Author Archives: Majic Sites

Article Review, Clinical Anaesthesia

Would you give dexamethasone to your total knee replacement case with a history of type 2 diabetes and severe PONV?

Posted on by Majic Sites
13
Mar

The PADDI trial by Dr. Matthew Vella @mjv.igee PADDI (The Perioperative ADministration of Dexamethasone and Infection Trial) Corcoran, T. B., Myles, P. S., Forbes, A. B., Cheng, A. C., Bach, L. A., O’Loughlin, E., Leslie, K., Chan, M. T. V., Story, D., Short, T. G., Martin, C., Coutts, P., Ho, K. M., PADDI Investigators, Australian […]

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Article Review

Does IV Iron Infusion for Pre-operative Iron Deficiency Anaemia (IDA) Improve Outcomes? Implications of the PREVENTT trial

Posted on by Majic Sites
13
Mar

By Zheng Cheng Zhu Key reference: Richards, T., Baikady, R. R., Clevenger, B., Butcher, A., Abeysiri, S., Chau, M., Macdougall, I. C., Murphy, G., Swinson, R., Collier, T., Van Dyck, L., Browne, J., Bradbury, A., Dodd, M., Evans, R., Brealey, D., Anker, S. D., & Klein, A. (2020). Preoperative intravenous iron to treat anaemia before […]

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Clinical Anaesthesia

ABG interpretation

Posted on by Majic Sites
26
Feb

By Dr Jessica It is important to interpret arterial blood gases in a systematic manner, taken within the context of the patient’s clinical context. Steps: PaO2 (partial pressure of oxygen in arterial blood) pH PaCO2 (partial pressure of carbon dioxide in arterial blood) Bicarbonate and base excess Oxygenation: PaO2 Is the patient hypoxaemic? PaO2 = […]

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Article Review, Clinical Anaesthesia

Chronic Kidney Disease and Anaesthesia

Posted on by Majic Sites
26
Feb

A summary of this fantastic BJA education article: https://www.clinicalkey.com.au/#!/content/playContent/1-s2.0-S2058534922000506             Epidemiology Most common causes of CKD are diabetes and hypertension What is the definition of CKD? CKD definition: abnormality of kidney structure or function > 3 months (Renal Association) Electrolyte abnormalities, proteinuria (ACR > 3), haematuria of renal origin, histological/radiological […]

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Clinical Anaesthesia

Anaesthesia Without An Anaesthetist?!

Posted on by Majic Sites
25
Feb

By Dr Angus Hayes About the author Dr Angus Hayes is an Australian ICU registrar who recently spent time in Norway observing anaesthetic protocols and practices. In this article he examines recently published data, to compare Australian anaesthetic norms against those seen in Norway. I walk into the OT…*BEEP* *BEEP* *BEEP*. The scents and sounds […]

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Uncategorized

Bag-mask Ventilation Practice Essentials

Posted on by Majic Sites
18
Feb

By Dr. Nam Gupta Contents Overview The Grip Optimising Bag-mask ventilation (BMV) Overview Methods of Oxygenation: Bag-mask LMA ETT Surgical Airway Other (jet ventilation and high flow) The 3-axis model: Oral axis (perpendicular to the bed) Pharyngeal axis (just over 90o to the oral axis) Laryngeal axis The aim of the 3 axis model is […]

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Clinical Anaesthesia

Optimal Patient Positioning for intubation and airway management

Posted on by Majic Sites
18
Feb

By Dr. Harrison Whiting   Have you ever had difficulty trying to ventilate a patient with a BMV or been unable to visualise a patient’s vocal cords prior to intubation? What are some manoeuvres that you can do to try and optimise your ability to ventilate a patient?   Sniffing Position The sniffing position is […]

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Clinical Anaesthesia

Hypernatremia – where salt goes water follows

Posted on by Majic Sites
18
Feb

by Adam George Definition Hypernatremia refers to a high blood sodium concentration. Hypernatremia can be classified as follows: Acute (<48 hours) or Chronic (>48 hours) Mild (146-149 mmol/L) Moderate (150-169 mmol/L) Severe (>170 mmol/L) Sodium concentration is dependent not only on sodium levels but also on water levels in vivo. Water in the body exists […]

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