Obstetrics

Maternal collapse 146 Intrauterine fetal resuscitation 150 Severe haemorrhage 152 Amniotic fluid embolus 155 Severe pre-eclampsia 156 Eclampsia 159 Total spinal 160 Accidental dural puncture 162 Category 1 Caesarean section 164 Problems during Caesarean section 168 Failed intubation—obstetrics 170 Placenta praevia 174 Retained placenta 176...

Recovery problems

Chest pain 314 Acute coronary syndromes (ACS) 318 Acute heart failure (AHF) 322 Postoperative hypertension 326 Postoperative hypotension 328 Respiratory depression/failure 330 Hypoxia 332 Confusion 334 The unrousable patient 336 Stroke 338 Residual neuromuscular blockade 340 Oliguria/acute renal failure (ARF) 342 Severe postoperative nausea and vomiting (PONV) ...

Emergency department problems

Major trauma 354 Drug overdose 358 Massive gastrointestinal bleed 364 Chemical, biological, and radiation injuries 366 Management following cardiac arrest 372 Decreased level of consciousness—requiring anaesthetic input 374 Sepsis 376 Major injury to head/chest/abdomen/pelvis/spine/limbs • Depends on severity of injury. • Patient may be awake or unconscious....

Metabolic and endocrine

Anaphylaxis 256 Diabetic ketoacidosis 260 Malignant hyperthermia 262 Porphyric crisis 266 Thyrotoxic storm 270 Undiagnosed phaeochromocytoma 272 Addisonian crisis 274 Disseminated intravascular coagulation (DIC) 276 Hypoglycaemia 278 Acute liver failure 282 Sickle cell crisis 286 TURP syndrome 290 Hypothermia 292 Hyperkalaemia 296 Hypokalaemia 298 Hypernatraemia ...

Regional anaesthesia

Local anaesthetic toxicity 236 Epidural abscess 240 Epidural haematoma 242 Total spinal 246 Intravenous regional anaesthesia: cuff deflation 248 Injection of adrenaline-containing local anaesthetic around digit 250 Retrobulbar haemorrhage 252 Globe perforation 254 Toxicity due to excessive local anaesthetic blood levels. • Light headedness, dizziness, drowsiness. Tingling around lips, fingers, or generalized. Metallic taste, tinnitus, blurred vision....

Neurosurgery

Raised intracranial pressure 180 Severe head injury 182 Aneurysmal subarachnoid haemorrhage 186 Spontaneous intracerebral haemorrhage 190 Sodium disturbances after brain injury 192 Venous air embolism 196 Status epilepticus 198 Spinal shock 202 Autonomic dysreflexia 204 Dystonic reactions 206 Intracranial pressure (ICP) >25 mmHg. •...

Paediatrics

Neonatal resuscitation 106 Paediatric basic life support 112 Paediatric advanced life support 118 Drowning and near-drowning 122 Acute severe asthma 124 Stridor 126 Anaphylaxis 128 Major trauma 130 Burns 132 Severe sepsis 136 Useful data 140 Drug formulary 142 Resuscitation of the newborn infant at delivery....

Cardiovascular

Asystole 2 Ventricular fibrillation 6 Intraoperative arrhythmias: bradycardia 8 Intraoperative arrhythmias: atrial fibrillation 12 Intraoperative arrhythmias: narrow-complex tachycardia 16 Intraoperative arrhythmias: broad-complex tachycardia 18 Intraoperative hypotension 20 Intraoperative hypertension 24 Intraoperative myocardial ischaemia 26 Cardiac tamponade 28 Pulmonary embolus 30 Cardiac trauma 34 Thoracic aortic dissection ...

Practical procedures

Airway Intubating laryngeal mask airway (ILMA) 428 Cricothyroidotomy 432 Awake fibreoptic intubation 438 Lightwand intubation aids 442 Retrograde intubation 444 Breathing Chest drain insertion 448 One-lung ventilation (OLV) 452 In-circuit nebulization 458 Connecting a metered dose inhaler (MDI) 460 Circulation Vascular access 461 Internal jugular central venous access ...

Thoracics

Intrathoracic tracheal/bronchial obstruction 210 Inhaled foreign body 212 Tracheal injury or laceration 214 Bronchopleural fistula (BPF) 216 Hypoxia during one-lung ventilation (OLV) 218 Sudden high airway pressure during one-lung ventilation 220 Pneumothorax of dependent lung during one-lung ventilation 222 Dynamic hyperinflation (DHI) 224 Cardiac herniation postpneumonectomy ...