By Graham Smith BSc(Hon) MD FRCA, Alan R. Aitkenhead BSc MD FRCA, David J. Rowbotham MD MRCP FRCA, Iain Moppett
This can be a re-creation of a really profitable textbook aimed toward trainee anaesthetists taking the Fellowship exam of the Royal university of Anaesthetists and comparable tests. The exam has replaced because the present variation used to be released relocating from a 3 half examination to a half one, with half 1 now having a far larger easy technological know-how content material. the recent version may still consolidate the book's place because the dominant teaxt for half 1 of the FRCA. it's also hugely appropriate for tests comparable to the degree of Anaesthesiology of the ecu Academy of Aneaesthesiology.
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Additional info for Textbook of Anaesthesia
If MH needs to be ruled out, investigate as above (see also pp262–4). 5 kPa (35 mmHg). Presentation Reduced end-tidal CO2 or PaCO2. Immediate management No ETCO2 • Check patient, monitors, connections, and ventilator at the same time as switching to 100% O2 and conﬁrming presence of a pulse. • If cardiac arrest conﬁrmed, perform advanced life support (see p5). • Hand ventilate on 100% O2 looking for chest movement (remove drapes if necessary). This eliminates circuit disconnection and airway/ circuit obstruction.
Wolff–Parkinson–White (WPW) syndrome. Exclusions • Awareness/light anaesthesia—check delivery of inhalational/ intravenous agent to the patient. 12 s). • Fast atrial ﬁbrillation can appear regular, but close inspection of a 12-lead ECG should enable the correct diagnosis. Special considerations Supraventricular tachycardias associated with aberrant conduction pathways will produce wide-complex tachycardias resembling ventricular tachycardia. If the patient is severely compromised, the appropriate treatment is as for ventricular tachycardia (see ‘Broad-complex tachycardias’, pp18–9).
This page intentionally left blank 24 CHAPTER 1 Cardiovascular 3Intraoperative hypertension Deﬁnition Blood pressure >15% above baseline; systolic >160 mmHg; or diastolic >100 mmHg. Severe hypertension: systolic >180 mmHg or diastolic >110 mmHg. Presentation • Hypertension detected by non-invasive or invasive blood pressure monitoring. • Hypoxia/hypercapnia—ABC … check SpO2 and end-tidal CO2. • Inadequate depth of anaesthesia—check end-tidal volatile anaesthetic concentration, check TIVA pump and IV cannula.