Airway Management
Intermediate level competencies and learning outcomes are included in this section specifically relating to airway skills; most will also appear in the ENT, maxillofacial and dental unit of training. It is expected that trainees will complete this unit of training over the course of ST years 3 and 4 of training
Learning outcomes:
- Build on the knowledge and skills gained in the Basic Level airway training
- Develop knowledge, skills and experience of safe airway management in more complex cases undergoing major elective and emergency surgery including fibreoptic intubation
- To be able to recognise the specific problems encountered with the airway
Core clinical learning outcome:
- To be able to demonstrate the ability to perform elective fibreoptic intubation, either for an awake or an anaesthetised patient, with local supervision
NB: All competencies annotated with the letter ‘E’ can be examined in any of the components of the Final examination identified in the FRCA examination blueprint section.
| Knowledge |
|---|
|
Competence |
Description |
Assessment Methods |
GMP |
|---|---|---|---|
|
AM_IK_01 |
Lists the risks associated with awake fibreoptic endotracheal intubation and describe the process of obtaining consent for this procedure |
A,C,E |
1 |
|
AM_IK-02 |
Discusses the identification and assessment of pathology in or around the airway, including
|
A,C,E |
1,2 |
|
AM_IK_03 |
Outlines the anaesthetic management of potential threats to the airway, including
[Cross Ref; ENT] |
A,C,E |
1 |
|
AM_IK_04 |
Lists the indications for tracheostomy [Cross Ref; ENT] |
A,C,E |
1,2 |
|
AM_IK_05 |
Outlines the anaesthetic principles for tracheostomy [Cross Ref ENT] |
A,C,E |
1,2 |
|
AM_IK_06 |
Describes the management of the obstructed/misplaced tracheostomy |
A,C,E |
1,2 |
|
AM_IK_07 |
Describes the specialised airway techniques used for laser surgery in, or near, the airway [Cross Ref; ENT] |
A,C,E |
1 |
|
AM_IK_08 |
Describes the causes, pathophysiology and management of obstructive sleep apnoea and the surgical procedures used to treat it [Cross Ref; ENT] |
A,C,E |
1,2 |
|
AM_IK_09 |
Outline appropriate follow up of an unexpected difficult intubation |
A,C,E |
1 |
|
AM_IK_10 |
Discuss the risks and benefits of using various supraglottic airways for IPPV |
A,C,E |
1 |
|
AM_IK_11 |
Describes the airway management of a patient undergoing one-lung ventilation and anaesthesia, including placement of double lumen endobronchial tubes and bronchial blockers [Cross Ref;cardiothoracics] |
A,C,E |
1 |
|
AM_IK_12 |
Describes the safe use of equipment and airways devices used for surgery on and below the vocal chords, including bronchoscopes, Venturi devices and fibre-optic scopes [Cross Ref; ENT] |
A,C,E |
1,2 |
|
AM_IK_13 |
Describes the principles of jet ventilation [Cross Ref; ENT] |
A,C,E |
1 |
|
AM_IK_14 |
Recalls the principles underlying the use of helium [Cross Ref; ENT] |
A,C,E |
1 |
| Skills |
|---|
|
Competence |
Description |
Assessment Methods |
GMP |
|---|---|---|---|
|
AM_IS_01 |
Demonstrates elective fibreoptic intubation under anaesthesia with or without LMAs or other airway adjuncts |
A,D |
1,2 |
|
AM_IS_02 |
Demonstrates effective teaching of basic airway manoeuvres, direct laryngoscopy and endotracheal intubation to novice students [e.g. nurses, CT1 anaesthetic trainees, paramedics, medical students] |
A,D |
1,2 |
|
AM_IS_03 |
Demonstrate the use of supraglottic airways for IPPV |
A,D |
1,2 |
|
AM_IS_04 |
Demonstrate double lumen endo bronchial tube placement and lung isolation, including the use of bronchial blockers and the use of clinical/endoscopic methods to confirm correct position [Cross Ref;cardiothoracic] |
A,D |
1,2 |