Today when reviewing a 56yo ex-smoker pre-THJR, I found him to be in AF at a rate of 72/min. Confirmed by 12 lead ECG. Physician review 2 weeks previously did not note AF. He was a …

ECHO? or BNP ? or Angio pressure? what are the anaesthetic implications? any details about preserved ejection fraction heart failure?

what are your opinion . anaesthetic implications recent advances please

At what blood pressure do you decide to cancel the elective or semi-elective patient with poorly controlled hypertension? It has been my practice to delay surgery for patients wit …

Yesterday whilst walking the hallways of my hallowed institution, I saw a gent with Down Syndrome who must have been in his mid to late thirties. I immediately got to thinking- "Ho …

For a patient with a history of previous difficult intubation, what do you think is the best way to approach the assessment of this patient's airway pre-operatively?

I was recently assessing a well child pre-operatively for insertion of grommets (middle ear drainage tubes) under a GA. During the otherwise uneventful assessment I heard a systoli …

I have just seen a patient at pre-anaesthesia clinic who is to undergo an elective laparoscopic cholecystectomy for intermittent biliary colic sometime in the next few weeks. Last …

Under what circumstances should a preoperative ECG be obtained and what is the evidence for doing this? How often does a preoperative ECG make a difference to the anesthetic plan?

I'm unsure what to do about patients who smoke when I see them at pre-anesthesia clinic. Obviously smoking is unhealthy and counselling to quit is always sensible but I'm wondering …