2021 Curriculum learning syllabus: stage 3 special interest areas

Published: 25/02/2021

Anaesthesia for Plastic Surgery and Burns Management

  • Group 2: 3 to 6 months

Learning outcomes

  • Provides safe perioperative anaesthetic care for a wide variety of complex plastics and burns cases independently
  • Is capable of leading the delivery of care in this area of anaesthetic practice, to the benefit of both patients and the organisation

 Key capabilities

A

Provides the perioperative care of a patient independently undergoing complex plastic surgical procedures or major burns excision and grafting

B

Manages the initial assessment, plans, manages and evaluates the ongoing care of a severely burned patient from any cause

C

Management of inhalational injuries including use of bronchoscopy and management of carbon monoxide and cyanide poisoning

D

Provides effective analgesia and sedation for change of dressing in a severely burn injured patient

E

Acts as a senior decision maker in the burns multidisciplinary ward round

F

Is proficient in the performance of regional anaesthetic techniques for the upper and lower limb

Examples of evidence

Experience and logbook:
  • experience of a wide range of elective and emergency plastic surgery and burns procedures including those in children
  • experience in the emergency management of major burns injuries.
Supervised Learning Events (SLEs) can be used to demonstrate:
  • emergency assessment, resuscitation, and ongoing management of patients with major burn injury including airway management and organ support
  • management of fluid resuscitation following major burn injury
  • bronchoscopy assessment of inhalational lung injury
  • perioperative management of patients undergoing major burns excision and grafting
  • management of dressing changes including different analgesia and sedation techniques
  • ICU management of patients with major burn injury requiring multi organ support
  • perioperative management of patients undergoing free flap surgery
  • perioperative management of patients undergoing reconstructive surgery
  • management of major haemorrhage during major burns/plastics surgery including blood conservation techniques
  • perioperative management of emergency plastic surgery cases including the use of regional techniques.
Personal Activities and Personal Reflections may include:
  • national and international meetings related to plastic surgery and burns management
  • attendance at regional education meetings
  • presentation and discussion of cases at local, regional, and national network meetings
  • burns specific resuscitation courses
  • development of guidelines and policies for management of Burns
  • leadership of QI projects related to plastic surgery and burns management
  • leadership training
  • simulation training.
Other evidence:
  • satisfactory MSF.

Suggested supervision level

  • 4 - should be able to manage independently with no supervisor involvement (although should inform consultant supervisor as appropriate to local protocols).

Cross links with other domains and capabilities

  • all generic professional domains of learning
  • Perioperative Medicine and Health Promotion
  • General Anaesthesia
  • Resuscitation and Transfer
  • Pain
  • Intensive Care