By William Harrop-Griffiths, Richard Griffiths, Felicity Plaat
In line with the organization of Anaesthetists of significant Britain & Ireland's (AAGBI) carrying on with schooling lecture sequence, this clinically-oriented ebook covers the newest advancements in learn and the scientific software of anesthesia and ache control.
- Reviews most up-to-date advancements in study and practice
- Clinically-oriented yet rooted in simple science
- Concise and informative articles on key topics
- Road-tested via CPD roadshows
- Designed in particular for carrying on with clinical education
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Extra info for AAGBI Core Topics in Anaesthesia 2015
Current guidance (from cardiological societies) continues to support the use of peri-operative beta-blockade in high-risk patients, and in particular that established beta-blockade for existing indications should be continued through the peri-operative period. These recommendations are based on a series of rather small and inconsistent clinical studies . The largest randomised controlled trial, which reported after these guidelines, was the POISE study. This randomised high-risk patients Acute Coronary Syndromes and Anaesthesia 25 undergoing non-cardiac surgery to receive metoprolol or placebo 2–4 h before surgery.
There is currently limited high-level evidence to guide the management of this group of patients, and guidelines are largely based on evidence from case studies, case reports and expert consensus. This chapter aims to review the current recommendations relating to this group of patients and will outline the approach to management of acute pain in the opioid-tolerant patient in the hospital setting. Definitions It is essential to use consistent definitions to prevent misconceptions and mislabelling of these patients.
2. Aldrovandi A, Cademartiri F, Arduini D, et al. Computed tomography coronary angiography in patients with acute myocardial infarction without significant coronary stenosis. Circulation 2012; 126: 3000–3007. 3. Davies MJ. The pathophysiology of acute coronary syndromes. Heart 2000; 83: 361– 366. 4. Yusuf S, Hawken S, Ounpuu S, et al. Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the INTERHEART study): casecontrol study. Lancet 2004; 364: 937–952.