Atotw

Paediatric pain management is a challenging area of anaesthesia and pain medicine. This tutorial describes the aetiology of pain in children, methods of pain assessment in different age groups and pharmacological options for pain management.Paediatric Pain: Physiology, Assessment and Pharmacology (289) – July 8, 2013

Part one of this tutorial pair covered laryngospasm and suxamethonium apnoea. This tutorial aims to provide a better understanding of the presentation, immediate treatment and subsequent management of MH and anaphylaxis.Paediatric Anaesthetic Emergencies Part 2 (288) – July 1, 2013

Part one of this series will look at Laryngospasm and Suxamethonium apnoea. Part two will cover Malignant Hyperpyrexia and Anaphylaxis.Paediatric Anaesthetic Emergencies Part 1(287) – June 24, 2013

This tutorial covers management of patients having surgical treatment of Thoracic Outlet Syndrome (compression of the neurovascular bundle of the upper limb at the level of the first rib)Thoracic Outlet Obstruction (286) – June 17, 2013

This is the second of a two part tutorial on cardiac arrhythmias. This tutorial will concentrate on the assessment and management of the ventricular rhythm disturbances. Peri-operative Cardiac Dysrhythmias – Part 2. Ventricular Dysrhythmias (285) – May 6, 2013

A femoral nerve block is nerve block technique that carries a low risk of complications and is widely used for femur and knee surgery. This article describes  ultrasound-guided approaches to the femoral nerve block including the potential advantages of using ultrasound, tips on technique to achieve a successful block and pitfalls to avoid.   Download the […]Ultrasound Guided Femoral Nerve Block (284) – April 15, 2013

Cardiac tamponade is a life-threatening emergency. The aim of this article is to provide the anaesthetist with an overview of its physiology and management.Cardiac Tamponade (283) – March 18, 2013

This article will focus on organ donation after circulatory death (DCD), including its definition, classification and a review of the processes involved in successful DCD.Organ Donation After Death (282) – March 11, 2013

This paper includes a discussion on the practical considerations and requirements for the delivery of GA for special care patients and explores the perioperative management strategies for this patient groupAnaesthesia for Special Care Dentistry (281) – February 18, 2013

A diagnosis of cancer in a child frequently results in anaesthetic input for diagnostic and treatment procedures. The anaesthetist forms a key part of the multidisciplinary team caring for the child with malignancy. Anaesthesia will be required at all stages of their care including diagnosis, treatment, tumour surveillance and pain management. Knowledge of the physiological effects of the malignant process and its treatment are vital for any anaesthetist involved in the care of such patients. Anaesthetic Considerations for Paediatric oncology (280) – February 11, 2013

This is the first of a two part tutorial on cardiac arrhythmias. It will cover the basics of ECG interpretation and summarise assessment and management of the common supra ventricular rhythm disturbances.Peri-operative Cardiac Arrhythmias – Part 1 (279) – February 4, 2013

The aim of this article is to provide the reader with an overview of the current guidelines and evidence for the management of sepsis in children.Management of Paediatric Sepsis (278) – January 28, 2013

This tutorial reviews the latest ideas on opioid pharmacology including mechanism of action and receptor subtypes.Update in Opioid Pharmacology (277) – December 3, 2012

Pyloric stenosis is an uncommon condition requiring both medical stabilisation and surgical treatment. This tutorial covers the underlying pathophysiology and appropriate peri-operative management.Infantile Hypertrophic Pyloric Stenosis (276) – November 26, 2012

Traditionally anaesthetists learn to block 3 nerves at the wrist. In this article we decribe 6 terminal nerves that supply the wrist and hand and how to block them to provide effective analgesia or anaesthesia for wrist or hand surgeryWrist Block – Landmark Technique (275) – November 19, 2012

This is the second of a two-part tutorial looking at kidney structure and function. Part 1 explained how the structure of the glomerulus and its blood flow leads to the production of an ultrafiltrate of plasma. Part 2 explains how the nephrons modify the glomerular filtrate in order to maintain total body water and electrolyte homeostasis, and produce urine to allow excretion of waste products.Renal Physiology – Part 2 (274) – November 12, 2012

This is the first of a two-part tutorial looking at kidney structure and function. This tutorial describes the important anatomical features and physiological processes which allow the kidneys to produce an ultrafiltrate of plasma that ultimately goes on to become urine.Renal Physiology – Part 1 (273) – November 5, 2012

This is the second of a two-part tutorial looks at the considerations and practicalities of anaesthetising patients with liver disease, the indications for liver transplantation and will briefly consider anaesthesia in the post liver transplant patientAnaesthesia and Liver Disease – Part 2 (272) – October 15, 2012

This tutorial covers the technique of high frequency ventilation. There is some overlap with ATOTW 261, High Frequency Oscillatory Ventilation, although this tutorial discusses in-theatre anaesthetic techniques in addition to critical care ventilation.
High Frequency Jet Ventilation (271) – October 8, 2012

This is the first of a two-part tutorial looking at liver anatomy, function, acute and chronic failure and the physiological changes associated with liver disease. The second tutorial will then look at the considerations and practicalities of anaesthetising this patient group, the indications for liver transplantation and will briefly consider anaesthesia in the post liver transplant patient. Anaesthesia and Liver Disease – Part 1 (270) – September 3, 2012

  269 Anaesthesia, Sleep and Dyssomnias – Part 2Anaesthesia, Sleep and Dyssomnias – Part 2 (269) – August 27, 2012

Sleep is fundamental to health and wellbeing. Part one of this article looks at the normal physiology of sleep, the neurochemistry of sleep, and finally the effects of anaesthesia on sleep. Part two will be published next week and will discuss dyssomnias.Anaesthesia, Sleep and Dyssomnias – Part 1 (268) – August 20, 2012

Coarctation of the aorta is a narrowing of the aorta resulting from an abnormal junction of the aortic isthmus and the arterial duct. It accounts for 5% of all congenital cardiac defects and mortality is greater than 80% if unrepaired. This tutorial describes the anaesthetic and intensive care management of patients with this condition. Coarctation of the Aorta (265) – July 23, 2012

Describes the anaesthetic and critical care management of patients with head injuries.Management of the Head Injured Patient (264) – July 9, 2012

The lumbar plexus block is very useful for management of pain following unilateral lower limb surgery (principally knee, femur or hip). It is not widely used due to concerns of its potential complications. This Tutorial will cover the relevant anatomy, a description of the posterior approaches to blocking the lumbar plexus using a landmark technique and its potential complications.Lumbar Plexus Block – Landmark Technique (263) – June 18, 2012

This tutorial discusses the use of blood components including plasma derivatives in clinical practice.Blood Component Therapy (262) – June 11, 2012

High frequency oscillatory ventilation (HFOV) is an alternative form of mechanical ventilation. To date its primary application has been in patients with ARDS. Despite evidence of a mortality benefit HFOV is growing in popularity. This article will review the basic principles of HFOV before providing practical advice on patient selection and clinical management for adult patients receiving HFOV.
High Frequency Oscillatory Ventilation (261) – June 7, 2012

It is very common to encounter patients on strong opioid medication. These patients present particularly challenging pain management difficulties in the peri-operative period due to behavioural, psychological and pharmacological consequences of opioid treatment. This article discusses the key concepts in the anaesthetic management of patients taking strong opioids and steps that can be taken to ensure optimum peri-operative care.Peri-operative Management of Patients on Strong Opioids (260) – May 21, 2012

259 Anaesthesia for the Pre-term InfantAnaesthesia for the Pre-term Infant (259) – May 14, 2012

Perioperative peripheral nerve injuries are a potentially catastrophic complication for surgical patients. This tutorial will identify causes of nerve injury and discuss prevention of this significant adverse outcome.Peripheral Nerve Injuries and Positioning for Anaesthesia (258) – May 7, 2012