welcome to anaesthesia! dr basil almahdi consultant anaesthetist
TRANSCRIPT
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Welcome to Anaesthesia!
Dr Basil AlmahdiConsultant Anaesthetist
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HistoryPerioperative medicinePreoperative assessmentEquipmentProceduresSafety
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Stone Age Traditional!
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BC attempts
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Spongia Somnifera
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6 men and a surgeon technique!
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PRE-OP
INTRA-OP
POST-OP
PERIOPERATIVE MEDICINE
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Anaesthesia for medical students
Pre-operative caredrugs, fluids, monitoringcare of the unconscious patientpost-operative care including analgesia, intravenous fluid management, and management of common complicationsPractical procedures
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PRE-OP
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Aims of Pre-assessment
Screen for unknown conditionsAssess and optimise known medical
problemsAssess riskAnticipate complications
Reduce risks of anaesthetic and surgery to a minimum
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Where?By whom?How urgent is the surgery?Anaesthetic clinical assessment – what questions??History examination investigations consent planAirway – assessment and plan
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Mallampati
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Who does it??
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Why is it important?Consider:You are clerking a patient evening
before THR (on waiting list 6/12)
Pt has Fe def anaemia - Hb is 7.8 Pt on diuretics - K is 2.7Pt on warfarin for AF – INR is 3.1Pt says they have worsening SOB on exertion for 3/12 – now houseboundECG – heart rate is 135/min
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ASA statusAmerican Society of Anesthesiologists
1. Normal healthy patient2. Mild to mod. systemic disease. No functional
limitation3. Severe systemic disease with limitation of
normal function4. Severe systemic disease that is a constant
threat to life5. Moribund patient unlikely to survive 24 hours
with or without operation
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INTRA-OP
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“The most important monitor employed by the anaesthetist during anaesthesia is his/her own vigilence.”
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Not just observation..
... A very practical specialty!
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Anaesthesia = Airway!!
(anywhere anytime, no if’s no but’s!)
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Anaesthesia for medical students
Theatre listsLecturesTutorialsWebsite (Google ‘UCL Anaesthesia students’)
Articles and Podcasts
student workbookAssessment CBD
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AnatomyPhysiologyPharmacologyPhysics EquationsIntravenous (real time) medicine Risks (balance of)Clinical skillsPatient safetyConsentCapacityCommunication
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Patient safety (Risk)Wrong site surgeryDrug errorSurgical site infectionProcedural complicationHuman factors (technical/non-technical)Equipment Organisational/system issuesPersonal safetysharps practice /body fluids/ radiation/back injury
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AnaesthesiaLocalRegionalSedationGeneral
Pros v cons ??
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General Anaesthesia
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General Anaesthesia
Induction (inject vs inhale)Maintenance (inject vs inhale)EmergenceRecovery
Full stomach?? Rapid sequence
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POST-OP
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Post -opAirway breathing circulationConscious levelObservationsAnalgesiaRenal function (urine)AntimicrobialsHaemoglobin/glucose
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Types of complications
Surgical•Bleeding•Wound problems•Anastamotic leak
Medical•Cardiac•Respiratory•Renal failure
General state•Immobility•Sepsis•Pressure sores
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Enjoy the firm!