By William Harrop-Griffiths, Richard Griffiths, Felicity Plaat
In response to the organization of Anesthetists of significant Britain and Ireland's (AAGBI) carrying on with schooling lecture sequence, this clinical-oriented publication covers the most recent advancements in learn and the scientific software to anesthesia and discomfort control.Content:
Chapter 1 The Physics of Ultrasound (pages 1–16): Graham Arthurs
Chapter 2 Coronary Artery Stents: administration in sufferers present process Noncardiac surgical procedure (pages 17–27): Colin Moore and Stephen Leslie
Chapter three Anaesthesia and greater restoration for Colorectal surgical procedure (pages 28–43): Carol Peden and Christopher Newell
Chapter four The Unanticipated tough Airway: The ‘Can't Intubate, cannot Ventilate’ situation (pages 44–55): Mansukh Popat
Chapter five Analgesia for stomach surgical procedure (pages 56–71): Alex Grice, Nick Boyd and Simon Marshall
Chapter 6 Analgesic Regimens for kids (pages 72–87): Glyn Williams
Chapter 7 The risky Cervical backbone (pages 88–104): Michelle Leemans and Ian Calder
Chapter eight Obstetric Haemorrhage (pages 105–123): David Levy
Chapter nine Anaesthesia for sufferers present process Hip Fracture surgical procedure (pages 124–136): Richard Griffiths
Chapter 10 e?Learning Anaesthesia (pages 137–145): Andrew McIndoe and Ed Hammond
Chapter eleven Consent and the reason of threat in Anaesthesia (pages 146–153): Stuart White
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Additional info for AAGBI Core Topics in Anaesthesia
Indd 27 9/9/2011 10:49:11 AM C H AP TER 3 Anaesthesia and Enhanced Recovery for Colorectal Surgery Carol Peden1 and Christopher Newell2 1 Royal United Hospital, Bath, UK; 2 University Hospitals Bristol NHS Foundation Trust, Bristol, UK Key points • Enhanced recovery involves redesign of the whole patient pathway in an evidencebased, patient-centred approach starting at the time of General Practitioner referral. • A multidisciplinary team approach is essential to success. • Patients must be educated and involved in the whole process; success depends on a contract and agreed timeline between the team and the patient.
Association of Surgeons of Great Britain and Ireland 2009. cfm (accessed 18 June, 2011). 3. , et al. (2009) Consensus review of optimal perioperative care in colorectal surgery: Enhanced Recovery After Surgery (ERAS) group recommendations. Archives of Surgery, 144, 961–969. 4. Delivering Enhanced Recovery. Enhanced Recovery Partnership Programme. http://www. pdf (accessed 5 February, 2011). 5. , Purkayastha, S. et al. (2009) Cardiopulmonary exercise testing as a risk assessment method in non-cardiopulmonary surgery: a systematic review.
It has been used for patient benefit in a number of surgical specialties, but this chapter will concentrate on its use in colorectal surgery, the specialty in which enhanced recovery after surgery (ERAS) was developed. Enhanced recovery programmes have two principle aims: to improve the quality of patient care in order to facilitate rapid recovery after major surgery, and to decrease the length of stay with benefit not only to the patient, but also to the hospital system through decreasing bed occupancy and therefore cost.