2021 Curriculum learning syllabus: stage 3 special interest areas

Published: 25/02/2021

Anaesthesia for Vascular Surgery

  • Group 2: 3 to 6 months

Learning outcomes

  • Provides safe perioperative anaesthetic care for a wide variety of complex vascular 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

Capable of providing advanced cardiovascular risk assessment relating to vascular surgery

B

Manages the perioperative care of elective and emergency open AAA repair

C

Manages the perioperative care of complex endovascular repair of aortic aneurysms including thoracic aneurysms where experience is available

D

Manages the perioperative care for patients requiring carotid endarterectomy under general and regional anaesthesia

E

Provides perioperative care for patients requiring vascular access procedures for renal dialysis

F

Appreciates the complexities in organising regional vascular services

Examples of evidence

Experience and logbook:
  • pre-operative assessment clinics including evaluation of cardiovascular risk
  • broad experience of elective and emergency vascular surgery including carotid arterial procedures, aortic surgery, aorto-iliac occlusive disease procedures.
Supervised Learning Events (SLEs) can be used to demonstrate:
  • perioperative care of high risk patient undergoing vascular surgery
  • involvement of multi-disciplinary team in shared decision making for high risk surgery
  • regional anaesthesia for vascular procedures including techniques for carotid endarterectomy.
  • management of major haemorrhage during emergency vascular surgery including blood conservation techniques.
  • ability to use specific techniques during anaesthesia to minimise effect of surgery such as spinal cord protection and maintenance of renal function
  • intra-operative monitoring techniques for vascular procedures including cardiovascular and neurophysiological monitoring
  • management of complications relating to carotid surgery
  • assessment and management of patients with ruptured abdominal aortic aneurysm.
Personal Activities and Personal Reflections may include:
  • national and international meetings related to vascular anaesthesia
  • presentation at relevant meeting eg abstract or free paper
  • development of guidelines and policies
  • leadership of QI projects related to vascular anaesthesia
  • leadership 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