By William Harrop-Griffiths, Richard Griffiths, Felicity Plaat
In accordance with the organization of Anaesthetists of significant Britain & Ireland's (AAGBI) carrying on with schooling lecture sequence, this clinically-oriented ebook covers the newest advancements in examine and the scientific program of anesthesia and ache control.
- Reviews most up-to-date advancements in study and practice
- Clinically-oriented yet rooted in simple science
- Concise and informative articles on key topics
- Road-tested via CPD roadshows
- Designed in particular for carrying on with scientific education
Read or Download AAGBI Core Topics in Anaesthesia 2015 PDF
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Additional info for AAGBI Core Topics in Anaesthesia 2015
Circulation 2012; 126: 875–910. 14. Fleisher LA, Beckman JA, Brown KA, et al. ACC/AHA 2007 guidelines on perioperative cardiovascular evaluation and care for noncardiac surgery: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (writing committee to revise the 2002 guidelines on perioperative cardiovascular evaluation for noncardiac surgery). Circulation 2007; 116: e418–e500. 15. Chopra V, Eagle KA. Perioperative mischief: the price of academic misconduct.
CHAPTER 3 Acute Pain Management of Opioid-Tolerant Patients Mark Jackson Royal Devon and Exeter Hospital, Exeter, UK Key points r r r r r Assessment and management of acute pain in opioid-tolerant patients can be challenging and their pain is often poorly managed in the hospital setting. The provision of effective analgesia needs to incorporate a plan to manage the patient’s opioids so that their usual opioid dose is continued to prevent a withdrawal syndrome, and additional opioids are given for their acute pain.
The conversion ratio for oral to intravenous morphine is between 3:1 and 2:1. Using a 3:1 conversion ratio, the total intravenous dose over 24 h should be 100 mg, which is equivalent to a background infusion of 4 mg h−1 . The PCA bolus dose can be started at 50% of the hourly dose of the background infusion, that is a bolus dose of 2 mg morphine with a lockout period of 5 min. ii) Additional opioid for acute pain. For minor procedures, immediate release oral opioids, for example Oramorph and OxyNorm, can be used.