Epidurals can provide excellent neuraxial blockade for analgesia and anaesthesia. However, several elements of the technique can be varied to increase successful access of the epidural space.

In this tutorial we outline the pharmacology of the novel inotrope Levosimendan, a calcium sensitizer, and we discuss the current available evidence. We also outline several other novel inotropes in development and finally we discuss the ancient ShenFu traditional Chinese...

Los trastornos del espectro de la placenta previa y la placenta accreta son cada vez más comunes y aumentan el riesgo de morbilidad materna y neonatal. En este tutorial se describe la comprensión del abordaje quirúrgico y las complicaciones comunes...

Purpose: To determine what influence our instagram account, @accigunbosque, can have on the spread of medical knowledge, as well as the impact it may have on the actual learning process, in order to describe the utility of these accounts on...

Surgeries involving the posterior fossa pose unique challenges for anaesthetists, primarily due to the vital structures contained within and the extreme intraoperative positions that patients have to take. This tutorial outlines the various operative and intraoperative positions and their associated...

Obstetric transfers represent a clinical and psychological challenge for the pre-hospital or retrieval clinician. This tutorial covers some basics of transfer decision making using case-based examples of common obstetric scenarios, alongside explanations of common obstetric emergencies.

Maternal mortality rates are unacceptably high globally. Low- and middle-income countries (LMICs) face challenges of an inadequate anaesthesia workforce, under-resourced healthcare systems and sub-optimal access to labour and delivery care, all of which negatively impact maternal and neonatal outcomes. In...

Objective: High quality obstetric anaesthetic care is integral to reducing preventable maternal deaths in Low-and-Middle-Income-Countries (LMICs). We applied behavioural science to evaluate SAFE Obstetrics, a 3-day Continuing Professional Development (CPD) course, on physician and non-physician anaesthetists’ practice behaviours across 3...