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Posted in: All > Paediatric Anaesthesia 2020 Language: portuguese

O tutorial descreverá o manejo anestésico de pacientes pediátricos submetidos a cirurgia laparoscópica. O leitor será orientado por mudanças fisiológicas que ocorrem durante a laparoscopia bem como s manejo perioperatório apropriado, desde a entrevista pré-operatória até a alta da unidade de terapia pós-anestésica.

Posted in: ATOTW > Regional Anaesthesia 2020 Language: portuguese

Finalmente, em no máximo 50 palavras, você poderia por gentileza fornecer uma breve descrição do que este tutorial trata. Favor incluir uma imagem que você gostaria que aparecesse ao lado de seu tutorial quando este for publicado online – esta imagem pode ser uma figura extraída de seu tutorial.

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

In the face of an unprecedented pandemic, facemasks became part of our daily lives, and yet we know little about this seemingly low-tech piece of device. This tutorial reviews the composition of a facemask, the essential properties that offer protection to healthcare workers, as well as the various methods of extending its availability at times of limited supply.

Posted in: All > Professional Wellbeing 2020 Language: portuguese

Ideias para se juntar à Campanha em 16 de outubro

Posted in: Other > Professional Wellbeing 2020 Language: spanish

WAD 2020 toolkit

Posted in: ATOTW > Anaesthesia 2020 Language: english

Quadratus lumborum blocks (QLB) offer adjuvant analgesia for multiple surgeries including abdominal, orthopaedic, gynaecology and urology. QLB is a variation on a transversus abdominis plane (TAP) block which is performed with a USS using the curvilinear probe. There are 4 approaches to the QLB.

Posted in: Other > Professional Wellbeing 2020 Language: english

Advocacy toolkit for World Anaesthesia Day 2020 - Occupational Wellbeing

Posted in: ATOTW > COVID-19 & Obstetric Anaesthesia 2020 Language: english

The COVID-19 pandemic presents the potential to encounter pregnant patients with confirmed or suspected COVID-19. This tutorial covers the anaesthetic management of pregnant patients with COVID-19, including an overview of effects of COVID-19 on the mother and fetus, management considerations, labour analgesia and anaesthesia for caesarean section and obstetric procedures.

Posted in: ATOTW > Anaesthesia 2020 Language: english

Test your knowledge across the board of anaesthesia specialities with the September 2020 ATOTW Quarterly quiz

Posted in: ATOTW > General Topics 2020 Language: english

As the march of ‘globesity’ continues, bariatric surgery is becoming common. This tutorial describes some of the unique challenges faced in the perioperative care of the bariatric surgery patient, including preoperative assessment and optimization with a focus on intraoperative airway management, monitoring and drug dosing and early post-operative care.

Coronavirus Disease 2019 (COVID-19) is spreading rapidly around the world with devastating consequences on patients, health care workers, health systems, and economies. As it reaches low- and middle-income countries, its effects could be even more dire, because it will be difficult for them to respond aggressively to the pandemic. There is a great shortage of all health care providers, who will be at risk due to a lack of personal protection equipment. Social distancing will be almost impossible. The necessary resources to treat patients will be in short supply. The end result could be a catastrophic loss of life. A global effort will be required to support faltering economies and health care systems.

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

Ideas to create your own mask and face shield

Posted in: ATOTW > Paediatric Anaesthesia 2020 Language: english

Paediatric Enhanced Recovery After Surgery (ERAS) has lagged significantly behind their adult surgical compatriots. This article will look at the arguments for and against paediatric ERAS, discuss the multidisciplinary approach to a patient-centred model, review the progress that has been made to date, and conclude with future aspirations for ERAS to improve paediatric surgical care worldwide and potentially become a new standard of care for paediatric surgery.

Posted in: ATOTW > Basic Sciences 2020 Language: english

From the X-ray machine in the rural clinic to the brachytherapy suite in the specialist cancer centre, sources of ionising radiation are ever more ubiquitous. This article explores the basic science of ionising radiation, the risks it poses to the anaesthetists and other healthcare providers and emphasizes on how such risks can be ameliorated.

Posted in: Guidelines & Standards > Anaesthesia 2020 Language: english

These specifications list the minimum requirements for capnometry equipment for use in locations with limited resources and harsh environments to primarily identify oesophageal intubation in patients who are intubated and also to identify circuit disconnection and obstruction in all anaesthetised patients.

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 > Intensive Care Medicine 2020 Language: portuguese

A cocaína bloqueia a recaptação de catecolaminas e dopamina dentro da fenda sináptica, resultando em acúmulo e superestimulação do nervo pós-sináptico.¹ Também antagoniza os canais de sódio, resultando em condução nervosa prejudicada. Ela prolonga a despolarização e diminui a amplitude do potencial de ação dentro do miócito cardíaco, resultando em arritmias malignas.1,2 Tem ações tanto imunossupressoras quanto pró-inflamatórias, e é um agente pró-trombótico potente.

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.

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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This library was made possible with support from:

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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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