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Perioperative medicine tutorial of the month [POMTOM]

Tutorial of the month

22

Non Cardiac Implantable Devices

Dr Manpreet Singh and Dr Arihant Jain

9th Nov 2018

In recent years there has been explosion in the use of noncardiac implantable electronic medical devices with various indications pouring in from the new research. As an anaesthetist, we are very likely to encounter patients with these devices. Not only coming through our theatre doors but also in other areas like radiology, endoscopy suite and intensive care. In the absence of anaesthetic guidelines for non-cardiac electronic medical devices, anaesthetists should ensure risk reduction strategies to enhance patient safety. This article will describe the various non-cardiac devices available and their vulnerability to various environments.


21

Spinal Opioids

Dr Katyayani Katyayani

12th Oct 2018

Despite the widespread use of intrathecal opioids, there is still neither clear evidence, nor a consensus among anaesthetists, regarding the optimal dose of intrathecal opioids for postoperative pain relief. This review examines some of the key aspects of the use of intrathecal opioids for acute postoperative analgesia.

20

Perioperative Cardiac Investigations - Indications and Interpretation

Dr Lucy Stacey

5th Sep 2018

An accurate assessment of cardiovascular function is fundamental when assessing fitness for anaesthesia and surgery. Cardiac investigations enable anaesthetists and surgeons to risk stratify patients and plan for post operative care.

19

Perioperative Care of the Pregnant Patient

Dr Alisha Allana

30 August 2018

A pregnant woman may require surgery at any stage. This patient poses both clinical and ethical challenges for the anaesthetist, not only during the moments of childbirth and labour, but perhaps more importantly when we encounter these individuals during nonobstetric surgery. The immense variations in physiology and anatomy, and therefore pharmacology, need to be taken into account when forming a management plan. This includes staffing, training, equipment, drugs and above all, an insight into the difficulties that may arise when anaesthetising a pregnant patient.

18

Elective vs Emergency Surgery

Dr Daragh Lehane

05 July 2018

Daragh Lehane is a perioperative fellow at the Alfred Hospital in Melbourne, Australia. Daragh is our first Australian trainee to author a Perioperative Medicine Tutorial of the Month - expect to see more from down under as our new Australia & New Zealand arm, TRIPOM ANZ, is starting to grow. This presents valuable opportunities to gain international perspectives on perioperative teaching and practices through a global network of trainees interested in perioperative medicine.

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