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

Sugammadex: an overview

Sugammadex is an effective and safe agent for reversing neuromuscular blockade, in particular all depths of rocuronium-induced blockade. Sugammadex provides a real alternative to neostigmine and this module covers everything you need to know.
Length of Study: 60 min
Difficulty: Easy

Muscle Relaxants; reversal and the use of peripheral nerve stimulators.

This module discusses residual block, why, when and how muscle relaxants are reversed, and the importance of using a peripheral nerve stimulator when assessing the depth of block. It also covers the different patterns the stimulators use to assess how deep a neuromuscular block is.

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

Spinal Anaesthesia

This module covers the relevant anatomy, physiology and pharmacology of safe and satisfactory spinal anaesthesia.
Length of Study: 90 min
Difficulty: Medium

Understanding Central Venous Lines

This module discusses various types of central lines and central venous catheters (CVC).  They are often needed in critically ill patients or in those requiring prolonged intravenous therapies that cannot be given orally or through peripheral lines.

Length of Study: 120 min.
Difficulty: Medium
   

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

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

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

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

Postoperative Nausea & Vomiting

PONV can be common after surgery, although some patient groups are more prone to this than others. This module discusses this and what is the most effective and appropriate treatment for PONV.
Length of Study: 60 min.
Difficulty: Easy

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

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

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

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
   

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 clinical features and presentations as well as its management during an MH crisis.

This module is largely based on the ‘Malignant hyperthermia 2020 Guidelines’ from the Association of Anaesthetists.

Length of Study: 120 min.
Difficulty: Medium
   

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

Suxamethonium Apnoea

This module describes the action of suxamethonium, the inheritance of suxamethonium apnoea, and the non-inherited conditions that can also cause it. The presentation and treatment of the condition are discussed.
Length of Study: 45 min
Difficulty: Easy