Recent modules: ordered by date
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.
Laryngoscopes are used to aid tracheal intubation and the placement of endotracheal tubes. They allow visualisation of the larynx and are used not only in operating theatres but ITU and A&E. They can also be used to visualise the larynx for suctioning, removal of a foreign body and placing nasogastric tubes and throat packs.
This module covers conventional or direct laryngoscopes. Video laryngoscopes and fibreoptic intubation are covered in different modules.
The most important piece of equipment that the anaesthetist uses is the anaesthesia machine. The basic function of an anaesthesia machine is to prepare a gas mixture of precisely known, but variable composition. The gas mixture can then be delivered to a breathing system. Anaesthesia machine itself has evolved from a simple pneumatic device to a complex array of mechanical, electrical and computer – controlled components. This module breaks down the essential features of the anaesthetic machine into its parts, explaining their purpose as it goes.
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.
Getting the best out of videolaryngoscopy
The benefits of videolaryngoscopy, especially in unexpected difficult intubations, are numerous but they are not just conventional laryngoscopes with screens. Many have different techniques and need specific training. This module gives tips on how it to use it to its best advantage.
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.
Emergency front of neck access in airway management
This module describes the guidance for emergency front of neck access, reviews techniques to improve decision making in the transition to eFONA and reviews the ‘scapel, bougie,
tube’ technique when performing eFONA.
An endotracheal tube (ETT) is inserted into the trachea for the primary purpose of establishing and maintaining a definitive patent airway and to ensure the adequate exchange of oxygen and carbon dioxide. It is the gold standard for securing an airway, allowing positive-pressure ventilation while preventing contamination of the lungs from the contents of the pharynx and stomach.
This module covers the anatomy of the respiratory system. The major organs of the respiratory system function primarily to provide oxygen to body tissues for cellular respiration, remove the waste product carbon dioxide, and help to maintain acid-base balance. It covers both the conducting zone and a respiratory zone and describes the difference between the two.
Airway adjuncts are designed to increase the success rate of basic airway manoeuvres, help maintain spontaneous respiration or ensuring successful bag-mask ventilation. Intubation aids are used to help the passing of an endotracheal tube through the cords rather than to help with laryngoscopy.
Pulmonary aspiration of gastric contents
This module discusses aspiration which is a relatively rare, but potentially fatal complication of general anaesthesia occurring most commonly in emergency patients. Prevention is the key, and there are several mandatory requirements that must be fulfilled in the at-risk patient. However, in the event of aspiration occurring, treatment is essentially supportive once the airway has been secured.
Inadvertent perioperative hypothermia can occur in up to 40% of surgical patients so it essential for theatre practitioners to know what causes it and how to prevent it.
A well as being very stressful and uncomfortable for patients upon waking, it has many negative consequences including delayed drug metabolism, wound healing and increased infection rates.
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.
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.
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.
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.