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Articles by Felicity Plaat
Rapid sequence induction: a narrative review
Introduction Rapid sequence induction (RSI) (also termed rapid sequence intubation or rapid sequence induction and intubation) is a widely-used multi-element technique for induction of anaesthesia intended to reduce the risk of pulmonary aspiration of gastric contents (aspiration). It is considered a fundamental airway management procedure. Despite this, its origin, definition, key components and evidence base are all matters of debate and controversy.
Pain management after caesarean delivery: beyond analgesia towards holistic maternal recovery
Caesarean delivery is now one of the most frequently performed operations worldwide, with the global incidence increasing from 16.0 million in 2000 to 29.7 million in 2015 [1]. This trend is projected to continue, with a predicted 38 million caesarean deliveries being undertaken annually by 2030 [2]. Caesarean delivery is major abdominal surgery.
Time to treat the bleeding obstetric patient like the trauma patient and lower the dose of opioid
The 7th National Audit Project (NAP7) confirmed haemorrhage as a leading cause of maternal cardiac arrest[1]. In this audit of cardiac arrest in patients under the care of an anaesthetist, nearly half of the obstetric cases involved a general anaesthetic, and anaesthetic care was judged to be a key factor in 68% of cases. The specific drugs used for induction of anaesthesia were not recorded [1]. We speculate that over-generous use of opioids may be implicated.
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