BJA CEPD ReviewsPub Date : 2002-06-01DOI: 10.1093/BJACEPD/2.3.74
N. Morgan-Hughes, G. Hood
{"title":"Anaesthesia for a patient with a cardiac transplant","authors":"N. Morgan-Hughes, G. Hood","doi":"10.1093/BJACEPD/2.3.74","DOIUrl":"https://doi.org/10.1093/BJACEPD/2.3.74","url":null,"abstract":"74 Cardiac transplantation has evolved over the last three decades from a procedure with a 1year survival of 20% to an established treatment for end-stage heart failure. Between 1991 and 2000, there were 2922 heart transplants performed in the UK. Oneand 10-year survivals are currently 90% and 50%, respectively, and 50% of recipients are aged 50 yr or over at the time of transplantation. Cardiac transplant recipients have an increased requirement for non-cardiac surgery; a quarter of patients undergo surgery within 2 years of transplantation. The anaesthetist may encounter such patients on both elective and emergency theatre lists. In addition, heart transplant patients may suffer medical or surgical complications that necessitate admission to the intensive care unit. Effective anaesthetic care is dependent on knowledge of the complications that occur in these patients, an appreciation of the side-effects of their immunosuppressive therapy and a clear understanding of the changes in physiology and pharmacology that cardiac transplantation produces.","PeriodicalId":100188,"journal":{"name":"BJA CEPD Reviews","volume":"106 1","pages":"74-78"},"PeriodicalIF":0.0,"publicationDate":"2002-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75770727","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}
BJA CEPD ReviewsPub Date : 2002-06-01DOI: 10.1093/bjacepd/2.3.69
Errington Dominic R , Severn Andrew M , Meara Jolyon
{"title":"Parkinson's disease","authors":"Errington Dominic R , Severn Andrew M , Meara Jolyon","doi":"10.1093/bjacepd/2.3.69","DOIUrl":"https://doi.org/10.1093/bjacepd/2.3.69","url":null,"abstract":"","PeriodicalId":100188,"journal":{"name":"BJA CEPD Reviews","volume":"2 3","pages":"Pages 69-73"},"PeriodicalIF":0.0,"publicationDate":"2002-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/bjacepd/2.3.69","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136710236","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}
BJA CEPD ReviewsPub Date : 2002-04-01DOI: 10.1093/bjacepd/2.2.45
Sutcliffe Anne J
{"title":"Subarachnoid haemorrhage due to cerebral aneurysm","authors":"Sutcliffe Anne J","doi":"10.1093/bjacepd/2.2.45","DOIUrl":"10.1093/bjacepd/2.2.45","url":null,"abstract":"","PeriodicalId":100188,"journal":{"name":"BJA CEPD Reviews","volume":"2 2","pages":"Pages 45-48"},"PeriodicalIF":0.0,"publicationDate":"2002-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/bjacepd/2.2.45","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77709063","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}
BJA CEPD ReviewsPub Date : 2002-04-01DOI: 10.1093/bjacepd/2.2.53
Webber S , Andrzejowski J , Francis G
{"title":"Gas embolism in anaesthesia","authors":"Webber S , Andrzejowski J , Francis G","doi":"10.1093/bjacepd/2.2.53","DOIUrl":"10.1093/bjacepd/2.2.53","url":null,"abstract":"<div><p>Venous, arterial and paradoxical air emboli are potential complications in many of the clinical scenarios encountered anaesthetists. Capnography is easy to use, routinely available and should detect most clinically significant emboli. In high risk situations, prevention is better than cure and it is essential that the appropriate preventative measures, monitoring tools and treatment modalities are in place. Vigilance and good communication between all clinicians involved is essential. the event of a large embolism, cardiopulmonary resuscitation may be required. Additional treatment is aimed at preventing further air entry, overcoming the air lock and reducing the size of the embolism. Paradoxical air embolism may occur in absence of a PFO. The treatment of choice for significant arterial air emboli is hyperbaric oxygen therapy.</p></div>","PeriodicalId":100188,"journal":{"name":"BJA CEPD Reviews","volume":"2 2","pages":"Pages 53-57"},"PeriodicalIF":0.0,"publicationDate":"2002-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/bjacepd/2.2.53","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81915980","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}
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