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Chapter 2 - Conduct of anaesthesia

from Section 1 - Clinical anaesthesia

Published online by Cambridge University Press:  19 January 2017

Ted Lin
Affiliation:
Glenfield Hospital, Leicester
Tim Smith
Affiliation:
Alexandra Hospital, Redditch
Colin Pinnock
Affiliation:
Alexandra Hospital, Redditch
Chris Mowatt
Affiliation:
Royal Shrewsbury Hospital
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Summary

The safe conduct of anaesthesia begins before the patient has arrived in the anaesthetic room. Consideration should be given to the methods of induction and maintenance of anaesthesia, airway management, positioning of the patient in theatre, necessary monitoring and the level of postoperative care required. It is important that all members of the anaesthetic and surgical team are fully informed of the planned procedure and its implications, including any foreseen difficulties that may arise.

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Publisher: Cambridge University Press
Print publication year: 2016

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References

References and further reading

Association of Anaesthetists of Great Britain and Ireland. AAGBI Safety Guideline: Suspected Anaphylactic Reactions Associated with Anaesthesia. London: AAGBI, 2009a.Google Scholar
Association of Anaesthetists of Great Britain and Ireland. Management of a Patient with Suspected Anaphylaxis During Anaesthesia. London: AAGBI, 2009b. www.aagbi.org/sites/default/files/ana_web_laminate_final.pdf.Google Scholar
Association of Anaesthetists of Great Britain and Ireland. Checking anaesthetic equipment 2012. Anaesthesia 2012; 67: 660–8.Google Scholar
Cook, T. Supraglottic airway devices. In Cook, T, Woodall, N, Frerk, C, eds., Major Complications of Airway Management in the UK. 4th National Audit Project. London: Royal College of Anaesthetists and the Difficult Airway Society, 2011, pp. 8695.Google Scholar
Cook, TM, Woodall, N, Frerk, C; Fourth National Audit Project. Major complications of airway management in the UK: results of the Fourth National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society. Part 1: anaesthesia. Br J Anaesth 2011; 106: 617–31.Google Scholar
Cook, TM, Woodall, N, Harper, J, Benger, J; Fourth National Audit Project. Major complications of airway management in the UK: results of the Fourth National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society. Part 2: intensive care and emergency departments. Br J Anaesth 2011; 106: 632–42.Google Scholar
Cormack, RS, Lehane, J. Difficult tracheal intubation in obstetrics. Anaesthesia 1984; 39: 1105–11.CrossRefGoogle ScholarPubMed
Fisher, MM, Baldo, BA. The incidence and clinical features of anaphylactic reactions during anesthesia in Australia. Ann Fr Anesth Reanim 1993; 12: 97104.CrossRefGoogle ScholarPubMed
Henderson, JJ, Popat, MT, Latto, IP, Pearce, AC. Difficult Airway Society guidelines for management of the unanticipated difficult intubation. Anaesthesia 2004; 59: 675–94.CrossRefGoogle Scholar
Laxenaire, MC. Epidemiology of anesthetic anaphylactoid reactions. Fourth multicenter survey (July 1994–December 1996). Ann Fr Anesth Reanim 1999; 18: 796809.CrossRefGoogle ScholarPubMed
Mertes, PM, Lambert, M, Guéant-Rodriguez, RM, et al. Perioperative anaphylaxis. Immunol Allergy Clin North Am 2009; 29: 429–51.Google Scholar
World Health Organization. Surgical Safety Checklist. Geneva: WHO Press, 2008.Google Scholar

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