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.
Advocacy toolkit for World Anaesthesia Day 2020 - Occupational Wellbeing
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.
Test your knowledge across the board of anaesthesia specialities with the September 2020 ATOTW Quarterly quiz
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.
Ideas to create your own mask and face shield
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.
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.
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.