Anaesthetists Handbook - MEDICAL EDUCATION at University ...

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Miscellaneous issuesThe trauma list finishes at 20:00, with the after hours arrangementsbeing identical.Ultrasound guided nerve blocks[Appraised by Dr Shyam Balasubramanian, January 2010]We have recently acquired several ultrasound machines designed foruse in the placement of regional nerve blocks. While this will remainunder continuous scrutiny it is not yet a requirement of placing nerveblocks that you use an ultrasound machine. If you would like trainingin its use please contact Dr Hillerman, Dr Balasubramanian oranother consultant interested in this area.1. All the ultrasound machines are parked in a designated area –the anaesthetist taking it out should log the detail in a notebookkept in that designated area. This will help avoid looking for themachine in every anaesthetic room every day.2. When the machine is unused please plug it to continuecharging. The battery in the machine can discharge easilywithout adequate charge and this may affect the longevity of themachine.3. Do not use the gel provided with the ultrasound machine (in awhite container) for nerve blocks; it is for diagnostic scanningpurposes and for preprocedural screening only. The sterile 10 gsachet of Aquagel used for lubricating ETT cuffs is good.4. The transducer probe will be damaged if cleaned with alcoholwipes. Sani-cloth disinfection wipes (green lid container) do notcontain alcohol and are very effective.5. A size 8 sterile glove can be used as a sterile condom for theprobe to prevent cross infection.238 Anaesthetists Handbook January 2010
Waiting list initiatives[Appraised by Dr Edwin Borman, January 2010]Miscellaneous issuesSpecialist anaesthetists needing advice about patients on such listsshould call the general on call consultant anaesthetists for the site, asthey would for patients on regular NHS lists.Working with other clinicians[Appraised by Dr Edwin Borman, January 2010]Anaesthetists have to foster and maintain good working relationshipswith clinicians from a variety of other disciplines. These relationshipsshould not be abused and if you are aware of such abuse it should bebrought to the attention of a senior anaesthetist immediately.In particular, you should contact the Anaesthesia Office, the clinicaldirector or the appropriate consultant on call if you feel that pressureis being applied to you to perform tasks that it is not appropriate foryou to perform, or to allow the inappropriate over-running of operatinglists. Neither of these situations will be condoned.Anaesthetists Handbook January 2010 239
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Department of AnaesthesiaAnaestheti
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Document control for approved clini
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ContentsTrauma list anaesthetist (t
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ContentsStudy leave 81Junior doctor
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ContentsIndications for investigati
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ContentsRenal patients - clinical g
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Introduction and scope of guideline
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Introduction and scope of guideline
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Airway assessmentManaging difficult
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Managing difficult airways• Flexi
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Managing difficult airways• Manuj
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Resuscitation - advanced life suppo
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Resuscitation - advanced life suppo
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Duties of the on call anaesthetists
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Getting senior helpGetting senior h
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On call casesGetting senior helpYou
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Supervision for sick patientsGettin
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Calling the senior resident anaesth
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Perianaesthesia Care Unit (PACU)PAC
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PACUThe surgical team responsible f
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PACU6. Oxygen and intravenous thera
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Integration with the critical care
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Inter-hospital transfersInter-hospi
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Inter-hospital transfersConsultant
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Signing onAdministrative issuesYour
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Administrative issuesMobile phones
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Administrative issuesobstetrics, we
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Administrative issuesMain theatre r
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CLWrota processes• To complete ca
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Security rules:• Do not put confi
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Education and trainingthe Royal Col
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Education and trainingthe necessary
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Education and trainingarrive in the
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Education and traininginformation c
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Education and trainingexamination i
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Education and trainingAll consultan
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Presenting at seminars• Bring har
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Presenting at seminarsDOI advise yo
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Clinical adverse event reportingCli
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Clinical auditClinical audit[Apprai
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Clinical auditYour presentation sho
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Pain management and postoperative c
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Signs and symptomsAgitation, anxiet
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Epidural anaesthesia and analgesiaP
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Epidural anaesthesia and analgesiai
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Epidural anaesthesia and analgesiaS
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IndicationsEpidural anaesthesia and
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Epidural anaesthesia and analgesiaH
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Assessment and treatment optionsEpi
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Epidural anaesthesia and analgesia3
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Epidural anaesthesia and analgesia
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Epidural anaesthesia and analgesiaA
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Epidural anaesthesia and analgesiaG
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Allergies and adverse drug reaction
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Awareness during anaesthesiaPrevent
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Fractured neck of femur:management
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Fractured neck of femurGuidelines f
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Management of patients with diabete
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Patients who take insulinManagement
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Preoperative assessment and investi
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Indications for investigationsFull
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SevofluraneSevoflurane[Dr Mark Port
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Sevofluranemust be considered on it
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Gabapentin in acute painSide-effect
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Blood and blood productsBlood and b
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Blood and blood productsWhen the un
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Blood and blood productsCross match
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Blood and blood productsBlood Cool
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Blood and blood productsHaematology
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Page 189 and 190: Blood and blood productsfactors, ha
Page 191 and 192: Day case anaesthesia6. Social crite
Page 193 and 194: ENT anaesthesiaENT anaesthesia{Dr C
Page 195 and 196: ENT anaesthesiaIntraoperative• In
Page 197 and 198: Miscellaneous issuesMiscellaneous i
Page 199 and 200: Miscellaneous issuesideally be cont
Page 201 and 202: Miscellaneous issuesinstruction man
Page 203 and 204: Miscellaneous issuesRemifentanilRem
Page 205 and 206: Miscellaneous issuesCentral neuraxi
Page 207 and 208: Miscellaneous issuesAnalgesia Fenta
Page 209 and 210: Miscellaneous issues• Diclofenac
Page 211 and 212: Miscellaneous issues• Associated
Page 213 and 214: Miscellaneous issues• Everyone wi
Page 215 and 216: Miscellaneous issues• If fasting
Page 217 and 218: Miscellaneous issueslabour ward ana
Page 219 and 220: Miscellaneous issuesThere is no cli
Page 221 and 222: Patient monitoring in and out of th
Page 223 and 224: Miscellaneous issuessuch as Hartman
Page 225 and 226: Miscellaneous issues• Abdominal a
Page 227 and 228: Miscellaneous issuesPrevention of p
Page 229 and 230: Miscellaneous issuesDifferent clini
Page 231 and 232: Recovery and patient handoverMiscel
Page 233 and 234: For afternoon list (pm)Diabetic Pat
Page 235 and 236: Miscellaneous issuestake part in th
Page 237: Miscellaneous issuesSee page 37 for
Page 241 and 242: Major Incident ProcedureStaff assem
Page 243 and 244: Major Incident Procedure• In coop
Page 245 and 246: Finding your way round theUniversit
Page 247 and 248: • Coffee room.• Quiet room (fiv
Page 249 and 250: Anaesthesia department lead clinici
Page 251 and 252: Trust organisational structureTrust
Page 253 and 254: Telephone numbersLabour ward……
Page 255 and 256: IndexIndexAabsence, 68adenotonsille
Page 257 and 258: Indexemergency department, 222emerg
Page 259 and 260: Indexmortality review, 93MRI scansa
Page 261 and 262: Indexstudy leave, 81applications, 6
Page 263 and 264: NotesAnaesthetists Handbook January
Page 265: NotesAnaesthetists Handbook January
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