Muscle Relaxants: the fundamentals

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
    

Suxamethonium Apnoea

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

Cardiac transplant: Anaesthesia for the patient with a cardiac transplant

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

Vapourisers & Inhalational anaesthetics

Vapourisers & Inhalational anaesthetics

Vapourisers are specially designed devices that deliver a very accurate concentration of anaesthetics. This module discusses them and how the process of vapourisation works.
Length of Study: 60 min
Difficulty: Medium

Opioids: Peri-operative Management of Patients on Strong Opioids

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 anaesthetics: understanding them

Understanding local anaesthetics

This article 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

Residual Neuromuscular Blockade

Residual Neuromuscular Blockade

This module covers all aspects of residual neuromuscular blockade, its causes, effects, how to determine its presence and its reversal. It also gives tips of effective nerve stimulator use.
Length of Study: 75 min
Difficulty: Medium

Pre-eclampsia and Anaesthetics

Pre-eclampsia and Anaesthetics

Pre-eclampsia is a pregnancy complication characterised by high blood pressure and signs of damage to another organ system, often the kidneys. Left untreated, pre-eclampsia can lead to serious even fatal complications for both mother and baby and the only cure is delivery.
Length of Study: 60 min
Difficulty: Easy

Diabetes & Anaesthetic Management

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

Paediatric Anaesthetic Emergencies: Pt I

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

Postoperative Nausea & Vomiting

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

Malignant hyperthermia

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

Parkinson’s Disease & Anaesthesia

Parkinson’s Disease & Anaesthesia

Parkinson’s disease is a degenerative disorder of the central nervous system the causes of which are poorly inderstood. This article 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

Management of Major Obstetric Haemorrhage

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

I.V. Induction Agents

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

Sugammadex: an overview

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

Target Controlled Infusions [TCI] of propofol & remifentanil

Target Controlled Infusions [TCI] of propofol & remifentanil

The use of TCI pumps for propofol and remifentanil is becoming more popular. This article covers some of the science behind target controlled infusions and how they work.
Length of Study:  90 min
Difficulty: Difficult

Spinal Anaesthesia

Spinal Anaesthesia

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

Paediatric Pain

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

Ketamine in anaesthetic practice

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

Morphine – Still the gold standard

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