CCT in Anaesthetics - Stage 2 Training

Published: 22/10/2024

Pain (PA)

2_PA_A: Utilises a multi-disciplinary approach to the management of complex pain within a biopsychosocial model of care

2_PA_A_1 Assessment and management of acute non-surgical pain
2_PA_A_2 Organisation of multi-disciplinary management approach of chronic pain
2_PA_A_3 Effect of genetics and cultural differences as well as mental health and adverse childhood experiences on clinical pain perception and management


2_PA_B: Can confidently manage acute pain in the whole perioperative pathway in a timely manner

2_PA_B_1 Assessment of pain including use of pain assessment tools
2_PA_B_2 Management of postoperative pain including management of those patients with complex analgesic needs
2_PA_B_3 Use of adjuvant analgesics, regional anaesthesia, and wound infiltration techniques
2_PA_B_4

Assessment and management of acute pain in special groups including, but not limited to,

  • children and infants
  • the older person
  • the cognitively impaired
  • those with communication difficulties
  • the unconscious and critically ill patients
  • Concurrent disease e.g. hepatic/renal   
  • Long term opiate users and substance misuse


2_PA_C: Is able to assess patients, interpret investigations and initiate management of chronic malignant and non-malignant pain in a timely manner under distant supervision

2_PA_C1 Mechanisms of pain; nociceptive (somatic and visceral), neuropathic, and nociplastic pain
2_PA_C2

Assessment/ management of chronic pain in adults including both chronic primary pain and chronic secondary pain

 
2_PA_C3 Assessment/management of cancer pain in adults
2_PA_C4

Anatomy of ascending and descending pain pathways and their relevance to the pharmacological management of pain

 
2_PA_C5 Anatomy relevant to acute and chronic pain management, including neural blockade techniques
2_PA_C6 Mechanisms of peripheral and central sensitisation
2_PA_C7 The role of interventional procedures for pain relief, TENS, and other alternative treatments


2_PA_D: Can assess and manage acute on chronic and chronic inpatient pain in adults and recognise when referral to specialist pain services is appropriate

2_PA_D_1

Advanced pharmacology of drugs used to manage pain including neuropathic pain. Use of:

  • opioids
  • antidepressants
  • anticonvulsants
  • antiarrhythmics
2_PA_D_2 Assessment and management of patients with known chronic pain undergoing acute surgical procedures

 

2_PA_E Identify barriers to effective pain management including those related to patient beliefs, society, culture, and healthcare provision

 

2_PA_F Explains the risk factors for persistent post-surgical pain including measures to minimise its occurrence