Author Archives: Majic Sites

Dr Wendell Zhang Disclaimer This is an educational piece and is not intended to provide medical advice. Please refer to your local guidelines for specific details regarding this topic. Key points Acquired disorders of coagulation present several challenges in the perioperative space; patients with these disorders require optimisation before their operation In this patient group, […]

Dr Wendell Zhang Disclaimer This is an educational piece and is not intended to provide advice in this complicated field. Please refer to your local guidelines and treating team for specific details regarding perioperative management strategies for patients. Key points Disorders of coagulation are uncommon but can have a significant impact on perioperative optimisation for […]

By Dr Wendell Zhang Key Takeaways Laparoscopic surgeries improve patient outcomes Anaesthetists should be aware of and plan for common physiological changes associated with laparoscopic surgeries, particularly those during position changes and abdominal cavity insufflation A comprehensive preoperative assessment may be necessary for those with reduced physiological reserve from cardiorespiratory comorbidities Preamble You are a […]

By Adam George                         Definition Hypocalcaemia indicates a total serum calcium (Ca) concentration corrected for albumin of <2.1 mmol/L (normal range 2.1-2.6mmol/L). Hypocalcaemia can loosely be stratified as follows: Mild/moderate (<2.1-1.9 mmol/L) Severe (<1.9 mmol/L) Approximately 99% of calcium in vivo is stored in […]

Stripp TK, Jorgensen MB, Olsen NV. Anaesthesia for electroconvulsive therapy – new tricks for old drugs: a systematic review. Acta Neuropsychiatr. 2018 Apr;30(2):61-69. doi: 10.1017/neu.2017.12. Epub 2017 May 2. PMID: 28462732.   Physiology and Physical Effects Cardiovascular effects: Secondary to autonomic nervous system activation Initial parasympathetic discharge Bradycardia Hypotension Asystole Prominent sympathetic response follows. Systolic […]

By Victor Li Key Reference: Harding D, Marsh S, Lennie Y. Perioperative considerations for transgender and gender diverse adults. BJA Education. 2023;23(4):136-143. doi:https://doi.org/10.1016/j.bjae.2022.12.005 You are reviewing your patient list when you come across Ms Sue Doenim, a 23yo to be seen in the pre-admission clinic for an elective laparoscopic cholecystectomy. Upon meeting Sue, he informs you […]