declaration on Patient Safety in Anaesthesiology.

Posted in: ATOTW > General Topics 2019 Language: english

There is evidence that intraoperative neurophysiological monitoring reduces neurological disability from surgery, but universal protocols & guidelines are lacking. The anaesthetist plays an important role in evaluating the impact of anesthesia & physiology on IOM signals and optimising these factors. Here we discuss the IOM modalities commonly used & the management of signal changes.

Posted in: ATOTW > Paediatric Anaesthesia 2019 Language: english

This tutorial covers the unique perioperative management and anesthetic considerations of a pediatric patient undergoing a craniopharyngioma resection. It describes the different aspects approached by the multidisciplinary team involved in the care of a child with a craniopharyngioma. Possible intraoperative and postoperative complications, as well as neurophysiological factors are described.

Posted in: ATOTW > Obstetric Anaesthesia 2019 Language: english

This tutorial covers the neuraxial analgesia/anaesthesia-related complications and their management in obstetric patients. Complications are divided into four main categories including neurological, cardiovascular, drug related and miscellaneous. This tutorial includes up-to-date recommendations related to neuraxial blocks.

Posted in: ATOTW > General Topics 2018 Language: english

Evidence is rapidly emerging that prehabilitation may improve patient preoperative fitness, leading to better postoperative outcomes. This tutorial provides an overview of the evidence supporting prehabilitation, as well as practical suggestions for those interested in initiating a prehabilitation programme.

Posted in: ATOTW > Obstetric Anaesthesia 2018 Language: english

Failed tracheal intubation is more common in the obstetric population despite widespread adoption of failed intubation drills and equipment advances. This tutorial provides a practical approach to safe obstetric airway management and the actions to take when problems arise including measures to maintain oxygenation and appropriate decision making.

Posted in: ATOTW > Paediatric Anaesthesia 2018 Language: english

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.

Posted in: ATOTW > General Topics 2018 Language: english

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.

Posted in: ATOTW > General Topics 2018 Language: english

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.

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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