Examination Syllabus Stage 2
Regional Anaesthesia (RA)
2_RA_A: Performs ultrasound-guided brachial plexus blocks
| 2_RA_A_1 | Anatomy and sonoanatomy of the brachial plexus |
| 2_RA_A_2 | Use and complications of upper limb blocks |
| 2_RA_A_3 | Pharmacology of local anaesthetic drugs and adjuvants and their clinical applications |
2_RA_B: Performs ultrasound-guided fascial plane blocks for the chest or abdominal wall
| 2_RA_B_1 |
Chest wall fascial plane block techniques including relevant sonoanatomy, indications and complications
|
| 2_RA_B_2 |
Analgesia for rib fractures including anatomy and sonoanatomy of erector spinae, paravertebral and serratus anterior blocks and use of thoracic epidural
|
| 2_RA_B_3 |
Abdominal wall fascial plane block techniques including relevant sonoanatomy, indications and complications e.g. rectus sheath, TAP and quadratus lumborum
|
| 2_RA_B_4 | Blocks for lower abdominal/urological surgery including inguinal, penile, caudal and pudendal nerve blocks |
2_RA_C: Demonstrates how to achieve an optimal ultrasound image and recognises common ultrasound artefacts
| 2_RA_C_1 | Basic principles of ultrasound and its application |
| 2_RA_C_2 | Advantages of ultrasound-guided blocks |
2_RA_D: Describes ophthalmic blocks for patients undergoing awake ophthalmic surgery
| 2_RA_D_1 | Applied anatomy required for insertion of local anaesthetic blocks for ophthalmic surgery |
| 2_RA_D_2 |
Techniques of local anaesthesia available for ophthalmic surgery including their advantages, disadvantages and indications with particular reference to: • Sub-tenon’s block |
| 2_RA_D_3 | The oculo-cardiac reflex, its treatment and prevention |
| 2_RA_D_4 | The physiological mechanisms which control intraocular pressure |
| 2_RA_D_5 | The pharmacology of drugs used to reduce intraocular pressure |
2_RA_E: Involves the patient in planning and understanding potential complications of regional anaesthesia
| 2_RA_E_1 | The indications and contraindications for regional anaesthesia and peripheral nerve blocks in multiply injured patients for analgesia, both initially and perioperatively |
| 2_RA_E_2 |
Anatomy and sonoanatomy of lower limb blocks. Use and complications of these blocks including but not exclusively fascia-iliaca, and peri-capsular nerve groups (PENG)
|
| 2_RA_E_3 |
Advantages and disadvantages, techniques and complications (including their management) of a wide variety of blocks including, but not exclusively: · central neuraxial blockade |
| 2_RA_E_4 | Anatomy and sonoanatomy for awake carotid endarterectomy, including superficial, intermediate and deep cervical plexus blocks. Contraindications and complications of these procedures. |
| 2_RA_E_5 | The choice of local anaesthetic agents, opioids, and other additives and techniques of administration including but not limited to: · hydrodissection · spread of local anaesthetic along fascial planes · regular aspiration to avoid intravascular placement |
| 2_RA_E_6 | Management of regional blocks in children including but not exclusively caudal, epidural, spinal, penile, ilioinguinal and TAP blocks |
| 2_RA_E_7 | Best practices for safety and quality in regional anaesthesia |