INTRODUCTION The characteristic feature of a post–dural puncture headache is a frontal or occipital headache that worsens with the upright or seated posture and is relieved by lying supine. Associated … Continue reading POST–DURAL PUNCTURE HEADACHE – AN UPDATE
Ten tips to optimize vasopressors use in the critically ill patient with hypotension
Hypotension, defined as low arterial blood pressure with proven of suspected organ hypoperfusion, often requires a differentiated catecholamine therapy, including vasopressors and inotropes. Mean arterial blood pressure (MAP) represents the … Continue reading Ten tips to optimize vasopressors use in the critically ill patient with hypotension
IS THE PREOPERATIVE DISCONTINUATION OF ACE INHIBITORS NECESSARY?
Introduction: Angiotensin-converting enzyme (ACE) inhibitors are commonly prescribed antihypertensives. This class of drugs is advantageous for control of blood pressure because of its many other therapeutic effects often of value … Continue reading IS THE PREOPERATIVE DISCONTINUATION OF ACE INHIBITORS NECESSARY?
RECENT UPDTES IN THE MANAGEMENT OF OBSTETRIC EMERGENCIES
“The position of women in any civilisation is an index of the advancement of that civilisation: The position of women is best gauged by the care given at the birth of her … Continue reading RECENT UPDTES IN THE MANAGEMENT OF OBSTETRIC EMERGENCIES
Why do patients need extra oxygen during a general anaesthetic?
Oxygenation is impaired during GA by four mechanisms: (i) Abnormal respiratory muscle activity: The spinal muscles relax, increasing thoracic spinal curvature; relaxation of intercostal muscles leads to a reduction in … Continue reading Why do patients need extra oxygen during a general anaesthetic?
A PRACTICAL APPROACH TO PERIOPERATIVE RENAL PROTECTION:
Preoperative Intraoperative Cardiac surgery Vascular surgery Post-operative Reference: Webb ST, Allen JSD. Perioperative renal protection. Contin Educ Anaesth Crit Care Pain [Internet]. 2008;8(5):176–80.
Sphenopalatine Ganglion Block
The sphenopalatine ganglion is an extracranial parasympathetic ganglion found within the pterygopalatine fossa of the skull. The role of the sphenopalatine ganglion (SPG) in the pathogenesis of pain and its … Continue reading Sphenopalatine Ganglion Block
AUTONOMIC DYSREFLEXIA
Autonomic dysreflexia — Patients with high spinal cord injury are at risk for autonomic dysreflexia (AD) and may require deep general anesthesia or regional anesthesia, even without sensory function at … Continue reading AUTONOMIC DYSREFLEXIA
ANAESTHESIA FOR LIVER TRANSPLANT
INTRODUCTION:In 1963, Dr. Thomas Starzl performed the first human liver transplant. The recipient, a 3-year-old child with biliary atresia, died in the operating room from massive hemorrhage caused by venous … Continue reading ANAESTHESIA FOR LIVER TRANSPLANT