11TH MAY 2009 Dr Richard Eve, Royal Cornwall Hospital, Cornwall, UK Dr Mike Duffy, Derriford Hospital, Plymouth, UK Correspondence to: richardlloydeve@gmail.com   QUESTIONS Before continuing, try to answer the following questions.  The answers can be found at the end of the article, together with an explanation. 1.    Severe Sepsis a.    Is associated with disordered [...]Activated protein C in the treatment of severe sepsis (133) - May 11, 2009

 4TH MAY 2009 Roger Langford Birmingham Children’s Hospital Contact: rogerlangford@doctors.org.uk       QUESTIONS Before continuing, try to answer the following questions.  The answers can be found at the end of the article, together with an explanation.   1: Regarding the pre-operative psychological preparation of a five year old, the following statements are true: a: [...]Preparation of children for surgery (132) - May 4, 2009

Malignant hyperthermia (MH) is an uncommon pharmacogenetic disorder of muscle induced by exposure to suxamethonium and all the volatile anaesthetic agents. This tutorial covers the pathophysiology, identification, management and investigation of MH.Malignant Hyperthermia (131) - April 27, 2009

Dr Elisa Bertoja Locum Consultant Anaesthetist University College London Hospital Dr Jane Lowery Specialist Registrar in Anaesthesia University College London Hospital Correspondence to elisa.bertoja@uclh.nhs.uk jlowery@doctors.org.uk   20th April 2009      QUESTIONS Before continuing, try to answer the following questions.  The answers can be found at the end of the article. 1.    Where does the Coronary [...]Right heart physiology (130) - April 20, 2009

13th April 2009   Dr David Portch, Musgrove Park Hospital, Taunton. Correspondence to davidportch@mac.com     QUESTIONS Before continuing, try to answer the following questions.  The answers and a short explanation can be found at the end of the article. 1.    Regarding the causes of maternal death, the following statements are true: a.    Thromboembolism is the [...]Saving mothers lives’ – lessons from CEMACH (129) - April 13, 2009

 6th April 2009   William English, North Bristol NHS Trust, Bristol, UK Peter Ford, Royal Devon and Exeter Hospital, Exeter, UK. Correspondence to Peter.Ford@rdeft.nhs.uk      SELF-ASSESSMENT QUESTIONS Please read the following questions. The answers will be found in the article. 1. What are the characteristic metabolic derangements in diabetic ketoacidosis (DKA)? 2. What are [...]Diabetic ketoacidosis (128) - April 6, 2009

  Kavitha Raghavan, King’s College Hospital, London Richard Waddington, Kingston Hospital, Surrey Correspondence to kavitha_cr@hotmail.com Key Learning Points: · Severe traumatic brain injury in children is associated with a high incidence of morbidity and mortality. · The clinician can reduce the impact of secondary brain injury, especially by avoiding hypoxia and hypotension. · The most important [...]Management of paediatric traumatic brain injury (127) - March 29, 2009

  23RD MARCH 2009 Dr. Nicola Ross, Leeds General Infirmary, UK Dr. Sarah Marsh, Leeds General Infirmary, UK Correspondence to nickiross@mac.com   INTRODUCTION The neuromuscular disorders are a heterogeneous group of diseases effecting skeletal muscle via abnormalities of the motor nerves, neuromuscular junction, cellular matrix, ion channels and metabolic derangements.  They are often grouped together [...]Neuromuscular disorders and anaesthesia (126) - March 23, 2009

  Introduction to cardiovascular physiology ANAESTHESIA TUTORIAL OF THE WEEK 125   16th March 2009   Toby Elkington, Specialist Registrar Carl Gwinnutt, Consultant Department of Anaesthesia, Salford Royal NHS Foundation Trust, Salford, UK Correspondence to tobyelkington@hotmail.com           This tutorial is intended as a very basic introduction to cardiovascular physiology with particular [...]Introduction to Cardiovascular Physiology (125) - March 16, 2009

9th March 2009   Dr. Iain Wilson Royal Devon & Exeter hospital UK Contact: iainhwilson@mac.com   The WFSA has been working on information about pulse oximery and the following tutorial is part of the material.  Feedback would be very useful and should be sent to iain.wilson@rdeft.nhs.uk The first part of this tutorial (last week) can [...]Pulse Oximetry – part 2 (124) - March 9, 2009

2nd March 2009 Dr. Iain Wilson Royal Devon & Exeter Hospital, UK Correspondence to iain.wilson@rdeft.nhs.uk Please note this is a two part tutorial.  The second part can be found here   INTRODUCTION   The WFSA has been working on information about pulse oximetry and the following tutorial is part of the material.  Feedback would be [...]Pulse Oximetry – part 1 (123) - March 3, 2009

15th December 2008 Dr  Arnab Banerjee Hospital  Luton & Dunstable Hospital NHS Trust, UK Dr. Iain Wilson, Royal Devon & Exeter NHS trust, UK Correspondence to abanerjeeuk@doctors.org.uk Introduction Myasthenia Gravis (MG) is an autoimmune disease characterized by weakness and fatigability of skeletal muscles, with improvement following rest.  It may be localized to specific muscle groups or [...]Anaesthesia and Myasthenia Gravis (122) - December 14, 2008

ANAESTHESIA TUTORIAL OF THE WEEK 121 8TH DECEMBER 2008 Dr R Sunderland Specialist Registrar Dr S Mallory Consultant Anaesthetic Department, Great Ormond Street Hospital for Children, London, UK Correspondence to sunder@gosh.nhs.uk SELF-ASSESSMENT QUESTIONS Before reading the tutorial consider the following questions and discuss them with your colleagues What are the symptoms and signs of raised [...]Anaesthesia for ventriculo-peritoneal shunt insertion (121) - December 8, 2008

ABDOMINAL COMPARTMENT SYNDROME TUTORIAL OF THE WEEK NUMBER 120 1ST DECEMBER 2008 William English, North Bristol NHS Trust, Bristol, UK Bruce McCormick, Royal Devon & Exeter Hospital, UK englishwilliam@hotmail.com SELF-ASSESSMENT QUESTIONS Please read the following questions. The answers will be found in the main text. 1. What is the normal pressure within the abdomen? 2. [...]Abdominal compartment syndrome (120) - November 30, 2008

Download Update 24Update in Anaesthesia, Volume 24, Number 1 (2008) - November 26, 2008

Download Update 23Update in Anaesthesia, Volume 23 (2007) - November 25, 2008

Download Update 22Update in Anaesthesia, Volume 22 (2007) - November 24, 2008

ANAESTHESIA FOR HYPOSPADIAS REPAIR Tutorial of the week 119 17TH NOVEMBER 2008   Dr George Thomas-Kattappurathu.  Sheffield Teaching Hospitals. Dr Catherine Wilson. Sheffield Children’s Hospital. Email: dr_georget@yahoo.co.uk   Please answer the following true or false questions to see how much you already know of the topic. Answers are given at the end.   1)       The [...]Anaesthesia for hypospadias repair (119) - November 17, 2008

CARDIAC DISEASE IN PREGNANCY: TUTORIAL 2 ATOTW 118, 10TH NOVEMBER 2008 Download pdf: 118-cardiac-disease-in-pregnancy-2 Dr. Abbi Walker, Christchurch Hospital, New Zealand Dr. Matt Rucklidge, Royal Devon & Exeter Hospital, UK mattrucklidge@yahoo.co.uk The second of two tutorials exploring the presentation and management of pregnant women with heart disease. Tutorial 1: • Introduction and scope of the [...]Cardiac disease in pregnancy 2 (118) - November 9, 2008

20TH OCTOBER 2008 Dr.K.K.Ramaswamy, Wexham Park Hospital, UK. Editor: Dr. Iain Wilson, Royal Devon & Exeter Hospital, UK Correspondence:  kramaswamy@doctors.org.uk The aim of this tutorial is to discuss the causes and management of hypothermia under anaesthesia. Please answer the following questions before reading the article. 1)    What are the problems with hypothermia in theatre? 2)    [...]Perioperative hypothermia, prevention and management (117) - October 20, 2008

TUTORIAL OF THE WEEK NUMBER 115 6TH OCTOBER 2008 Dr N Niranjan, Derriford Hospital, Plymouth, UK (niraj.niranjan@yahoo.co.uk ) Dr. Mike Duffy, Derriford Hospital, Plymouth, UKBrainstem Death (115) - October 14, 2008

AIRWAY MASTERCLASS 3 – THE LARYNX TUTORIAL OF THE WEEK NUMBER 114 29TH SEPTEMBER 2008 Airway Masterclass 3 – The Larynx (114) - September 29, 2008

This tutorial covers some of the risks and physiological changes associated with anaesthesia in the prone position, and how to manage them.Anaesthesia in the prone position (112) - September 15, 2008

CARDIAC DISEASE IN PREGNANCY: Tutorial 1 TUTORIAL OF THE WEEK 111 8TH SEPTEMEBER 2008 Abbi Walker, Christchurch Hospital, New Zealand Matt Rucklidge, Royal Devon & Exeter Hospital, UK mattrucklidge@yahoo.co.uk The first of two tutorials exploring the presentation and management of pregnant women with heart disease. Tutorial 1: • Introduction and scope of the problem • [...]Cardiac disease in pregnancy 1 (111) - September 8, 2008

108 Awareness under anaesthesiaAwareness under anaesthesia (108) - August 11, 2008

This tutorial covers the basic science behind commonly used intravenous induction agents. 107 Intravenous drugs used for the induction of anaesthesiaIntravenous drugs used for the induction of anaesthesia (107) - August 4, 2008

This tutorial discusses the perioperative issues surrounding patients with severe COPDAnaesthesia in patients with COPD (106) - July 28, 2008

Sedation is the use of drugs for reduction of fear and anxiety, induction of drowsiness or sleep and comfort. All sedation techniques carry risk and many procedures done under sedation are performed outside operating theatres. Sedation in children needs special considerations and some drugs used for sedation are not as reliable as those for anaesthesia. Its safety and success depends upon skill and judgement.Paediatric sedation (105) - July 21, 2008

Etiology and management of inhaled foreign body in childrenInhaled foreign body in children (99) - July 8, 2008

Part three in the anaesthesia for LSCS series. This tutorial covers the issues relevant to obstetric general anaesthesia.Anaesthesia for caesarian section part 3 – General anaesthesia (97) - June 16, 2008