chapter  2
20 Pages

Anaesthesia and resuscitation

WithJoost J. L. M. Bierens, Francois P. Gijsenbergh, Marc Sabbe

Anaesthesiologic care mainly refers to monitoring and maintaining vital functions, adequate pain relief and controlling good and safe conditions during surgical procedures by specialists. The trend in pulse frequency during fluid resuscitation, capillary refill and the temperature of well-covered limbs can be taken as the parameters for follow-up of tissue perfusion by experienced anaesthetists. Anaesthesiologists are also very appropriate and effective medical specialists to assist at the scene of the disaster. Primary anaesthetic skills such as the establishment of a free airway and the installation of an intravenous access are essential in disaster medicine. Anaesthetic care in disaster situations can differ form normal anaesthesia in two ways: the supply of non-planned patients can suddenly increase, and the circumstances under which anaesthetics have to be administered are very unusual. Loco-regional anaesthetic techniques can be successfully used in non-sober patients, because the swallowing reflexes are maintained.