Archives for October 2012

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Clinical Case 070: Postpartum headache

This next case is complimented by a great review article, which was sent to me when I phoned for some advice. Klein AM, Loder E (2010) Postpartum Headache. International Journal of Obstetric Anaesthesia October;19(40) 422-30 Its Saturday morning and you have just opened up a crisp copy of the Australian when get a call from […]

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Clinical Case 069: Can’t Intubate, can ventilate …. for now

 I always thought that Beaker would be the toughest Muppet to intubate.  Sure he’s skinny, but a non-existent thyro-mental gap and that big nose will impede cord visualisation…any other thoughts? Todays case is one of those unique country-doctor scenarios.  Sure it could happen anywhere, but working in a small town has a few special and […]

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Difficult intubation deliberation

Last week I posted on a tricky airway requiring AFOI (awake fibre-optic intubation) – see Awake Intubation Procrastination. I got a bit of correspondence from the readers and a very special reader – Dr James DuCanto, M.D. from Milwaukee, Wisconsin, USA.  (yep, Happy days, the Fonz.. you know the place.)  You will recognize Jim D if you […]

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Acute Pain Targets

This post has been inspired by an excellent article by @anaestricks (Dr. Gavin Doolan http://anaestricks.tumblr.com ) entitled Acute Pain Targets. Here Gavin drew a simple diagram of the nociceptive pain pathway with analgesic targets and corresponding drugs responsible at each level.   I have become obsessed with this, thinking about it during all my GA’s and sharing […]

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Clinical Case 068: Surviving sepsis. Serial scans for super-sick sheila

My newly arrived UK RMO Dr Laura Castle and I managed a sick lady today and we used the bedside ultrasound to assist us in 5 modalities.  Now even I struggle to use US that much, but this case required a lot of thinking and it happened on a slow Sunday – so not much […]