10Mar

Index – find a subject

By admin / March 10, 2017 / Uncategorized / No Comments

Here is a list of blogs on this site in the order they appear. You can also use the search function at the top right of the blog page: HIV and other blood borne infections Hypertension and anaesthesia Why we need patients to arrive early The effect of anaesthesia on cancer Over the counter drugs […]

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7Mar

HIV and other blood borne infections

By admin / March 7, 2017 / Uncategorized / No Comments

When we talk about blood-borne infections we mean hepatitis and HIV where the concern is that patients carrying these viruses are asymptomatic and unaware that they are carriers. The relevance to me as an anaesthetist is protecting my staff. We practice what is called universal precautions which means effectively we treat patients as if they […]

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27Feb

Hypertension and Anaesthesia

By admin / February 27, 2017 / Uncategorized / No Comments

Hypertension or high blood pressure is very common and affects 16 million people in the UK. Often called the silent killer it has little effect for many years but can then cause heart attacks and strokes and is a major cause of death. It is very easy to measure and in most patients easy to […]

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15Feb

Why we need patients to arrive early!

By admin / February 15, 2017 / Uncategorized / No Comments

Every patient admitted to the hospitals in which I work is asked to complete an audit form. These are analysed and ranked by an independent company and provide valuable insight into how well we are performing. One of the commonest issues raised is the admission process and although this is not directly related to my […]

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15Feb

The effect of anaesthesia on cancer

By admin / February 15, 2017 / Uncategorized / No Comments

As other illnesses have become less frequent and we have become better at treating them, cancer has become the most common reason for needing general anaesthesia. Advances in radiotherapy and chemotherapy, many originating from my own hospital St Bartholomew’s in London, together with surgery remain the mainstay of treatment although immunotherapy and genetics offer exciting […]

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15Feb

Over the counter drugs and vitamins

By admin / February 15, 2017 / Uncategorized / No Comments

Lots of people take vitamins, minerals and other remedies they buy from health shops – so called ‘over the counter’. It is a massive industry – estimated to be worth £1.86b in the UK alone. Is this just clever marketing? The fact remains that a normal varied diet in the UK will provide all the […]

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29Dec

Hotels

By admin / December 29, 2014 / Uncategorized / No Comments

Anaesthetic private practice is not limited to the operating theatre. It is important that anaesthetists as well as surgeons guide their patients through their medical treatment at a time when they are often anxious. One difficulty patients face is where to stay immediately before their admission or after discharge from hospital if they do not […]

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29Dec

Temperature control under anaesthesia

By admin / December 29, 2014 / Uncategorized / No Comments

Anaesthetists have had a considerable interest in maintaining their patients’ body temperature for several decades. Under a general anaesthetic, the ability to shiver is eliminated. The blood vessels under the skin and in the peripheries dilate and these two factors result in a loss of body heat. A drop in temperature or hypothermia can result […]

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29Dec

Anaesthesia for cosmetic surgery

By admin / December 29, 2014 / Uncategorized / No Comments

Cosmetic surgery has seen dramatic growth in the UK over the last decade. I prefer to use the word aesthetic which means the patient’s perception or requirement because increasingly we are undertaking cosmetic surgery on demand as opposed to correcting what others would perceive to be a problem. The majority of aesthetic surgery is extremely […]

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29Dec

Awareness under anaesthesia

By admin / December 29, 2014 / Uncategorized / No Comments

When I talk to patients before anaesthesia one of their commonest concerns is the risk of awareness or being awake during their operation, so the publication of a national audit on accidental awareness under anaesthesia (AAGA) is an important milestone. British anaesthesia leads the world in these audits which are called national audit projects. This […]

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