By William Harrop-Griffiths, Richard Griffiths, Felicity Plaat
In accordance with the organization of Anaesthetists of serious Britain & Ireland's (AAGBI) carrying on with schooling lecture sequence, this clinically-oriented e-book covers the most recent advancements in examine and the medical software of anesthesia and soreness control.
- Reviews most modern advancements in learn and practice
- Clinically-oriented yet rooted in simple science
- Concise and informative articles on key topics
- Road-tested via CPD roadshows
- Designed particularly for carrying on with clinical education
Read or Download AAGBI Core Topics in Anaesthesia 2015 PDF
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According to the organization of Anaesthetists of serious Britain & Ireland's (AAGBI) carrying on with schooling lecture sequence, this clinically-oriented e-book covers the newest advancements in study and the medical software of anesthesia and discomfort keep an eye on. reports most modern advancements in study and perform Clinically-oriented yet rooted in simple technological know-how Concise and informative articles on key themes Road-tested via CPD roadshows Designed particularly for carrying on with scientific schooling
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Additional resources for AAGBI Core Topics in Anaesthesia 2015
Unfortunately, the results of studies in this area have been inconsistent and recently undermined. Below we discuss the two areas most discussed: peri-operative betablockers and statins. Beta-blockers The uncertainty surrounding the role of beta-blockers to reduce the risk of peri-operative cardiovascular events typifies many difficulties in the field. There is an attractive hypothesis that beta-blockade might reduce peri-operative MI, perhaps particularly Type 2 MI driven by ischaemia, rather than Type 1, since there is limited evidence to suggest beta-blockers influence plaque rupture.
Studies looking at gabapentin and postoperative pain in opioid-na¨ıve patients have used pre-operative doses of 300–1200 mg, with some studies continuing administration for one or two postoperative doses. In opioid-tolerant patients in whom I am considering adding in a gabapentinoid as an opioid-sparing adjunct, I use postoperative doses similar to that for initial management of neuropathic pain, for example gabapentin 100–300 mg three times daily or pregabalin 75 mg twice daily, and titrate according to efficacy and side effects.
There is gradual titration down of the longstanding opioid by 10– 20% per week, and a gradual increase in the new opioid by 10–20% per week with the rotation occurring gradually over 4–8 weeks. This gradual opioid rotation can work well in primary care or in the outpatient setting of a chronic pain clinic but may not be particularly useful in the acute pain setting where a quicker rotation is needed. 3. Multidisciplinary team approach Having a collaborative approach with other hospital specialities, such as drug and alcohol addiction services, palliative care and psychology, improves the quality of pain management in the opioid-tolerant patient.