jamesjarman2012 has written 3 posts for AnaesthesiaWest

Low dose naloxone to relieve pain

From the “who would have guessed it” category come the idea of naloxone as an analgesic. There have been several previous studies (see below) showing that extremely low doses of naloxone appeared to have analgesic properties, but no real explanation of how this might be possible. The most recent interesting article is this one here, … Continue reading

Remote Ischaemic Preconditioning

Several years ago while in Galway I first came across the concept of remote ischaemic preconditioning (RIPC). This is the concept that subjecting one part of the body to a brief period of ischaemia (eg 3 cycles of 5 minutes of an arm tourniquet above systolic pressure, followed by 5 minute deflations) can protect the … Continue reading

The Toyota approach to anaesthesia- small continuous improvements: using placebo, IV cannulation, echo, blocks and compression devices

Toyota is famous for improving their cars through a process of continuous, small, incremental improvements, a technique known as Kaizen, or the Toyota way. In this way many small improvements, each inconsequential on their own, when added together produce significant results. I think this is a great model to use when looking at anaesthesia. Anaesthesia … Continue reading