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Posted in: ATOTW > General Topics 2019 Language: portuguese

Este tutorial descreve transtornos cognitivos pós-operatórios e as implicações na prática anestésica. A compreensão do delirium pós-operatório e do uso de estratégias de prevenção podem melhorar a morbidade e mortalidade neste grupo de pacientes vulneráveis.

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: ATOTW > Intensive Care Medicine 2019 Language: portuguese

Este tutorial apresenta um resumo das evidências sobre a cetamina e seus diversos usos. Inclui uma discussão sobre o seu papel enquanto droga anestésica e analgésica em cuidados pré-hospitalares, serviços de emergência, salas de cirurgia e unidades de cuidados críticos.

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

A pneumonia associada à ventilação mecânica é uma causa significativa de morbidade e mortalidade em pacientes gravemente doentes que passam por ventilação mecânica invasiva via tubo endotraqueal ou traqueostomia. Neste artigo, discutiremos a incidência, sistemas de pontuação, patofisiologia, prevenção, fatores de risco, diagnóstico e tratamento desta condição.

Posted in: ATOTW > Regional Anaesthesia 2019 Language: french

Ce tutoriel est un guide pratique sur le blocage du plexus brachial supra-claviculaire sous échographie. L'anatomie et les indications pertinentes pour le bloc sont décrites en détail. Il contient également des conseils utiles sur l'anesthésique local à utiliser, les doses pertinentes, les complications potentielles et les effets secondaires.

Posted in: ATOTW > Obstetric Anaesthesia 2019 Language: portuguese

A recuperação sanguínea intraoperatória (RIS) é uma alternativa segura à transfusão de sangue alogênico em casos de hemorragia pós-parto. O tutorial descreve como funciona o circuito de RIS e apresenta as indicações, contraindicações, vantagens, desvantagens e riscos do uso de RIS em obstetrícia.

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 > General Topics 2019 Language: portuguese

HIPEC, uma quimioterapia intraperitoneal hipertérmica altamente concentrada, é administrada diretamente no abdomen durante a cirurgia como tratamento multimodal eficaz para pacientes selecionados com malignidade da superfície peritoneal. O tutorial aborda os aspectos anestésicos e impactos fisiológicos do procedimento.

Posted in: ATOTW > General Topics 2019 Language: portuguese

Este tutorial oferece uma visão geral de como lidar com as alterações fisiológicas complexas e desafios da anestesia em transplantes hepáticos. Após a sua leitura, o leitor deverá estar ciente dos principais tópicos perioperatórios em pacientes com insuficiência hepática e da necessidade de abordagens multidisciplinares para garantir um bom desfecho.

Posted in: ATOTW > Regional Anaesthesia 2019 Language: portuguese

Este tutorial é sobre bloqueio paravertebral guiado por ultrassom (PVB). Aborda a anatomia básica, indicações para o PVB e as complicações associadas. Detalhamos a preparação necessária para fazer o PVB e discutimos 3 abordagens comuns guiadas por ultrassom.

Posted in: ATOTW > General Topics 2019 Language: portuguese

Este tutorial apresenta os fatores de risco para isquemia miocárdica perioperatória. Também aborda as evidências de técnicas anestésicas nesse grupo de alto risco e o manejo de isquemia miocárdica intraoperatória.

Posted in: ATOTW > General Topics 2019 Language: spanish

Este tutorial analiza la importancia de las técnicas de conservación de sangre y las estrategias para lograrlo durante el período preoperatorio, intraoperatorio y postoperatorio del paciente.

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 > General Topics 2019 Language: chinese

贫血是一种常见的、可改变的、影响术后发病率和死亡率的危险因素。一个患者身上可并存一系列的复杂病因并导致混乱和冲突的结果。本教程将探讨术前贫血的筛查、诊断和处理。

Posted in: ATOTW > Obstetric Anaesthesia 2019 Language: chinese

已证实全身麻醉期间的意外意识(AAGA) 在产科实践中比在任何其他麻醉领域更常见。导致这种风险增加的因素包括母亲压力或焦虑,紧急手术和“静脉 – 吸入”间隔。本教程介绍了一些管理此风险增加的策略。

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 > General Topics 2018 Language: chinese

经口腔机器人手术是一种适用于头颈外科的微创手术。其潜在的困难气道和手术强刺激对麻醉技术提出更高要求。基于阿片类药物的多模式镇痛可有效减轻术后严重疼痛现象。本教程介绍了TORS麻醉管理要点。

Posted in: ATOTW > General Topics 2018 Language: chinese

本教程描述了术后认知功能异常以及与麻醉实践的关系,理解术后谵妄并采取预防性措施可降低易感患者人群的患病率及死亡率。

Posted in: ATOTW > Regional Anaesthesia 2018 Language: chinese

教程的简要描述:本教程时超声引导下的锁骨下臂丛阻滞的实用指南。详细描述了该块的相关解剖及适应症。它还包含了一些有用的建议,包括局部的使用、相关剂量、潜在的并发症和副作用。

Posted in: ATOTW > Obstetric Anaesthesia 2018 Language: spanish

El rescate celular intraoperatorio en obstetricia es una opción o alternativa segura a la transfusión de sangre alogénica durante una hemorragia postparto. Este tutorial describirá como trabaja el circuito de rescate celular y revisa las indicaciones, contraindicaciones, ventajas, desventajas y riesgos del rescate celular intraoperatorio en obstetricia.

Posted in: ATOTW > Obstetric Anaesthesia 2018 Language: chinese

孕产妇早期预警评分(MEWS)系统是一项旨在能早期发现患病母体,以致于有机会进行干预并防止病情恶化的评分系统。此教程将讨论MEWS的临床应用及其证据支持。

Posted in: ATOTW > General Topics 2018 Language: chinese

本教程旨在为读者提供一个用于了解麻醉肝移植复杂的生理变化和挑战的框架。阅读本文后,读者能够理解常见的围绕肝功能衰竭患者围手术期问题,并认识到预后取决于多学科的管理方法。

Posted in: ATOTW > Obstetric Anaesthesia 2018 Language: chinese

硬膜外分娩镇痛系列的第二篇文章介绍了4例需要确定最合理椎管内镇痛技术的病例,它涵盖了硬膜外麻醉失败的原因以及如何采取措施纠正错误。

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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