Category Archives: Clinical Anaesthesia

Clinical Anaesthesia, Pain In Anaesthesia, Regional Anaesthesia

Seeing the Invisible: How AI Is Transforming Nerve Localisation in Regional Anaesthesia

Posted on by Majic Sites
04
Apr

By Dr Chris Covelli Overview Regional anaesthesia is an important component of modern perioperative care, providing effective analgesia while reducing opioid use and improving recovery. The use of ultrasound guidance has significantly improved the safety and accuracy of nerve blocks by allowing clinicians to visualise anatomical structures in real time. However, identifying nerves on ultrasound […]

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Clinical Anaesthesia, Introductory Training, Medical Students

Pre-operative Anaesthesia Assessment: Approach for Junior Trainees

Posted on by Majic Sites
13
Sep

By Toby Thomas, Zheng Cheng Zhu   Purpose of the pre-anaesthetic assessment: Identify patients who have increased peri-operative risk; Diagnose, assess, and optimise patient comorbidities to minimise peri-operative risk; Plan and prepare for the patient’s perioperative journey; Encourage patient-centred discussion regarding risk and benefit of surgery and to reach a decision on whether to proceed […]

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Regional Anaesthesia

The Sub-Tenon Block: Technique, Advantage and Complications

Posted on by Majic Sites
14
Jun

By Archit Vora, Zheng Cheng Zhu Key reference: Chua MJ, Lersch F, Chua AWY, Kumar CM, Eke T. Sub-Tenon’s anaesthesia for modern eye surgery-clinicians’ perspective, 30 years after re-introduction. Eye (Lond). 2021;35(5):1295-1304. doi:10.1038/s41433-021-01412-5 Demonstration of sub-Tenon block can be found on ABCs of Anaesthesia Youtube channel: https://www.youtube.com/watch?v=k_bxA9GiGNs Quick Summary Contemporary ophthalmic surgeries are increasingly being […]

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Pain In Anaesthesia

Breaking Through the Block: Perioperative Strategies for Patients on Naltrexone

Posted on by Majic Sites
11
Apr

By Monique Findlay, Zheng Cheng Zhu Article Reference: Whately, Y. and Stead, M. (2023) ‘Perioperative management of patients on naltrexone’, Australasian anaesthesia 2023. Edited by B. Cheung. doi:https://doi.org/10.60115/11055/1180. Key Points Naltrexone is a long-acting opioid receptor antagonist, used commonly to manage alcohol use disorder. Due to its opioid receptor antagonism, naltrexone presents challenges for managing […]

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Clinical Anaesthesia

Understanding perioperative hypothermia

Posted on by Majic Sites
11
Apr

Understanding perioperative hypothermia By Dr Jessica Spurio Key reference: Riley, C. and J. Andrzejowski (2018). “Inadvertent perioperative hypothermia.” BJA Education 18(8): 227-233. Quick Summary Hypothermia is defined as a core body temperature below 36°C. Perioperative hypothermia is a common consequence of general and regional anaesthesia, occurring due to the effect of anaesthesia on thermoregulatory mechanisms. […]

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Clinical Anaesthesia

Heparin and Cardiopulmonary Bypass Surgery

Posted on by Majic Sites
05
Jan

By Dr Hojat Bahadori, Zheng Cheng Zhu Key Reference Iglesias, I. Kaplan’s Cardiac Anesthesia: Perioperative and Critical Care, 8th Edition. Can J Anesth/J Can Anesth 71, 1438–1439 (2024) Background on Cardiac Bypass Cardiopulmonary bypass (CPB) maintains systemic circulation and oxygenation during cardiac surgeries while the heart is stopped and isolated. In short, venous blood is […]

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Clinical Anaesthesia

Navigating Trauma Airway Management: Teamwork, Tools and Techniques

Posted on by Majic Sites
28
Dec

By Ramis Hassan, Zheng Cheng Zhu Key reference: Athanassoglou V, Rogers A, Hofmeyr R. In-hospital management of the airway in trauma. BJA Educ. 2024;24(7):238-44. Available from: https://www.bjaed.org/article/S2058-5349(24)00031-3/fulltext Preamble You are the anaesthetic registrar on-call for a major trauma hospital. After your third morning coffee, your pager buzzes from ED resus for a trauma call. On […]

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Clinical Anaesthesia, Introductory Training

The Physiologically Difficult Airway: considerations beyond anatomy

Posted on by Majic Sites
08
Dec

By Zheng Cheng Zhu Key reference: Karamchandani et al. (2024). Tracheal intubation in critically ill adults with a physiologically difficult airway. An international Delphi study. Intensive care medicine, 50(10), 1563–1579. https://doi.org/10.1007/s00134-024-07578-2 Quick Summary The “physiologically difficult airway” (PDA) was first coined by Mosier et al. in 2015, filling a conceptual gap in the management of […]

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Regional Anaesthesia

Step by Step: An Introduction to Lower Limb Anatomy

Posted on by Majic Sites
26
Oct

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 […]

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Article Review, Clinical Anaesthesia

A single case of a successful sphenopalatine block in a patient with a post dural puncture headache

Posted on by Majic Sites
14
May

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 […]

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