ARC Alex (Anaesthesia Residents'Community of Alexandria)

30/09/2017

06/09/2017

A bit late decision. I now think that ones who are no longer working at AUH, shouldn't continue to be admins for this page. So I hereby step down from managing a page I once helped to create. Wasn't very active anyway. Wishing all the best to you all.

Islam

25/07/2017

Routine preoperative tests for elective surgery
NICE guideline [NG45] Published date: April 2016

https://www.nice.org.uk/guidance/ng45/chapter/Recommendations

Patient ASA I and II having minor procedure won't require any preoperative test

Patient ASA I having intermediate procedure still won't need any test, you might consider doing kidney function tests and ECG in ASA II patients if you think they're required.

13/07/2017

NEW ASA classification update check link and Picture
ASA II: include current smoker, pregnancy, obesity (30 < BMI < 40)
ASA III : include morbid obesity (BMI ≥40), history (>3 months) of MI, CVA, TIA, or CAD/stents.

https://www.asahq.org/resources/clinical-information/asa-physical-status-classification-system

05/06/2016

كل سنة وكلكم طيبين . معتز العباسي

17/12/2015

The duration of apnoea without desaturation can also be prolonged by passive oxygenation during the apnoeic period (apnoeic oxygenation). This can be achieved by delivering up to 15 litres min−1 of oxygen through nasal cannulae, although this may be uncomfortable for an awake patient.65,85,86 Nasal Oxygenation During Efforts Of Securing A Tube (NODESAT) has been shown to extend the apnoea time in obese patients and in patients with a difficult airway.87 Transnasal humidified high-flow oxygen (up to 70 litres min−1) via purpose-made nasal cannulae has been shown to extend the apnoea time in obese patients and in patients with difficult airways,88 although it's efficacy as a means of preoxygenation has not been evaluated fully.89,90 Apnoeic oxygenation is an area of recent research interest about which further evidence is awaited. The administration of oxygen by nasal cannulae in addition to standard preoxygenation and face-mask ventilation is recommended in high-risk patients.

These guidelines provide a strategy to manage unanticipated difficulty with tracheal intubation. They are founded on published evidence. Where evidence is lacking, they have been directed by feedback from members of the Difficult Airway Society and based on expert opinion. These guidelines have been…

25/08/2015

Announcement to all of NYSORA 1st International Winter Symposium delegates(and future delegates) who will be joining us in beautiful Jahorina, Sarajevo from January 27-30, 2016.
the lecture program and Q&A are structured in NYSORA’s signature TNT (Think-Tank Series), which keeps the presentations dynamic, while allowing rapid-fire questions and answers after each presentation.Each session will end with Interactive Ultrasound Scanning and Demonstration on a model. Apart from that, we added a brand NEW writing workshop (Nick Knezevic, MD, PhD) on Friday 29th, free for all delegates to join! This workshop will highlight the ABCs of conducting and presenting research studies, whether this is a singular case report or a well-planned and organized clinical trial. Dr. Knezevic has designed, conducted, and published numerous papers and has served as an expert reviewer to premier medical journals. This three hours will be a combination of didactic and hands-on exercises that will help your future research.
For more information and registrations visit: http://nysoraeurope.com/

05/08/2015

21/07/2015

New Episure™ AutoDetect™ syringe for the identification of Epidural Space.

The loss-of-resistance (LOR) technique is routinely used to identify the epidural space. The Episure™ AutoDetect™ syringe (EAS) manufactured by Indigo Orb, Inc., Santa Clara, CA, USA is a new LOR syringe with an internal compression spring that applies constant pressure on the plunger. This obviates the need to apply pressure on plunger, allowing operator to use both hands while continuously advancing the epidural needle. The plunger automatically depresses when needle enters epidural space, providing an objective, visual confirmation of LOR, as opposed to subjective "feel" required with standard LOR syringes. These advantages may help the resident anaesthesiologist to achieve higher success rate in identifying the epidural space.

Ref: Comparative study of Episure™ AutoDetect™ syringe versus glass syringe for identification of epidural space in lower thoracic epidural.
Joseph EJ et al Comparative study of Episure™ AutoDetect™ syringe versus glass syringe for identification of epidural space in lower thoracic epidural. Indian J Anaesth 2015;59:406-10.
http://www.ijaweb.org/article.asp?issn=0019-5049;year=2015;volume=59;issue=7;spage=406;epage=410;aulast=Joseph

25/06/2015

Colour coding system for drug safety precautions. You pick the sticker with the drug name on it and stick it to the syringe before withdrawing the drug.
This was first adopted by the Australian association of anaesthetists 20 years back and it became an international colour code 15 years ago.
But in Egypt..........................sigh

08/03/2015

TODAY TIP:

PT&PTT

04/03/2015

TODAY TIP:

رسمة كويسة....