Anaesthetics

CPD modules: Anaesthetics

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.

Total Intravenous Anaesthesia

Total intravenous anaesthesia (TIVA) is a technique of general anaesthesia which uses a combination of agents given exclusively by the intravenous route without the use of inhalation agents. This module explains how TIVA/TCI works, the popular models used and how they affect different patient groups.
Length of Study: 75 min. 
Difficulty: Medium

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

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.

Understanding vaporisers

This updated module explains how modern anaesthetic vaporisers work and the principles behind them. It includes electronic and direct injection vaporisers.
Length of Study: 60 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

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

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

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

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.

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

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

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

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

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

Post dural puncture headache

Post dural puncture headache is unpleasant, it may interfere with a new mother’s
ability to care for her newborn and it may extend the length of hospital stay. This module covers both prevention and treatment options.
Length of Study:  60 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

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

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

Sickle cell disease

Sickle cell disease is a disorder of the blood caused by an inherited abnormal haemoglobin. The abnormal haemoglobin causes distorted (sickled) red blood cells. When the number of red blood cells decreases from rupture (haemolysis), anaemia is the result. The irregular sickled cells can also block blood vessels causing tissue and organ damage and pain.
Length of Study: 60 min
Difficulty: Easy

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