Anaesthetists Handbook - MEDICAL EDUCATION at University ...

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University Hospitals Coventry and Warwickshire NHS TrustDepartment of AnaesthesiaAnaesthetists HandbookDr Mark Porter, consultant anaesthetistEmail: mark.porter@uhcw.nhs.uk; internal email: Porter Mark (RKB)This handbook has been approved by the Department of Anaesthesiaand the clinical director for anaesthesia. My thanks are due to thoseof my colleagues who have advised on or provided content orappraised sections. Further copies are available from theAnaesthesia Office at the University Hospital, Coventry.Email: anaesthesia@uhcw.nhs.uk; internal email: Anaesthesia (RKB)The guidelines within are presented in good faith andare believed to be accurate. The responsibility foractions and drug administration remains with theclinician concerned.All sections have been written by me except where otherwiseindicated, with amendments by appraisers. All sections have beenappraised by me except where otherwise indicated, and reviewed byDr Falguni Choksey.Edition historyFirst edition February 1999… …Seventeenth edition February 2008Update August 2008Eighteenth edition January 2009Update August 20092 Anaesthetists Handbook January 2010
Document control for approved clinicalguidelinesGuideline titleGuideline typeDivisione-Library source folderAuthor nameAuthor email addressReviewer nameReviewer email addressExpected date of nextrevisionAnaesthetists HandbookRevised guidelineDiagnostics and service divisionAnaesthesiaDr Mark Porter, consultant anaesthetistPorter Mark (RKB)Dr Falguni Choksey, consultantanaesthetistChoksey Falguni (RKB)Before January 2011Expiry date February 2011Version numberNineteenth editionAnaesthetists Handbook January 2010 3
Page 1: Department of AnaesthesiaAnaestheti
Page 5 and 6: ContentsTrauma list anaesthetist (t
Page 7 and 8: ContentsStudy leave 81Junior doctor
Page 9 and 10: ContentsIndications for investigati
Page 11 and 12: ContentsRenal patients - clinical g
Page 13 and 14: Introduction and scope of guideline
Page 15 and 16: Introduction and scope of guideline
Page 17 and 18: Airway assessmentManaging difficult
Page 19 and 20: Managing difficult airways• Flexi
Page 21 and 22: Managing difficult airways• Manuj
Page 23 and 24: Resuscitation - advanced life suppo
Page 25 and 26: Resuscitation - advanced life suppo
Page 27 and 28: Duties of the on call anaesthetists
Page 43 and 44: Getting senior helpGetting senior h
Page 45 and 46: On call casesGetting senior helpYou
Page 47 and 48: Supervision for sick patientsGettin
Page 49 and 50: Calling the senior resident anaesth
Page 51 and 52: Perianaesthesia Care Unit (PACU)PAC
Page 53 and 54:
PACUThe surgical team responsible f
Page 55 and 56:
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
Page 65 and 66:
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
Page 145 and 146:
Page 147 and 148:
Page 149 and 150:
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
Page 159 and 160:
Page 161 and 162:
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Preoperative assessment and investi
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Page 167 and 168:
Indications for investigationsFull
Page 169 and 170:
Page 171 and 172:
SevofluraneSevoflurane[Dr Mark Port
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Sevofluranemust be considered on it
Page 175 and 176:
Gabapentin in acute painSide-effect
Page 177 and 178:
Blood and blood productsBlood and b
Page 179 and 180:
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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Blood and blood products25322 so th
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Blood and blood productsfactors, ha
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Day case anaesthesia6. Social crite
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ENT anaesthesiaENT anaesthesia{Dr C
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ENT anaesthesiaIntraoperative• In
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Miscellaneous issuesMiscellaneous i
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Miscellaneous issuesideally be cont
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Miscellaneous issuesinstruction man
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Miscellaneous issuesRemifentanilRem
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Miscellaneous issuesCentral neuraxi
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Miscellaneous issuesAnalgesia Fenta
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Miscellaneous issues• Diclofenac
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Miscellaneous issues• Associated
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Miscellaneous issues• Everyone wi
Page 215 and 216:
Miscellaneous issues• If fasting
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Miscellaneous issueslabour ward ana
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Miscellaneous issuesThere is no cli
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Patient monitoring in and out of th
Page 223 and 224:
Miscellaneous issuessuch as Hartman
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Miscellaneous issues• Abdominal a
Page 227 and 228:
Miscellaneous issuesPrevention of p
Page 229 and 230:
Miscellaneous issuesDifferent clini
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Recovery and patient handoverMiscel
Page 233 and 234:
For afternoon list (pm)Diabetic Pat
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Miscellaneous issuestake part in th
Page 237 and 238:
Miscellaneous issuesSee page 37 for
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Waiting list initiatives[Appraised
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Major Incident ProcedureStaff assem
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Major Incident Procedure• In coop
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Finding your way round theUniversit
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• Coffee room.• Quiet room (fiv
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Anaesthesia department lead clinici
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Trust organisational structureTrust
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Telephone numbersLabour ward……
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IndexIndexAabsence, 68adenotonsille
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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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