Clinical Anaesthesia Notes

,Clinical 1
List of Abbreviations

Anaesthetic assessment and
i



Anaesthesia preparation for surgery 1

Notes 2 Anaesthesia 15

3 Postanaesthesia care 71

4 Management of perioperative
emergencies and cardiac arrest
90

5 Recognition and management of the
critically ill patient 112

6 Anaesthetists and chronic pain139

Index 151

,List of Abbreviations


AAGBI Association of Anaesthetists of Great
Britain & Ireland
ADH antidiuretic hormone GI gastrointestinal
AED automated external defibrillator GTN glyceryl trinitrate
ALS advanced life support HAFOE high airflow oxygen enrichment
ALT alanine aminotransferase HDU high dependency unit
APC activated protein C HIV human immunodeficiency virus
APPT activated partial thromboplastin time HR heart rate
ARDS acute respiratory distress syndrome HRT hormone replacement therapy
ASA American Society of Anesthesiologists ICP intracranial pressure
AST aspartate aminotransferase ICU intensive care unit
ATN acute tubular necrosis I:E inspiratory:expiratory
BLS basic life support ILM intubating LMA
BNF British National Formulary IM intramuscular
CAVH continuous arteriovenous haemofiltration INR international normalized ratio
CBF cerebral blood flow IPPV intermittent positive pressure ventilation
CCU coronary care unit IR immediate release
CLCR creatinine clearance ITU intensive therapy unit
CNS central nervous system IV intravenous
COPD chronic obstructive pulmonary disease IVRA intravenous regional anaesthesia
COX cyclo-oxygenase enzymes (COX-1, 2) JVP jugular venous pressure
CPAP continuous positive airway pressure LMA laryngeal mask airway
CPR cardiopulmonary resuscitation LVEDP left ventricular end-diastolic pressure
CSF cerebrospinal fluid M6G morphine-6-glucuronide
CT computerized tomography MAC minimum alveolar concentration
CVP central venous pressure MAP mean arterial pressure
CVS cardiovascular system MET Medical Emergency Team
CVVH venovenous haemofiltration MH malignant hyperpyrexia (hyperthermia)
DIC disseminated intravascular coagulation MI myocardial infarction
DNAR do not attempt resuscitation MOFS multiple organ failure syndrome
ECF extracellular fluid MR modified release
EMLA eutectic mixture of local anaesthetics MRI magnetic resonance imaging
ENT ear, nose and throat MRSA methicillin-resistant Staphylococcus aureus
FEV1 forced expiratory volume in 1 second NSAID non-steroidal anti-inflammatory drug
FFP fresh frozen plasma NICE National Institute for Clinical Excellence
FRC functional residual capacity NIPPV non-invasive positive pressure ventilation
FVC forced vital capacity OCP oral contraceptive pill
GCS Glasgow Coma Scale PAFC pulmonary artery flotation catheter
GFR glomerular filtration rate PCA patient-controlled analgesia
GGT gamma glutamyl transferase PCV pressure-controlled ventilation
PEA pulseless electrical activity
PEEP positive end expiratory pressure

, List of Abbreviations

PEFR peak expiratory flow rate TCI target controlled infusion
PHN postherpetic neuralgia TENS transcutaneous electrical nerve stimulation
PMGV piped medical gas and vacuum system TIVA total intravenous anaesthesia
PONV postoperative nausea and vomiting TNF tumour necrosis factor
PT prothrombin time TOE transoesophageal echocardiography
RS respiratory system TOF train-of-four
RSI rapid sequence induction TPN total parenteral nutrition
SIMV synchronized intermittent mandatory VF ventricular fibrillation
ventilation VIE vacuum-insulated evaporator
SIRS systemic inflammatory response syndrome V/Q ventilation/perfusion
SpO2 oxygenation of the peripheral tissues VT ventricular tachycardia
SVR systemic vascular resistance




ix