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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.

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

This module this article 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
   

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.

Length of Study: 45 min.
Difficulty: Easy
   

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.

Length of Study: 60 min.
Difficulty: Easy
   

Perioperative Hypothermia

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.

Length of Study: 75 min.
Difficulty: Easy
   

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
   

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
   

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
   

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
   

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

Proact MEMO Capnograph EtCO2 Monitor (sponsored)

 

This battery powered mini capnograph is a highly accurate and compact solution suitable for tactical and ems teams. It was designed for mainstream CO2 monitoring of adult, pediatric and infant patients. It can also connect to your smartphone via an app which allows caregivers to monitor their patients from a distance.

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