Atrial fibrillation (AF) is one of the commonest arrhythmias. It may be paroxysmal (sudden episodes), persistent or permanent. Atrial depolarization is very rapid, irregular and disorganized. This causes irregular and rapid ventricular conduction. AF may be seen in patients presenting for anaesthesia or may occur during anaesthesia.Atrial Fibrillation and Anaesthesia – June 1, 2006
The guidelines in this article help to identify the multiple problems caused by diabetes mellitus and give advice on on how to cope with them.
Diabetes Mellitus – Management During Anaesthesia – June 1, 2000
Increasing numbers of elderly patients are presenting for surgery due to longer life expectancy. The incidence of peri-operative complications is much higher in these patients due to reduced functional reserve and a high incidence of co-morbidity, but these complications can be minimised by careful preoperative assessment, a meticulous anaesthetic technique and good postoperative care.Elderly Patients and Anaesthesia – December 1, 2002
Human immunodeficiency virus (HIV) infection and the acquired immunodeficiency syndrome (AIDS) are major global health concerns. Given that approximately 25% of HIV-infected patients will require surgery during the time of their illness, it is important for anaesthetists to understand the implications of anaesthesia in the HIV-infected patient.HIV and Anaesthesia – June 1, 2009
Hypertension is a common disease and patients with this condition frequently present for surgery. Most hypertensive disease is idiopathic (no cause known), but around 10% of patients suffer from hypertension caused by renal, endocrine or pregnancy related disease.Hypertension and Anaesthesia – June 1, 1993
Liver disease can vary in severity from sub-clinical to end-stage liver disease (ESLD), with life threatening, multi-organ multi-system failure. Anaesthetic and operative risks are related to the severity of liver dysfunction, so thorough pre-operative assessment is essential for safe peri-operative care. A good understanding of the pathophysiology of liver dysfunction is vital for assessment of operative risk.Liver Disease and Anaesthesia – June 1, 2003
This article aims to educate the anaesthetist on the aetiology, diagnosis, pathophysiology and clinical features of this prevalent disease, along with the anaesthetic management of a patient affected with malaria.Malaria for the Anaesthetist – December 1, 2010
This article offers a guide to the cardiovascular medications you may encounter and provides advice on how they may be used in the perioperative period.Perioperative Management of Cardiovascular Drugs – June 1, 2007
Rheumatoid arthritis is a multi-system chronic inflammatory disorder disorder that presents multiple management problems for the anaesthetist. These are discussed in detail in this article.
Rheumatoid Arthritis and Anaesthesia – June 1, 2006