2nd Session (Head & Neck, Spine, Trauma Surgery, Monitoring, Ambulatory Anaesthesia, Procedural Sedation, Remote Anaesthesia, Crisis Management)

Nov 2024

Station 1

Scenario: A patient with underlying epilepsy, mental retardation, obesity and high risk of OSA suffered a fall with a penetrating eye injury
Epilepsy & antiepileptics and anaesthesia
Decision-making on timing of surgery
Premedication considerations
Anaesthetic considerations regarding penetrating eye injury
Safety of ophthalmic regional anaesthesia
Parasympathetic reflexes (oculocardiac specifically) and their management
Management of eccentric eye movements intraoperatively
Measures to minimize the IOP perioperatively

Station 2

Scenario: An obese man with OSA is planned for an OGDS under anaesthesiologist management
What is NORA? What are the anaesthetic concerns with remote anaesthesia? Why should extra attention be paid for?
Common gastroenterological procedures in practice
Preparations for NORA-related procedures?
Impact of bowel preparation on the patient
Anaesthetic choices and the considerations

Station 3

Scenario: A patient with locally extensive breast cancer is referred to the Acute Pain Service (APS) Team to facilitate dressing
The concept of analgo-sedation
The sedation-anaesthesia spectrum/continuum, categorization-assessment, targets
Complications of providing analgo-sedation
Fasting requirements and analgo-sedation
Monitoring
Drugs & regimes - Ketofol, remimazolam
Pharmacological concept of synergism
Local Guidelines: Recommendations for Sedation and Analgesia by Non-Anaesthesiologists, Guidelines for Conscious Sedation in Dentistry for Adult Patients, Paediatric Procedural Sedation and Analgesia for Non-Anaesthesiologists

Station 4

Arterial blood pressure monitoring
Selection of NIBP cuff size, instructions on application
Inaccuracies with NIBP
NIBP vs IABP indications, complications
The arterial waveform, and changes in the waveform from central to peripheral
The derived information available from the arterial waveform
What information can u get from art line?
The flush test, damping, zeroing
Inaccuracies during IABP monitoring
Pulse pressure variation, fluid responsiveness, pitfalls with pulse pressure variation