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Contents


JAP  Volume 7 Issue 1


THE JOURNAL OF ANAESTHESIA PRACTICE


T: 0844 858 2890 E: editor@japractice.com W: www.japractice.com


EDITORIAL Group Editor: Les Charneca Editor: Matt Ng Assistant Editor: Kamelia Kountcheva


CONSULTING EDITOR Dr Baha Al-Shaikh


DESIGN Lucy Taylor


ADVERTISING SALES 0844 858 2890 Tom Grant: tom.grant@barkerbrooks.co.uk


PUBLISHER Barker Brooks Communications Ltd. 4 Greengate Cardale Park Harrogate HG3 1GY United Kingdom


T: 0844 858 2890 (outside UK +44 1423 851150)


F: 0844 858 2891 E: info@barkerbrooks.co.uk W: www.barkerbrooks.co.uk


PRINT Buxton Press


SUBSCRIPTIONS Journal of Anaesthesia Practice is available on subscription: £30 UK


£38 Europe (Airmail) £48 Elsewhere (Airmail) E: jacques.clarkson @barkerbrooks.co.uk


Copyright © 2013 Barker Brooks Communications Ltd


Every effort is made to ensure that information given in this magazine is accurate but no legal responsibility is accepted by the Editor or Publisher for errors or omissions in that information. Readers are recommended to contact manufacturers direct. Views expressed by contributors are not necessarily shared by JAP. Printed in the UK by Buxton Press.


On the cover:MEDACX


MEDACX Capnography NDIR devices are designed specifically to support the NAP4 and AAGBI guidelines that cover the use of capnography. Choice of devices: • EMMA [Mainstream Capnometer] • CapnoTrue AMP [Mainstream] • CapnoTrue ASP [Sidestream] For both intubated and non-intubated patients, our technologies measure and display: • End tidal C02


& Inspired FiC02 @JnlAnaesthesia


www.facebook.com/pages/ Journal-of-Anaesthesia- Practice/455245687873806


• Respiratory Rate, Pulse Rate


• Percent Oxygen Saturation Sp02 With configurable alarms, colour displays; waveform, bar graph, data storage, short and long term trending, battery powered with range of accessories; airway adapters, nasal cannulas sampling lines, filters, bed clamps, protective device sleeve and protective carry bags. Our truly portable NDIR technology quickly & directly connects to laryngeal & facial masks and


endotracheal tubes and is the perfect partner for: • confirmation of airway placement


• rapid indication of efficacy of ventilation


• effectiveness of cardiac compressions


• early indicator of return of spontaneous circulation [ROSC]


• intra-hospital patient transfers & transportation • AE, ICU, ITU, NICU, PACU… • Resuscitation and outreach teams


For further information please contact us: MEDACX Limited Tel: +44 (0) 2392 469737 www.medacx.co.uk


Next issue Perioperative Care and Patient Warming


Would you like to write in the next issue of Journal of Anaesthesia Practice? We are always interested to hear from readers who would like to write for us.


Email editor@japractice.com for more information


Regulars From the editor


Contents 04


Welcome to the latest issue News


The latest products from the biggest developers Case report


The most fascinating patient cases in anaesthesia Events


A comprehensive guide to what’s on Book review


Readers’ thoughts on the big sellers in anaesthesia 06


The newest information from the world of anaesthesia Product news


14 32 40 42


24 Feature


Anaesthesia management in TAVI


30 Feature


The right management software for your practice


22 Feature


Crossing the Blood-Brain barrier


Features: Resuscitation and Emergency Medicine


18 Feature


Acronyms in anaesthesia


Email: info@medacx.co.uk www.japractice.com 03


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