By Dr. Anei Ochan-Thou, Dr. Zheng Cheng Zhu, Dr. Nicola Wevling, Dr. Lahiru Amaratunge. In our last article, we were tangled up in the brachial plexus. This time, we are looking at the lumbosacral plexus, a close cousin of the brachial plexus. In a similar vein, the lumbosacral plexus provides motor and sensory supply […]
By Florencia Moraga Masson, Zheng Cheng Zhu Key reference: Hamblin, P. S., Wong, R., Ekinci, E. I., Sztal-Mazer, S., Balachandran, S., Frydman, A., Hanrahan, T. P., Hu, R., Ket, S. N., Moss, A., Ng, M., Ragunathan, S., & Bach, L. A. (2021). Capillary Ketone Concentrations at the Time of Colonoscopy: A Cross-Sectional Study With Implications […]
By Fawaz Prem Navaz, Dr. Zheng Cheng Zhu, produced with AI assistance (NotebookLM) Quick Summary Developments in Artificial Intelligence (AI) models have seen an exponential rise in recent times making them more accessible. AI technologies such as Machine Learning (ML), Deep Learning (DL), Computer Vision (CV) and Natural Language Processing (NLP) can be used to […]
Case Report Corresponding Author: S. Muthu S. Muthu,1 L. Amaratunge,2 1. Intensive Care Registrar, Western Health, Melbourne, Australia 2. Anaesthetist, Western Health, Melbourne, Australia MeSH terms: Post Dural Puncture Headache (D051299), Sphenopalatine Ganglion Block (D059387), Pain Management (D059408). Acknowledgements Published with the written consent of the patient with appropriate deidentification. No external funding or competing […]
By Monique Findlay, Zheng Cheng Zhu Key reference: Sidhu, N. S., & Pozaroszczyk, A. J. (2023). “Do you feel hungry?”: Using gastric ultrasound to eliminate guesswork in perioperative airway management. Australasian Anaesthesia, 115–121. https://search.informit.org/doi/10.3316/informit.298917404141486 Key Points Gastric ultrasound is emerging as a valuable tool in the pre-operative assessment setting It can be used to evaluate […]
Erecting the Pillars of Anaesthesia- Bringing Pain Free Surgery Into Reality By Fawaz Prem Navaz, Zheng Cheng Zhu Key reference: Robinson D, Toledo A. Historical development of modern anesthesia. Journal of Investigative Surgery. 2012 May 14;25(3):141–9. doi:10.3109/08941939.2012.690328 Quick Summary From having to perform surgery on an awake patient to now being able to safely operate […]
By Nicola Wevling, Zheng Cheng Zhu Key reference: Verret, P et al (2024). Intraoperative pharmacological opioid minimization strategies and patient-centred outcomes after surgery: A scoping review. British Journal of Anaesthesia, 132(4), 758-770. https://www.bjanaesthesia.org/article/S0007-0912(24)00009-6/fulltext Quick summary: Intraoperative opioid minimisation forms part of the broader multidisciplinary effort to reduce opioid-related complications, misuse, and overuse at patient, community, […]
By Anei Ochan-Thou, Zheng Cheng Zhu, Lahiru Amaratunge The brachial plexus. The harbinger of nightmares for all medical students (and junior doctors alike) For me, I found it hard to conceptualise this phenomenally difficult yet important part of upper limb anatomy. Like many things in anatomy, the more practice and revision that is done, the […]
By Zheng Cheng Zhu Key reference: Uppal V, Russell R, Sondekoppam R, et al. Consensus Practice Guidelines on Postdural Puncture Headache From a Multisociety, International Working Group: A Summary Report. JAMA Netw Open. 2023;6(8):e2325387. doi:10.1001/jamanetworkopen.2023.25387 Quick Summary Postdural puncture headache (PDPH) develops within 5 days of a neuroaxial intervention. PDPH often postural with improvement on […]
By Luke Chan Key reference: Velayudhan, Bellingham & Morley-Forster. (2014). Opioid-induced hyperalgesia. Continuing Education in Anaesthesia, Critical Care and Pain, Volume 14, Issue 3, 125 – 129, https://doi.org/10.1093/bjaceaccp/mkt045 Background What is Opioid induced Hyperalgesia (OIH)? Patients treated with opioids who paradoxically demonstrate increased sensitivity to painful stimulus Effectiveness of high-dose opioids can be diminished by […]