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Information for patients with ME/CFS who need anaesthesia or sedation.
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This webinar will move from low carbon anaesthetic techniques and carbon calculators through QI recipes and building networks to the impact of global supply chains and COP26 in Glasgow next year.
Chapter 5: Guidelines for the Provision of Emergency Anaesthesia Services 2025
Hospitals should have explicit policies (see Glossary) for managing diabetic patients having emergency procedures including policy on the safe use of variable rate intravenous insulin infusions. The use of a variable rate intravenous insulin infusion adds extra complexity to the fluid and electrolyte management of the surgical patient and this will require additional medical and nursing resources, which sometimes...
Dr Thomas Fletcher, Anaesthetic Consultant and Dr Brooke Morgan, ST7 Anaesthetic Registrar at Nottingham University Hospitals tell us how they streamlined the assessment process and facilitated safer surgery.
At Nottingham University Hospitals (NUH), it was felt that for our patients with cardiovascular disease, obtaining a preoperative cardiology assessment and perioperative management strategy was prolonging non-cardiac surgery waiting times.
This was especially compounded by the surgical backlog and increased demand on preoperative services following the COVID-19 pandemic. In order to streamline the assessment process and facilitate safer surgery, a joint cardiology-anaesthesia multidisciplinary team (MDT) meeting was established.
The global problem
It is no surprise that underlying cardiovascular disease can contribute significantly to perioperative morbidity and mortality, with cardiac events being the leading cause of such.1 Almost half of adults aged over 45 years undergoing major non-cardiac surgery have at least two cardiovascular risk factors, and conditions such as coronary heart disease, heart failure and arrhythmias put patients at increased risk of cardio- and cerebrovascular events in the immediate postoperative period.2
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TEE allows practising anaesthetists overseas to satisfy the membership requirement and become eligible to take the Primary FRCA examinations.
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Read the findings from the RCoA report which outlines the factors affecting retention in anaesthesia and solutions to address this challenge.
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This is a shortened version of the main ME/CFS (myalgic encephalomyelitis or encephalopathy/chronic fatigue syndrome) resource.