CCT in Anaesthetics - Intermediate Level Training

Published: 05/09/2019

Applied clinical pharmacology

Demonstrates knowledge of:

Competence

Description

Assessment methods

GMP

PR_IK_01

Analgesia: principles of analgesia including infusions, patient controlled analgesia; medications for chronic pain including antidepressants, anticonvulsants, antiarrhythmics; routes of administration including  oral; sublingual; subcutaneous, IM; IV; inhalational analgesia, patient controlled analgesia, epidural; agents used for regional techniques and local blocks

A,C,E

1,2

PR_IK_02

Management of acute poisoning: including aspirin; paracetamol; opioids; aminophylline; digoxin; ecstasy and other social drugs;  antidepressants;  alcohol

A,C,E

1,2

PR_IK_03

Drug toxicity, causes and avoidance. Management of malignant hyperthermia. Potential risks of drug additives

A,C,E

1

PR_IK_04

Pharmacokinetics. Including target controlled infusions and effects of renal and/or hepatic impairment on drug disposition and elimination of; influence of renal replacement therapies of commonly used drugs

A,C,E

1,2

PR_IK_05

Cardiovascular System: principles and use of inotropes and vasodilators, including pulmonary vasodilators; pharmacological problems in cardiopulmonary bypass, cardioplegia; Management of arrhythmias

A,C,E

1,2

PR_IK_06

Use of drugs in the management of cardiogenic shock and cardiac failure

A,C,E

1

PR_IK_07

Management of hypertension before anaesthesia, including acute management and phaeochromocytoma. Manipulation of blood pressure to assist surgery

A,C,E

1

PR_IK_08

Antibiotics: principles of action; choice of drug.  Antibiotic prophylaxis against surgical infection including subacute bacterial endocarditis. Therapy of bacterial, fungal and viral infections

A,C,E

1

PR_IK_09

Anticoagulant and thrombolytic prophylaxis and therapy, including management of pulmonary embolus

A,C,E

1

PR_IK_10

The Respiratory System: management of severe asthma; use of gases: helium and nitric oxide

A,C,E

1,2

PR_IK_11

The Gastrointestinal System: acid aspiration prophylaxis; anti-emetics

A,C,E

1,2

PR_IK_12

CNS: general vs regional anaesthesia in all areas of anaesthesia; action of drugs on the eye; control of convulsions

A,C,E

1,2

PR_IK_13

The Musculoskeletal System: muscle relaxants and reversal agents; anaesthetic implications of myasthenia gravis and other neuromuscular disorders

A,C,E

1,2

PR_IK_14

Resuscitation:  including management of allergy and anaphylaxis

A,C,E

1,2

PR_IK_15

Principles of parenteral and enteral nutritional formulas in intensive care

A,C,E

1,2

PR_IK_16

Therapeutics in pathologic states: problems associated with organ transplantation;  anaesthetic relevance of drugs used in malignancy; therapy in acute and chronic respiratory diseases

A,C,E

1,2

PR_IK_17

Problems of drug dependency and addiction

A,C,E

1

PR_IK_18

Environmental effects of anaesthetic agents

A,C,E

1

PR_IK_19

Influence of age on drug pharmacokinetics and pharmacodynamics

A,C,E

1

PR_IK_20

Assessment of cognitive dysfunction issues such as delirium, POCD and dementia, and implications

A,C,E

1

Skills

Competence

Description

Assessment method

GMP

PR_IS_01

TIVA and TCI: Demonstrate how a TCI system is set-up and used to deliver both induction and maintenance levels of intravenous agents. Discuss the advantages and disadvantages of such a technique

D, M

1,2

PR_IS_02

Adverse event reporting: Describe how to complete a yellow card alert and local critical incident report form; discuss investigation of a suspected allergic responses to drugs administered during anaesthesia. See also CI-BAB_04

D, C

1,2

PR_IS_03

Teaching of basic principles of pharmacology: Demonstrate the ability to lead a tutorial session on basic principles of pharmacology for more junior trainees 

D

3

PR_IS_04

Demonstrate critical appraisal of publications

D

1