Anaesthetists Handbook - MEDICAL EDUCATION at University ...

Miscellaneous issues• Associated injuries which may compromise airway or breathing(e.g. maxillofacial injury).• Very aggressive behaviour.CT scannerThe University Hospital is a tertiary referral centre for neurosurgery.The neurosurgeon on call accepts the patient. The ICU resident andconsultant intensivist should be alerted if the patient is to betransferred to critical care in Coventry, whether before or aftersurgery. The senior resident anaesthetist should be called if thepatient requires urgent surgery. If called, you should attend the CTscan suite and take handover from the transferring team as soon aspossible.MRI scans[Sarah Wayte, March 2008]IntroductionThis procedure explains the steps which should be taken whenscanning a ventilated critical care patient.Anaesthetist preparation• If you are not familiar with the MRI monitoring and anaestheticequipment or the MRI environment, you should look at theequipment before the patient is brought down to MRI.• Ask a radiographer to go through the MRI safety points with you.• Facilities for induction of general anaesthesia are not present inthe MRI department. If the patient is not already adequatelysedated or anaesthetised then you should do this in anappropriate location prior to them being brought down.Anaesthetists Handbook January 2010 211