This 4 week tutored course will guide the candidates through the complexities of multiparameter monitoring. After completion of the course, candidates will better understand the effects of anaesthesia on the patient and causes of abnormalities encountered while monitoring anaesthetised patients. They will be able to use hands-on techniques and the multiparameter monitor to detect problems before they become serious, and to differentiate between artefacts and real patient issues to improve the safety of their patients.

Week 1
What are we monitoring and why?

  • What anaesthesia does to the patient and what we can do about it
  • Monitoring depth of anaesthesia
  • Temperature monitoring

Learning objectives
After completion of this week participants should be able to:

  • Understand why good monitoring is essential for safe anaesthesia
  • Understand the challenges of monitoring depth of anaesthesia
  • Appreciate the importance of monitoring body temperature and the consequences of hypo- and hyperthermia

Week 2
Monitoring the respiratory system

  • Capnography
  • Pulse oximetry

Learning objectives
After completion of this week participants should be able to:

  • Understand the physiology involved in the formation of the capnograph trace
  • Interpret normal and abnormal capnograph traces
  • Understand the physiology behind pulse oximetry, and its limitations
  • Confidently troubleshoot abnormal capnography traces and pulse-oximetry readings

Week 3
Monitoring the cardiovascular system

  • Physiology of heart rate and blood pressure control
  • The electrocardiogram
  • Blood pressure monitoring

Learning objectives
After completion of this week participants should be able to:

  • Understand the causes of heart rate and blood pressure changes during anaesthesia
  • Describe how the electrocardiogram is generated
  • Interpret the electrocardiogram
  • Understand the different techniques for measuring blood pressure
  • Interpret blood pressure readings and understand causes of inaccurate readings

Week 4
Blood gas monitoring

  • Glucose monitoring and other tests
  • Monitor-related artefacts and technical problems

Learning objectives
After completion of this week participants should be able to:

  • Understand when blood gas analysis is useful
  • Interpret blood gas analyses in the light of the patient’s history and clinical problems
  • Decide when glucose monitoring and other tests during anaesthesia are important
  • Troubleshoot monitor-related issues

The course will be fully tutored by Colette Jolliffe, and will consist of 10 hours of CPD given in various formats, including tutorials, tasks, case studies, forum discussions and quizzes.