Pub Date : 2014-12-01DOI: 10.1093/bjaceaccp/mkt065
C Gaunt FRCA RAMC, T Woolley FRCA RAMC
{"title":"Management of haemorrhage in major trauma","authors":"C Gaunt FRCA RAMC, T Woolley FRCA RAMC","doi":"10.1093/bjaceaccp/mkt065","DOIUrl":"https://doi.org/10.1093/bjaceaccp/mkt065","url":null,"abstract":"","PeriodicalId":100332,"journal":{"name":"Continuing Education in Anaesthesia Critical Care & Pain","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/bjaceaccp/mkt065","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91635547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-12-01DOI: 10.1093/bjaceaccp/mkt066
Daniel J Quemby MBBS(Hons) BSc(Hons) BSc Med Sci, MIBiol MRCS FRCA, Mary E Stocker MA (Oxon) MBChB FRCA
{"title":"Day surgery development and practice: key factors for a successful pathway","authors":"Daniel J Quemby MBBS(Hons) BSc(Hons) BSc Med Sci, MIBiol MRCS FRCA, Mary E Stocker MA (Oxon) MBChB FRCA","doi":"10.1093/bjaceaccp/mkt066","DOIUrl":"https://doi.org/10.1093/bjaceaccp/mkt066","url":null,"abstract":"","PeriodicalId":100332,"journal":{"name":"Continuing Education in Anaesthesia Critical Care & Pain","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/bjaceaccp/mkt066","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90002189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-12-01DOI: 10.1093/BJACEACCP/MKT069
R. Griffiths, M. Mehta
We have an ageing population with approximately 1.25 million people in the UK aged 85 yr or more and about 20% of the total UK population classified as pensioners. Estimates suggest that this patient characteristic change will continue with the older proportion of our society projected to double and treble in another 25 and 35 yr, respectively. Unsurprisingly, given this rate of population ageing, the number of older patients undergoing surgical procedures is also increasing. While surgery frequently has benefits for the older population, they also suffer from an excess of adverse postoperative outcomes when compared with younger patients. These adverse outcomes are due in part to age-related physiological change and multimorbidity but are increasingly attributed to the influence from geriatric syndromes. These syndromes can be thought of as clinical phenotypes commonly encountered in older people which do not neatly fit into a disease category or organ-specific condition, and the pathogenesis of which is often incompletely understood. Frailty, which can be thought of as decreased physiological reserve across multiple organ systems, leading to adverse outcomes in the frail individual, as a result of even seemingly minor external stressors, is a clear example of a geriatric syndrome.
{"title":"Frailty and anaesthesia: what we need to know","authors":"R. Griffiths, M. Mehta","doi":"10.1093/BJACEACCP/MKT069","DOIUrl":"https://doi.org/10.1093/BJACEACCP/MKT069","url":null,"abstract":"We have an ageing population with approximately 1.25 million people in the UK aged 85 yr or more and about 20% of the total UK population classified as pensioners. Estimates suggest that this patient characteristic change will continue with the older proportion of our society projected to double and treble in another 25 and 35 yr, respectively. Unsurprisingly, given this rate of population ageing, the number of older patients undergoing surgical procedures is also increasing. While surgery frequently has benefits for the older population, they also suffer from an excess of adverse postoperative outcomes when compared with younger patients. These adverse outcomes are due in part to age-related physiological change and multimorbidity but are increasingly attributed to the influence from geriatric syndromes. These syndromes can be thought of as clinical phenotypes commonly encountered in older people which do not neatly fit into a disease category or organ-specific condition, and the pathogenesis of which is often incompletely understood. Frailty, which can be thought of as decreased physiological reserve across multiple organ systems, leading to adverse outcomes in the frail individual, as a result of even seemingly minor external stressors, is a clear example of a geriatric syndrome.","PeriodicalId":100332,"journal":{"name":"Continuing Education in Anaesthesia Critical Care & Pain","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91369804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-12-01DOI: 10.1093/BJACEACCP/MKT078
M. Nirmalan, P. Dark
Invasive arterial pressure monitoring is one of the most frequent monitoring techniques used in critically ill patients and in anaesthetized subjects in whom rapid changes in the haemodynamic status is anticipated during the perioperative period. The arterial waveforms obtained via an indwelling arterial cannula are transduced and displayed on a monitor providing a beat-to-beat estimate of the systolic, diastolic, and mean arterial pressures (MAPs). However, it is now well established that a more detailed study of the arterial waveforms and their interactions with respiration, may provide a more informative and composite assessment of the overall cardiovascular status. Understanding of the physiological determinants that influence the shape of an arterial pressure waveform is however an absolute prerequisite if we are to successfully utilize the simple arterial waveforms to evaluate global haemodynamic status in our patients.
{"title":"Broader applications of arterial pressure wave form analysis","authors":"M. Nirmalan, P. Dark","doi":"10.1093/BJACEACCP/MKT078","DOIUrl":"https://doi.org/10.1093/BJACEACCP/MKT078","url":null,"abstract":"Invasive arterial pressure monitoring is one of the most frequent monitoring techniques used in critically ill patients and in anaesthetized subjects in whom rapid changes in the haemodynamic status is anticipated during the perioperative period. The arterial waveforms obtained via an indwelling arterial cannula are transduced and displayed on a monitor providing a beat-to-beat estimate of the systolic, diastolic, and mean arterial pressures (MAPs). However, it is now well established that a more detailed study of the arterial waveforms and their interactions with respiration, may provide a more informative and composite assessment of the overall cardiovascular status. Understanding of the physiological determinants that influence the shape of an arterial pressure waveform is however an absolute prerequisite if we are to successfully utilize the simple arterial waveforms to evaluate global haemodynamic status in our patients.","PeriodicalId":100332,"journal":{"name":"Continuing Education in Anaesthesia Critical Care & Pain","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73214052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-12-01DOI: 10.1093/bjaceaccp/mkt069
Richard Griffiths MD FRCA, Madhur Mehta FRCA MD DNB
{"title":"Frailty and anaesthesia: what we need to know","authors":"Richard Griffiths MD FRCA, Madhur Mehta FRCA MD DNB","doi":"10.1093/bjaceaccp/mkt069","DOIUrl":"https://doi.org/10.1093/bjaceaccp/mkt069","url":null,"abstract":"","PeriodicalId":100332,"journal":{"name":"Continuing Education in Anaesthesia Critical Care & Pain","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/bjaceaccp/mkt069","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91590857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-12-01DOI: 10.1093/bjaceaccp/mkt078
Mahesh Nirmalan MD FRCA PhD FFICM, Paul M Dark FRCS PhD FFICM
{"title":"Broader applications of arterial pressure wave form analysis","authors":"Mahesh Nirmalan MD FRCA PhD FFICM, Paul M Dark FRCS PhD FFICM","doi":"10.1093/bjaceaccp/mkt078","DOIUrl":"https://doi.org/10.1093/bjaceaccp/mkt078","url":null,"abstract":"","PeriodicalId":100332,"journal":{"name":"Continuing Education in Anaesthesia Critical Care & Pain","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/bjaceaccp/mkt078","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91590855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：