Part 1 of this tutorial series discussed the etiology, pathophysiology, and diagnosis of heparin induced thrombocytopenia. This tutorial will discuss the treatment options for HIT and alternative anticoagulant therapy.Heparin Induced Thrombocytopenia – part 2 (245) - December 19, 2011

In this follow on from ATOTW 223, the options for prophylaxis against venous thromboembolism (VTE) in the surgical population will be reviewed and evidence based VTE prophylaxis guidelines will be examined. Thromboprophylaxis in special groups, such as pregnant women and patients with renal failure will also be considered. Thromboprophylaxis – Part 2 (244) - December 12, 2011

Part 1 of this tutorial series will cover the etiology, pathophysiology, and diagnosis of heparin induced thrombocytopenia. The second tutorial will discuss the treatment options for HIT and alternative anticoagulant therapy.Heparin Induced Thrombocytopenia – part 1 (243) - December 5, 2011

Frailty is a common geriatric syndrome associated with poor health outcomes. This tutorial looks at assessment of frailty and its impact on anaesthetic conductFrailty in Anaesthesia (236) - August 15, 2011

Adjuvants are drugs that increase the efficacy or potency of other drugs when given concurrently. This tutorial aims to summarise some of the adjuvant agents that are in common use in neuraxial anaesthesia and analgesia.Neuraxial adjuvants (230) - July 4, 2011

This tutorial outlines the pathophysiology and describes basic anaesthetic management of patients with pulmonary hypertensionAnaesthesia for the Patient with Pulmonary Hypertension (228) - June 20, 2011

Acute Kidney Injury (AKI) in the peri-operative period, previously known as acute renal failure (ARF), is a common clinical complication, however its diagnosis is often delayed and it is frequently managed sub-optimally causing a significant effect on morbidity and mortality. Evidence shows that even small, transient rises in creatinine are associated with an increased risk of death. AKI needs prompt early diagnosis in order to prevent a decline in renal function.Peri-operative renal dysfunction (227) - June 13, 2011

This, the first of a two part series will review thrombogenesis, identification of high risk population groups and treatment of thrombosis. The second tutorial will cover up to date recommendations regarding preventative strategies.Thromboprophylaxis – part 1 (223) - May 16, 2011

A discussion of the effects and implications of smoking on anaesthesia.Smoking and Anaesthesia (221) - May 2, 2011

This tutorial will look at the background to CPET, its physiology, practicalities of performing the test and evidence supporting its use in pre-operative risk stratification. It will not cover direct interpretation of raw CPET data.Cardiopulmonary Exercise Testing (217) - March 14, 2011

Antibiotic prophylaxis can have a large impact on reducing surgical site infections. This tutorial explores the microbiological basis for prophylaxis and presents up to date evidence for its rational use.Microbiology for Anaesthetists part 2 – Surgical Prophylaxis (212) - February 7, 2011

Acute Coronary Syndrome places our patients at significant risk of perioperative myocardial infarction. This risk must be assessed thoroughly, anticipated and managed to prevent patient harm.Acute Coronary Syndromes (210) - January 24, 2011

Enhanced recovery is a combination of elements of care for elective surgery which aims to optimise pre-operative preparation for surgery, avoid iatrogenic problems, minimise the stress response to surgery, speed recovery and return to normal function. Enhanced recovery after surgery (204) - November 8, 2010

The use of day surgery is increasing worldwide. This tutorial discusses the background principles and gives an overview of day surgery from a paediatric perspective, including organisational issues.Anaesthesia for day case paediatric surgery (203) - November 1, 2010

The aim of this tutorial is to provide a basic recipe for carrying out an awake fibreoptic intubation, safely, in a patient whom you have assessed to have a predicted difficult airway.Awake fibreoptic intubation – the basics (201) - October 18, 2010

Discusses the physiological effects of arterial tourniquets and prevention and management of problems occuring as a result of their use.Arterial tourniquets (200) - October 11, 2010

Cerebral Palsy is a disorder of posture and movement. This tutorial discusses related medical problems to allow careful perioperative management by the anaesthetist. Anaesthetic management of patients with cerebral palsy (196) - September 13, 2010

Rectus sheath catheters provide blockade of the anterior division of T6 - T11 thoraco-abdominal intercostal nerves for post-operative analgesia. This tutorial describes a technique of surgical placement of these catheters under direct vision. This can be a useful alternative to epidural block.Surgically placed rectus sheath catheters (195) - September 6, 2010

This tutorial covers the risk factors and pathophysiology of pulmonary aspiration of gastric contents, and goes on to discuss prevention and management.Pulmonary aspiration of gastric contents (192) - August 16, 2010

Acute Fatty Liver of Pregnancy is a rare but occasionally fatal disorder of late pregnancy. This tutorial discusses the pathophysiology, epidemiology and management of this condition and how prompt diagnosis and appropriate treatment has greatly improved the prognosis for both mother and babyFatty Liver of Pregnancy (191) - August 9, 2010

In this tutorial we will cover the anaesthetic management of these patients in the pre-operative, intra-operative and post-operative periods, the surgical and anaesthetic techniques specific to pituitary surgery and the complications which may arise.The hypothalamic-pituitary axis part 2 – Anaesthesia for pituitary surgery (189) - July 26, 2010

This tutorial will briefly review the pharmacology of Sevoflurane before discussing the advantages and disadvantages of using it to provide conscious sedation in patients and the methods that may be employed to do so.Conscious sedation with sevoflurane (188) - July 19, 2010

This tutorial explores the issues in providing anaesthesia for women who are pregnant and undergoing non-obstetric surgery. It covers some of the major differences in anaesthesia for pregnant women and how to provide safe care for both the mother and developing baby.Anaesthesia in pregnancy for non-obstetric surgery (185) - June 28, 2010

The first of a two part series on cardiac output monitoring, this tutorial covers basic cardiac terminology, physiological concepts and the physical principles underlying ultrasound and echocardiography (ECHO).Cardiac output monitoring – part 1 (183) - June 14, 2010

Post-dural puncture headache is unpleasant, may interfere with a new mothers ability to care for her newborn and is occasionally associated with more serious complications such as subdural haematoma. This tutorial explores the pathogenesis of the headache and effective strategies for its management.Post dural puncture headache (181) - June 1, 2010

High spinal is a dangerous complication of neuraxial anaesthesia and requires our vigilance for early diagnosis. Rapid supportive management is essential to minimise the clinical impact of high spinal block and ensure patient safety.High spinal anaesthesia (180) - May 24, 2010

MRI is the technique of choice for many neurological, cardiovascular, oncological and musculoskeletal conditions. This tutorial discusses the principles behind its use and implications for the anaesthetist.Understanding Magnetic Resonance Imaging (177) - May 3, 2010

This tutorial is aimed at educating the reader on the aetiology, diagnosis, pathophysiology and clinical features, and the anaesthetic management of a patient affected with malariaMalaria for the Anaesthetist (176) - April 26, 2010

Many psychiatric patients are prescribed long-term drug treatment, and the anaesthetist must be aware of potential interactions with anaesthetic agents. Anaesthesia and psychiatric drugs part 2 – Mood stabilisers and antipsychotics (175) - April 19, 2010

This tutorial briefly looks at the identification of both recipients and donors for transplant and their peri-operative anaesthetic management.Anaesthesia for renal transplantation (174) - April 12, 2010