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Continuing Education in Anaesthesia, Critical Care & Pain Advance Access originally published online on August 22, 2005
Continuing Education in Anaesthesia, Critical Care & Pain 2005 5(5):153-156; doi:10.1093/bjaceaccp/mki041
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Continuing Education in Anaesthesia, Critical Care & Pain | Volume 5 Number 5 2005 © The Board of Management and Trustees of the British Journal of Anaesthesia [2005]. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Anaesthesia and critical care for patients with HIV infection

Jeremy Prout, MRCP FRCS FRCA, Specialist Registrar in Anaesthesia
The Royal Free Hospital, London, NW3 2QG

Banwari Agarwal, MD MRCP FRCA EDICM, Consultant in Critical Care Medicine
The Royal Free Hospital, London, NW3 2QG
Tel: 0208 9510248, Fax: 0207 8302945, E-mail: banwari.agarwal{at}royalfree.nhs.uk (for correspondence)

Since the first report of Pneumocystis carinii pneumonia and mucosal candidiasis in previously healthy individuals in the USA in 1981, the pandemic of human immunodeficiency virus (HIV) infection and acquired immunodeficiency syndrome (AIDS) has reached alarming proportions. The current WHO/UNAIDS (2004) report has estimated 38 million people living with this infection worldwide; ~60–90 000 in the UK. Almost 50% of these are females and the number of people living with HIV/AIDS continues to rise by 1.5 million every year.1

Management of HIV patients poses a significant challenge for healthcare providers. This article outlines the epidemiology and pathophysiology of HIV infection and its implications for anaesthetic and intensive care management.


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