NHS Evidence library- surgery, anaesthesia, perioperative and critical care

http://www.library.nhs.uk/theatres/

  Getting started

Resource of the month: Updated Sepsis Bundle pages on NHS Evidence - emergency care

The Sepsis Bundle pages on NHS Evidence - emergency care were updated in October by Dr Ron Daniels, Chair of the Surviving Sepsis Campaign U.K. Executive Committee, & Survive SEPSIS Programme Director. The topics are: Incidence, mortality and economic burden of sepsis Defining sepsis, severe sepsis and septic shock Pathophysiology of sepsis The Surviving Sepsis Campaign Severe sepsis care bundles Novel therapies in severe sepsis   Mini topic review - Anaesthesia and fast track cardiac surgery Dr Bharathi Varadarajan, Topic Advisor, NHS Evidence - surgery, anaesthesia, perioperative and critical care and Consultant cardiac anaesthetist, Royal Victoria Hospitals, Belfast Health and Social Care Trust, Belfast Introduction Fast track cardiac surgery (FTCS) has been practised since 1974. In FTCS the perioperative care pathway swiftly progresses from admission through surgery to discharge home whilst at all times promoting the health and safety of the patient. Early discontinuation of respiratory support and sedation, coupled with return to the awake state and normal breathing after FTCS is crucial. The combination of optimal anaesthetic technique (amnesia, analgesia and haemodynamic stability), adequate myocardial protection, short cardiopulmonary bypass (CPB) time and safe surgical procedure allows almost all groups of patients to be extubated safely. In FTCS, patients are woken up after cardiac surgery as soon as near-normothermia, normal pulmonary function and haemodynamic stability are achieved in the absence of any surgical or coagulopathic bleeding. This results in stepping down of nursing care from intensive (Level 3) to high dependency (Level 2) care. At the time of extubation, patients should be comfortable, pain-free and have good muscle power without shivering and agitation. Among other benefits, this enables them to establish oral feeding and early ambulation.   What's New December 2009 A comparison of pancreaticoduodenectomy with extended pancreaticoduodenectomy - a meta-analysis of 1909 patients From the Database of Abstracts of Reviews of Effects Legal issues relevant to non-heartbeating organ donation Department of Health Resuscitation Council UK - Important Statements on AEDs and Defibrillators Resuscitation Council (UK) Rapid Response Report- reducing risks of tourniquets left on after finger and toe surgery NPSA Midazolam - NPSA rapid response report SAAD Fifth report of the mandatory surveillance of surgical site infection in orthopaedic surgery April 2004 to March 2009 HPA Report Standardised evaluation of conscious sedation practice for dentistry in the UK SAAD toolkit Cardiopulmonary resuscitation and Pandemic H1N1 2009 influenza in healthcare settings Consensus statement by the Resuscitation Council (UK) The provision of services for patients with vascular disease 2009 Care Guideline from VSBGI Vascular disorders of the liver Care Guideline by the AASLD RSS More...

Mini Topic Reviews
& Guest Editorials

  Journals &
  e-Books

Journals online & free

Journal Link	Access	Availability	Publisher
Anaesthesia
AANA Journal (Journal of the American Association of Nurse Anesthetists)	FREE after 6 mths	2002 +	Parkridge
Acta Anaesthesiologica Scandinavica	Subscription	1999 +	Blackwells
Acute Pain	Subscription	1997 +	Elsevier
Anaesthesia	Subscription	1946 +	Blackwells
Anaesthesia and Intensive Care	Subscription	1993 +	Australian Society of Anaesthetists
Anesthesia and Analgesia	Subscription	1922 +	Lippincott, Williams & Wilkins
Anesthesia Progress	FREE after 6 Months (via PubMed central)	1985 +	Allen Press, Inc
Anesthesiology C	FREE after 6 mths	1940 +	American Society of Anesthesiologists
Anesthesiology Research and Practice	FREE	2008 +	Hindawi
BMC Anesthesiology	FREE	2001 +	BioMed Central
British Journal of Anaesthesia	FREE after 1 yr	1996 +	Oxford Journals
Canadian Journal of Anesthesia C	FREE after 1 yr	1954 +	Canadian Anaesthetists’ Society
European Journal of Anaesthesiology C	Subscription	1996 +	Cambridge University Press
Indian Journal of Anaesthesia	FREE	2002 +	Indian Society of Anaesthesiologists
Journal of Cardiothoracic and Vascular Anesthesia	Subscription	1999 +	Elsevier
Journal of Clinical Anesthesia	Subscription	1988 +	Elsevier
Paediatric Anaesthesia	Subscription	1991 +	Blackwells
Pain C	Subscription	1975 +	Elsevier
Regional Anesthesia and Pain Medicine	Subscription	1997 +	Elsevier
Perioperative Practice AORN Journal (USA) Subscription 1963 + (FREE for trial period) Association of Operating Room Nurses British Journal of Anaesthetic and Recovery Nursing Subscription 2005 + Cambridge Journals Online British Journal of Infection Control  FREE after 6 mths 2004 + Infection Control Nurses Association Canadian Operating Room Nursing Journal Subscription Current issue only Operating Room Nurses Association of Canada Clinical Services Journal FREE for UK HCP + registration Step Communications Evidence-Based Nursing  FREE after 1 yr 1998 + registration BMJ Publishing Group Infection Control and Hospital Epidemiology  Subscription 1999 + University of Chicago Press Journal of Advanced Perioperative Care Subscription Association for Perioperative Practice Journal of Perioperative Practice Subscription Current issue only Association for Perioperative Practice Journal of the American Association of Nurse Anesthetists Subscription 2002 + (FREE + 6 mths embargo) Parkridge Online Journal of Issues in Nursing FREE 1996 + American Nurses Association The Operating Theatre Journal  FREE for UK HCP 2004 + registration Lawrand Ltd Quality & Safety in Health Care  FREE after 1 yr 1998 + registration BMJ Publishing Group

Animations from univ of Utah

http://library.med.utah.edu/kw/resources.html#animations

CPD Lecture Notes

2009 (September) Anaesthetics Procedural Conference

Lectures:

Dr Andrew Hart - Anaesthetic Emergencies
Dr Mark Davies - Local and Regional Anaesthesia
Dr Ian Sherratt - Paediatric Anaesthesia
Dr Mark Davies - Pain Management
Dr Kirsten Morgan - PreAnaesthetic Assessment
Dr Greg Purcell - Complex Cases
Dr Stephen Barratt - Rural Anaesthetists Tool Kit

2009 (June) Anaesthetics Procedural Conference

Lectures:

Dr David Duke - Anaesthetic Emergencies
Dr Matthew Griffiths - Local and Regional Anaesthesia
Dr Michael Cooper - Paediatric Anaesthesia
A/Prof Boesel - Pain Management
Dr Fergus Davidson - Pre Anaesthetic Assessment
Dr Richard Abbott & Dr Scott Finlay - Complex Cases (not available)
Dr Stephen Barratt - Rural Anaesthetists Tool Kit

2009 Summer Refresher Conference

Lectures:

Dr Karen Chia - Rehabilitation Medicine
Dr Stephen Ruff - Back Pain - Orthopeadic approach (not available)
Dr Ian Kamerman & Dr Ian Cameron - Impact of State and Federal Government Reviews and Commissions on Rural General Practice and Rural Communities (not available)

Workshops:

Dr Tony Woolford - Emergency Medicine 1 & 2
Dr Rod MacQueen - Aboriginal Health: Alcohol and other drug use
Dr Monica Moore - Personality Disorders

2008 AGM Conference

Lectures:

Prof Alan Cass - Addressing Chronic Disease to Close the Gap for Indigenous Australians
Mr Ian Thurgood - NSW Health Care Complaints Commission
Ms Lisa Todd & Prof Robert Ouvrier - Epilepsy in Children (not available)
Dr Scott Dunkely - Leukaemia and Lymphoma. Diagnosis in Management (not available)
Dr Heather Jeffery - Sudden Unexplained Deaths in Infants (not available)
Dr Darryl Mackender - Acute and Chronic Pancreatitis
Dr Simon Clark - Eating Disorders (not available)
Dr Greg McDonald - Emergency Medicine
Dr Stanley Levy - Transient Ischaemic Attacks and Strokes (not available)
Dr Tania May - Contraception (not available)
Dr Nicholas Manolios & Dr Jim Bertouch - Joint Injection Techniques (not available)

2008 (September) Obstetrics Procedural Conference

Lectures:

Prof Lyn Gilbert - Infectious Diseases in Pregnancy
Dr Peter Bland - Antenatal Assessment
Prof Alec Welsh - Case Studies in Obstetric Emergencies
Dr Vijay Roach - Intervention
Dr Kathryn Carmo - Neonatal Resuscitation (not available)
A/Prof Rajat Gyaneshwar - Perineal Repair

Workshops:

Dr Cesar Fernandez-Cornejo - Obstetrics Anaesthesia
Dr Andrew Berry - Unwell Neonate
Dr Henry Murray - Intrapartum Monitoring
A/Prof Rajat Gyaneshwar - Hypertension: Pre-Eclampsia
A/Prof Rajat Gyaneshwar - High Risk Pregnanices

2008 (May/June) Obstetrics Procedural Conference

Lectures:

Dr Peter Bland - Antenatal Testing
Prof Alec Welsh - Infectious Diseases in Pregnancy

Workshops:

Dr Jane Hirst - Perineal Repair (not available)
Dr Paul Craven - Neonatal Resuscitation
Ms Karen Sorensen - Intrapartum Monitoring (not available)
Dr Kyle King - Obstetrics Anaesthesia
Dr Andrew Berry - Unwell Neonate
Dr Vijay Roach - Intervention
Dr Amanda Mather - Hypertension: Pre-Eclampsia
Dr Adrian Taylor - High Risk Pregnancies (not available)

2008 Summer Refresher Conference

Lectures:

Dr Mitchell Smith - Refugee Health
Dr KM Murali - Renal Medicine
Dr Ellie Freedman - Sexually Transmitted Infections

Workshops:

Dr Murray Barrell - Emergency Medicine (not available)
Dr Tom Gibian - What's Your Poison? Prescribing for the Elderly (not available)
Dr Karen Chia - Dementia (not available)

2007 AGM Conference

Lectures:

Ms Maria Gardiner & Mr Hugh Kearns - Practice Improvement (not available)
Dr Kerry Chant - Disaster Medicine
Dr Randall Greenberg - Management of Head Injury
Dr Mark Burley - Travel Medicine (not available)
Dr Gayle Fischer - Dermatology (not available)
Prof Andrew Lloyd - Infectious Diseases

Workshops:

Dr Danny Briggs - IV Sedation (not available)
Ms Maria Gardiner & Mr Hugh Kearns - Maximising Effectiveness for Rural GPs (not available)
Dr Jack Shepherd - Minor Skin Procedures (not available)
A/Prof Dominic Fitzgerald - Paediatrics (not available)
Dr Clifford Tan - Emergency Medicine (not available)
Mr Nick Duff - Introduction to Dermoscopy (not available)

2007 (October) Anaesthetics Procedural Conference

Lectures:

Dr Erika Agius - Anaesthetic Emergencies
Dr Natalie Rogoff - Managing Massive Obstetric Haemorrhage
Dr Michael Cooper - Paediatric Anaesthesia
A/Prof S. Raj Sundaraj - Chronic Pain Patient
Dr Fergus Davidson - Pre-Anaesthetic Assessment
Dr Sam Koch - Complex Cases
Dr Stephen Barratt - Rural Anaesthetists Tool Kit

2007 (June) Anaesthetics Procedural Conference

Lectures:

Dr Frank Moloney - Anaesthetic Emergencies
Dr Brendan Powers - Managing Massive Obstetric Haemorrhage 1 & 2
Dr Michael Cooper - Paediatric Anaesthesia
A/Prof S. Raj Sundaraj - Managing Pain in the Peri-Operative Period
Dr Kirsten Morgan - Pre-Anaesthetic Assessment
Dr Brendan Powers - Complex Cases & Anaesthesia for Caeserean Section
Dr Bill Lewis - Rural Anaesthetists Tool Kit & Common Anaesthetic Drug Dosages

2007 Summer Refresher Conference

Lectures:

Dr Robert Batey - Management of Chronic Pain
Dr Roland Bigg - Cardiology: Heart Failure
Dr Jim Crocker - Rheumatology: Interpretation of Laboratory Results
A/Prof John Eden - Menopause 1 & 2

Workshops:

Dr John Curotta - Paediatric ENT 1 & 2
Dr Alex Wodak - Management of Alcohol Abuse
Dr John Best - Sports Medicine

http://www.nswrdn.com.au/site/index.cfm?display=69450

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