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CPD modules: A – Z

You are free to download, print and study the modules. Once you have completed your reading come back and take the multichoice test. If you obtain a pass mark of over 80% you will have the option of printing out a certificate of completion.

Acute limb compartment syndromes

Compartment syndrome (CS) is a medical emergency, which needs to be recognised by those involved with the provision of anaesthesia surgery and  critical care. This module covers its diagnosis and treatment.
Length of Study: 50 min.
Difficulty: Easy

Air Embolism & anaesthesia

There is significant morbidity and mortality associated with air embolism. It is therefore important to have an awareness of its risk factors, presentation, means of risk reduction and management of the consequences. These are all covered in this module.
Length of Study: 60 min. 
Difficulty: Easy

Predicting difficult airways

Proper airway assessment is essential and takes less than 2 minutes. This can give an indication of a potential difficult airway. This modules covers whats involved and what to look for.
Length of Study: 60 min. 
Difficulty: Easy

Amniotic Fluid Embolism

Amniotic Fluid Embolism (AFE) is a rare but potentially fatal syndrome that is unique to pregnancy. AFE has emerged as one of the leading causes of direct maternal death within developed countries such as Australia, the UK and the USA.
This module discusses AFE, its presentation, diagnosis and treatment.
Length of Study:  60 min
Difficulty: Difficult

Anaesthesia for ECT

ECT (Electroconvulsive Therapy) is a treatment that involves sending an electric current through the brain to trigger an epileptic seizure to relieve the symptoms of some mental health problem. This module covers the anaesthetic aspects of it.
Length of Study: 45 min. 
Difficulty: Easy

Anaesthetic machine safety features

This module covers the safety features built into the modern anaesthetic machine. With more theatres moving to electronic self-checking machines this is a useful reminder of where we have come from and how safety is built into all aspects of the anaesthetic machine. It is also useful for anyone new to anaesthetics.
Length of Study: 60 min
Difficulty: Easy

Apnoea & Pre-oxygenation

Pre-oxygenation is used in anaesthesia to prolong the time to desaturation during a period of apnoea, such as frequently happens upon induction. This can also be thought of a denitogenation. This article covers the science behind it and discusses some patient groups that need special attention.
Length of Study: 60 min
Difficulty: Easy

Arterial Blood Gas Analysis

This module explains how to do a simple easy to understand arterial blood gas analysis. How to use the 5-step approach to analyse arterial blood gas results as well as explaining how respiration and metabolism are linked and how this effects the results.
Length of study:  90 min
Difficulty: Difficult

Arterial Blood Pressure Measurement – The physics and principles.

Intra-arterial blood pressure measurement is often considered to be the gold standard of blood pressure measurement. This accuracy however, depends on a number of physical principles of the systems used, which are explored in this advanced module.
The is also a separate easier module available covering setting up and using arterial lines.
Length of Study: 75 min
Difficulty: Medium

The fundamentals of arterial lines

This module covers the basic principles behind setting up, inserting and monitoring intra-arterial blood pressure lines that an anaesthetic assistant needs.
There is also an separate advanced module available which covers more of the physics indepth.
Length of Study: 90 min
Difficulty: Easy

Awareness under Anaesthesia

Awareness during anaesthesia can be very distressing for a patient, particularly if accompanied by recall of the painful nature of surgery. This article explores the types, incidence, consequences, causes, management and avoidance of intraoperative awareness.
Length of Study: 60 min
Difficulty: Easy

BIS: fact or fiction

BIS or Bispectral monitoring is a relatively new but controversial technology to monitor depth of anaesthesia. This module covers how it works and if it works.
Length of Study: 60 min.
Difficulty: Easy

Blood Component Therapy

Blood products are any therapeutic substances that are prepared from human blood. These can be classified into blood components (red cell concentrates, platelet concentrates, fresh plasma and cryoprecipitate) and plasma derivatives (albumin, coagulation factors and immunoglobulins). In this module we discuss the blood components and plasma derivatives that we encounter in theatre.
Note: for haemoglobin the UK use g/dl while NZ use g/l i.e. 12 g/dl = 120 g/l.
Length of Study:  90 min
Difficulty: Difficult

Bone Cement Implantation Syndrome

Bone cement implantation syndrome (BCIS) is a potentially fatal complication of orthopaedic surgery.
The ability to predict, recognise, and manage BCIS is important for everyone working in the perioperative environment.
Length of Study: 60 min.
Difficulty: Easy
   

Burn patients: the anaesthetic considerations of

This group of patients can be challenging with profound hypermetabolism, pain management issues, potential airway problems, etc. These are all covered in this module.
Length of Study: 75 min
Difficulty: Medium

Surgical treatment of burns

This module covers the comprehensive assessment of burns, the steps and considerations involved in surgically treating these injuries.
Length of Study: 90 min
Difficulty:Easy

Proact Creative 900B Handheld Sidestream Capnography and Oximeter (sponsored)

 

Very compact and lightweight with extremely simple user interface.
Full colour 7.5cm TFT display monitors EtCO2,FiCO2,RR, SpO2 & PR.
Built in rechargeable Li-Ion batteries with up to 10 hours working time, USB connectivity for data transfer

Now allows input of patient ID for reporting.

Understanding capnography

This module explains the basic principles of capnography, discusses EtCO2 waveforms, and how to interpret them in the ventilated patient.
Length of Study: 60 min.
Difficulty: Medium
   

Cardiac Tamponade

Cardiac tamponade is a life-threatening emergency that impairs the ability of the heart to fill and to pump. Although not strictly a perioperative condition it is something that all advanced life support responders should be aware of.
Length of Study: 90 min
Difficulty: Easy

Anaesthesia for the patient with a cardiac transplant

For patients who have previously received a cardiac transplant, coming to theatre for non-related surgery is no longer unusual as survival times continue to increase for transplant recipients. With altered physiology, and the effects of long term anti-rejection drugs use, their anaesthetic requirements are more complicated and it is essential to know what works and what doesn’t.
Length of Study  60 min
Difficulty: Medium

Catastrophes of many kinds can occur in childbirth…

This moving article is about a pregnant woman dying from amniotic fluid embolism. It is a very well written piece about how even when we do everything right, sometimes the worst happens. This should be essential reading for anyone working in obstetrics. There is not test/certificate but this is the perfect piece to base a reflective account on.

Proact Combi™ Laryngoscope (Sponsored)

Invented by PROACT in 2010, the Combi™ Laryngoscope concept provides an all-in-one Laryngoscope set with a pre-fitted PERMANENTLY attached blade and preloaded 6V Battery Pack.

COPD and Anaesthesia

Chronic obstructive pulmonary disease (COPD) is a commonly encountered respiratory disorder. Patients with COPD pose a challenge to the anaesthetist because intraoperative and postoperative complications occur more commonly than in those without the disease, and can lead to prolonged hospital stay and increased mortality. This module provides an overview of COPD and discusses implications for the anaesthetic management of patients with the disease.
Length of Study: 75 min
Difficulty Medium

Deep Brain Stimulators

Deep brain stimulation is an increasingly common treatment for Parkinson’s disease (PD), other movement disorders, certain psychiatric conditions, and chronic pain syndromes.
This module will review current anaesthetic techniques and recommendations for inserting and managing deep brain stimulators.
Length of Study: 45 min.
Difficulty: Medium
   

Diabetes & Anaesthetic Management

This module covers the affect of diabetes on the surgical patient and why intraoperative blood glucose control and frequent measurement of blood glucose and serum potassium are key to safe practice.
Length of Study: 75 min
Difficulty: Medium

Diathermy:  the basics 

Electrosurgery or diathermy has allowed faster operating, reduced blood loss and new surgical techniques. It does have its dangers and its safe use in operating theatres requires a grasp of its mechanisms of action and potential pitfalls.
Length of Study: 60 min
Difficulty: Easy

Difficult and failed intubation in obstetrics

Obstetric general anaesthesia is associated with a number of deleterious effects and it has long been recognised that airway management can be challenging and tracheal intubation more likely to fail. This module covers whys, hows and what to do when it goes wrong.
Length of Study: 75 min
Difficulty: Medium

The Difficult Paediatric Airway

There are anatomical and physiological differences between the infant, child and adult that make even the normal paediatric airway difficult for the inexperienced practitioner, particularly in children under one year of age. Good preoperative assessment and preparation is therefore key to success of the management of the difficult airway in children. This article covers this and more.
Length of Study: 75 min
Difficultly: 
Difficult

Understanding your ECG: a review

Health professionals use the electrocardiograph (ECG) rhythm strip to systematically analyse the cardiac rhythm. Before the systematic process of ECG analysis is described it is important to understand the individual waveforms, segments and intervals of the ECG. This module reviews all these steps.
Length of Study: 90 min
Difficulty: Medium

Enhanced Recovery From Surgery (ERAS)

Enhanced recovery is a modern evidence-based approach that helps people recover more quickly after having major surgery.  Many hospitals – although not all – have enhanced recovery programmes in place, and it’s becoming standard practice following surgery for many procedures.
Length of Study: 75 min
Difficulty: Medium

I.V. Induction Agents

I.V. induction agents are some of the most commonly used drugs in anaesthetics. This modules shows how and where they work. It then goes to review the most common I.V. induction agents and their effects on the body.
Length of Study: 75 min
Difficulty: Medium

Inhalation (gas) Induction

This module covers inhalation or gas induction. Although it is routine to induce general anaesthesia by the intravenous (IV) route, the inhalational route remains an acceptable method and is preferred in certain circumstances.
Length of Study: 60 min. 
Difficulty: Medium

Understanding & Establishing Intraosseous Access

Intraosseous (IO) access is an alternative method to providing venous administration of drugs and fluids. Commonly used by the military and pre-hospital medics,it is gaining popularity in the hospital setting where intravenous access is challenging or time critical.
Length of Study: 75 min
Difficulty: Easy

Jehovah’s Witnesses and Blood Issues

Jehovah’s Witnesses are well known for their refusal of blood transfusions. But how much do you really know? What can or can’t they have, are epidural blood patches acceptable and what rights do parents have to refuse their children blood transfusions? This article discusses these issues as well as giving background on who are Jehovah’s Witnesses and what they believe in. It also covers the area of consent in both children and adults according to New Zealand law.
Length of Study: 60 min
Difficulty: Medium

Ketamine in anaesthetic practice

Ketamine is the only anaesthetic available which has analgesic, hypnotic and amnesic effects. When used correctly it is a very useful and versatile drug.
Length of Study: 45 min
Difficulty: Easy

An urgent call to the labour ward

Emergencies on the labour ward may have obstetric, anaesthetic, or general medical causes. This module covers the most common emergencies on the ward and what the response should be.
Length of Study: 90 min
Difficulty: Easy

Laryngospasm in Anaesthesia

Recognition of at-risk patients will help to prevent laryngospasm and avoid potential significant morbidity. This module discusses laryngospasm, its recognition, prevention and treatment.
Length of Study: 75 min
Difficulty: Easy

Latex Allergies

Latex allergies can be present in both staff and patients. Perioperative workers have to be aware of the causes and consequences of latex products in the operating theatre.
Length of Study: 60 min
Difficulty: Easy

Proact Laryngeal Airways (sponsored)

Proact have a full range of PRO-Breathe Laryngeal Airways. These include the Disposable PVC, Disposable Armourflex™ PVC and high quality silicone disposable Laryngeal Airways.

Local Anaesthetic Systemic Toxicity

Local anaesthetic systemic toxicity is rare but when it does occur its onset may be sudden and life-threatening so it is prudent to spend time preventing rather than treating it. All theatre staff should be aware of the doses limits of local anaesthetics they use as well as the causes, signs and treatment of LAST.
Length of Study: 50 min.
Difficulty: Easy
   

Understanding local anaesthetics

This module discusses the pharmacology of local anaesthetic agents and then briefly describes the various additives that can be used with these agents.
Length of Study: 75 min
Difficulty: Medium

Malignant hyperthermia

Malignant hyperthermia (MH) is a rare life-threatening condition that is usually triggered by exposure to certain drugs used for general anesthesia. This module reviews malignant hyperthermia, its epidemiology, clinical features and presentations as well as its management during an MH crisis.
Length of Study: 90 min
Difficulty: Difficult

Management of Major Obstetric Haemorrhage

Major obstetric haemorrhage is a common cause of maternal morbidity and mortality and the recognition of major obstetric haemorrhage can be challenging. This module discusses it causes, symptoms and importantly anaesthetic management of cases.
Length of Study: 75 min
Difficulty: Medium

Medical lasers – the basic principles

With medical lasers becoming more common within the operating theatre and this module gives an insight into the science behind them and the potential hazards of using them.
Length of Study: 75 min
Difficulty: Difficult

Morphine – Still the gold standard

Still popular and widely used. This brief module reviews the basics of morphine, its uses, side effects and doses.
Length of Study: 30 min
Difficulty: Easy

Muscle Relaxants: the fundamentals

The introduction of neuromuscular blocking drugs revolutionised the practice of anaesthesia. Before the advent of muscle relaxants, anaesthesia was induced and maintained by intravenous or inhalation agents.
This comprehensive module covers all aspects of neuromuscular muscle relaxants.
Length of Study:  90 min
Difficulty: Medium

Necrotising Fasciitis

This module describes the diagnosis and common management of NF. Patients need integrated, interdisciplinary management involving surgeons, intensive care physicians and microbiologists. Close monitoring and physiological support in an intensive care unit is often essential.
Length of Study: 60 min.
Difficulty: Easy

Never events: an anaesthetic perspective

The term ‘Never event’ is a recent term in healthcare, but one is here to stay. This module covers the never events relevant to anaesthesia and discusses where the term originally came from.
Length of Study: 60 min.
Difficulty: Easy

Nonin 9590 Onyx Vantage Finger Pulse Oximeter – Proact (sponsored)

When you need to make decisions quickly, you do not have time to question the accuracy of your finger pulse oximeter. You can trust Nonin Medical’s Onyx® Vantage finger pulse oximeter with PureSAT® technology to quickly and accurately capture SpO2 and pulse rate measurements — even on patients where motion and low perfusion are a challenge. In fact, Onyx is the only finger pulse oximeter brand whose accuracy and performance claims are supported by published peer-reviewed, clinical studies.

Peri-operative Management of Patients on Strong Opioids

It is very common to encounter patients on strong opioid medication. These patients present particularly challenging pain management difficulties in the peri-operative period due to behavioural, psychological and pharmacological consequences of opioid treatment. This module discusses the key concepts in the anaesthetic management of patients taking strong opioids and steps that can be taken to ensure optimum peri-operative care.
Length of Study: 80 min
Difficulty: Medium

Oxygen Saturations & Pulse Oximetery

The pulse oximeter provides an indication of oxygen status in the body. However, the link between a pulse oximeter reading and the events occurring in the body can be complex and difficult to evaluate. We all require an understanding of factors associated with oxygen uptake and delivery to be able to use pulse oximetry in a knowledgeable way.
Length of Study: 80 min
Difficulty: Easy

Paediatric Anaesthetic Emergencies: Pt I

Paediatric anaesthetic emergencies can happen faster and leave less time to react then in adults. They present complex, potentially life-threatening situations that everyone engaged in giving paediatric anaesthetic should be aware of and be able to treat.This first article covers laryngospasm and suxamethonium apnoea.
Length of Study: 50 min
Difficulty: Medium

Paediatric Anaesthetic Emergencies: Pt 2

Paediatric anaesthetic emergencies can happen faster and leave less time to react the in adults. They present complex, potentially life-threatening situations that everyone engaged in giving paediatric anaesthetic should be aware of and be able to treat.This second article covers malignant hyperthermia and anaphylaxis.
Length of Study   50min
Difficulty: Medium

Paediatric Pain

Good quality, effective management of pain in paediatric patients is an essential component of paediatric anaesthesia. However, achieving this can be difficult for a variety of reasons not least of which is the enormous variations that occur physiologically and psychologically throughout the range of ages encountered in the paediatric population.
Length of Study: 75 min
Difficulty: Medium

Paediatric Trauma

Anatomical and physiological differences in children require special consideration and most seriously injured children have multiple injuries. This module is mainly for those who may be called to A&E resus but the general principles are useful for anyone who works with children.
Length of Study: 60 min.
Difficulty: Medium

Parkinson’s Disease & Anaesthesia

Parkinson’s disease is a degenerative disorder of the central nervous system the causes of which are poorly inderstood. This module covers its management under anaesthetic, discusses which drugs are safe for use in this patient group and whether regional or GA anaesthetic are more appropriate.
Length of Study: 60 min
Difficulty: Medium

Patient positioning during anaesthesia

Different patient positions are required to provide access for different surgical procedures. Each position has implications for ventilation and haemodynamics, as well as exposing patients to possible complications such as nerve injury and pressure sores.
Length of Study: 60 min
Difficulty: Easy