[...]... This book has been written for anaesthetists and intensive care doctors working in hospital practice The material in the book covers all the common pathologies encountered in hospital anaesthetic practice and intensive care Included are the core radiological requirements for the FRCA examination, but it is also ideally suited for doctors preparing for the Diploma in Intensive Care Medicine It is not only... examination the appropriate anaesthesia and sedation, preanaesthetic preparation and techniques appropriate for adults and children for CT scan, MRI and angiography and post-investigation care An understanding of the principles of imaging techniques including CT, MRI and ultrasound is also required The Final examination is also divided into four parts: MCQ, SAQ and two vivas There are two structured... examination candidates are expected to have a thorough knowledge of medicine and surgery, appropriate to the practice of anaesthesia, intensive care and pain management This includes pre-operative assessment and selection and interpretation of appropriate investigations It also includes knowledge of diagnostic imaging and xiii Prelims.qxd 10/15/02 6:05 PM Page xiv About the FRCA examination the appropriate anaesthesia. .. involves bronchoscopy, either rigid or flexibly and extraction of the foreign body Forceps, baskets and fogarty balloons can be used to try and grasp the foreign body 1 Endobronchial foreign body Aspiration of a foreign body can be a life-threatening event If the object is large enough to occlude the airway, death can rapidly occur from asphyxia Most foreign bodies are radiolucent, so air trapping... their anaesthetic care of the patient and be able to establish safe anaesthesia or sedation within the confines and limitations of the X-ray department xiv Prelims.qxd 10/15/02 6:05 PM Page xv About the FRCA examination Recommended reading Primary and Final Examinations for the FRCA – Syllabus Royal College of Anaesthetists, March 2000 (ISBN 1 900936 755) Primary and Final Examinations for the FRCA –... frequently overlooked Ribs: The ribs are a common site for fracture or metastatic deposits but the remainder of the skeleton must also be carefully examined Identify the first rib and carefully trace its contour from the spine to its junction with the manubrium Each rib must be carefully and individually traced in this manner, initially for one hemithorax and then the contralateral side A useful trick is... Supine pneumothorax is commonly seen in the intensive care setting because patients are X-rayed supine and if there is co-existent respiratory distress, then the lungs are ‘stiffer’ and fail to collapse 12 Chap-01.qxd 10/15/02 6:05 PM Page 13 Case illustrations: plain films and CT 1 Fig 1.12 Supine pneumothorax The patient is on intensive care, has a tracheostomy and various lines The right heart border... success but also realistic viva practice from consultant colleagues and recent successful examination candidates It is important to develop a system for reviewing and presenting X-rays and again, practise with colleagues, and preferably a radiologist, will refine your technique Competency-based training and assessment Becoming a safe and competent anaesthetist is not only about passing the appropriate... working parties and taskforces exist with advice on which investigations are appropriate, when they are appropriate and in which individuals Association of Anaesthetists of Great Britain and Ireland [1] Blanket routine pre-operative investigations are inefficient, expensive and unnecessary Medical and anaesthetic problems are identified more efficiently by the taking of a history and by the physical examination... vascularity and compare one side with the other It is important to look at the main airways – the trachea and the main bronchi Check the position of the trachea, that it is central and not deviated Look at the pleural surfaces and the fissures, if visible Check for masses, calcifications fluid or pneumothorax Heart and mediastinum Examine the cardiac outline identifying all the heart borders and the outline . y0 w0 h0" alt="" Radiology for Anaesthesia and Intensive Care Prelims.qxd 10/15/02 6:05 PM Page i This page intentionally left blank Radiology for Anaesthesia and Intensive Care Richard Hopkins Consultant. appropriate anaesthesia and sedation, preanaesthetic preparation and techniques appropriate for adults and children for CT scan, MRI and angiography and post-investigation care. An understanding. written for anaesthetists and intensive care doctors working in hospital practice. The material in the book covers all the common pathologies encountered in hospital anaesthetic practice and intensive