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Related Concept Videos

Stages of General Anesthesia01:22

Stages of General Anesthesia

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Various sedation levels offer significant advantages in facilitating procedural interventions for patients undergoing medical or invasive surgical procedures. These levels span from anxiolysis to general anesthesia, providing a spectrum of sedative effects to cater to specific patient needs. Anxiolysis reduces anxiety and is achieved through minimal sedation, enabling patients to remain awake and responsive while feeling more at ease during the procedure. This level can benefit minor...
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General Anesthesia: Overview01:24

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Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
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Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

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Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
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Local Anesthetics: Clinical Application as Spinal Anesthesia01:11

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Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
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Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia01:16

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Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
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Inhalational Anesthetics: Overview01:20

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Inhalation anesthetics are drugs that induce general anesthesia upon inhalation. They work by increasing the sensitivity of GABAA receptors or inhibiting NMDA receptors, leading to a decrease in central nervous system activity. The depth of anesthesia can be rapidly adjusted by changing the concentration of the inhaled gas. Some common examples of inhalational anesthetics include volatile liquids like isoflurane, desflurane, sevoflurane and gases like xenon and nitrous oxide. Isoflurane, a...
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  11. Professionalisation And Specialisation In The Practice Of Anaesthesia In The Uk

Professionalisation and specialisation in the practice of anaesthesia in the UK

Alistair G McKenzie1, Henry Connor2

  • 1Science Technology and Innovation Studies, SPS, University of Edinburgh, Edinburgh, UK.

British Journal of Anaesthesia
|June 22, 2024

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View abstract on PubMed

Summary
This summary is machine-generated.

2024 celebrates 70 years since the first Fellowship of the Faculty of Anaesthetists of the Royal College of Surgeons (FFARCS) graduates. This review examines the UK

Area of Science:

  • Medical Specialties
  • Surgical Sciences
  • Professional Development

Background:

  • The year 2024 signifies the 70th anniversary of the first FFARCS examinations.
  • This milestone highlights the evolution of anaesthesia as a distinct medical specialty.
  • The FFARCS qualification has been pivotal in standardizing anaesthetic practice.

Discussion:

  • Specialisation in UK anaesthesia has progressed significantly over seven decades.
  • Professionalisation efforts have enhanced patient safety and care standards.
  • The role of formal examinations in shaping anaesthetic practice is evident.

Key Insights:

  • The FFARCS examinations have been a cornerstone in the development of anaesthesia.
  • Continuous professional development has been crucial for anaesthetists.
Keywords:
Royal College of Anaesthetistsanaesthetistmedical educationpatient safety

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659
  • The journey reflects a broader trend of medical specialisation in the UK.

    • Outlook:

    • Future directions may involve further subspecialisation within anaesthesia.
    • Adapting to new technologies and research will shape anaesthetic practice.
    • Maintaining high professional standards remains paramount for anaesthetists.
    professionalism
    quality improvement
    specialisation