18Elective vs Emergency Surgery
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.
17Perioperative Ventilation Stratergies
01 June 2018
Mechanical Ventilation (MV) is a cornerstone of intraoperative anaesthetic practice but is surprisingly poorly understood.It’s clear that one size doesn’t fit all, and simply accepting default settings is rarely appropriate.On the other hand, striving to achieve physiological ideals (derived in awake upright patients not undergoing intra-abdominal surgery) can result in volu-, baro-, atelecta-, and bio-trauma (to name a few) and exacerbates existing lung pathologies.
16Pre-Operative Optimisation of Respiratory Disease
01 May 2018
Anaesthetists in the UK are faced with an increasing elderly and co morbid population. Several recent papers have examined the incidence, impact and risk factors for development of postoperative pulmonary complications (PPC’s), identifying pre-operative optimisation of respiratory disease as a vital part of strategies to reduce these (1). This tutorial will focus on the diagnosis and pre-operative management of asthma, COPD and OSA.
15Peri-operative Care of the Obese Patient
16 Apr 2018
The World Health Organisation defines Obesity as body mass index (BMI) > 30 kg/m2. This is then sub-divided into Class I (BMI 30-34.9 kg/m2), Class II (BMI 35-39.9 kg/m2) and Class III obesity (BMI >40 kg/m2).
14Perioperative Management of anticoagulant medications
05 Feb 2018
An increasing number of patients are now taking anti-coagulant medications or antiplatelet agents. This means there is increased risk of significant haemorrhage in the peri-operative period and care needs to be taken regarding choice of surgical and anaesthetic technique .