ANZCA Final Exam Resources
ANZCA Final Exam Resources
Learning Outcomes
ANZCA Roles in Practice
+20Learning Outcomes
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ANZCA Roles in Practice
60
AR_ME 1.1
Demonstrate a commitment to high-quality patient care
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AR_ME 1.2
Integrate the roles of collaborator, communicator, health advocate, leader and manager, medical expert, professional, and scholar into practice as an anaesthetist
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AR_ME 1.3
Apply knowledge of the clinical and biomedical sciences relevant to anaesthesia
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AR_ME 1.5
Carry out professional duties in the face of multiple, competing demands
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AR_ME 2.1
Elicit a relevant history and perform a focused examination (may include cardiovascular, respiratory, neurological, abdominal, musculoskeletal, and airway)
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AR_ME 2.2
Adapt history taking and examination and order further investigations where clinically indicated, for example, to determine severity and to clarify diagnosis
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AR_ME 2.5
Correctly interpret and discuss the implications of results of investigations
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AR_ME 3.2
Demonstrate knowledge and understanding of the procedure, including indications, contraindications, anatomy, technique, side-effects and complications
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AR_LM 1.1
Define the characteristics underpinning the provision of quality anaesthetic services, that is, safe, effective, efficient, timely and patient-centred
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AR_LM 1.2
Discuss the processes of quality assurance and quality improvement, and their application to anaesthesia practice including:
(Refer to College professional document: PS58: Guidelines on Quality Assurance in Anaesthesia)
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AR_LM 1.3
Outline strategies to identify and manage adverse events and near misses and analyse these to improve future patient care
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AR_LM 2.6
Discuss how evidence-based medicine and management processes can be used to optimise cost-appropriate care for patients with significant co-morbidities
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AR_LM 2.7
Discuss the standardisation of equipment between different areas of care
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AR_LM 3.2
Outline the relative costs of drugs and equipment in anaesthesia
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AR_LM 3.3
Balance safety, effectiveness, efficiency and equitable allocation of resources in:
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AR_LM 4.1
Discuss the dynamic nature of healthcare and the necessity of change, including the drivers and barriers to change
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AR_LM 4.2
Describe the principles of change management
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AR_LM 4.5
Outline the rules for formal meetings
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AR_LM 4.7
Understand the financial, administrative and human resource requirements needed to manage a practice or hospital department, including but not limited to:
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AR_HA 1.12
Describe the ethical and professional issues inherent in health advocacy including altruism, social justice, autonomy, integrity and idealism
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AR_HA 1.13
Discuss how access to appropriate anaesthetic services is limited and describe strategies to address this issue
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AR_HA 1.14
Describe the role of anaesthetists in advocating collectively for patient health and safety
(Refer to College professional document PS59 Statement on Roles in Anaesthesia and Perioperative Care)
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AR_HA 1.15
Discuss the principles of health policy and their implications for patients, the health-care system, and the community
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AR_HA 2.1
Develop an understanding of the determinants of health in the populations they provide care for including:
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AR_HA 2.2
Describe ways anaesthetists can act individually or collectively to improve health in the populations they serve
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AR_HA 2.5
Outline measures to reduce the impact of anaesthesia care on environmental pollution in the workplace and globally
(refer to College Professional Document “PS64 Statement on environmental sustainability in anaesthesia and pain medicine practice”)
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AR_SC 1.1
Describe the principles and processes involved in the maintenance of competence and life-long learning
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AR_SC 2.1
Describe the basic concepts of evidence-based medicine, including levels of evidence, meta-analysis and systematic review
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AR_SC 2.2
Describe the limitations of evidence-based medicine
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AR_SC 2.5
Integrate evidence into decision-making in clinical practice
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AR_SC 3.1
Describe the principles and processes of research and scientific enquiry including:
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AR_SC 4.1
Describe the principles of adult learning relevant to medical education, including the challenges and opportunities presented by learning in clinical settings, and strategies to enhance learning
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AR_PF 1.3
Outline the principles of medical ethics described by the following terms:
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AR_PF 1.8
Discuss the principles and limits of patient confidentiality and privacy as defined by professional practice standards and the law
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AR_PF 1.9
Discuss commonly encountered ethical issues including:
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AR_PF 1.11
Discuss the unique vulnerability of anaesthetised or sedated patients
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AR_PF 1.14
Discuss the tension between an anaesthetist’s role as advocate for an individual patient and the need to manage scarce resources
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AR_PF 1.16
Explain the potential abuses of social media and other technology-enabled communication, and their relation to professionalism
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AR_PF 1.17
Use technology-enabled communication, including social media, in a professional, ethical, and respectful manner and in accordance with the ANZCA Social Media policy
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AR_PF 1.18
Intervene when aware of breaches of professionalism involving technology-enabled communication and social media
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AR_PF 1.19
Follow relevant policies regarding the ethical use of electronic medical records
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AR_PF 2.2
Describe how the history, culture and socioeconomic status of various Indigenous populations impacts upon their current health status, education and communication
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AR_PF 2.3
Describe the elements of indigenous cultures that may impact upon interactions between indigenous people and health services (for example, negative perceptions of hospitals in relation to death and cultural respect, strong family and community ties)
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AR_PF 2.6
Describe the principles underpinning culturally competent care and apply these to their practices (refer to Professional document PS62 Statement on Cultural competence)
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AR_PF 3.1
Describe the elements necessary for informed consent
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AR_PF 3.4
Describe how informed consent may be affected by the context in which it is obtained including:
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AR_PF 3.6
Discuss the role of advanced care directives in anaesthetic practice
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AR_PF 3.10
Outline and apply to practice the standards of ethical and professional conduct of a medical practitioner
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AR_PF 3.11
Practise in a way that gives due consideration to the standards of anaesthetic practice outlined in ‘Supporting Anaesthetists' Professionalism and Performance: A guide for clinicians’, the ANZCA ‘Code of Professional Conduct’ and ANZCA professional documents
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AR_PF 3.13
Describe how to respond to, cope with, and constructively learn from a complaint or legal action
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AR_PF 3.14
Outline the rationale for accreditation and the role of self accreditation in the provision of sub-specialty anaesthetic services (for example, cardiac or neonatal anaesthesia) for both anaesthetists and institutions
(Refer to College professional document: PS 02 Statement on Credentialling and defining the Scope of Clinical Practice in Anaesthesia)
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AR_PF 3.15
Outline the professional obligations and intervention necessary to protect patients when a colleague is impaired or practicing beyond the limits of their capabilities
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AR_PF 3.16
Identify situations where senior assistance or supervision is required for junior surgeons and/or medical staff, and encourage, support or facilitate this as necessary
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AR_PF 4.2
Outline how access to drugs for anaesthesia and sedation may lead to dependency and describe the signs of possible drug dependency in colleagues
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AR_PF 4.3
Discuss possible reasons for the increased suicide risk for anaesthetists and ways in which risk can be alleviated
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AR_PF 4.4
Outline the professional responsibilities of anaesthetists who may be carriers of a communicable disease
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AR_PF 4.5
Discuss the features indicating that another professional may be in need, particularly in relation to drug dependency and situations that may increase suicide risk (refer to resource documents RD3 Depression and Anxiety, RD13 Impairment in a Colleague and RD20 Substance Abuse)
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AR_PF 4.6
Describe avenues of assistance available to colleagues in need and help them to seek this out
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AR_PF 4.9
Describe the methods that may be used to mitigate stress related to clinical practice
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AR_PF 4.10
Identify particularly stressful times in clinical practice and take measures to mitigate that stress for self and colleagues
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Airway Management
42
IT_AM 1.2
Discuss the important features of history and examination that may identify a potentially difficult airway
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IT_AM 1.3
Outline preoperative fasting requirements and the common measures employed to decrease the risk of pulmonary aspiration
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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
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IT_AM 1.5
Describe the indications for manual in-line stabilisation of the neck and the implications for airway management
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IT_AM 1.7
Describe the optimal patient position for intubation
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IT_AM 1.8
Describe the common complications of intubation
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IT_AM 1.10
Outline an appropriate ventilation strategy suitable for routine elective and emergency patients
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IT_AM 1.11
Outline potential management plans to ensure oxygenation of the patient with an unexpected difficult airway
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IT_AM 1.12
Outline the clinical features, possible causes, physiological consequences and management of perioperative upper airway obstruction
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IT_AM 1.13
Describe a ‘can’t intubate, can’t oxygenate’ drill, including the technique for performing an emergency surgical airway
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IT_AM 1.14
Describe and classify the view obtained at direct laryngoscopy according to a common grading scale (Cormack-Lehane)
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IT_AM 1.15
Describe the features of oesophageal and endobronchial intubation and outline appropriate management
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IT_AM 1.16
Describe the clinical features and outline a management plan for a patient with aspiration of gastric contents
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IT_AM 1.17
Describe the clinical features that indicate a patient can be extubated safely
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IT_AM 1.18
Describe potential complications at extubation
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IT_AM 1.19
Describe optimisation of the patient for extubation
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IT_AM 1.20
Outline the important airway considerations in determining the suitability of a patient for discharge to recovery
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BT_AM 1.5
Describe the potential impact of trauma to the upper or lower airway on ventilation and airway management
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BT_AM 1.6
Describe the clinical features of patients with critical airway obstruction
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BT_AM 1.7
Outline the clinical situations where airway anatomy may be distorted and ventilation impaired
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BT_AM 1.8
Describe the commonly performed airway assessment methods and the findings that would suggest potential airway management difficulties
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BT_AM 1.9
Discuss the indications and contraindications for nasal intubation
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BT_AM 1.10
Outline a strategy for the safe use of throat packs
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BT_AM 1.11
Outline different extubation strategies for ‘high risk’ extubation situations
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BT_AM 1.12
Describe the situations where awake intubation or spontaneous breathing induction (gaseous or intravenous) of anaesthesia may be appropriate
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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
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BT_AM 1.14
Outline the relative merits and limitations of alternative laryngoscopy blades used for endotracheal intubation
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BT_AM 1.15
Outline the various supraglottic airway devices available
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BT_AM 1.16
Describe equipment used for manual ventilation
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BT_AM 1.17
Outline indications for and the limitations and possible complications of supraglottic airway devices
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BT_AM 1.18
Describe methods for providing local anaesthesia to the airway
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BT_AM 1.20
Discuss the clinical features, possible causes and management of perioperative upper airway obstruction including laryngospasm
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BT_AM 1.21
Discuss the issues involved when access to the airway is shared with surgeons or proceduralists
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AT_AM 1.1
Discuss the reliability of the various airway assessment tools
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AT_AM 1.2
Discuss airway strategies for patients with a difficult airway and outline a management plan appropriate to the clinical situation
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AT_AM 1.3
Outline the various supraglottic airway devices available and their relative merits
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AT_AM 1.4
Discuss airway strategies and outline a management plan for patients with critical airway obstruction, for example epiglottitis or laryngeal trauma
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AT_AM 1.5
Discuss strategies for the safe extubation of patients with difficult airways
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AT_AM 1.6
Discuss the characteristics and appropriate usage of specialised tracheal tubes
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AT_AM 1.7
Discuss airway management for patients with a tracheostomy
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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
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AT_AM 2.1
Interpret relevant airway investigations, for example, nasendoscopy, CT, MRI and flow volume loops
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General Anaesthesia and Sedation
49
IT_GS 1.6
Calculate intravenous fluid requirements and choose intravenous fluid therapy appropriate to the clinical situation for low-risk patients having low-risk surgery
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IT_GS 1.7
Describe the clinical situations when anxiolytic or sedative premedication may be indicated or contraindicated
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IT_GS 1.10
Outline a strategy for the management of postoperative nausea and vomiting. (Refer to the endorsed Society for Ambulatory Anesthesia Guidelines for Surgical Patients with Postoperative Nausea and Vomiting)
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IT_GS 1.11
Describe the clinical features that indicate a patient can be extubated safely (also refer to the Airway management clinical fundamental)
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IT_GS 1.12
Outline a strategy for the management of failure to wake from anaesthesia
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IT_GS 1.13
Outline a strategy for the management of postoperative delirium
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IT_GS 1.14
Outline a strategy for the management of post operative analgesia for patients in their care (also refer to the Pain medicine clinical fundamental) (refer to College professional document: PS45 Statement on Patients' Rights to Pain Management and Associated Responsibilities)
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BT_GS 1.45
Define and describe the features that distinguish between conscious sedation, deeper levels of sedation, and general anaesthesia
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BT_GS 1.45a
Outline the requirements for safe practice of procedural sedation contained in ANZCA professional document PS9 - Guidelines on Sedation and/or Analgesia for Diagnostic and Interventional Medical, Dental or Surgical Procedures and the ANZCA safe procedural sedation competencies
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BT_GS 1.45b
Discuss the indications for conscious sedation
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BT_GS 1.45c
Describe the concepts of ‘therapeutic index’ and ‘margin of safety’ with reference to the provision of procedural sedation
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BT_GS 1.45d
Outline the rationale for titration of agents in procedural sedation
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BT_GS 1.45e
Discuss the potential advantages and adverse consequences of the use of combinations of drugs for procedural sedation
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BT_GS 1.58
Outline the clinical signs and appropriate management of intra-arterial injection of a harmful substance
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BT_GS 1.63
Discuss the management of failure to wake from anaesthesia
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BT_GS 1.64
Discuss the management of postoperative delirium
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BT_GS 1.71
Outline measures to increase the rate of successful intravenous cannulation and to minimise patient discomfort during this procedure
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BT_GS 1.73
Describe central venous cannulation by the jugular, subclavian and femoral routes, including:
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BT_GS 1.75
Describe arterial cannulation, including:
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BT_GS 1.76
Outline factors determining perioperative fluid requirements and choice of fluids
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BT_GS 1.77
Discuss the appropriate choice of monitoring devices to guide fluid management in the perioperative period (also refer to monitors and monitoring standards, which are covered in the Safety and quality in anaesthetic practice clinical fundamental)
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BT_GS 1.79
Discuss the indications for and complications of invasive blood pressure monitoring and the interpretation of the data (also refer to monitors and monitoring standards, which is covered in the Safety and quality in anaesthetic practice clinical fundamental)
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AT_GS 1.1
Evaluate the place of premedication and the utility of the available agents, particularly with reference to their safety in high risk patients
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AT_GS 1.1a
Discuss the relative merits of sedation and general anaesthesia for high-risk patients undergoing investigations or procedures
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AT_GS 1.1b
Describe the physiological and pharmacological basis for dose titration in procedural sedation, and the application in high-risk patients
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AT_GS 1.2
Evaluate the merits of intravenous and inhalational induction
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AT_GS 1.3
Evaluate the use of TIVA and TCI in comparison with inhalational anaesthesia
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AT_GS 1.4
Discuss the clinical situations where incomplete reversal of neuromuscular blockade is likely and evaluate measures taken to avoid it
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AT_GS 1.5
Describe the concept of ‘response surface models’ and the contribution these models make to the understanding of the process of using combinations of drugs to achieve optimal sedation and anaesthesia
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AT_GS 1.6
Evaluate the prophylaxis and treatment of nausea and vomiting
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AT_GS 1.7
Evaluate the methods available for monitoring depth of anaesthesia and sedation, including the role of electronic monitoring of depth of sedation and anaesthesia
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AT_GS 1.7a
Discuss the aetiology of and measures to prevent intraoperative awareness under general anaesthesia
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AT_GS 1.7b
Discuss your management of a patient who complains of intra-operative awareness under general anaesthesia
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AT_GS 1.8
Discuss the potential causes and management of failure to wake from anaesthesia
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AT_GS 1.9
Discuss the potential causes and the prevention and management of perioperative neurocognitive disorders (postoperative delirium, delayed neurocognitive recovery, and postoperative neurocognitive disorder)
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AT_GS 1.10
Outline the pathophysiology of chronic drug use and discuss its interaction with perioperative anaesthetic management
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AT_GS 1.11
Describe the insertion of PICC lines
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AT_GS 1.12
Discuss the advantages and disadvantages of PICC v CVC
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AT_GS 1.13
Evaluate the place of ultrasound in vascular access
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AT_GS 1.14
Discuss the advantages and disadvantages of the internal/external jugular, subclavian and femoral routes for central venous access (Refer to endorsed guideline from ANZICS: Central Line Insertion and Maintenance Guideline 2012)
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AT_GS 1.15
Discuss factors determining perioperative fluid requirements and choice of fluids
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AT_GS 1.16
Discuss goal directed fluid therapy for complex surgical procedures
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AT_GS 1.17
Critically evaluate the strategies to minimise blood loss and blood transfusion requirements
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AT_GS 1.18
Evaluate the place of CVP measurement in perioperative fluid management
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AT_GS 1.19
Describe the technique of insertion of a pulmonary artery catheter
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AT_GS 1.20
Evaluate the role of the pulmonary artery catheter in perioperative management
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AT_GS 1.21
Evaluate the role of continuous cardiac output monitoring devices (for example, pulse contour cardiac output monitoring) in the perioperative period
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AT_GS 1.22
Evaluate methods of manipulating body temperature during anaesthesia and sedation, including active warming and cooling of patients
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AT_GS 1.23
Discuss the role of echocardiography in perioperative haemodynamic management
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Pain Medicine
39
IT_PM 1.1
Define pain, acute pain and chronic pain
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IT_PM 1.2
Outline the elements of a basic pain history
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IT_PM 1.6
Outline the principles of acute pain management and the assessment of analgesic efficacy and adverse effects as contained in the College professional document PS41 - Guidelines on Acute Pain Management
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IT_PM 1.7
Outline a protocol for the management of pain in recovery
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IT_PM 1.8
Outline a pain management plan for patients having day surgery procedures
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IT_PM 1.9
Outline the risks associated with and the monitoring requirements for patients receiving patient-controlled analgesia (PCA), opioid infusions or continuous regional analgesia for acute pain management
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IT_PM 1.10
Outline the problems in managing acute pain for patients with chronic prior exposure to opioids
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IT_PM 1.11
Describe the assessment and adjustment of continuous regional techniques for acute pain control
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IT_PM 1.12
Describe the advantages and disadvantages of patient-controlled analgesia (PCA), continuous infusion and intermittent prescription of opioids for acute pain management
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IT_PM 1.13
Outline the management of hypotension associated with a central neuraxial block
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IT_PM 1.14
Outline the management of ‘high spinal’ block (also refer to the Regional and local anaesthesia and Resuscitation, trauma and crisis management clinical fundamentals)
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IT_PM 1.15
Outline a plan to transition patients with acute pain from parenteral to oral analgesic therapies (in low complexity cases)
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IT_PM 1.16
Outline the contribution of psychosocial factors to the patient’s experience of pain
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BT_PM 1.29
Describe the principles of the assessment of acute pain including the relevance of functional assessment
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BT_PM 1.30
Discuss the importance of psychological and social factors in the presentation and management of acute pain
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BT_PM 1.31
Outline the pathophysiology of chronic opioid use and abuse and outline management strategies for opioid tolerant patients with acute pain
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BT_PM 1.32
Formulate a plan for acute pain management, which shows integrated knowledge of the interaction of analgesic agents, patient factors and the aetiology of pain (refer to College professional document: PS41 Guidelines on Acute Pain Management
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BT_PM 1.33
Describe the association between acute and chronic pain and the risk of progression from one to the other
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BT_PM 1.34
List the predictive factors for chronic postsurgical pain and outline measures to prevent or minimise its occurrence
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BT_PM 1.35
Outline clinical situations where regional infusion techniques may be of benefit for the management of acute pain (also refer to the Regional and local anaesthesia clinical fundamental)
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BT_PM 1.36
Describe the principles of neuraxial analgesia including efficacy, drugs used, adverse effects, program parameters, equipment, patient selection and safe administration
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BT_PM 1.37
Discuss the risks associated with and the monitoring requirements for patients receiving patient controlled anaesthesia (PCA), opioid infusions, neuraxial and continuous regional analgesia for acute pain management
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AT_PM 1.1
Outline the principles of the assessment and management of chronic pain in a multi-disciplinary team context in inpatient and outpatient settings
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AT_PM 1.2
Discuss the importance of psychological and social factors in the presentation and management of pain including:
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AT_PM 1.3
Discuss the management of acute pain for patients with addiction disorder or opioid tolerance
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AT_PM 1.4
Discuss the clinical use and mechanisms of action of complementary and alternative medicines used in pain medicine
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AT_PM 1.5
Evaluate the role of acute pain management in rehabilitation and ‘fast-track’ surgery
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AT_PM 1.6
Discuss the interaction between pain management techniques and postoperative delirium
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AT_PM 1.7
Discuss the relative merits of systemic and neuraxial opioid agents
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AT_PM 1.8
Describe the place of neurolytic blocks in the management of chronic pain
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AT_PM 1.9
Formulate a pain management plan for patients with complex pain problems demonstrating integrated knowledge of the interaction of analgesic agents, patient factors and the aetiology of pain (refer to College professional document: PS45 Statement on Patients' Rights to Pain Management and Associated Responsibilities)
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AT_PM 1.10
Outline the diagnosis and management of acute neuropathic pain including diagnostic criteria, features of specific pain syndromes and indications for referral to a pain medicine specialist
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AT_PM 1.11
Discuss the management of acute pain in patients with preexisting chronic pain
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AT_PM 1.12
Describe the management of acute back and musculoskeletal pain
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AT_PM 1.13
Discuss the management of acute pain following trauma, including chest and orthopaedic trauma
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AT_PM 1.14
Outline the issues involved in the management of acute pain during pregnancy (also refer to the Obstetric anaesthesia and analgesia specialised study unit)
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AT_PM 1.15
Discuss issues relevant to the management of pain in the elderly
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AT_PM 1.16
Outline the management of pain associated with medical conditions, for example, headache, abdominal pain, herpes zoster-associated pain and pain associated with haematological disorders and cancer
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AT_PM 1.17
Outline pain management strategies for patients requiring palliative care (refer to College professional document: PS38 Statement Relating to the Relief of Pain and Suffering and End of Life Decisions)
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Perioperative Medicine
33
IT_PO 1.1
Outline the ASA physical status classification system and the implications for anaesthesia
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IT_PO 1.2
Outline the functional assessment of patients based on exercise capacity and performance of activities of daily living
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IT_PO 1.3
Outline how functional assessment is used in perioperative risk assessment
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IT_PO 1.4
Outline the implications for anaesthetic management and perioperative risk of a range of medical conditions including but not limited to:
Cardiovascular
Respiratory
Metabolic/Endocrine
Haematological/Immunological
Gastrointestinal/Renal
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IT_PO 1.5
Outline the indications for common perioperative investigations
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IT_PO 1.6
Discuss the information (i.e. material risks) that must be provided to patients as part of the informed consent process (also refer to the ANZCA Roles in Practice, Medical Expert and Professionalism)
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IT_PO 1.7
Describe the treatment of life threatening arrhythmias (also refer to the Resuscitation, trauma and crisis management clinical fundamental)
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IT_PO 1.8
Outline an anaesthetic and postoperative management plan for healthy patients undergoing day surgery procedures or similar (also refer to the Pain medicine and General anaesthesia and sedation clinical fundamentals for pain management and fluid management respectively)
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IT_PO 1.9
Outline the management of common problems in the Post-Anaesthesia Care Unit (PACU) including:
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IT_PO 2.2
Take a targeted history and perform a focused examination (may include cardiovascular, respiratory, neurological, abdominal and musculoskeletal) to identify features that will affect perioperative anaesthetic management
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IT_PO 2.3
Interpret common perioperative investigations (CXR, ECG, haematology, biochemistry, spirometry, arterial blood gases) and identify when abnormalities will affect perioperative management
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IT_PO 2.7
Assess severity and stability of common medical conditions and perioperative risk, and initiate perioperative management in low severity and stable cases
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BT_PO 1.1
Discuss how abnormalities of common perioperative investigations (CXR, ECG, haematology, biochemistry, spirometry, arterial blood gases) will affect perioperative management
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BT_PO 1.4
Discuss the role of antibiotic prophylaxis in preventing infection and the identification of patients requiring it
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BT_PO 1.5
Describe the implications for anaesthetic management and perioperative risk of a range of medical conditions, including but not limited to:
Cardiovascular
Respiratory
Neurological/Muscular
Metabolic/Endocrine
Haematological/Immunological
Gastrointestinal/Renal
Infectious diseases
Blood-borne viral disease
Psychiatric/Behavioural
Multisystem diseases/states
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BT_PO 1.5a
Describe the perioperative care pathways in primary and secondary care and their effect on patient outcomes
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BT_PO 1.5b
Describe the effect of ethnicity on physiology and disease
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BT_PO 1.5c
Discuss the health disparities experienced by indigenous populations and implications for perioperative care (also refer to cultural awareness and sensitivity within the ANZCA Roles in Practice, Professionalism)
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BT_PO 1.5d
Discuss the principles and role of goal-directed therapy
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BT_PO 1.5e
Recognise and initiate management of issues in the PostAnaesthesia Care Unit (PACU) or postoperative ward including but not limited to:
Also refer to the Airway Management, Pain medicine and Resuscitation, trauma and crisis management clinical fundamentals
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AT_PO 1.1
Evaluate the available classifications of physical status and their use in preoperative assessment
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AT_PO 1.2
Evaluate measures to alleviate the risk of the following complications in the perioperative period:
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AT_PO 1.3
Discuss the reasons for and potential implications of withholding or continuing regular medications in the perioperative period
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AT_PO 1.4
Discuss the role of prehabilitation
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AT_PO 1.4a
Describe the impact of nutritional status on patient outcomes
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AT_PO 1.5
Discuss the role and indications for high-carbohydrate preoperative drinks, enteral feeding, and parenteral nutrition
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AT_PO 1.6
Discuss the concepts of the Perioperative Surgical Home (POSH) and Enhanced Recovery After Surgery (ERAS)
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AT_PO 1.7
Discuss the principles of Choosing Wisely. Apply the ANZCA Choosing Wisely recommendations in the peri-operative period
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AT_PO 1.8
Describe the legal and ethical considerations of determining mental capacity (also refer to ethical issues such as prevention of futile medical care and legal issues such as persons responsible for decision making within ANZCA Roles in Practice Professionalism)
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AT_PO 1.9
Explain how patients requiring emergency surgery may differ from those presenting for elective surgery in terms of physiology, psychology, and preparation
Not Started
AT_PO 2.1
Use a targeted patient history, focused examination and relevant investigations to inform a tailored anaesthetic management plan
Not Started
AT_PO 2.12
Describe the methods used to investigate a suspected anaphylactic reaction including blood, intradermal, and skin prick testing and recommendations around the appropriate timing for those investigations
Not Started
AT_PO 2.13
Discuss postoperative outcome measures including:
Not Started
Regional and Local Anaesthesia
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
Not Started
IT_RA 1.2
Outline the pre-operative assessment of the patient necessary before performing any regional technique
Not Started
IT_RA 1.3
Describe the sterile technique necessary for the performance of regional anaesthesia
Not Started
IT_RA 1.4
Outline the skills required for the safe performance of regional blockade, including:
Not Started
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 )
Not Started
IT_RA 1.6
Outline the management of hypotension associated with a central neuraxial block
Not Started
IT_RA 1.7
Outline the management of ‘high spinal’ block
Not Started
IT_RA 1.8
Describe the absolute and relative contraindications of a central neuraxial block
Not Started
IT_RA 1.9
Describe how to assess the adequacy of a regional technique
Not Started
IT_RA 1.10
Describe the measures to be taken when a regional technique is not working completely
Not Started
IT_RA 1.11
Outline the complications of a central neuraxial block
Not Started
BT_RA 1.10
List the absolute and relative contraindications to a central neuraxial block
Not Started
BT_RA 1.11
List the minor and major complications of a central neuraxial block
Not Started
BT_RA 1.12
Discuss clinical situations where a central neuraxial block may have specific benefits
Not Started
BT_RA 1.13
Describe clinical situations in which epidural blockade or combined spinal/epidural may be indicated in preference to spinal anaesthesia alone
Not Started
BT_RA 1.18
Describe the prevention and management of nausea, hypotension and bradycardia associated with a central neuraxial block
Not Started
BT_RA 1.19
Describe how to assess the adequacy of a central neuraxial block for surgery
Not Started
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)
Not Started
BT_RA 1.21
Discuss measures to reduce the incidence and severity of post-dural puncture headache
Not Started
BT_RA 1.22
Outline the symptoms and signs of possible post-dural puncture headache and outline a management plan for treatment
Not Started
BT_RA 1.23
Outline the possible complications of low CSF pressure
Not Started
BT_RA 1.24
Discuss the management of common complications of a central neuraxial block such as nausea, hypotension and bradycardia
Not Started
AT_RA 1.1
For the blocks listed below, describe:
Central neuraxial blocks
Major nerve/plexus blocks
Minor nerve blocks
Not Started
AT_RA 1.2
Evaluate the effectiveness of local anaesthesia infusion administered via surgically placed catheters
Not Started
AT_RA 1.3
Discuss when extending the use of continuous infusion techniques into the postoperative period may be appropriate
Not Started
AT_RA 1.4
Discuss the appropriate use of anxiolytics, sedatives and analgesics to supplement regional anaesthesia
Not Started
AT_RA 1.5
Describe post-anaesthesia instructions for patients who have undergone regional anaesthesia
Not Started
AT_RA 1.6
Discuss the management of local anaesthetic toxicity (refer to the endorsed AAGBI Safety Guideline Management of Severe Local Anaesthetic Toxicity)
Not Started
AT_RA 1.7
Describe the use of a nerve stimulator to identify appropriate needle location
Not Started
AT_RA 1.8
Describe the selection and performance of regional techniques, taking account of patient factors, co-morbidities and surgical procedure
Not Started
AT_RA 1.9
Discuss the investigation and management of patients who have developed complications as a result of the use of regional techniques
Not Started
Resuscitation Trauma and Crisis Management
59
IT_RT 1.1
Outline a systematic approach to identifying the cause and describe the initial management of the following, when occurring in association with anaesthesia or sedation:
Not Started
IT_RT 1.2
Outline the clinical features and describe the initial management of patients with the following life threatening conditions:
Not Started
IT_RT 1.3
Outline the personnel, equipment and drugs available for crisis management in anaesthetising locations
Not Started
IT_RT 1.4
Describe the primary survey of the trauma patient
Not Started
IT_RT 1.5
Describe techniques for the immobilisation of patients with spinal injuries during transport and transfer
Not Started
BT_RT 1.24
Outline the clinical signs that may differentiate the causes of shock
Not Started
BT_RT 1.25
Outline initial investigations of the shocked patient
Not Started
BT_RT 1.26
Outline the likely changes in blood gas analysis in the shocked patient
Not Started
BT_RT 1.27
Outline the use of indicators of tissue oxygenation (base deficit, lactate, mixed venous oxygen saturation) in resuscitation
Complete
BT_RT 1.28
Correlate clinical signs of hypovolaemic shock with estimates of volume loss
Not Started
BT_RT 1.29
Outline how the clinical signs of hypovolaemic shock may be altered by anaesthesia, sedation and current medication
Not Started
BT_RT 1.30
Outline how the clinical signs of shock may be altered by age
Not Started
BT_RT 1.31
Outline an approach to volume replacement in shock due to:
Not Started
BT_RT 1.32
Outline the indications for the use of vasopressors and/or inotropes in the management of shock
Not Started
BT_RT 1.33
Outline strategies to prevent and manage complications of massive transfusion
Not Started
BT_RT 1.34
Outline the diagnosis and management of major transfusion reactions
Not Started
BT_RT 1.35
Outline an approach to obtaining vascular access in the shocked patient
Not Started
BT_RT 1.36
Describe drainage of the pericardial space
Not Started
BT_RT 1.37
Describe how to program an external pacemaker
Not Started
BT_RT 1.40
Outline methods to treat life threatening hypoxaemia
Not Started
BT_RT 1.41
Describe the management of severe asthma
Not Started
BT_RT 1.42
Describe the diagnosis and management of pneumothorax
Not Started
BT_RT 1.43
Describe the technique of emergency drainage of tension pneumothorax
Not Started
BT_RT 1.44
Describe insertion of an intercostal catheter
Not Started
BT_RT 1.45
Outline the causes of coma and an approach to the initial assessment and management of the comatose patient
Not Started
BT_RT 1.46
Describe the Glasgow Coma Scale
Not Started
BT_RT 1.47
Describe the management of prolonged seizures and status epilepticus
Not Started
BT_RT 1.48
Outline the causes of acute spinal cord dysfunction and an approach to the initial assessment and management of the patient with acute spinal cord dysfunction
Not Started
BT_RT 1.49
Describe clinical situations likely to result in and outline the initial management of:
Not Started
BT_RT 1.50
Outline the steps to take in the event of:
Not Started
BT_RT 1.51
Describe the likely presentation of and steps to take in the event of:
Not Started
BT_RT 1.52
Outline appropriate preparation of equipment and personnel prior to the arrival of the trauma patient in the hospital
Not Started
BT_RT 1.53
Outline features of the patient’s history that are indicative of injury severity
Not Started
BT_RT 1.54
Identify contraindications to urinary catheters and nasogastric tubes during trauma resuscitation
Not Started
BT_RT 1.55
Describe indications for a definitive airway in the trauma patient
Not Started
BT_RT 1.56
Describe strategies to prevent hypothermia in the trauma patient
Not Started
BT_RT 1.57
Describe infection control techniques in the trauma setting
Not Started
BT_RT 1.58
Outline the initial steps in local disaster management protocols for their institution
Not Started
AT_RT 1.1
Where the following problems occur in association with anaesthesia and sedation, the trainee will be able to:
Problems:
Not Started
AT_RT 1.2
Describe the clinical features and resuscitative management of patients with:
Not Started
AT_RT 1.3
Discuss the effects of age, body mass index (BMI) and concurrent medication on the presentation and management of patients with severe multi-trauma
Not Started
AT_RT 1.4
Discuss the differential diagnosis of shock in the trauma patient
Not Started
AT_RT 1.5
Discuss pain management in the multi-trauma patient
Not Started
AT_RT 1.6
Describe the role of diagnostic ultrasound in the initial assessment of the trauma patient
Not Started
AT_RT 1.7
Discuss the diagnosis and management of life-threatening haemorrhage in the multi-trauma patient and in particular haemorrhage due to:
Not Started
AT_RT 1.8
Outline the indications for emergency resuscitative thoracotomy
Not Started
AT_RT 1.9
Discuss the diagnosis and management of cardiac tamponade in the trauma patient
Not Started
AT_RT 1.10
Discuss the differential diagnosis of hypoxia in the trauma patient
Not Started
AT_RT 1.11
Discuss the initial diagnosis and management of:
Not Started
AT_RT 1.12
Discuss the initial assessment and management of:
Not Started
AT_RT 1.13
Describe the rationale for and methods of immobilisation of:
Not Started
AT_RT 1.14
Describe problems associated with crush injury
Not Started
AT_RT 1.15
Describe the clinical features and outline the management of compartment syndrome
Not Started
AT_RT 1.16
Describe the initial assessment and management of the patient with severe burn injury including:
Not Started
AT_RT 1.17
Describe the initial assessment and management of the patient who has experienced:
Not Started
AT_RT 1.18
Outline the process for arranging a patient transfer
Not Started
AT_RT 1.19
Discuss requirements for the safe transfer of critically ill patients (also refer to the Safety and quality in anaesthetic practice clinical fundamental and professional document PS52: Guidelines for Transport of Critically Ill Patients)
Not Started
AT_RT 1.20
Contrast the challenges, difficulties and limitations of transferring patients by road or air
Not Started
AT_RT 2.3
Interpret imaging relevant to the primary survey
Not Started
Safety and Quality in Anaesthetic Practice
29
IT_SQ 1.1
Outline and apply the College guidelines and recommendations for standards of safe practice:
Not Started
IT_SQ 1.2
Describe safe transfusion practices including:
Not Started
IT_SQ 1.3
Outline measures to minimise the risk of injury or complications resulting from the use of a tourniquet
Not Started
IT_SQ 1.4
Outline the recommended vaccinations for healthcare workers. Refer to College professional document PS28 Guidelines on Infection Control in Anaesthesia
Not Started
IT_SQ 1.6
Outline the risk of peripheral nerve injury and measures to minimise this risk during procedures
Not Started
IT_SQ 1.7
Outline steps to minimise the risk of eye injury during perioperative care
Not Started
IT_SQ 1.8
Outline measures to minimise the risk of injury or complications resulting from the following patient positions
Not Started
BT_SQ 1.1
Define the characteristics of quality healthcare provision as applied to anaesthesia (safe, effective, efficient, timely, patient-centred) and outline how this might be delivered
Not Started
BT_SQ 1.2
Outline the general principles related to staffing and facilities for recovery room care.
Refer to College professional document PS4: Recommendations for the Post-Anaesthesia Recovery Room
Not Started
BT_SQ 1.3a
Outline the safe perioperative care of patients presenting for day care procedures.
Refer to College professional document: PS 15 Recommendations for the Perioperative Care of Patients Selected for Day Care Surgery
Not Started
BT_SQ 1.3b
Outline criteria for safe discharge of patients from the recovery room
Not Started
AT_SQ 1.1
Define the characteristics of quality provision of anaesthesia services (safe, effective, efficient, timely, patient-centred) and discuss the processes of quality assurance and quality improvement (refer to College professional document: PS58 Guidelines on Quality Assurance in Anaesthesia) and their application to anaesthesia practice and College professional document: PS08 Statement on the Assistant for the Anaesthetist (PILOT)
Not Started
AT_SQ 1.2
Outline the process for responding to patient complaints in their own institution
Not Started
AT_SQ 1.3
Discuss how patient complaints provide an opportunity to improve the quality of anaesthesia care
Not Started
AT_SQ 1.4
Discuss the non-technical skills required for safe anaesthesia practice
Not Started
AT_SQ 1.5
Evaluate the College guidelines and recommendations for standards of safe anaesthetic practice contained in the following professional documents and evaluate their application in clinical situations appropriate for their practice.
Not Started
AT_SQ 1.5a
Discuss criteria for safe discharge of patients from the recovery room
Not Started
AT_SQ 1.6
Discuss the safety of methods used to manipulate the body temperature of patients during anaesthesia and sedation, including active warming and cooling
Not Started
AT_SQ 1.7
Use tourniquets safely and discuss the hazards associated with their use
Not Started
AT_SQ 1.8
Evaluate measures to minimise the risk of injury or complications (including pressure injury) resulting from the following patient positions:
Not Started
AT_SQ 1.9
Describe the management of injuries sustained during anaesthetic care, for example, peripheral nerve injury, eye injury
Not Started
AT_SQ 1.10
Discuss the safety precautions and equipment requirements necessary for providing anaesthesia and sedation in the MRI suite
Not Started
AT_SQ 1.11
Describe the stages in the design of a clinical trial including:
Not Started
AT_SQ 1.12
Explain the following concepts in statistics:
Not Started
AT_SQ 1.13
Explain the principles of errors of statistical inference and describe techniques to minimise such errors through study design
Complete
AT_SQ 1.14
Explain sources of bias and confounding in medical research and methods available to reduce such bias
Not Started
AT_SQ 1.15
Describe the various statistical methods used to estimate risk
Not Started
AT_SQ 1.16
Describe the features of evidence-based medicine including levels of evidence, meta-analysis and systematic review
Not Started
AT_SQ 1.17
Describe the role of ethics committees and outline the process involved in obtaining ethics committee approval for a research project
Not Started
SSU: Neurosurgery and Neuroradiology
29
SS_NS 1.1
Describe the basic anatomy of the skull, brain, ventricular system, meninges, spinal cord and vertebral column of relevance to anaesthesia
Not Started
SS_NS 1.2
Describe the blood supply of the brain and spinal cord
Not Started
SS_NS 1.3
Describe the anatomy relevant to providing local anaesthesia for awake craniotomy
Not Started
SS_NS 1.4
Outline the changes to cerebral blood flow control and cerebral perfusion pressure in patients with intracranial pathology
Not Started
SS_NS 1.5
Explain the effect of fluid and electrolyte disturbances on brain function
Not Started
SS_NS 1.6
Outline the grading of subarachnoid haemorrhage severity
Not Started
SS_NS 1.7
Outline the radiological features of common acute neurosurgical conditions
Not Started
SS_NS 1.8
Discuss pharmacologic and non-pharmacologic methods to manipulate intracranial pressure
Not Started
SS_NS 1.9
Outline methods to reduce secondary injury and limit disability in traumatic brain injury and intracranial haemorrhage
Not Started
SS_NS 1.10
Describe the anaesthetic implications of spinal cord trauma
Not Started
SS_NS 1.11
Discuss the pathophysiology of pituitary tumours, including the implications of endocrine disorders such as acromegaly, Cushings syndrome, pan-hypopituitarism
Not Started
SS_NS 1.12
Describe the mechanism and management of disorders of sodium control detected after neurosurgery
Not Started
SS_NS 1.13
Outline the criteria for the diagnosis of brain stem death
Not Started
SS_NS 1.14
Evaluate the effects of anaesthetic agents on brain and spinal cord physiology including metabolism, blood flow, intracranial and intraspinal pressure
Not Started
SS_NS 1.15
Discuss the possible complications of sedative/hypnotic and analgesic agents in neurosurgical patients
Not Started
SS_NS 1.16
Describe the pharmacology and clinical utility of antiepileptic and prophylactic therapy in neurosurgical patients
Not Started
SS_NS 1.17
Describe the pharmacology and clinical utility of corticosteroids in neurosurgical patients
Not Started
SS_NS 1.18
Discuss the pharmacology and clinical utility of pharmacological agents for prophylaxis and treatment of cerebral vasospasm associated with subarachnoid haemorrhage
Not Started
SS_NS 1.19
Discuss methods to monitor cerebral blood flow including transcranial Doppler
Not Started
SS_NS 1.20
Describe methods of intracranial pressure monitoring
Not Started
SS_NS 1.21
Outline the principles of electrophysiological monitoring (electroencephalogram/sensory and motor evoked potentials) and the implication of neuromuscular blockade
Not Started
SS_NS 1.22
Discuss the implications for anaesthesia of the positions used for neurosurgery
Not Started
SS_NS 1.23
Discuss the risks associated with patient positioning for neurosurgical procedures and the methods of risk minimisation
Not Started
SS_NS 1.24
Describe the typical presentation and natural history of the different types of intracranial haemorrhage
Not Started
SS_NS 1.25
Discuss the acute resuscitation and management of patients with intracranial/subarachnoid haemorrhage (also refer to the Resuscitation, trauma and crisis management clinical fundamental and the intensive care specialised study unit)
Not Started
SS_NS 1.26
Discuss the anaesthetic management of patients requiring the following neurosurgical procedures:
Not Started
SS_NS 1.27
Discuss the anaesthetic management of patients requiring intervention for the following:
Not Started
SS_NS 1.28
Discuss the complications of neurosurgical procedures including:
(Also refer to the Resuscitation, trauma and crisis management and perioperative medicine clinical fundamentals)
Not Started
SS_NS 2.2
Perform a basic neurological examination for assessment of neurological deficits
Not Started
SSU: Cardiac Surgery and Interventional Cardiology
29
SS_CS 1.1
Discuss the physiology of hypothermia and deep hypothermic cardiac arrest
Not Started
SS_CS 1.2
Evaluate means of estimating cardiac output
Not Started
SS_CS 1.3
Describe pharmacological and non-pharmacological strategies to relieve anxiety in patients presenting for cardiac surgery
Not Started
SS_CS 1.3a
Describe the anatomy of the heart and great vessels, particularly in relationship to the use of ultrasound imaging
Not Started
SS_CS 1.4
Discuss the perioperative assessment of:
Not Started
SS_CS 1.5
Outline the basic surgical steps involved in the following cardiac procedures:
Not Started
SS_CS 1.6
Describe the initial medical management of acute thoracic aortic dissection (also refer to the Resuscitation, trauma and crisis management clinical fundamental) and outline the principles of providing anaesthesia for surgical repair
Not Started
SS_CS 1.7
Describe an appropriate anaesthetic technique for the following cardiac surgical procedures including haemodynamic goals:
Not Started
SS_CS 1.8
List indications for application of external defibrillation/pacing pads prior to surgery
Not Started
SS_CS 1.9
Describe the use of internal defibrillation
Not Started
SS_CS 1.10
Describe the types of cardiac pacing including transvenous, external and epicardial pacing
Not Started
SS_CS 1.11
Outline principles of programming cardiac pacemakers
Not Started
SS_CS 1.12
Outline pacing modes and the terminology and abbreviations commonly used
Not Started
SS_CS 1.13
Describe the method of insertion of a pulmonary artery catheter, describe the waveforms obtained (also refer to the Intensive Care Medicine specialised study unit)
Not Started
SS_CS 1.14
Discuss the interpretation of the data obtained from PAC and other cardiac output measurement devices
Not Started
SS_CS 1.15
Outline the specific issues associated with ‘re-do’ cardiac surgery
Not Started
SS_CS 1.16
Outline the indications for cardiopulmonary bypass and ECMO in non-cardiac surgery procedures
Not Started
SS_CS 1.17
Outline the issues related to the care of patients undergoing cardiopulmonary bypass, including:
Not Started
SS_CS 1.18
Describe an approach to the patient with heparin resistance, heparin induced thrombocytopenia and thrombosis (HITTS) and heparin induced thrombocytopaenia (HITS)
Not Started
SS_CS 1.19
Outline strategies for the management of the patient who is difficult to wean from bypass
Not Started
SS_CS 1.20
Discuss factors influencing duration of postoperative ventilation following cardiac surgery
Not Started
SS_CS 1.21
Discuss the role of ‘fast-track’ cardiac surgery and principles of anaesthesia and intensive care unit management for ‘fast track’ surgery
Not Started
SS_CS 1.22
Outline the routine and emergent postoperative management of cardiosurgical patients in the intensive care unit
Not Started
SS_CS 1.23
Outline the common complications presenting in the early postoperative period in cardiac surgical patients and their management
Not Started
SS_CS 1.24
Outline a basic haemodynamic assessment using TOE or TTE
Not Started
SS_CS 1.25
Discuss the role of echocardiography in assessing the haemodynamically unstable patient
Not Started
SS_CS 1.26
Describe the initial medical management of the patient with acute myocardial infarction and cardiogenic shock and outline the principles of providing anaesthesia for acute revascularisation (also refer to the Resuscitation, trauma and crisis management clinical fundamental)
Not Started
SS_CS 1.27
Outline the major complications associated with interventional cardiology procedures, their presenting features and initial management
Not Started
SS_CS 1.28
Outline principles of intra-aortic balloon counterpulsation
Complete
SSU: General Surgical Urological Gynaecological and Endoscopic Procedures
11
SS_GG 1.1
For the following discuss the key clinical features which influence anaesthetic management. (Also refer to the Perioperative medicine clinical fundamental):
Not Started
SS_GG 1.2
Discuss the physiological changes associated with pneumoperitoneum and management of those changes
Not Started
SS_GG 1.3
Outline the differential diagnosis of the acute abdomen and the implications for anaesthetic management of the different causes
Not Started
SS_GG 1.4
Outline the consequences of prolonged vomiting, bowel obstruction and malabsorption syndromes
Not Started
SS_GG 1.5
Outline the anatomical modification that results from common gastrointestinal operations and the potential pathophysiological consequences
Not Started
SS_GG 1.6
Discuss the surgical requirements and implications for anaesthetic management of patients undergoing the following elective general surgery, urological, gynaecological and endoscopic procedures:
Not Started
SS_GG 1.7
Discuss perioperative analgesia and fluid therapy options for elective general surgery, urological, gynaecological and endoscopic procedures, including strategies for ‘fast track’ recovery programs for major abdominal surgery
Not Started
SS_GG 1.8
Discuss the surgical requirements and implications for anaesthetic management of patients undergoing the following emergency general surgery, urological, gynaecological and endoscopic procedures:
Not Started
SS_GG 1.9
For patients undergoing the following complex operations, discuss the specific anaesthetic management, including options for perioperative analgesia and perioperative fluid therapy:
Not Started
SS_GG 1.10
Discuss the diagnosis and management of the possible complications of surgical procedures including (also refer to the Resuscitation, trauma and crisis management specialised study unit):
Not Started
SS_GG 1.11
Describe the provision of anaesthetic care for organ procurement in a donor declared brain dead
Not Started
SSU: Head and Neck ENT Dental Surgery and ECT
27
SS_HN 1.1
Describe the anatomy and innervation of the face, external ear, neck, nasal passages, pharynx and larynx with reference to the performance of regional or topical anaesthesia for head, neck or ear nose and throat procedures.
Not Started
SS_HN 1.2
Describe the indications for and features of special tracheal tubes used in ear nose and throat surgery, for example those used for:
Not Started
SS_HN 1.3
Describe the equipment used for emergency and elective jet ventilation
Not Started
SS_HN 1.4
Describe the nature and biological effects of lasers commonly used in ear nose and throat
Not Started
SS_HN 1.5
Describe the common co-morbid disease and patient factors encountered in patients having head, neck and ear nose and throat procedures
Not Started
SS_HN 1.6
Describe the effects of previous surgery or radiation on the airway (also refer to the Airway management clinical fundamental)
Not Started
SS_HN 1.7
Discuss the surgical requirements and the anaesthetic management of patients requiring common elective ear nose and throat procedures including:
Not Started
SS_HN 1.8
Discuss the surgical requirements and the anaesthetic management of patients requiring emergency ear nose and throat procedures including:
Not Started
SS_HN 1.9
Outline the principles of anaesthetic management for awake tracheostomy
Not Started
SS_HN 1.10
Discuss the precautions, possible complications and implications for anaesthetic management associated with the use of lasers in ear nose and throat surgery
Not Started
SS_HN 1.11
Evaluate the use of jet ventilation as a technique for managing the airway and ventilation in patients having ear nose and throat procedures
Not Started
SS_HN 1.12
Discuss the anaesthetic management of patients requiring thyroid or parathyroid surgery. In particular:
Not Started
SS_HN 1.13
Discuss the implications of use of local anaesthetics and vasoconstrictive agents in head and neck surgery
Not Started
SS_HN 1.14
Evaluate the use, safety and methods of providing induced hypotension to minimise blood loss and improve surgical operating conditions during ear nose and throat, head and neck surgery (also refer to the Plastic, Reconstructive and burns surgery specialised study unit)
Not Started
SS_HN 1.15
Evaluate methods for the smooth emergence and/or extubation of patients to minimise bleeding following ear nose and throat and head and neck procedures
Not Started
SS_HN 1.16
Discuss the indications, method and implications for anaesthetic management of monitoring facial nerve function intraoperatively
Not Started
SS_HN 1.17
Discuss the clinical features and management of postoperative haemorrhage following head and neck and ear nose and throat surgery, particularly post tonsillectomy haemorrhage (also refer to the Airway management and Resuscitation, trauma and crisis management clinical fundamentals and the Paediatric anaesthesia specialised study unit)
Not Started
SS_HN 1.18
Describe the risks and management of airway fire
Not Started
SS_HN 1.19
Describe the innervation of the teeth and regional blocks used for dental procedures
Not Started
SS_HN 1.20
Outline the types of facial, maxillary and mandibular fractures and their surgical management
Not Started
SS_HN 1.21
Discuss the anaesthetic management of patients requiring surgical fixation of facial, maxillary and mandibular fractures
Not Started
SS_HN 1.22
Discuss the anaesthetic management of patients requiring maxillary and mandibular osteotomies
Not Started
SS_HN 1.23
Describe the indications for and method of managing the airway during maxillo-facial surgery with a nasal endotracheal tube
Not Started
SS_HN 1.24
Discuss the anaesthetic management of patients requiring dental procedures including those with:
Not Started
SS_HN 1.25
Describe the assessment and potential progression of dental sepsis and evaluate the anaesthetic management of patients with dental abscesses and Ludwig’s angina (also refer to the Airway management clinical fundamental)
Not Started
SS_HN 1.26
Describe the evidence supporting the use of electro-convulsive therapy for managing depression
Not Started
SS_HN 1.27
Describe the physiological response to electro-convulsive therapy
Not Started
SSU: Intensive Care
106
SS_IC 1.1
Discuss the importance of setting therapeutic goals for admission to intensive care
Not Started
SS_IC 1.2
Outline estimation of nutritional requirements and prescribe nutritional support
Not Started
SS_IC 1.3
Outline the complications associated with enteral and parenteral nutritional support
Not Started
SS_IC 1.4
Discuss the provision of analgesia and sedation for critically ill patients
Not Started
SS_IC 1.5
Describe the effect of critical illness on the pharmacokinetics and pharmacodynamics of sedative and analgesic agents
Not Started
SS_IC 1.6
Describe weaning protocols of sedative and analgesic agents and strategies to prevent withdrawal phenomena
Not Started
SS_IC 1.7
Evaluate the use of muscle relaxants in the critically ill patient
Not Started
SS_IC 1.8
Outline the reasons why critically ill patients are particularly at risk of acquiring nosocomial infections
Not Started
SS_IC 1.9
Describe standard precautions as applied to critically ill patients
Not Started
SS_IC 1.10
Outline a scoring system to assess severity of illness and discuss the utility of such scoring systems
Not Started
SS_IC 1.11
Outline the long-term complications of prolonged intensive care admission
Not Started
SS_IC 1.12
Describe the features of patients who may be suitable organ donors
Not Started
SS_IC 1.13
Outline the management of the brain-dead patient awaiting organ donation
Not Started
SS_IC 1.14
Describe the principles of safe intra and inter-hospital transfer of critically ill patients professional document: PS52: Guidelines for Transport of Critically Ill Patients (also refer to the Safety and quality in anaesthetic practice clinical fundamental)
Not Started
SS_IC 1.15
Define sepsis, severe sepsis and systemic inflammatory response syndrome (SIRS)
Not Started
SS_IC 1.16
Outline the pathophysiology of SIRS and sepsis and severe sepsis
Not Started
SS_IC 1.17
Describe the mechanisms of organ dysfunction in severe sepsis
Not Started
SS_IC 1.18
Outline the investigation and management of the patient with severe sepsis
Not Started
SS_IC 1.19
Discuss goal directed therapy of sepsis (also refer to the Perioperative medicine clinical fundamental)
Not Started
SS_IC 1.20
Broadly classify antimicrobial agents according to their mode of action and spectrum of activity
Not Started
SS_IC 1.21
Describe the adverse effects of antimicrobial agents in the intensive care patient
Not Started
SS_IC 1.22
Discuss the role of prophylaxis in preventing infection in the intensive care patient
Not Started
SS_IC 1.23
Describe a rational approach to prescribing antimicrobial treatment in severe sepsis
Not Started
SS_IC 1.24
Describe the clinical features of the shocked patient and the clinical features differentiating the causes of shock
Not Started
SS_IC 1.25
Describe the pathophysiological consequences of shock
Not Started
SS_IC 1.26
Outline the clinical use of indicators of tissue oxygenation
Not Started
SS_IC 1.27
Interpret blood gas analysis in the shocked patient
Not Started
SS_IC 1.28
Discuss methods of monitoring cardiac output and optimisation of fluid therapy in the intensive care patient
Not Started
SS_IC 1.29
Discuss the treatment of shock according to its cause and the role of goal directed therapy
Not Started
SS_IC 1.30
Discuss the role of fluid therapy in the shocked patient
Not Started
SS_IC 1.31
Describe the investigation and management of the patient with acute myocardial infarction and cardiogenic shock
Not Started
SS_IC 1.32
Discuss the investigation and management of myocardial contusion
Complete
SS_IC 1.33
Outline the intensive care management of traumatic aortic injury
Not Started
SS_IC 1.34
Describe the diagnosis and medical management of acute thoracic aortic dissection (also refer to the Resuscitation, trauma and crisis management clinical fundamental and the Cardiac surgery and interventional cardiology specialised study unit)
Not Started
SS_IC 1.35
Outline the management of heart failure in the intensive care setting
Not Started
SS_IC 1.36
Discuss the use of vasopressors, inotropic and lusitropic agents in the intensive care setting
Not Started
SS_IC 1.37
Outline the management of cardiac arrhythmias in the intensive care patient
Not Started
SS_IC 1.38
Outline the pathophysiology of and describe the investigations and management of pulmonary embolic disorders
Not Started
SS_IC 1.39
Outline the indications for and principles of use of intra aortic balloon pumps and ventricular assist devices in the intensive care setting
Not Started
SS_IC 1.40
Critically evaluate the resuscitative management of patients in cardiac arrest (also refer to the Resuscitation, trauma and crisis management clinical fundamental)
Not Started
SS_IC 1.41
Define respiratory failure and differentiate between types of respiratory failure
Not Started
SS_IC 1.42
Discuss the differences between acute and chronic respiratory failure and the implications for management
Not Started
SS_IC 1.43
Interpret blood gas analysis, CXR and pulmonary function tests in respiratory failure
Not Started
SS_IC 1.44
Describe the pathophysiology of acute lung injury (ALI) and acute respiratory distress syndrome (ARDS) and outline the intensive care management of these
Complete
SS_IC 1.45
Describe the pathophysiology and management of pulmonary oedema
Not Started
SS_IC 1.46
Discuss the intensive care management of chest trauma including pulmonary contusions, chest wall injuries and haemorrhage
Not Started
SS_IC 1.47
Describe the pathophysiology and management of fat embolism syndrome
Not Started
SS_IC 1.48
Describe the pathophysiology and management of acute severe asthma
Not Started
SS_IC 1.49
Describe the management of acute exacerbations of COPD
Not Started
SS_IC 1.50
Outline the management of pneumonia in the intensive care setting
Not Started
SS_IC 1.51
Describe the prevention and management of ventilator associated pneumonia
Not Started
SS_IC 1.52
Discuss the investigation and management of postoperative respiratory failure
Not Started
SS_IC 1.53
Describe methods of and indications for providing ventilatory assistance in respiratory failure including the place of noninvasive ventilation
Not Started
SS_IC 1.54
Evaluate ventilation strategies and non-ventilator therapies to optimise oxygenation and ventilation and minimise lung injury
Not Started
SS_IC 1.55
Discuss the complications of ventilation and the strategies to minimise ventilator-induced lung injury including the ventilation of patients with ARDS
Not Started
SS_IC 1.56
Discuss the interpretation of blood gas analysis and the use of this to guide respiratory support
Not Started
SS_IC 1.57
Discuss the assessment and management of extubation in patients who have been intubated for airway obstruction, for example, epiglottitis, angioneurotic oedema, Ludwig’s angina
Not Started
SS_IC 1.58
Describe the indications for, timing and subsequent management of tracheotomies, including common complications, in the critically ill patient
Not Started
SS_IC 1.59
Describe the procedure, contraindications and possible complications of percutaneous dilatation tracheotomy
Not Started
SS_IC 1.60
Discuss the issues associated with the long-term ventilation of patients with chronic neuromuscular disorders and outline the factors important in making the decision to initiate assisted ventilation in these patients
Complete
SS_IC 1.61
Discuss the available strategies for weaning patients from ventilatory support and discuss the timing and particular issues with different patient groups
Not Started
SS_IC 1.62
Outline the indications for the use of ECMO in respiratory failure and outline the principles of delivery of ECMO
Not Started
SS_IC 1.63
Outline the indications for hyperbaric oxygen therapy in the critically ill patient and the problems associated with providing this treatment
Not Started
SS_IC 1.64
Critically evaluate the resuscitative management of patients in respiratory arrest
Not Started
SS_IC 1.65
Discuss the initiation of ventilation and management of patients on ventilators in the intensive care setting
Not Started
SS_IC 1.66
Discuss the initiation of non-invasive ventilation and management of patients receiving non-invasive ventilation in the intensive care setting
Not Started
SS_IC 1.67
Describe the pathophysiology, investigation and management of acute renal failure
Not Started
SS_IC 1.68
Discuss strategies to prevent acute renal failure in the critically ill patient
Not Started
SS_IC 1.69
Describe the clinical situations where rhabdomyolysis is likely to occur and discuss the diagnosis and management of acute rhabdomyolysis
Not Started
SS_IC 1.70
Describe methods of providing renal replacement therapy in the patient with acute renal failure
Not Started
SS_IC 1.71
Discuss the aetiology, diagnosis and management of fluid and electrolyte disturbances in the critically ill patient (also refer to the Resuscitation, trauma and crisis management clinical fundamental)
Not Started
SS_IC 1.72
Discuss the clinical management of acid-base disturbances in critically ill patients
Not Started
SS_IC 1.73
Outline the principles of postoperative care of the renal transplant recipient
Not Started
SS_IC 1.74
Describe the metabolic response to trauma and critical illness
Not Started
SS_IC 1.75
Outline the intensive care management of severe hypothermia
Not Started
SS_IC 1.76
Discuss the intensive care management of malignant hyperthermia and neuroleptic malignant syndrome
Not Started
SS_IC 1.77
Discuss the management of endocrine emergencies, including thyroid storm, adrenocortical insufficiency, diabetic ketoacidosis and hyperglycaemic non-ketotic coma
Not Started
SS_IC 1.78
Outline the diagnosis and management of persistent vegetative state
Not Started
SS_IC 1.79
Discuss the clinical diagnosis of brain death and the confirmatory investigations involved
Not Started
SS_IC 1.80
Discuss the determinants and control of:
Not Started
SS_IC 1.81
Discuss the principles of intracranial pressure monitoring
Not Started
SS_IC 1.82
Outline the pathophysiology, investigation and management of delirium in the intensive care patient
Not Started
SS_IC 1.83
Discuss the management of the patient with neurological deterioration due to ischaemic and haemorrhagic stroke and subarachnoid haemorrhage
Not Started
SS_IC 1.84
Discuss the management of cerebral vasospasm
Not Started
SS_IC 1.85
Outline the investigation and management of encephalitis and meningitis
Not Started
SS_IC 1.86
Discuss the intensive care management of:
Not Started
SS_IC 1.87
Outline the principles of management of:
Not Started
SS_IC 1.88
Outline the pathophysiology and indications for intensive care management for patients with:
Not Started
SS_IC 1.89
Discuss the investigation and management of the critical care patient who wakes with neurological impairment
Not Started
SS_IC 1.90
Discuss the management of life-threatening GIT haemorrhage
Not Started
SS_IC 1.91
Outline the diagnosis and management of oesophageal perforation
Not Started
SS_IC 1.92
Outline the management of acute and acute on chronic liver failure including the indications for transplantation
Not Started
SS_IC 1.93
Outline the diagnosis and management of acute pancreatitis
Not Started
SS_IC 1.94
Outline the intensive care unit management of the patient with life-threatening abdominal conditions including:
Not Started
SS_IC 1.95
Discuss the intensive care management of patients who have undergone major abdominal surgery
Not Started
SS_IC 1.96
Outline the management of oncology emergencies:
Not Started
SS_IC 1.97
Outline an approach to the management of the intensive care patient with coagulopathy including disseminated intravascular coagulation
Complete
SS_IC 1.98
Outline the appropriate use of anticoagulants in patients in the intensive care setting including prevention and management of venous and arterial thrombosis and thromboembolism
Not Started
SS_IC 1.99
Outline the investigation and management of anaemia and thrombocytopaenia in intensive care
Not Started
SS_IC 1.100
Discuss the rational use of blood products in the intensive care setting
Not Started
SS_IC 1.101
Discuss the investigation and management of transfusion reactions
Not Started
SS_IC 1.102
Outline the intensive care management of:
Not Started
SS_IC 1.103
Outline the specific requirements of managing the obstetric patient in intensive care, including maintenance of foetal viability, for example, in the patient with cardiovascular failure, respiratory failure, or intracranial haemorrhage
Not Started
SS_IC 1.104
Explain the differences in basic and advanced life support in the pregnant patient (also refer to the Obstetric anaesthesia and analgesia specialised study unit)
Not Started
SS_IC 1.105
Discuss the intensive care management of severe preeclampsia and eclampsia
Not Started
SS_IC 1.106
Discuss the intensive care management of post-partum haemorrhage and amniotic fluid embolism
Not Started
SSU: Obstetric Anaesthesia and Analgesia
30
SS_OB 1.16
Describe the pre-anaesthetic assessment of a pregnant woman
Not Started
SS_OB 1.17
Describe the role of aspiration prophylaxis in pregnant women undergoing surgery
Not Started
SS_OB 1.18
Outline the indications for referral of the high-risk pregnant woman to more specialised centres of obstetric care
Not Started
SS_OB 1.19
Describe the anaesthetic management of early pregnancy conditions such as molar pregnancy, termination, ectopic pregnancy, miscarriage and septic abortion (also refer to the General anaesthesia and sedation clinical fundamental)
Not Started
SS_OB 1.20
Describe the mechanisms and progress of normal labour
Not Started
SS_OB 1.21
Describe the clinical methods used for foetal monitoring in labour
Not Started
SS_OB 1.22
Evaluate the analgesic options for labour and delivery
Not Started
SS_OB 1.23
Describe the selection of agents and route of administration in providing neuraxial analgesia for labour and delivery
Not Started
SS_OB 1.24
Discuss the role of combined spinal epidural analgesia in labour
Not Started
SS_OB 1.25
Describe the urgency of emergency delivery with regard to the threat to maternal or foetal wellbeing, in accordance with established guidelines, for example, RANZCOG College Statement C-Obs 14 Categorisation of urgency for caesarean section
Not Started
SS_OB 1.26
Evaluate the role of epidural, spinal, and combined spinal epidural techniques for caesarean birth
Complete
SS_OB 1.27
Evaluate methods to treat hypotension associated with neuraxial blockade for caesarean birth
Not Started
SS_OB 1.28
Discuss the management of significant complications of neuraxial analgesia and anaesthesia in childbirth, for example:
Not Started
SS_OB 1.29
Discuss the management of suboptimal block including conversion to general anaesthesia for caesarean birth
Not Started
SS_OB 1.30
Evaluate the role of, options for and particular problems with providing general anaesthesia for elective and emergency caesarean birth
Not Started
SS_OB 1.31
Describe the prevention of venous thromboembolism in the pregnant woman
Not Started
SS_OB 1.32
Discuss measures to minimise the risk of injury from positioning the pregnant patient during anaesthesia
Not Started
SS_OB 1.33
Evaluate methods for providing postoperative analgesia after caesarean birth
Not Started
SS_OB 1.34
Discuss the anaesthetic management of problems that may arise with labour and delivery, including the following situations:
Not Started
SS_OB 1.35
Discuss the pathophysiology and anaesthetic management of the following medical conditions particular to pregnancy:
Not Started
SS_OB 1.36
Discuss the pathophysiology and anaesthetic management of co-existing maternal conditions as described in the Perioperative medicine Clinical Fundamental, in particular:
Not Started
SS_OB 1.37
Discuss the implications of vertebral column abnormalities and intra-cranial pathology on provision of neuraxial blockade in pregnancy
Not Started
SS_OB 1.38
Discuss the implications of drugs modifying haemostasis on the provision of neuraxial blockade in pregnancy
Not Started
SS_OB 1.39
Discuss the differences in basic and advanced life support in the pregnant woman
Not Started
SS_OB 1.40
Discuss the diagnosis and management of maternal collapse, including:
Not Started
SS_OB 1.41
Discuss the diagnosis and management of neurological deficits in women after neuraxial blockade and delivery
Not Started
SS_OB 1.42
Discuss intrauterine resuscitation of the at-risk foetus
Not Started
SS_OB 1.43
Describe the unique aspects of management of resuscitation of the pregnant trauma patient including:
Not Started
SS_OB 1.44
Discuss the unique aspects of management of anaesthesia for the pregnant woman having non-obstetric surgery
Not Started
SS_OB 1.45
Outline the main causes of maternal mortality in Australasia and discuss methods to reduce maternal mortality
Not Started
SSU: Ophthalmic Procedures
17
SS_OP 1.1
Describe the anatomy of the eye and the contents of the orbit with reference to the performance of regional eye blocks and their complications
Not Started
SS_OP 1.2
Describe the determinates of ocular perfusion and intra-ocular pressure
Not Started
SS_OP 1.3
Describe the eye reflexes (oculo-cardiac, oculo-respiratory, oculo-emetic) and their management during eye procedures
Not Started
SS_OP 1.4
Discuss the selection of local anaesthetic solutions for regional and topical eye blocks
Not Started
SS_OP 1.5
Discuss the use of adjuvant drugs for regional eye blocks and in particular Hyalase
Not Started
SS_OP 1.6
Outline the anaesthetic implications of the perioperative use of drugs by eye surgeons; in particular topical local anaesthetic agents, vasoconstrictors, mydriatics, miotics, and intraocular pressure-reducing agents
Not Started
SS_OP 1.7
Describe the common co-morbid disease and patient factors encountered in patients having ophthalmic procedures (also refer to the Paediatric anaesthesia specialised study unit)
Not Started
SS_OP 1.8
Discuss the surgical requirements and implications for anaesthetic management of patients having surgery for:
Not Started
SS_OP 1.9
Discuss the specific anaesthetic requirements for emergency eye surgery and in particular the patient with a penetrating eye injury
Not Started
SS_OP 1.10
Discuss the implications for anaesthesia of the intra-ocular injection of gas
Not Started
SS_OP 1.11
Describe and compare regional blocks used for eye procedures, their possible complications and management including:
Not Started
SS_OP 1.12
Describe the methods used to decrease or prevent a rise in intra-ocular pressure following a peri-bulbar block
Not Started
SS_OP 1.13
Discuss how patient factors and co-morbid conditions influence choice of anaesthesia for eye surgery in particular:
Not Started
SS_OP 1.14
Outline the issues to be considered in providing appropriate pre-operative care for patients having eye surgery
Not Started
SS_OP 1.15
Describe sedation techniques for eye procedures
Not Started
SS_OP 1.16
Discuss strategies to convert from regional to general anaesthesia during an eye procedure
Not Started
SS_OP 1.17
Describe the patient and staff precautions required when using laser during eye surgery (also refer to the Safety and quality in anaesthetic practice clinical fundamental)
Not Started
SSU: Orthopaedic Surgery
25
SS_OR 1.1
Describe the rationale for and outline initial methods of fracture immobilisation and analgesia in patients awaiting definitive surgery for major trauma, including:
Not Started
SS_OR 1.2
Discuss the initial assessment and management of (also refer to the Resuscitation, trauma and crisis management clinical fundamental):
Not Started
SS_OR 1.3
Discuss the management of patients requiring anaesthesia for:
Not Started
SS_OR 1.4
In the trauma patient undergoing orthopaedic surgery, discuss the management of the following potential complications:
Not Started
SS_OR 1.5
Discuss the diagnosis and prevention of chronic pain in musculo-skeletal trauma
Not Started
SS_OR 1.6
Outline the implication of neuro-vascular compromise of a limb or compound fractures for timing of surgery
Not Started
SS_OR 1.7
Discuss the assessment and anaesthetic management of the elderly patient with a hip fracture
Not Started
SS_OR 1.8
Describe the indicators of non-accidental injury and outline an appropriate course of action when non-accidental injury is suspected
Not Started
SS_OR 1.9
Evaluate the selection and use of thrombo-prophylaxis and antibiotic prophylaxis in orthopaedic trauma surgery
Not Started
SS_OR 1.10
Describe the common co-morbid disease and patient factors encountered in patients having elective orthopaedic procedures (also refer to the Paediatric anaesthesia specialised study unit and the Perioperative medicine clinical fundamental)
Not Started
SS_OR 1.11
Discuss the management of patients requiring anaesthesia for:
Not Started
SS_OR 1.12
Outline the common comorbidities associated with scoliosis and the anaesthetic management of patients having scoliosis correction surgery
Not Started
SS_OR 1.13
Discuss the implications of age and comorbidities in the perioperative plan of patients presenting for arthroplasty
Not Started
SS_OR 1.14
Discuss the diagnosis and management of the possible complications of orthopaedic surgery including (also refer to the Resuscitation, trauma and crisis management clinical fundamental):
Not Started
SS_OR 1.15
Discuss the safe use of tourniquets for orthopaedic procedures (also refer to the Safety and quality in anaesthetic practice clinical fundamental)
Not Started
SS_OR 1.16
Discuss the choice and timing of antibiotic prophylaxis for orthopaedic patients
Not Started
SS_OR 1.17
Discuss the use of thrombo-prophylaxis for orthopaedic patients especially joint replacement (also refer to the Safety and quality in anaesthetic practice clinical fundamental)
Not Started
SS_OR 1.18
Discuss the perioperative management of patients on therapeutic anticoagulation requiring anaesthesia for orthopaedic procedures (also refer to the Perioperative medicine clinical fundamental)
Not Started
SS_OR 1.19
Evaluate methods to reduce intra-operative and postoperative blood loss and minimise the need for blood transfusion during or following orthopaedic procedures
Not Started
SS_OR 1.20
Describe the methods of spinal cord monitoring during spinal surgery
Not Started
SS_OR 1.21
Discuss the use of NSAIDs in orthopaedics (also refer to the Pain medicine clinical fundamental)
Not Started
SS_OR 1.22
Discuss the implications of the use of the beach-chair position for shoulder surgery
Not Started
SS_OR 1.23
Discuss the implications of patients presenting with arthritis (osteoarthritis, rheumatoid arthritis or ankylosing spondylitis) (also refer to the Perioperative medicine clinical fundamental)
Not Started
SS_OR 1.24
Discuss implications of morbidly obese patients presenting for major orthopaedic surgery. For example:
Not Started
SS_OR 1.25
Discuss the options available for acute and subacute pain management following major orthopaedic surgery. For example:
Not Started
SSU: Paediatric Anaesthesia
84
SS_PA 1.2
Describe airway and ventilatory equipment specific for paediatric patients, including:
Not Started
SS_PA 1.3
Describe how preoxygenation and rapid sequence induction may be modified in children
Not Started
SS_PA 1.4
Describe how positioning for direct laryngoscopy differs in children
Not Started
SS_PA 1.5
Describe how techniques for endotracheal intubation differ in neonates and children
Not Started
SS_PA 1.6
Discuss indications for nasal intubation
Not Started
SS_PA 1.7
Describe the clinical features associated with a difficult airway, including those of syndromes and congenital abnormalities such as Pierre Robin, mucopolysaccaridoses and Treacher Collins
Not Started
SS_PA 1.8
Discuss the clinical features, possible causes, and management of perioperative upper airway obstruction including laryngospasm
Not Started
SS_PA 1.9
Describe the clinical features of children with critical airway obstruction and outline a management plan for the child with critical airway obstruction.
Not Started
SS_PA 1.10
Describe a technique for fibre optic intubation in children
Not Started
SS_PA 1.11
Discuss the principles of mechanical ventilation in paediatric patients, including selection of appropriate modes of ventilation, normal volumes and pressures, and the role of PEEP
Not Started
SS_PA 1.12
Describe the principles of the assessment of acute pain in children including the difficulties, relevance of functional assessment and the use of paediatric pain scales
Not Started
SS_PA 1.13
Discuss the importance of psychological and social factors in the presentation and management of acute pain in children
Not Started
SS_PA 1.14
Discuss the particular requirements for acute pain management in day-case anaesthesia
Not Started
SS_PA 1.15
Discuss the factors which influence the choice of mode of delivery of parenteral opioids in acute pain management (patient controlled anaesthesia, continuous infusion and prn prescription) in children
Not Started
SS_PA 1.16
Outline clinical situations where regional infusion techniques may be of benefit for management of acute pain in paediatric patients (also refer to the Regional and local anaesthesia clinical fundamental)
Not Started
SS_PA 1.17
Describe appropriate prescription, set up, and monitoring of patient controlled anaesthesia (PCA) and parenteral opioid infusions for paediatric patients with acute pain
Not Started
SS_PA 1.18
Outline the risks and appropriate monitoring of neonates receiving parenteral opioids
Complete
SS_PA 1.19
Outline a plan to transition paediatric patients with acute pain from parenteral to oral analgesic therapies
Not Started
SS_PA 1.20
Formulate a plan for acute pain management that shows integrated knowledge of the interaction of analgesic agents, patient factors and the aetiology of pain
Not Started
SS_PA 1.28
Define and use terms that describe paediatric age and development
Not Started
SS_PA 1.29
Outline the implications of the developmental stage of children for their anaesthetic care
Not Started
SS_PA 1.30
Discuss the clinical features and implications for anaesthetic care of the following medical conditions:
Not Started
SS_PA 1.31
Outline the clinical features and implications for anaesthetic care of the following medical conditions:
Not Started
SS_PA 1.32
Describe the preoperative preparation of children and their parents in the preoperative consultation
Not Started
SS_PA 1.33
Describe the assessment and management of a child with URTI or other intercurrent medical illness in the preoperative period
Not Started
SS_PA 1.34
Describe the assessment and management of a child with an undiagnosed murmur detected in the preoperative assessment
Not Started
SS_PA 1.35
Describe the clinical features helpful in recognising the critically ill child
Not Started
SS_PA 1.36
Describe the aetiology of cardiac arrest in paediatric patients, both in the peri-anaesthetic and non-anaesthetic setting
Not Started
SS_PA 1.37
Discuss the assessment of blood loss in children
Not Started
SS_PA 1.38
Describe a fluid resuscitation regimen for acute blood loss appropriate for children
Complete
SS_PA 1.39
Discuss the assessment and management of dehydration
Not Started
SS_PA 1.40
Outline an approach to obtaining vascular access in the shocked paediatric patient
Not Started
SS_PA 1.41
Discuss the diagnosis and resuscitative management of children with the following life threatening conditions:
Not Started
SS_PA 1.42
Describe the principles of safe intra- and inter-hospital transport of critically ill neonates and children (also refer to the Safety and quality in anaesthetic practice clinical fundamental and College professional document PS52: Guidelines for Transport of Critically Ill Patients)
Not Started
SS_PA 1.43
Outline special preparations in the emergency department prior to the arrival of a paediatric trauma patient
Not Started
SS_PA 1.44
Outline the use of the Broselow tape in paediatric trauma
Not Started
SS_PA 1.45
Describe traumatic injury patterns in children that differ from adults, including spinal cord injury without radiological abnormality (SCIWORA) and tension pneumothorax
Not Started
SS_PA 1.46
Describe indicators of non-accidental injury in paediatric populations and outline an appropriate course of action when non-accidental injury is suspected
Not Started
SS_PA 1.47
Describe the initial assessment and management of the child with severe burn injury including (also refer to the Resuscitation, trauma and crisis management clinical fundamental):
Not Started
SS_PA 1.48
Describe the initial assessment and management of the child who has experienced (also refer to the Resuscitation, trauma and crisis management clinical fundamental):
Not Started
SS_PA 1.49
Describe methods to optimise the environment during the induction of anaesthesia in children
Not Started
SS_PA 1.50
Describe methods to minimise the anxiety of children and their parents during induction of anaesthesia
Not Started
SS_PA 1.51
Discuss the advantages and disadvantages of parental presence at induction of anaesthesia
Not Started
SS_PA 1.55
Describe the pharmacology of topical anaesthesia agents and their use for cannulation and venepuncture
Not Started
SS_PA 1.56
Discuss the use of TIVA and target controlled infusions in children
Not Started
SS_PA 1.57
Discuss the effects of anaesthesia on the developing brain
Not Started
SS_PA 1.58
Describe fasting guidelines used in paediatric anaesthesia and their basis
Not Started
SS_PA 1.59
Discuss the use of preoperative sedative premedication in children, including selection of patients, choice of drug, and appropriate route, dosing and timing
Not Started
SS_PA 1.60
Evaluate the role of pharmacologic and non-pharmacologic preoperative preparation of children of different ages
Not Started
SS_PA 1.61
Discuss the prevention and management of postoperative delirium
Not Started
SS_PA 1.62
Discuss the physiological effects of pneumoperitoneum in children
Not Started
SS_PA 1.63
Discuss temperature maintenance in the anaesthetised child
Not Started
SS_PA 1.64
Describe the anatomy, including ultrasonic anatomy, of the peripheral venous system relevant to performing intravenous cannulation in children
Not Started
SS_PA 1.65
Outline measures to minimise patient discomfort and to improve success with intravenous cannulation in children
Not Started
SS_PA 1.66
Outline the differences in central venous cannulation between children and adults
Not Started
SS_PA 1.67
Evaluate the prevention and management of postoperative nausea and vomiting in children
Not Started
SS_PA 1.68
Calculate intravenous fluid requirements and choose intravenous fluid therapy appropriate to the clinical situation for children
Not Started
SS_PA 1.69
Discuss the methods available for monitoring depth of anaesthesia and sedation and their utility in neonates and children
Not Started
SS_PA 1.70
Discuss the anaesthetic management of children requiring more complex shared airway procedures, for example, cleft lip and palate, laryngoscopy, oesophagoscopy, removal of airway foreign body
Not Started
SS_PA 1.71
Discuss the anaesthetic management of children requiring neurosurgical procedures of moderate complexity, for example, VP shunt, burr hole for subdural/extradural haematoma
Not Started
SS_PA 1.72
Outline the general principles of anaesthetic management of children requiring major neurosurgery, for example, craniotomy for tumour
Not Started
SS_PA 1.73
Discuss the anaesthetic management of children with penetrating eye injury
Not Started
SS_PA 1.74
Outline the general principles of anaesthetic management of children requiring major abdominal surgery, for example, fundoplication
Not Started
SS_PA 1.75
Discuss anaesthesia for laparotomy for trauma in children
Not Started
SS_PA 1.76
Discuss the anaesthetic management of infants having pyloromyotomy
Not Started
SS_PA 1.77
Discuss the anaesthetic management of neonatal hernia repair
Not Started
SS_PA 1.78
Outline the principles of anaesthetic management of neonates and infants requiring major surgery, for example, necrotising enterocolitis
Not Started
SS_PA 1.81
Describe the anatomy of the neonatal spine and spinal cord and how this changes with growth and development and the implications for neural blockade
Not Started
SS_PA 1.82
Outline the physiology of nerve conduction in neonates and children
Not Started
SS_PA 1.83
Outline the assessment of the adequacy of a regional technique in neonates and children
Not Started
SS_PA 1.84
Describe the physiological response to a central neuraxial block in neonates and children
Complete
SS_PA 1.85
Describe the use of adjuvant agents to enhance the quality or extend duration of peripheral or neuraxial block in neonates and children
Not Started
SS_PA 1.86
Describe the pharmacokinetics of drugs administered in the epidural and subarachnoid space in neonates and children
Not Started
SS_PA 1.87
Describe how the use of ultrasound imaging differs between adults, children and neonates
Not Started
SS_PA 1.88
Describe the methods used for checking for inadvertent intravenous and intraneural administration of local anaesthetic, particularly with caudal anaesthesia
Complete
SS_PA 1.89
Outline factors influencing dose and choice of anaesthetic agents for spinal anaesthesia and epidural anaesthesia/analgesia in neonates and children
Not Started
SS_PA 1.90
Describe post-anaesthesia instructions for patients who have undergone regional anaesthesia with a plan for postoperative analgesia and surveillance for neurological injury
Not Started
SS_PA 1.91
Describe the recognition, investigation and management of complications of regional techniques in neonates and children
Not Started
SS_PA 1.92
Outline the differences in performance of spinal and epidural anaesthesia and major plexus blocks in neonates and children compared with adults
Not Started
SS_PA 1.93
For the following blocks commonly performed in paediatric anaesthesia:
Not Started
SS_PA 1.94
Describe the ANZCA requirements for non-specialist paediatric hospitals providing paediatric anaesthesia and the principles to be considered in formulating protocols and making decisions regarding the transfer of a child to a tertiary centre (refer to College professional document: PS29 Statement on Anaesthesia Care of Children in Healthcare Facilities Without Dedicated Paediatric Facilities
Not Started
SS_PA 1.95
Discuss requirements for postoperative monitoring in neonates and ex-premature infants
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SS_PA 1.96
Discuss the safety of methods of manipulating body temperature during anaesthesia and sedation, including active warming and cooling of infants and children
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SS_PA 1.97
Discuss the safety precautions and equipment requirements when providing anaesthesia and sedation in the MRI suite (also refer to the Safety and quality in anaesthetic practice clinical fundamental and to College professional document: PS55 Recommendations on Minimum Facilities for Safe Administration of Anaesthesia in Operating Suites and Other Anaesthetising Locations)
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SSU: Plastic Reconstructive and Burns Surgery
20
SS_PB 1.1
Describe the physiological principles relevant to optimising blood flow to tissue flaps, including:
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SS_PB 1.2
Describe the different types of tissue flaps and the implications for flap survival
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SS_PB 1.3
Discuss the issues involved with and the anaesthetic management of patients having surgery for tissue flaps. Including:
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SS_PB 1.4
Describe the common co-morbid disease and patient factors encountered in patients having plastic or reconstructive surgical procedures
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SS_PB 1.5
Discuss the surgical requirements and implications for the perioperative anaesthetic management of patients having:
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SS_PB 1.6
Discuss pain management for patients undergoing plastic surgery
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SS_PB 1.7
Evaluate the use, safety and methods of providing induced hypotension to minimise blood loss and improve surgical operating conditions during dissection and extensive excision of tissue (also refer to the Head and neck, ear, nose and throat, dental surgery and electro-convulsive therapy specialised study unit)
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SS_PB 1.8
Describe the pathophysiology of burns and the multisystem effects commonly encountered in these patients
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SS_PB 1.9
Discuss temperature homeostasis in burns patients and the implications of hypothermia in this group
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SS_PB 1.10
Evaluate warming measures used to maintain the temperature of burns patients intra-operatively
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SS_PB 1.11
Discuss the methods of managing the metabolic effects of burns in the perioperative period
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SS_PB 1.12
Discuss the problems associated with monitoring and venous cannulation in burns patients and their management
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SS_PB 1.13
Discuss the implications for the perioperative anaesthetic management of patients with the following burn injuries:
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SS_PB 1.14
Discuss the methods of minimising or managing blood loss during the debridement of burns
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SS_PB 1.15
Discuss the perioperative assessment and management of fluid status and blood transfusion requirements for the burns patient
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SS_PB 1.16
Outline infection control in burns patients and the prevention of secondary sepsis
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SS_PB 1.17
Outline the methods and materials used to provide temporary and long term coverage of burns
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SS_PB 1.18
Discuss the specific pain issues encountered in the burns patient and their management (also refer to the Pain medicine clinical fundamental)
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SS_PB 1.19
Discuss the risk of a hyperkalaemic crisis in burns patients
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SS_PB 1.20
Describe the anaesthetic issues and the management of patients returning for scar revision following burns, especially for neck and facial scarring (also refer to the Airway management clinical fundamental)
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SSU: Thoracic Surgery
24
SS_TS 1.1
Describe the anatomy of the:
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SS_TS 1.2
Describe the changes in lung physiology and the implications for anaesthesia management which occur with:
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SS_TS 1.3
Discuss the physiology of hypoxic pulmonary vasoconstriction, including the effect of anaesthetic agents and the implications for anaesthesia management
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SS_TS 1.4
Discuss the pathophysiology of pulmonary hypertension and methods available to the anaesthetist to manipulate pulmonary vascular resistance and pulmonary artery pressures
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SS_TS 1.5
Discuss the pathophysiology of chronic obstructive pulmonary disease and the strategies available for artificial ventilation to minimise gas trapping
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SS_TS 1.6
Discuss the assessment of patients with mediastinal masses for surgical procedures including the assessment of severity of vascular and respiratory obstruction and the implications for anaesthesia management
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SS_TS 1.7
Describe the techniques used to position patients for thoracic surgery and to minimise risk of postoperative position-related injury
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SS_TS 1.8
Describe the indications and contraindications for one-lung ventilation
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SS_TS 1.9
Describe the different methods available to perform lung isolation including the use of double-lumen tubes, bronchial blockers, single lumen tubes and Univent tubes and the rationale for selecting different methods in different situations (refer to the Paediatric anaesthesia specialised study unit for issues specifically pertaining to paediatric patients)
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SS_TS 1.10
Discuss the complications of double lumen ETT and the management of intraoperative problems associated with their use
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SS_TS 1.11
Discuss the management of hypoxaemia during one-lung ventilation
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SS_TS 1.12
Discuss the anaesthetic management of the following endobronchial procedures:
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SS_TS 1.13
Discuss the anaesthetic management of the following procedures:
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SS_TS 1.14
Outline the anaesthetic management of the following procedures:
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SS_TS 1.15
Identify pain management issues specific to thoracic surgery and critically evaluate analgesic options for patients having thoracic surgery
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SS_TS 1.16
Identify fluid management issues specific to thoracic surgery and discuss fluid management of the patient having lung resection
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SS_TS 1.17
Discuss the management of chest drains and pleural drainage systems in the postoperative period
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SS_TS 1.18
Compare the anaesthetic management of thoracoscopic and open approaches for thoracic surgery
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SS_TS 1.19
Outline the specific issues for perioperative management of patients for pneumonectomy
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SS_TS 1.20
Outline the critical times during thoracic procedures that will impact on anaesthesia management, including airway ligation and manipulation of pulmonary vasculature
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SS_TS 1.21
Outline the management of the following postoperative complications associated with thoracic surgery:
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SS_TS 1.22
Discuss the diagnosis and management of:
In particular:
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SS_TS 1.23
Discuss the management of respiratory failure associated with chest trauma and the place of non-invasive ventilation
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SS_TS 1.24
Discuss the management of chest drains and pleural drainage systems for thoracic trauma
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SSU: Vascular Surgery and Interventional Radiology
19
SS_VS 1.1
Outline the pathophysiology of peripheral vascular disease including common co-morbidities
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SS_VS 1.2
Discuss the perioperative management of the following co- morbidities in the patient presenting for vascular surgery including perioperative risk assessment and risk reduction (also refer to the Perioperative medicine clinical fundamental):
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SS_VS 1.3
Describe the impact of vascular disease on:
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SS_VS 1.4
Discuss the surgical requirements and implications for anaesthetic management of patients having elective surgery for:
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SS_VS 1.5
Discuss options for postoperative analgesia and perioperative fluid therapy for these procedures
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SS_VS 1.6
Evaluate the risks and benefits of regional anaesthesia and analgesia in vascular surgery
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SS_VS 1.7
Discuss the perioperative management, including postoperative analgesia and perioperative fluid management of patients having an emergency vascular procedure for the following:
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SS_VS 1.8
Discuss methods to minimise blood loss and transfusion requirements in aortic surgery
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SS_VS 1.9
Describe the pathophysiology and implications for anaesthesia management of:
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SS_VS 1.10
Discuss the prevention, diagnosis and management of intra- operative complications associated with vascular surgery including (also refer to the Resuscitation, trauma and crisis management clinical fundamental):
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SS_VS 1.11
Discuss strategies for spinal cord protection in aortic surgery
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SS_VS 1.12
Discuss the diagnosis and management of postoperative complications associated with vascular surgery including (also refer to the Resuscitation, trauma and crisis management specialised study unit):
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SS_VS 1.13
Outline recovery room complications specifically associated with carotid endarterectomy and discuss their management
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SS_VS 1.14
Discuss techniques used to monitor cerebral perfusion during carotid endarterectomy
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SS_VS 1.15
Describe a technique for performing carotid endarterectomy under regional anaesthesia and evaluate the role of regional anaesthesia for carotid endarterectomy
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SS_VS 1.16
Outline the implications for patient safety of the location of the interventional radiology service
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SS_VS 1.17
Discuss the procedural requirements and implications for anaesthetic management of patients having interventional radiological procedures including:
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SS_VS 1.18
Discuss the diagnosis and management of complications associated with interventional radiological procedures including (also refer to the Resuscitation, trauma and crisis management clinical fundamental and to College professional document: PS55 Recommendations on Minimum Facilities for Safe Administration of Anaesthesia in Operating Suites and Other Anaesthetising Locations):
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SS_VS 1.19
Outline the advantages and disadvantages of interventional radiological procedures as compared with open procedures for management of:
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