NA_IK_01

Recalls/describes the relevance of the anatomy of the skull, skull base, vertebral column and central nervous system to neuroanaesthetic practice [Cross ref applied sciences]

A,C,E

1

NA_IK_02

Recalls/explains the relevance of applied physiology and pathophysiology related to the central nervous system to neuroanaesthetic practice [Cross ref applied sciences]

A,C,E

1

NA_IK_03

Describes techniques for decreasing the intra-cranial pressure

A,C,E

1

NA_IK_04

Explains the indications for using neurophysiological monitoring [including EEG, evoked potentials and ICP measurement] to benefit patients requiring neurosurgery/neuro-critical care   

A,C,E

1

NA_IK_05

Recalls how drugs can impact on neurophysiological monitoring

A,C,E

1

NA_IK_06

Recalls/explains the pharmacology of drugs which act on the central nervous system [Cross ref applied basic sciences]

A,C,E

1

NA_IK_07

Explains the complications of positioning for neurosurgical procedures: prone, sitting, lateral, park bench

A,C,D,E

1,2

NA_IK_08

Demonstrates understanding of the perioperative anaesthetic management of patients for neurosurgery and neuroradiology.

This includes:

• Preoperative assessment and optimization of patients with neurological disease
• Induction and maintenance and reversal of anaesthesia
• Early postoperative care including the specific areas of fluid management and the control of pain

A,C,E

1,2,3,4

NA_IK_09

Demonstrates understanding of anaesthesia for neurosurgical procedures including but not exclusively:

• Shunt surgery
• Evacuation of intracranial haematoma
• Planned supratentorial and posterior fossa surgery [including vascular disease and tumours]
• Emergency surgery for traumatic brain injury
• Spinal column surgery

A,C,E

1,2,3,4

NA_IK_10

Discusses the principles of anaesthesia for neuroradiology including but not exclusively: 

• Emergency and elective imaging of the central nervous system [including the principles of stereotactic surgery]
• interventional procedures [including coiling of intracranial aneurysms]

[Cross reference anaesthesia in the non-theatre environment]

A,C,E

1,2,3,4

NA_IK_11

Explains the anaesthetic implications of pituitary disease including endocrine effects and trans-sphenoidal surgery

A,C,E

1

NA_IK_12

Describes anaesthesia for trigeminal neuralgia including thermocoagulation

A,C,E

1,3

NA_IK_13

Explains the anaesthetic implications of spinal cord trauma 

A,C,E

1,2,3

NA_IK_14

Describes how to recognize an unstable cervical spine and explains how it should be managed

A,C,D,E

1,2

NA_IK_15

Discusses the indications for postoperative ventilation

A,C,E

1,2

NA_IK_16

Explains the techniques used for recognition and management of air embolism

A,C,E

1,2

NA_IK_17

Describes the special risk associated with prion diseases during neurosurgery

A,C,E

1,2

NA_IK_18

Demonstrates understanding of the principles of anaesthesia for patients with neurological disease [including but not exclusively]:

• Guillain-Barre
• Myasthenia gravis

• Myasthenic syndrome
• Dystrophia myotonica
• Muscular dystrophy
• Paraplegia and long term spinal cord damage

A,C,E

1,2,3,4

NA_IK_19

Discusses the specific risks of venous thromboembolic disease in neurosurgical patients and how these are managed

A,C,E

1,2

NA_IK_20

Demonstrates understanding of the neurocritical care management of traumatic brain injury [including but not exclusively]:

• indications for ventilation
• recognition and management of raised ICP
• cerebral protection strategies
• fluid and electrolyte balance in the head injured patient
• systemic effects of traumatic brain injury

The principles of management of acute spinal cord injury

C,E

1,2,3,4

NA_IK_21

Describes the control of status epilepticus

C,E

1

NA_IK_22

Describes the requirements for safe transfer of patients with brain injury

C,E

1,2,3

NA_IK_23

Explains the issues related to the management of organ donation in neuro-critical care [Cross reference intensive care]  

C,E

1,3,4

NA_IS_01

Demonstrates a full and focused preoperative assessment, followed by optimization, of patients presenting with neurological disease

A

1

NA_IS_02

Demonstrates understanding of the problems of obtaining consent in patients who are not competent, including those with impaired consciousness and confusion

A

1,3,4

NA_IS_03

Demonstrates provision of safe perioperative anaesthetic care for a variety of neurosurgical procedures [including but not exclusively]: 

• elective and emergency intracranial surgery 
• shunt surgery
• cervical and lumbar spinal surgery

A,C

1,2,3,4

NA_IS_04

Demonstrates the ability, via physiological and pharmacological manipulation, to improve intra-cranial homeostasis in pathological states

D,A

1

NA_IS_05

Demonstrates the ability to manage patients with acute head injuries for: 

• anaesthesia for emergency neurosurgery
• non-surgical management if indicated
• the on-going neuro critical care

A,C

1,2,3,4

NA_IS_06

Demonstrates safe patient positioning – prone, lateral [park bench]

A,D

1,2

NA_IS_07

Demonstrates the ability to resuscitate, stabilise and transfer safely patients with brain injury

A,C,D

1,2,3,4

NA_IS_08

Shows sensitivity in giving support to patients and relatives during end of life care

A,M

2,3,4

NA_IS_09

Demonstrates ability to communicate well with the surgical team including ensuring the exchange of relevant information

A,M

2,3,4

NA_IS_10

Demonstrates the ability to select and use appropriate invasive monitoring when indicated in patients undergoing neurosurgical procedures

A,C

1,2

NA_IS_11

Demonstrates the ability to recognise and manage diabetes insipidus/SIADH

A,C

1

NA_IS_12

Demonstrates the ability to manipulate blood pressure as appropriate for the clinical situation

A,C

1

NA_IS_13

Demonstrates the ability to manage emergence from anaesthesia in a smooth and controlled way

A,D

1,2

NA_IS_14

Demonstrates the ability to manage neurosurgical patient in the immediate postoperative period

A,C,D

1,2