Neuroanaesthesia
‘Gasp reflex’Classic ‘mill wheel’ murmurPulmonary oedema CVP = central venous pressure; PAP = pulmonary artery pressure. What other clinical situations are associated with VAE? For a VAE to occur there…
ANESTHESIA
Pain medicine
html xmlns=”http://www.w3.org/1999/xhtml” xmlns:mml=”http://www.w3.org/1998/Math/MathML” xmlns:epub=”http://www.idpf.org/2007/ops”> Chapter 14 Pain medicine Returning to Work in Anaesthesia, ed. Emma Plunkett, Emily Johnson and Anna Pierson. Published by Cambridge University Press. © Cambridge University Press…
Regional anaesthesia
Figure 15.1 Muscular layers of the anterolateral abdominal wall. Reproduced with permission from Ultrasound for Regional Anaesthesia: TAP block (http://usra.ca/tapscan.php). Ultrasound can also be used to identify the muscle layers…
Paediatrics
Figure 13.1 Algorithm for Management of Paediatric Sepsis. Reproduced with permission Brierly J., Carcillo J. A., Choong K., et al. Clinical Practice Parameters for hemodynamic support of pediatric and neonatal…
Intensive care medicine
β1 (at moderate dose)α1 (at high dose)Reno-splanchnic dilatationInotropyIncreased SVRDobutamineβ2, β1Inotropy, chronotropy, decreased SVRDopexamineDA1, β2Reno-splanchnic dilatation, chronotropyIsoprenalineβ1, β2Chronotropy, decreased SVREnoximonePhosphodiesterase inhibitorInotropy, decreased SVR and decreased pulmonary vascular resistance (PVR)LevosimendanCalcium sensitizerInotropy, decreased…
Obstetrics
Figure 11.1 Dermatomal map. Reproduced with permission from Managing Obstetric Emergencies and Trauma, Sara Paterson-Brown and Charlotte Howell. Cambridge University Press. 2014. A high spinal can occur in a number…
Supporting a colleague’s return to work
Best restart datePre-absence planningUse of keep in touch (KIT) daysAdjustment to CCTCT2 Trainee returning from 12 months’ maternity leaveLimited pre-absence experience so poorly developed automatic skillsConsiderable training demands aheadMay need…
Emergency management and resuscitation
html xmlns=”http://www.w3.org/1999/xhtml” xmlns:mml=”http://www.w3.org/1998/Math/MathML” xmlns:epub=”http://www.idpf.org/2007/ops”> Chapter 8 Emergency management and resuscitation Returning to Work in Anaesthesia, ed. Emma Plunkett, Emily Johnson and Anna Pierson. Published by Cambridge University Press. © Cambridge…
Airway management
– maintenance of spontaneous ventilation– patient will waken from anaesthesia rapidly if agent delivery stopped– inhalational induction slow in the presence of an obstructed airway– apnoea may occur and patient…
Improving your return to work
Figure 5.1 The ANTS system. Reproduced with the kind permission of the University of Aberdeen. Limitations and sources of help Emma Plunkett What challenges do people face when returning to…
