Lutfi Sulaiman*, Robert J. MacFarlane and Mohammad Waseem; The Open Orthopaedics Journal, 2013

Current Concepts in Anaesthesia for Shoulder Surgery
Lutfi Sulaiman*, Robert J. MacFarlane and Mohammad Waseem

The Open Orthopaedics Journal, 2013, 7, (Suppl 3: M5) 323-328)
East Cheshire NHS Trust, Victoria Rd, Macclesfield, SK10 3BL, UK

Abstract: There has been an exponential growth in the volume of shoulder surgery in the last 2 decades and a very wide variety of anaesthetic techniques have emerged to provide anaesthesia and post-operative analgesia. In this article we examine current opinion, risks, benefits and practicalities of anaesthetic practice and the provision of post-operative analgesia for shoulder surgery.

 

BMJ Best Practice: MRSA

Extract from BMJ Best Practice

“This month’s topic is MRSA, one of BMJ BP’s most recently updated topics and an important cause of infection in both healthy people in the community and in people in healthcare facilities.

The prevalence of MRSA infection is increasing globally. MRSA is an important cause of infection in both healthy people in the community and in healthcare institutions, but the two presentations and therapies differ.

Children and younger adults are more commonly afflicted with community-acquired MRSA, while hospital-acquired MRSA is more common in older age groups. It is also important to distinguish MRSA colonisation from infection.

Read the brief summary of MRSA below and click the links to refresh your knowledge of its prevention, diagnosis, and treatment.

You can also review the available evidence on MRSA and find further reading here.

 

Ahsan Akhtar*, Robert J. MacFarlane and Mohammad Waseem; The Open Orthopaedics Journal, 2013

Pre-Operative Assessment and Post-Operative Care in Elective Shoulder
Surgery
The Open Orthopaedics Journal, 2013, 7, (Suppl 3: M4) 316-322
East Cheshire NHS Trust, Victoria Rd, Macclesfield, SK10 3BL, UK

Abstract: Pre-operative assessment is required prior to the majority of elective surgical procedures, primarily to ensure that the patient is fit to undergo surgery, whilst identifying issues that may need to be dealt with by the surgical or anaesthetic teams. The post-operative management of elective surgical patients begins during the peri-operative period and involves several health professionals. Appropriate monitoring and repeated clinical assessments are required in order for the signs of surgical complications to be recognised swiftly and adequately.

This article examines the literature regarding pre-operative assessment in elective orthopaedic surgery and shoulder surgery, whilst also reviewing the essentials of peri- and post-operative care. The need to recognise common postoperative complications early and promptly is also evaluated, along with discussing thromboprophylaxis and postoperative analgesia following shoulder surgery.