Anaesthesia
EQUIP: Ventilator Hamilton T1
Adult / General mode Paediatric mode
Opioid Equivalence Calculator
Convert between opioid agents to determine equivalent analgesic dosing safely.
Sodium Correction for Hyperglycaemia Calculator
Adjust serum sodium for hyperglycaemia to better reflect true osmotic status.
Total Body Water Calculator
Estimate total body water based on patient characteristics to guide fluid and drug dosing.
Tube Cross-Sectional Area Calculator
Calculate airway or vascular cross-sectional area to understand device proportional occlusion, flow dynamics and resistance.
Tube Size and French Gauge Calculator
Convert between tube diameter, gauge, and French size for airway and procedural equipment.
Tracheostomy disasters
Failing to oxygenate/ventilate(any invasive vent, not just traches) DOPES Displacement too deep (unlikely, unless all of: small patient, low puncture site, and adjustable flange trache) too shallow – opening may be against posterior wall in soft tissue – rapidly expanding subcutaneous emphysema completely out Obstruction sputum plug blood/clot plug inner cannula blockage only kinking speaking … Read more
Dexmedetomidine
Here’s a flash card version of the WTET post on Dexmedetomidine Click here to start flashcard deck[qdeck] [q unit=”Pharmacology” topic=”Dexmedetomidine”] Rationale for Dexmedetomidine [a] Sedation practice varies widely around the world. Propofol and Midazolam are the mainstays of sedation, in addition to an opiate as an antitussive. Traditional first line agents act mainly via GABA. … Read more
Paediatric Premedication
There is a great document from RCH which details the use of midazolam, ketamine and clonidine in paediatric premedication.