ANZCA Final Exam Resources
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42
IT_AM 1.2
Discuss the important features of history and examination that may identify a potentially difficult airway
IT_AM 1.3
Outline preoperative fasting requirements and the common measures employed to decrease the risk of pulmonary aspiration
IT_AM 1.4
Describe an appropriate airway strategy for anaesthesia taking account of patient and procedural factors in patients with a normal airway, including indications for rapid sequence induction
IT_AM 1.5
Describe the indications for manual in-line stabilisation of the neck and the implications for airway management
IT_AM 1.7
Describe the optimal patient position for intubation
IT_AM 1.8
Describe the common complications of intubation
IT_AM 1.10
Outline an appropriate ventilation strategy suitable for routine elective and emergency patients
IT_AM 1.11
Outline potential management plans to ensure oxygenation of the patient with an unexpected difficult airway
IT_AM 1.12
Outline the clinical features, possible causes, physiological consequences and management of perioperative upper airway obstruction
IT_AM 1.13
Describe a ‘can’t intubate, can’t oxygenate’ drill, including the technique for performing an emergency surgical airway
IT_AM 1.14
Describe and classify the view obtained at direct laryngoscopy according to a common grading scale (Cormack-Lehane)
IT_AM 1.15
Describe the features of oesophageal and endobronchial intubation and outline appropriate management
IT_AM 1.16
Describe the clinical features and outline a management plan for a patient with aspiration of gastric contents
IT_AM 1.17
Describe the clinical features that indicate a patient can be extubated safely
IT_AM 1.18
Describe potential complications at extubation
IT_AM 1.19
Describe optimisation of the patient for extubation
IT_AM 1.20
Outline the important airway considerations in determining the suitability of a patient for discharge to recovery
BT_AM 1.5
Describe the potential impact of trauma to the upper or lower airway on ventilation and airway management
BT_AM 1.6
Describe the clinical features of patients with critical airway obstruction
BT_AM 1.7
Outline the clinical situations where airway anatomy may be distorted and ventilation impaired
BT_AM 1.8
Describe the commonly performed airway assessment methods and the findings that would suggest potential airway management difficulties
BT_AM 1.9
Discuss the indications and contraindications for nasal intubation
BT_AM 1.10
Outline a strategy for the safe use of throat packs
BT_AM 1.11
Outline different extubation strategies for ‘high risk’ extubation situations
BT_AM 1.12
Describe the situations where awake intubation or spontaneous breathing induction (gaseous or intravenous) of anaesthesia may be appropriate
BT_AM 1.13
Describe the full range of equipment used in airway management including the rationale and indications for its use, as outlined in College professional document PS56 - Guidelines on Equipment to Manage a Difficult Airway During Anaesthesia
BT_AM 1.14
Outline the relative merits and limitations of alternative laryngoscopy blades used for endotracheal intubation
BT_AM 1.15
Outline the various supraglottic airway devices available
BT_AM 1.16
Describe equipment used for manual ventilation
BT_AM 1.17
Outline indications for and the limitations and possible complications of supraglottic airway devices
BT_AM 1.18
Describe methods for providing local anaesthesia to the airway
BT_AM 1.20
Discuss the clinical features, possible causes and management of perioperative upper airway obstruction including laryngospasm
BT_AM 1.21
Discuss the issues involved when access to the airway is shared with surgeons or proceduralists
AT_AM 1.1
Discuss the reliability of the various airway assessment tools
AT_AM 1.2
Discuss airway strategies for patients with a difficult airway and outline a management plan appropriate to the clinical situation
AT_AM 1.3
Outline the various supraglottic airway devices available and their relative merits
AT_AM 1.4
Discuss airway strategies and outline a management plan for patients with critical airway obstruction, for example epiglottitis or laryngeal trauma
AT_AM 1.5
Discuss strategies for the safe extubation of patients with difficult airways
AT_AM 1.6
Discuss the characteristics and appropriate usage of specialised tracheal tubes
AT_AM 1.7
Discuss airway management for patients with a tracheostomy
AT_AM 1.8
Discuss ventilation strategies for complex scenarios such as ARDS, bronchospasm, pulmonary hypertension, and select appropriate ventilator parameters for patients with these conditions
AT_AM 2.1
Interpret relevant airway investigations, for example, nasendoscopy, CT, MRI and flow volume loops
31
IT_RA 1.1
Describe the principles for the safe conduct of major regional anaesthesia as outlined in College professional document PS03 Guidelines for the Management of Major Regional Analgesia
IT_RA 1.2
Outline the pre-operative assessment of the patient necessary before performing any regional technique
IT_RA 1.3
Describe the sterile technique necessary for the performance of regional anaesthesia
IT_RA 1.4
Outline the skills required for the safe performance of regional blockade, including:
Confirming and marking site of surgery and site of regional technique
Positioning of patient
Identification of anatomical landmarks
Use of aseptic technique
Selection of appropriate needle
Selecting, checking, drawing up, diluting and labelling of drugs for injection
Checking for inadvertent intravenous and intraneural administration
IT_RA 1.5
Outline the clinical features and management of local anaesthetic toxicity (also refer to the Resuscitation, trauma and crisis management clinical fundamental and the endorsed AAGBI Safety Guideline Management of Severe Local Anaesthetic Toxicity )
IT_RA 1.6
Outline the management of hypotension associated with a central neuraxial block
IT_RA 1.7
Outline the management of ‘high spinal’ block
IT_RA 1.8
Describe the absolute and relative contraindications of a central neuraxial block
IT_RA 1.9
Describe how to assess the adequacy of a regional technique
IT_RA 1.10
Describe the measures to be taken when a regional technique is not working completely
IT_RA 1.11
Outline the complications of a central neuraxial block
BT_RA 1.10
List the absolute and relative contraindications to a central neuraxial block
BT_RA 1.11
List the minor and major complications of a central neuraxial block
BT_RA 1.12
Discuss clinical situations where a central neuraxial block may have specific benefits
BT_RA 1.13
Describe clinical situations in which epidural blockade or combined spinal/epidural may be indicated in preference to spinal anaesthesia alone
BT_RA 1.18
Describe the prevention and management of nausea, hypotension and bradycardia associated with a central neuraxial block
BT_RA 1.19
Describe how to assess the adequacy of a central neuraxial block for surgery
BT_RA 1.20
Outline a plan of management for a ‘total spinal’ or excessively high block (also refer to the Resuscitation, trauma and crisis management clinical fundamental)
BT_RA 1.21
Discuss measures to reduce the incidence and severity of post-dural puncture headache
BT_RA 1.22
Outline the symptoms and signs of possible post-dural puncture headache and outline a management plan for treatment
BT_RA 1.23
Outline the possible complications of low CSF pressure
BT_RA 1.24
Discuss the management of common complications of a central neuraxial block such as nausea, hypotension and bradycardia
AT_RA 1.1
For the blocks listed below, describe:
The relevant anatomy
The indications and contraindications
The appropriate patient positioning identification of anatomical landmarks and the performance of the block
Central neuraxial blocks
Spinal blocks
Lumbar epidural blocks
Thoracic epidural blocks
Caudal blocks
Major nerve/plexus blocks
Brachial plexus – interscalene, supraclavicular, infraclavicular, axillary approaches.
Lumbar plexus block – femoral, 3in1, fascia iliaca approaches
Sciatic nerve block
Paravertebral block – thoracic and lumbar
Minor nerve blocks
Supra-orbital, infraorbital, mental and occipital nerve blocks
Superficial and deep cervical plexus blocks
Intercostal nerve block
Inguinal block
Transversus abdominus plane block
Penile block
Peripheral blocks of the upper limb including wrist and digital blocks
Peripheral blocks of the lower limb including ankle block
IVRA (Bier's block)
AT_RA 1.2
Evaluate the effectiveness of local anaesthesia infusion administered via surgically placed catheters
AT_RA 1.3
Discuss when extending the use of continuous infusion techniques into the postoperative period may be appropriate
AT_RA 1.4
Discuss the appropriate use of anxiolytics, sedatives and analgesics to supplement regional anaesthesia
AT_RA 1.5
Describe post-anaesthesia instructions for patients who have undergone regional anaesthesia
AT_RA 1.6
Discuss the management of local anaesthetic toxicity (refer to the endorsed AAGBI Safety Guideline Management of Severe Local Anaesthetic Toxicity)
AT_RA 1.7
Describe the use of a nerve stimulator to identify appropriate needle location
AT_RA 1.8
Describe the selection and performance of regional techniques, taking account of patient factors, co-morbidities and surgical procedure
AT_RA 1.9
Discuss the investigation and management of patients who have developed complications as a result of the use of regional techniques
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