Consolidating Basic Clinical Practice

Anaesthesia and Cardiac Disease 

Clinical Effects of Anaesthesia on the Cardiac System 

Other Cardiac Changes During Anaesthesia

Assessment of Exercise Tolerance 

Implications of Cardiac Drugs 

Basic Cardiac Investigations 

Preoperative Echocardiography 

Investigation of Cardiac Function 

Ischaemic Heart Disease (IHD) 

Hypertensive Heart Disease 

Left ventricular impairment 

Aortic stenosis 

Other Valve Lesions 

Atrial Fibrillation

Pacemakers and implanted Cardioverters 

Conduction Defects 

Clinical Effects of Anaesthetic Techniques on the Respiratory System 

Upper and Lower Respiratory Tract Infections 

Basic Respiratory Investigations and Lung Function Tests 

Asthma 

Anaesthesia for patients with Chronic Obstructive Pulmonary Disease (COPD) 

Sleep Apnoea

Acute Renal Failure and the Effects of Anaesthesia on Renal Function 

Chronic Renal Failure 

Anaesthesia for the Patient with a Renal Transplant 

Alcoholic Liver Disease 

Anaesthesia for the patient with Hepatic Failure 

Diabetes Mellitus for the Anaesthetist 

Perioperative Management of Diabetic Patients 

Thyroid Disease 

Adrenal Disease and Steroid Replacement Therapy 

Rheumatoid Arthritis 

Ankylosing spondylitis and Systemic Lupus Erthematosus (SLE) 

Anaemia 

Sickle Cell Anaemia and Thalassaemia 

Porphyria

Haemophillia

Platelet Disorders 

Anticoagulants 

Epilepsy and Anaesthesia 

Anaesthesia and Myasthenia Gravis 

Multiple Sclerosis and Myotonias

The Pathophysiology of Chronic Spinal Cord Injury

Anaesthesia and Psychiatric Disorders 

Anaesthesia and Psychiatric Drugs 

Anaesthetic Implications of obesity

History

Preoperative History - Important Principles 

Drug Misuse and Anaesthetic Implications 

Examination 

Examination: Important Principles 

Cardiovascular System 

Physical Examination - The Respiratory System 

Physical Examination - The Neurological System 

Airway Assessment 1 

Airway Assessment 2 

Drug therapy

Drug Therapy - Implications for the Anaesthetist 

Steroids 

Allergy and Anaesthetic Related Problems 

Allergies including Latex 

Suxamethonium Apnoea 

Malignant Hyperthermia 

Investigations and Interpretation 

ECG 1 

ECG 2 

ECG 3 

Normal Chest X-Rays 

Normal Chest X-Rays 2 

Abnormal Chest X-Rays - 1 

Abnormal Chest X-Rays - 2 

Other X-Rays 

Abdominal X-Rays 

Simple CT and MRI Scans 1 

Simple CT and MRI Scans 2 

Haematology 1 

Haematology 2 

Biochemistry: Hyperkalaemia and Hypokalaemia

Biochemistry: Hypernatraemia and Hyponatraemia 

Biochemistry Magnesium and Calcium 

Biochemistry of Blood Urea and Creatinine 

Day Case surgery

Day Case Surgery and Anaesthesia 1: Advantages and Organisation 

Day Case Surgery and Anaesthesia 2: Patient Selection and Discharge Criteria

Day Case Surgery and Anaesthesia 3 

Emergency Surgery 

Emergency Surgery - General Principles 

Trauma 

Trauma 1: Anaesthesia for Head Injuries 

Trauma 2: Anaesthesia for Fractured Jaw 

Acute Abdomen 

Acute Abdomen: Preparation 

Acute Abdomen: Intraoperative Management 

Acute Abdomen: Postoperative Care 

Surgical specialties 

General Anaesthesia for Ear, Nose and Throat Surgery

Anaesthesia for Dental and Maxillofacial Surgery 

General Anaesthesia for Laparoscopic Surgery 1

General Anaesthesia for Laparoscopic Surgery 2 

General Anaesthesia for Plastic Surgery 

Anaesthesia for Transurethral Resection of the Prostate 

Preparation for theatre 

General principles of preparation for theatre 

Consent 1 

Consent 2 

Assessment of Surgical and Anaesthetic Risks 

Premedication 

Role of the Preoperative Visit 

Pre-Medicant Drugs 

Deep Vein Thrombosis 

Assessment and causes of Preoperative Anxiety 

Preparation prior to GA

Preparation for general anaesthesia 

Intravenous Induction 

Definition and Conduct of General Anaesthesia 

Propofol: An overview 

Thiopental: An overview 

Etomidate, Ketamine and the Role of Opioids 

Inhalational Induction 

Inhalation Induction - Overview 

Clinical Signs during Inhalational Induction 

Agents and Technique of Inhalational Induction 

Anaphylaxis 

Presentation and Identification of Anaphylaxis 

Immediate Management of Anaphylaxis 

Secondary Management of Anaphylaxis 

Advanced Airway Skills

Variants of the Laryngeal Mask Airway 

Emergency Airway Manoeuvres 

General Principles 

Principles of Maintenance of General Anaesthesia 

Volatile Agents, Breathing Attachments 

Intravenous Maintenance of Anaesthesia 

Overview of Monitored Sedation 

Maintenance of Temperature 

Intraoperative problems 

Management of Hypo and Hypercapnia 

Management of Intraoperative Hypotension and Hypertension 

Management of Intraoperative Arrhythmias 

Monitoring 

Essential monitoring for General Anaesthesia 

Further monitoring for General Anaesthesia 

Vigilance and Anticipation of problems 

Depth of anaesthesia 

Depth of Anaesthesia: Basic Principles 

Systems for Measuring Depth of Anaesthesia 

Depth of Anaesthesia: Incidence and Management of Awareness 

Muscle Relaxation 

Muscle Relaxation - Basic Principles 

Monitoring Neuromuscular Blockade 

Reversal of Neuromuscular Block

Intermittent Positive Pressure Ventilation 

Principles of IPPV 

Conduct of IPPV 

Managing IPPV 

Intra-operative analgesia and fluid management 

Overview of Intravenous fluids 

Principles of Red Cell Transfusion 

Management of Massive Haemorrhage 

Positioning 

Overview of Different Surgical Positions 

Protection of the Anaesthetised patient 

Medicolegal aspects 

Anaesthetic Record Keeping 

Handover protocol for changing Anaesthetist Mid-case 

Postoperative Care 

Safe Handover of Patient to Recovery Team 

Postoperative Analgesia: Basic Principles and Analgesic Ladder 

Patient-Controlled Analgesia 

Postoperative Nausea and Vomiting (PONV) 

Common problems in Recovery 

Failure of Return of Consciousness or Neuromuscular Function 

Post Extubation Airway Difficulties 

Management of Hypo-or Hypertension 

Management of Rhythm Problems or Ischaemia 

Health and Safety 

Universal precautions and Cross Infection 

HIV and Hepatits B and C in context 

Needle Stick (Sharps) Injuries 

Antibiotics and sterilisation

Antibiotic policies