Table Of ContentRadiofrequency Procedures in the Management of Pain: State of the Art in the early 21st Century A
AustrAlAsiAn
AnAesthesiA
2009
AustrAlAsiAn
AnAesthesiA
2009
Invited papers and selected
continuing education lectures
Editor:
Richard Riley
Department of Anaesthesia
and Pain Medicine
Royal Perth Hospital
Published in 2009 by:
Australian and New Zealand
College of Anaesthetists
630 St Kilda Road
Melbourne VIC 3004
ISSN 1032-2515
Requests to reproduce original material
should be addressed to the Publisher.
Printed by: McKellar Renown Press Pty Ltd
14-22 Woorayl St, Carnegie, VIC 3163
Contents
radiofrequency Procedures in the Management of Pain: state of the Art in the early 21st Century 1
Roelof Van Wijk
Preventing Maternal Morbidity and Mortality: Management of the Collapsed Obstetric Patient 11
Nolan J McDonnell
Behaviours in the Operating theatre: From Observer to teacher 23
Jodi Graham
What is Pain? i: terms, Definitions, Classification and Basic Concepts 29
Eric J. Visser and Stephanie Davies
What is Pain? ii: Pain expression and Behaviour, evolutionary Concepts, Models and Philosophies 35
Eric J. Visser and Stephanie Davies
Coagulation and Point-of-Care Monitoring of Platelet Function Assessment 45
Douglas Gray and Tom Collyer
Cuff Pressure Monitoring in Paediatric laryngeal Mask Airways: is it Worth the Pain? 55
Britta S von Ungern-Sternberg
Anaesthesia and Dubious surgery 59
David W. J. Mecklem
the Green Anaesthetist 67
Forbes McGain, Eugenie Kayak and David Story
the Gender revolution We had to have 77
Jane Margaret McDonald
Mirrors, Magnets and Other Marvels: non-pharmacological treatments in Chronic Pain 83
Pam Eccles
Post Operative and Maintenance intravenous Fluids in Children: how Much sodium should We Give? 93
Sarah McNab, Holly Robinson, and Andrew Davidson
Airway Fires in the Operating room 101
Rebecca Branch and Jeremy Cooper
Physician Assistants in Perioperative Medicine 111
Guy Ludbrook and Terri Peischl
Anaphylaxis and Anaesthesia. What Can We Do Better? 115
Michael A Rose and Malcolm M Fisher
Chemical restraint of estuarine Crocodiles – A Fresh Perspective 123
Catherine Hellier with assistance from Annabelle Olsson
Peri-operative Management of Anti-platelet Drugs 129
Sharon Roche
neuroinflammation: the Parasympathetic Anti-inflammatory Pathway 135
Simon Robertson
extracorporeal Membrane Oxygenation: Modern techniques, indications, and Outcomes 139
Graeme MacLaren
strategies to Accommodate Future intensive Care Demand in Australia 145
Charlie Corke and Evelyne de Leeuw
the ethics of surrogate Decision Making in Medicine: Autonomy, Paternalism, or a Different Approach? 151
Sharyn Milnes
the utility of non-invasive Cardiac Output Monitors in Anaesthesia 155
Tuong D Phan
Anaesthesia for Coronary Artery surgery: imperatives, influences and evolution 163
Brendan Silbert
Adjuvant intrathecal Drugs used with spinal Anaesthesia for lower segment Caesarean section 169
in new Zealand
Anthony Young and John Barnard
Faculty and regional sub-editors
Joint Faculty of Intensive Care Medicine:
Dr Neil Orford, Geelong Hospital, Victoria
Faculty of Pain Medicine:
Dr Robyn Campbell, Modbury Hospital, Adelaide
New Zealand:
Dr Doug Campbell, Auckland Hospital, Auckland
New South Wales:
Dr Sharon Tivey, St George Hospital, Sydney
Australian Capital Territory:
Prof Thomas Bruessel, Canberra Hospital, Canberra
Victoria:
Dr Rowan Thomas, St Vincent’s Hospital, Melbourne
Queensland:
Dr David Mecklem, Cairns Base Hospital, Queensland
Western Australia:
Dr Neville Gibbs, Sir Charles Gairdner Hospital, Perth
AustrAlAsiAn
AnAesthesiA
2009
Preface
The role of editor for Australasian Anaesthesia is not as glamorous as one might think. On occasions I feel that my
lot is to nag, cajole and even beg colleagues to put pen to paper in a timely fashion. This does not sit well with me,
as anaesthetists are busy people who strive to achieve balance with their professional and personal lives.
ANZCA welcomes feedback and I have received but one letter with suggestions for future improvements to
Australasian Anaesthesia. In late October I was pleased to receive an inquiry from a Senior Registrar, busily preparing
for his Part II exam, as to when it would be published. He added that, as far as he was concerned, Australasian
Anaesthesia is “pure gold” for exam preparation. While I may not necessarily agree with him, a comment like this
can make this job very rewarding.
I thank the Regional and Faculty Sub-editors for their encouragement and to the authors themselves; who have
been generous with their time. My role is made much easier because of ongoing support and encouragement from
our College; especially Teresa Brandau-Stranks and her production team.
Australasian Anaesthesia contains a diverse range of topics of interest to anaesthetists, intensive care physicians
and pain medicine specialists. It retains an easy to read style and I hope all Fellows will find items of interest within.
These papers will be available on the College website and of supplemental material, including a fire video, will be
available for viewing by Fellows.
Richard Riley
