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skip to main content -- mobile rss feeds login email/username: password: remember me forgot password? register claim subscription subscribe content articles in press current issue list of issues self-assessment collection anatomy collection all mp journals diagnostic histopathology medicine obstetrics, gynaecology and reproductive medicine orthopaedics and trauma paediatrics and child health surgery mp portal reader info about the journal about open access activate online access cpd evidence the editorial board new content alerts contact us subscribe search terms search within all content article title, abstract, keywords authors article title abstract search advanced search core clinical review articles for postgraduate anaesthetic training and continuing professional development the trainee’s companion subscribe to journal july 2018 volume 19, issue 7 list of issues supports open access learn more about open access options . email content alerts free sample issue what does a subscription include? all personal subscriptions give you access to: more than 1700 articles hundreds of self-assessment questions from the ‘test yourself’ section, updated monthly monthly content updates of 12+ new articles for 1 year mobile access via healthadvance app print edition mailed to your door register or login to: buy a subscription or activate online access . non-subscribers may purchase individual articles on a pay per view basis. publishing information is published by elsevier . stay on track. elsevier’s is a continually updated, evidence-based, learning resource for trainees. mapped to the curriculum of both the primary and final fellowship of the royal college of anaesthetists (frca) examinations, gives you high calibre and concise articles designed to help you pass the frca exams. this resource also provides a compact teaching aid for consultants: a superb didactic tool to help train junior staff to become safe and competent anaesthetists. current issue july 2018 volume 19, issue 7 issue highlights the principles of cardiac anaesthesia michael charlesworth, petr martinovsky doi: https://doi.org/10.1016/j.mpaic.2018.04.002 anaesthesia & intensive care medicine , vol. 19 , issue 7 preview full-text html pdf x despite the origins of cardiac surgery and anaesthesia involving experimentation and danger, modern practice has evolved to dramatically reduce risk and increase patient safety. outcomes from cardiac surgery in the uk are consistently improving despite an aging population, increasing clinical complexity and an increasing incidence of chronic conditions such as anaemia and frailty. the management of bleeding is a great challenge to the surgeon and anaesthetist; knowledge of novel near-patient tests, blood products and their transfusion, blood conservation strategies and haemostatic agents is of paramount importance. preoperative assessment for cardiac surgery shilpa sannakki, deepa sannakki, juan jose echebarria, mathew patteril doi: https://doi.org/10.1016/j.mpaic.2018.04.003 anaesthesia & intensive care medicine , vol. 19 , issue 7 preview full-text html pdf x anaesthetic challenges in cardiac surgery are multifaceted. since patients present with compromised cardiovascular reserve and multiple co-morbidities, a thorough preoperative assessment and meticulous anaesthetic plan is essential. this targets anaesthetic history, physical examination and analysis of investigations, routine and specific to the cardiovascular system. special models exist for risk stratification to aid perioperative planning, surgical decision making, benchmarking and quality assurance. transoesophageal echocardiography in cardiac anaesthesia christine herr, andrew roscoe doi: https://doi.org/10.1016/j.mpaic.2018.04.004 anaesthesia & intensive care medicine , vol. 19 , issue 7 preview full-text html pdf x echocardiography is the most widely used minimally invasive investigation to diagnose heart disease. transoesophageal echocardiography (toe) was first introduced perioperatively in the 1980s and is now an important monitoring tool for patients undergoing cardiac surgery. because of the close proximity of the oesophagus to the heart, toe facilitates the acquisition of high-resolution images. the toe probe is a multiplane transducer. this means that the image planes can be rotated from 0° to 180°, enabling three-dimensional (3d) assessment of the structure of interest. most read most cited latest articles surgical diathermy and electrical hazards: causes and prevention james h. macg palmer doi: https://doi.org/10.1016/j.mpaic.2016.07.005 vol. 17 , issue 10 published online: september 7, 2016 full-text html pdf anatomy of the larynx, trachea and bronchi ed burdett, viki mitchell doi: https://doi.org/10.1016/j.mpaic.2011.05.002 vol. 12 , issue 8 published in issue: august 2011 full-text html pdf editorial board doi: https://doi.org/10.1016/s1472-0299(18)30134-6 vol. 19 , issue 7 published in issue: july 2018 pdf contents doi: https://doi.org/10.1016/s1472-0299(18)30132-2 vol. 19 , issue 7 published in issue: july 2018 pdf anaesthesia and minimally invasive surgery stanley sau ching wong, michael g. irwin doi: https://doi.org/10.1016/j.mpaic.2017.10.005 vol. 19 , issue 1 published online: november 28, 2017 full-text html pdf preoperative assessment and preparation for safe paediatric anaesthesia matthew harvey, tim geary doi: https://doi.org/10.1016/j.mpaic.2018.05.004 publication stage: in press corrected proof preview full-text html pdf x the delivery of anaesthesia to children and young people provides unique challenges. a careful, systematic approach to assessment and preparation can deliver a positive experience for the child, carers and staff while mitigating potential complications. preparation for anaesthesia should encompass information gathering, assessment and planning for anatomical, physiological, social and behavioural elements specific to the child and the surgery. delivery of appropriate information, consent and fasting are also key elements of ensuring positive perioperative outcomes. self-assessment viyayanand nadella doi: https://doi.org/10.1016/j.mpaic.2018.05.009 publication stage: in press corrected proof preview full-text html pdf x which of the following are true about pulmonary hypertension and its anaesthetic implications? anaesthetic implications of congenital heart disease for children undergoing non-cardiac surgery sarah smith, alyson walker doi: https://doi.org/10.1016/j.mpaic.2018.04.011 publication stage: in press corrected proof preview full-text html pdf x a diagnosis of congenital heart disease (chd) increases perioperative risk for children having surgical procedures. some will require anaesthesia at a specialist cardiac centre, while for others it is safe and appropriate to have their procedure in a local district general hospital (dgh). children with complex chd and poor physiological status carry the highest risk of cardiac arrest and mortality. clinical features of cardiomyopathy, cyanosis, pulmonary hypertension, arrhythmia and cardiac failure are most likely to require specialist input and tertiary referral, whereas those with a preoperative stay of less than 10 days undergoing elective, minor surgery, who are older than 2 years of age and physiologically well may be safely anaesthetized in a dgh. equipment and monitoring in paediatric anaesthesia dannie seddon, m. mcleod doi: https://doi.org/10.1016/j.mpaic.2018.05.001 publication stage: in press corrected proof preview full-text html pdf x advances in paediatric anaesthetic equipment and monitoring continue to be made. while the mainstay of airway intubating equipment currently is the direct laryngoscope, video laryngoscopes and endoscopes are increasing in their use. these continue to evolve, generating better quality pictures, with more sophisticated yet easier to use equipment. vascular access in paediatric anaesthesia can be challenging with an increasing number of patients pr

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medicinejournal.co.uk
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