AAGBI Core Topics in Anaesthesia 2015 - download pdf or read online

By William Harrop-Griffiths, Richard Griffiths, Felicity Plaat

In keeping with the organization of Anaesthetists of serious Britain & Ireland's (AAGBI) carrying on with schooling lecture sequence, this clinically-oriented booklet covers the newest advancements in examine and the scientific software of anesthesia and discomfort control.

  • Reviews most modern advancements in learn and practice
  • Clinically-oriented yet rooted in simple science
  • Concise and informative articles on key topics
  • Road-tested via CPD roadshows
  • Designed particularly for carrying on with scientific education

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Additional resources for AAGBI Core Topics in Anaesthesia 2015

Sample text

Increasing numbers of training courses and accreditation processes aimed at non-cardiac anaesthetists and intensivists are available. Echocardiography uses ultrasound to create real-time images of the heart, and Doppler to assess blood flow and tissue motion. Echocardiography is usually performed using the transthoracic or transoesophageal routes. The first textbook of echocardiography was published in 1972, heralding its acceptance into mainstream cardiology practice. Over the past 20 years, anaesthetists have incorporated transoesophageal echocardiography into peri-operative practice for patients undergoing cardiac surgery.

28 Acute Pain Management of Opioid-Tolerant Patients 29 Opioid tolerance is likely to be encountered in specific patients groups: r Patients who are prescribed long-term opioids for the treatment of either chronic non-cancer pain or cancer pain. r Patients with a substance abuse disorder with continuing illicit use of opioids, particularly intravenous drug users or patients who are currently on a maintenance treatment program of either methadone or sublingual buprenorphine. r There is also emerging evidence that acute opioid tolerance can occur over surprisingly short periods of time in response to intravenous administration of high-potency opioids, particularly remifentanil.

39 40 Chapter 4 Association of Cardiothoracic Anaesthetists, has been running for over a decade. More recently, there has been growing interest in the use of perioperative echocardiography in patients undergoing non-cardiac surgery, and also in the acute care setting. The increased availability of highspecification, affordable ultrasound equipment has been a necessary precursor. There is also increasing acceptance of the concept of focused pointof-care echocardiography in which a non-specialist echocardiographer performs a limited examination in order to exclude or detect major pathology and to assess haemodynamic parameters.

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