Download AAGBI Core Topics in Anaesthesia 2015 by William Harrop-Griffiths, Richard Griffiths, Felicity Plaat PDF

By William Harrop-Griffiths, Richard Griffiths, Felicity Plaat

In keeping with the organization of Anaesthetists of significant Britain & Ireland's (AAGBI) carrying on with schooling lecture sequence, this clinically-oriented e-book covers the most recent advancements in study and the medical program of anesthesia and discomfort control.

  • Reviews most up-to-date advancements in examine and practice
  • Clinically-oriented yet rooted in easy science
  • Concise and informative articles on key topics
  • Road-tested via CPD roadshows
  • Designed in particular for carrying on with clinical education

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Sample text

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.

38 Chapter 3 There is conflicting advice in the literature over whether to continue with the current dose of sublingual buprenorphine or to discontinue it and rotate to a conventional opioid such as methadone before surgery [4]. The current recommendations are to continue with the normal dose of sublingual buprenorphine, maximise the use of opioid-sparing adjuncts and use conventional opioid agonists to treat the acute pain. The doses of additional opioid analgesia may well be significantly higher than one would expect.

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. This has aided the development of more complex procedures and has improved postoperative management in the cardiac intensive care unit. Most cardiothoracic anaesthetists who are appointed to substantive posts in the UK are now expected to have trained in transoesophageal echocardiography.

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