By Garrioch, Magnus

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24 i. What does the ECG show? ii. Should surgery proceed without any further action? iii. If emergency surgery was required, how would anaesthetic management be modified to minimise risk, and how would the arrhythmia be managed? indd 33 15/10/14 11:37 AM Answer 24 24i. Features of Wolf–Parkinson–White (WPW) syndrome. e. a paroxysmal supraventricular tachycardia). Paroxysmal atrial flutter/fibrillation (PAF) is the commonest presentation of WPW but exceptionally, syncope and even death may result if the tachycardia is so rapid that ventricular filling fails.

Why is it important? iii. What problems are commonly associated with the use of PCA machines? QUESTION 32 32 A 52-year-old man with emphysema is scheduled for release of a Dupuytren’s contracture in his right hand under regional blockade. He has developed a ‘frozen shoulder’ and is unable to abduct the arm adequately to perform an axillary block. An alternative block is decided and a cross-sectional view of the arm at the site for this block is shown (32). i. What is the name of this alternative regional block?

Indd 55 15/10/14 11:37 AM Answer 42 42 The complete adult advanced life support algorithm is shown (42b). 42b Adult Advanced Life Support Unresponsive?

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