ANZCA Final Exam Resources
ANZCA Final Exam Resources
Learning Outcomes
SSU: Paediatric Anaesthesia
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SSU: Paediatric Anaesthesia
84
SS_PA 1.2
Describe airway and ventilatory equipment specific for paediatric patients, including:
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SS_PA 1.3
Describe how preoxygenation and rapid sequence induction may be modified in children
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SS_PA 1.4
Describe how positioning for direct laryngoscopy differs in children
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SS_PA 1.5
Describe how techniques for endotracheal intubation differ in neonates and children
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SS_PA 1.6
Discuss indications for nasal intubation
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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
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SS_PA 1.8
Discuss the clinical features, possible causes, and management of perioperative upper airway obstruction including laryngospasm
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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.
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SS_PA 1.10
Describe a technique for fibre optic intubation in children
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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
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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
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SS_PA 1.13
Discuss the importance of psychological and social factors in the presentation and management of acute pain in children
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SS_PA 1.14
Discuss the particular requirements for acute pain management in day-case anaesthesia
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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
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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)
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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
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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
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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
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SS_PA 1.28
Define and use terms that describe paediatric age and development
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SS_PA 1.29
Outline the implications of the developmental stage of children for their anaesthetic care
Complete
SS_PA 1.30
Discuss the clinical features and implications for anaesthetic care of the following medical conditions:
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SS_PA 1.31
Outline the clinical features and implications for anaesthetic care of the following medical conditions:
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SS_PA 1.32
Describe the preoperative preparation of children and their parents in the preoperative consultation
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SS_PA 1.33
Describe the assessment and management of a child with URTI or other intercurrent medical illness in the preoperative period
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SS_PA 1.34
Describe the assessment and management of a child with an undiagnosed murmur detected in the preoperative assessment
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SS_PA 1.35
Describe the clinical features helpful in recognising the critically ill child
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SS_PA 1.36
Describe the aetiology of cardiac arrest in paediatric patients, both in the peri-anaesthetic and non-anaesthetic setting
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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
Complete
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:
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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)
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SS_PA 1.43
Outline special preparations in the emergency department prior to the arrival of a paediatric trauma patient
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SS_PA 1.44
Outline the use of the Broselow tape in paediatric trauma
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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
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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
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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):
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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):
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SS_PA 1.49
Describe methods to optimise the environment during the induction of anaesthesia in children
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SS_PA 1.50
Describe methods to minimise the anxiety of children and their parents during induction of anaesthesia
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SS_PA 1.51
Discuss the advantages and disadvantages of parental presence at induction of anaesthesia
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SS_PA 1.55
Describe the pharmacology of topical anaesthesia agents and their use for cannulation and venepuncture
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SS_PA 1.56
Discuss the use of TIVA and target controlled infusions in children
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SS_PA 1.57
Discuss the effects of anaesthesia on the developing brain
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SS_PA 1.58
Describe fasting guidelines used in paediatric anaesthesia and their basis
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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
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SS_PA 1.60
Evaluate the role of pharmacologic and non-pharmacologic preoperative preparation of children of different ages
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SS_PA 1.61
Discuss the prevention and management of postoperative delirium
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SS_PA 1.62
Discuss the physiological effects of pneumoperitoneum in children
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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
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SS_PA 1.65
Outline measures to minimise patient discomfort and to improve success with intravenous cannulation in children
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SS_PA 1.66
Outline the differences in central venous cannulation between children and adults
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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
Complete
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
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SS_PA 1.72
Outline the general principles of anaesthetic management of children requiring major neurosurgery, for example, craniotomy for tumour
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SS_PA 1.73
Discuss the anaesthetic management of children with penetrating eye injury
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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
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SS_PA 1.76
Discuss the anaesthetic management of infants having pyloromyotomy
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SS_PA 1.77
Discuss the anaesthetic management of neonatal hernia repair
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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
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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
Complete
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
Not Started
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
Not Started
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)
Not Started
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