By Dr Ian McConachie

This publication presents sensible info at the administration of excessive probability sufferers offering for surgical procedure in addition to enough historical past info to permit an realizing of the rules and intent at the back of their anaesthetic administration. The content material displays the wishes of a extensive readership and offers info no longer on hand in related books (e.g. a precis of all CEPOD experiences, perioperative renal failure, the function of the cardiology seek advice and symptoms for admission to ICU and HDU). The structure of every bankruptcy is designed to supply speedy entry to big info, with key proof and recommendation provided concisely. vital references that spotlight controversies inside of an issue, and proposals for necessary additional interpreting also are provided. The booklet could be worthy not just as an 'aide memoire' for the FRCA and different examinations in anaesthesia but additionally as an invaluable fast reference for all working theatre, ICU, CCU and HDU-based group of workers.

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10. Extremes of age. The 1999 report of the National Confidential Enquiry into Perioperative Deaths. NCEPOD, 1999. 11. Gallimore SC, Hoile RW, Ingram GS, Sherry KM. Deaths within 3 days of surgery. The report of the National Confidential Enquiry into Perioperative Deaths 1994/1995. NCEPOD, London, 1997. 12. Gray AJG, Hoile RW, Ingram GS, Sherry KM. Specific types of surgery and procedures. The report of the National Confidential Enquiry into Perioperative Deaths 1996/1997. NCEPOD, London, 1998.

NHS Executive, July 2000. 4. Ingram GS. The lessons of the National Confidential Enquiry into Perioperative Deaths. Ballieres Clin Anaesthesiol 1999; 13 (3): 257– 66. 5. Campling EA, Devlin HB, Hoile RW, Lunn JN. The report of the National Confidential Enquiry into Perioperative Deaths 1990. NCEPOD, London, 1992. 6. Devlin HB, Hoile RW, Lunn JN. One case per consultant surgeon or gynaecologist. The report of the National Confidential Enquiry into Perioperative Deaths 1993/1994. NCEPOD, London, 1996.

9. 33 ANAESTHESIA FOR THE HIGH RISK PATIENT PULMONARY FUNCTION TESTING The role of pulmonary function testing (PFT) is controversial. e. 14 Historically, early studies on PFT were based on patients undergoing thoracic surgery for diseases including lung cancer and tuberculosis, and cut-off thresholds were established below which surgery was deemed contraindicated. Over time these values have subsequently been applied to non-thoracic surgical populations. 9 For example, one study15 attempted to determine if severe airflow obstruction reliably predicted the incidence of postoperative complications, by comparing patients undergoing abdominal surgery who had significant airflow obstruction with forced expiratory volume 1 (FEV1) Ͻ 40% with a group of controls.

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