1st Session (Management of Patients With Comorbidities, Airway Management, Anaesthesia for General Surgical Disciplines, Regional Anaesthesia, Acute Pain Management)

Nov 2024

Station 1

An elderly smoker with underlying hypertension and diabetes is planned for elective laparoscopic removal of a rectal adenocarcinoma
Preop assessment (history, physical examination, investigations)
How does smoking lead to COPD. How is COPD assessed?
Further assessment: History of nausea and vomiting, coated tongue, tachycardia with normotension, ronchi
Preop optimization
Anaesthetic management
ERAS
Gas used in laparoscopic surgery and why
Effects of pneumoperitoneum & Trendelenburg position
Ventilation strategy to be used

Station 2

An elderly patient with 78y with underlying IHD, COPD, HPT, DM, CKD, and mild cognitive impairment suffers a neck of femur fracture
Different physical status assessment tools (CFS, RCRI)
How to optimize each comorbid
Preop assessment including history, physical examination and investigations
Anaesthesia modalities what is known regarding the impact on cognitive impairment
Management of perioperative antithrombotics
General principles in optimizing analgesia especially for the elderly
Post op delirium, myocardial injury after non-cardiac surgery, post op pulmonary complications

Station 3

An obese middle-aged male with asthma-like disease suffers a road traffic accident and subsequently a radius-ulna fracture
Preop assessment
Choice of anaesthesia, choice of regional anaesthesia
Sonography of the supraclavicular/axillary brachial plexus regions
Performance of the brachial plexus blocks
Management of pain “despite a successful block”
Differentials of subsequent loss of consciousness
Management of LAST
Post op peripheral nerve injury, and its assessment and management.

Station 4

A young obese patient is planed for an appendicectomy
Basic airway assessment
Additional historical points to elicit
Additional airway assessments
Additional scores in airway assessment
Mallampati grading & its relation to anatomy
The mallampati’s statistical critique
Additional assessment reveals the presence of neck pain with upper limb weakness
The effect on airway management
Debate between direct laryngoscopy vs videolaryngoscopy
Grading videolaryngoscopy view