Difficult Airway Society (DAS) guidelines
Figure 33.1 Basic Structure of DAS Guidelines flow chart. Reproduced from Difficult Airway Society 2015 guidelines for unanticipated difficult intubation in adults. C. Frerk, V. S. Mitchell, A. F. McNarry,…
Scientific principles
Since the lungs have a tendency to recoil inwards, inflation requires an increase in transpulmonary pressure (TPP), generated by the respiratory muscles. As TPP increases, lung volume naturally increases. At…
AAGBI guidelines
Figure 25.1 Checklist for Anaesthetic Equipment 2012. Reproduced with the kind permission of the Association of Anaesthetists of Great Britain and Ireland. In the 2012 guidance, the ‘two-bag check’ was…
Preoperative assessment and anaesthetic planning
90% false-positive rateThyromental distanceExtend neck. Measure from tip of thyroid cartilage to tip of mandibleNormal > 7 cm<6 cmPositive predictive value 75%When combined with Mallampati: sensitivity 81%, specificity 97%Sternomental distanceExtend…
Resuscitation algorithms
Figure 30.1 Adult Advance Life Support algorithm. Reproduced with the kind permission of the Resuscitation Council (UK). Figure 30.2 Adult Bradycardia Algorithm. Reproduced with the kind permission of the Resuscitation…
Practical procedures
Lower risk of pneumothorax than SCVLow infection ratesSite of choice in obesityLess comfortable for patients than SCVSubclavian vein (SCV)Lowest infection riskComfortable for patientsUseful in trauma or patients with spinal immobilizationHarder…
Intensive care guidelines
Figure 31.1 Safer Intubation Checklist. Reproduced with permission from Tim Bowles, RTIC. Paediatric intensive care retrieval services Whether you are a career paediatric anaesthetist or not, if you work in…
General principles
Premixed morning insulin: Halve morning dose and omit lunchtime dose; check blood glucose on admissionGive usual morning insulin dose(s); omit lunchtime dose; check blood glucose on admissionStop until eating and…
Paediatric physiology and equipment
Examples of sizing for paediatric airway equipment are given in Table 28.1. All these sizes are estimations and should not be seen as absolute. We have calculated the weights according…
Analgesic ladders
Figure 32.1 WHO analgesic ladder – 3-step approach. The WHO ladder was updated in 1996 and the five main recommendations were [2,3]: 1) ‘By mouth’ – administer analgesics orally whenever…
