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Emergency Spinal - Obstetrics

1/30/2017

4 Comments

 

Quite obviously, similar to most spinal anaesthetic practices. This aims to provide a aide-memoire for out of hour (and in-hour!) practices where variability in all practitioners can exist. This is only ONE guide to providing a spinal anaesthetic and obviously is not made to replace AAGBI or OAA guidelines. It is something all staff can use to remind themselves of the equipment required and order things are done in. The BNF should always be used when prescribing medication and your patient may not be suitable for NSAID's or opioids OR stipulated antibiotic regimes due to contraindication or allergies. The post-operative analgesic regime is likely to vary a lot between hospitals depending on your local practices. 

Furthermore, this does not replace the need for preparation for a general anaesthetic. You should always be mentally and procedurally prepared that the patient is going to have to emergently go to sleep for delivery.

The key aim of this document is to provide a snap-shot of information to aid staff help the anaesthetic team in siting a spinal in the safest, quickest way possible in a time-pressured situation. It can be used by everyone to raise the question of whether something on this list is needed, or has been purposefully omitted.

Anaesthetic assistants and midwifery staff should be sensitive to the needs to the anaesthetist and the procedure, as, the baby cannot come out via c-section until the spinal is in and working. With everyone working together, this can be achieved more quickly.

It allows the questions to be asked such as, "Do you want the oxytocin infusion prepared?" well before the baby comes out, because you have consulted the list of often-needed medications and it has reminded you. It also prompts early discussion with the obstetric team.

Perhaps it is not a useful infogram for seasoned practitioners, but it is certainly useful for the junior team seeking to be as thorough as possible. 
4 Comments

Humidity

7/7/2016

0 Comments

 
FULLSCREEN
0 Comments

Wheatstone Bridge

7/7/2016

0 Comments

 
FULLSCREEN
0 Comments

Gas Laws 1

7/5/2016

0 Comments

 
FULLSCREEN
0 Comments

High Flow Nasal Oxygen

6/26/2016

0 Comments

 
FULLSCREEN
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HEART ECHO VIEWS

6/13/2016

0 Comments

 
FULLSCREEN
0 Comments

ETCO2 in Resus

6/3/2016

2 Comments

 
Brad Gander in another great infographic, explores the uses of ETCO2 in cardiac arrest, using PQRST!
Picture
2 Comments

Echocardiography Views

5/23/2016

0 Comments

 
This was made as an A4 PDF sized infogram which can be downloaded below.
​If the graphic is taking too long to view, it can also be seen below as a PDF.
Echo Heart Views
File Size: 1710 kb
File Type: pdf
Download File

0 Comments

Mapleson Breathing Systems

5/23/2016

0 Comments

 
FULLSCREEN
0 Comments

pH

5/10/2016

0 Comments

 
FULLSCREEN
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Diathermy

5/3/2016

0 Comments

 
FULLSCREEN
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An Emergency Intubation Checklist

4/25/2016

0 Comments

 
Here is NAP4's example of an emergency intubation checklist.
FULLSCREEN

NB: This is not intended to supersede any guidelines your department may already have in use.
All departments facilitating the emergency intubation of patients should have a checklist available. 

0 Comments

Gas Cylinders in Anaesthesia

4/24/2016

0 Comments

 
FULLSCREEN
0 Comments

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  • Home
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  • FRCA COURSE
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    • COVID19 >
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