Peripheral Nerve Blocks
Peripheral Nerve Blocks Thomas Halaszynski 1. An 85-year-old male is scheduled for a right distal radius and ulnar open reduction interior fixation at the wrist. Medical history is significant for chronic…
ANESTHESIA
Anesthetic Pharmacology
Anesthetic Pharmacology Mian Ahmad and Ashish Sinha 1. Correct statement about metabolism of drugs by the liver is A. For drugs with low extraction ratio, liver blood flow is the rate-limiting step…
Spinal and Epidural Anesthesia
Spinal and Epidural Anesthesia Thomas Halaszynski 1. A spinal neuraxial anesthetic was given 20 minutes earlier to a 28-year-old G3P2 parturient scheduled for repeat cesarean section. Alcohol swab exam revealed that…
Neurosurgical and neurological disease in pregnancy
Figure 22.1 The pituitary. Lesions of the pituitary Mass lesions are usually primary adenomas of the anterior pituitary and stalk that may be secretory or non-secretory, and are either large…
Obesity and ultrasonography for central neuraxial blocks
Figure 18.1 Parasagittal (oblique) view. The laminae (L) form a ‘saw-tooth’ pattern. Figure 18.2 Parasagittal (oblique) view of L5–S1 junction. Figure 18.3 Transverse (interlaminar) view of the lumbar spine. Figure…
Haematologic disease in pregnancy
Figure 21.1 TEG graph and annotation. The reaction time (R-time) depicts the time for fibrin strands to form. It is decreased in hypercoagulable states such as pregnancy. A prolonged R-time…
General anaesthesia for caesarean section and transverse abdominal plane block
Figure 12.1 Obstetric failed intubation algorithm. Table 12.1 Proposed template for obstetric preoperative assessment Problems with previous anaesthetics Family history of anaesthetic reactions Co-morbidities: Most parturients are ASA 1. However,…
Clinical governance and patient safety
Table 28.1 Risk assessment tool The process: Proactive assessment Undertaken to prevent a patient safety incident For example, increasing numbers of deliveries in the unit. Rate of significant postpartum haemorrhage…
Maternal collapse, including massive obstetric haemorrhage, amniotic fluid embolism and cardiac arrest
Figure 25.1 Maternal collapse algorithm. (Reproduced from Royal College of Obstetricians and Gynaecologists. Maternal Collapse in Pregnancy and the Puerperium. Green-top Guideline No. 56. London: RCOG; 2011, with the permission…
Obstetrics for the anaesthetist
Figure 6.1a Normal and abnormal CTGs. A normal cardiotocograph trace. The baseline is 135 beats/min variability 25 beats/min accelerations present and no decelerations. Figure 6.1b A pathological cardiotocograph trace demonstrating…
