General

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CHAPTER 6 General Anaesthesia for the Elderly People over 65 years of age have conventionally been regarded as elderly and this is still used as a social definition. For GA…

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Intensive care

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Chapter 7 Intensive care Acute Respiratory Distress Syndrome (ARDS) First described in Denver, Colorado, in 1967 by Ashbaugh. North American–European consensus group has changed the definition to ‘acute’ (as opposed…

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Pharmacology

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CHAPTER 11 Pharmacology Anaesthetic Gases Oxygen Discovered by Joseph Priestley in 1777. Manufactured by: • fractional distillation of liquid air • passing air over an artificial zeolite, which entraps N2,…

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Respiratory system

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CHAPTER 2 Respiratory system Assessing The Airway During routine anaesthesia, the incidence of difficult tracheal intubation (≥3 attempts at intubation or >10 min to accomplish it) has been estimated as…

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Equipment

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Chapter 12 Equipment Anaesthetic Equipment Gases Cylinders Gas cylinders are manufactured from chromium molybdenum steel as a seamless tube. Colours. Conform to International Standards Organization (Table 12.1). Table 12.1 Gas…

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Paediatrics

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Chapter 9 Paediatrics General Paediatrics Definitions • Neonate – first 28 days of life or <44 weeks post-conception • Infant – 1 month to 1 year • Child – >1…

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Neurology

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Chapter 3 Neurology Neurology and neuromuscular disorders Epilepsy Affects 1/200 of the general population. Continue anticonvulsants perioperatively. Anaesthetic problems • Enzyme induction. Chronic medication induces hepatic enzymes with resistance to…

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Cardiovascular system

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1 Cardiovascular system Anaesthesia and cardiac disease New York Heart Association classification of cardiovascular disease • I Normal cardiac output. Asymptomatic on heavy exertion • II Normal cardiac output. Symptomatic…

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Other systems

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Chapter 4 Other systems Dental anaesthesia The first dental GA was given by Cotton and Wells in 1844. Currently, 300 000 dental GAs are given per annum (70% children) and,…

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Pain

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Chapter 10 Pain Pain assessment Observation of the patient Behavioural • Time to sit/stand • General activity • Time to get in/out of bed. Analgesic requirements • Time to first…

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