Category Archives: Clinical Anaesthesia

ABCs guide to crisis management

Imagine it’s your first month in anaesthesia. 30mins into an elective laparoscopic cholecystectomy your consultant goes for a tea break and leaves you in theatre alone with the patient. The patient’s saturations suddenly fall to 90% just as the BP comes back at 70/30! What do you do? This is obviously a challenging situation for […]

The Pre-anaesthesia Checklist for any Induction

When you first arrive in theatre it is reasonably rare that everything isn’t ready for the fist patient to be induced. Engineering has performed their complicated checks on the machine, and the nurses have a very thorough system by which all the most important equipment and medications for safe anaesthesia have already been checked and […]

ABCs Guide to Anaesthesia Medications

What’s so special about anaesthesia meds? Anaesthesia medications are some of the most effective and deadly medications available for human consumption. Fortunately when used by an anaesthetist, they are remarkable safe and effective. Through the 5 years of formal anaesthesia training you end up using a unique group of medications on a daily basis and […]

A basic guide to preoperative assessment

Preoperative assessment - operation theatre

What is the preoperative assessment and what is its purpose? A consultation performed by an anaesthetist prior to administration of anaesthesia. The aim of the pre-operative consult is to minimize perioperative mortality & morbidity and prevent last minute unplanned cancellation through proper assessment and decision-making. To do this we assess with a history, examination and […]

Valve lesions

Model of heart to demonstrate valve lesions

Aim: To give you a grasp of the important valve lesions, identify severity and how to manage a safe anaesthetic. What is common? Aortic stenosis (AS) and mitral regurgitation (MR) What is deadly? AS, mitral stenosis (MS), hypertrophic obstructive cardiomyopathy (HOCM) What preparation? The usual setup for anaesthesia and Arterial monitoring Metaraminol, ephedrine (and adrenaline) […]

The Critical Inductions in Anaesthesia

Anaesthesia mask from patients point of view

After you have performed your first 1000 or so inductions in anaesthesia you’ll probably realise that they are mostly the same. Most patients are reasonably well and as long as you give a reasonable dose of propofol, opioid (alfentanil or fentanyl) and muscle relaxant your patient will like have stable haemodynamics. Sometimes a dose of […]