Keep Calm in an Anaesthetic Crisis (Oct 22)

£250.00

6 week course (15 hours CPD), starting 3rd October 2022

 

Description

Week 1
Principles of Anaesthetising Critical Patients

  • Anaesthetic risk in the compromised patient
  • The importance of patient history and physical examination
  • Diagnostic tests
  • Patient stabilisation
  • Anaesthetic protocol, monitoring and recovery

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

  • Gain an understanding as to why critical patients are at an increased anaesthesia and sedation risk
  • Understand that improving patient safety requires a holistic, overall management process, not simply using “the best drug protocol”.  This will include consideration of:
    • What pre-anaesthetic tests may be required and the benefit they offer
    • What pre-anaesthetic stabilisation may be required
  • Have an introduction into the type of patient monitoring which is required during the peri-anaesthetic period
  • Understand general principles for appropriate anaesthetic drug protocols for the critical patient

 

Week 2
General Approach to Adverse Events and Introduction to Anaesthetic Complications

  • Near misses and adverse events
  • Minimising adverse events by preparation
  • Checklists and non-technical skills
  • Common anaesthetic complications

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

  • Name the three steps necessary for approaching adverse events and discuss why they are important, including methods in which near misses and adverse events can be minimised in practice.
  • Understand the role of human factors in patient safety and the value of checklist use in anaesthetic practice.
  • Have an overview of what anaesthetist non-technical skills (ANTS) are and be able to begin using them in clinical practice.
  • Know the most common anaesthetic complications encountered in small animal practice.

 

Week 3
Cardiovascular Complications

  • Alterations in heart rate:
    • Bradyarrhythmias
    • Tachyarrhythmias
  • Alterations in blood pressure:
    • Hypotension
    • Hypertension

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

  • Recognise abnormal physiological parameters with regards to the cardiovascular system for individual patients undergoing anaesthesia.
  • Gain an understanding of the most common underlying causes for alterations in heart rate (bradyarrhythmias and tachyarrhythmias) during general anaesthesia.
  • List some main treatments for the most common arrhythmias which present under general anaesthesia.
  • Gain an understanding of the most common underlying causes for alterations in blood pressure (hypotension and hypertension) during general anaesthesia.
  • List some main treatments for the most common blood pressure alterations which present under general anaesthesia.
  • Begin to apply this knowledge to individual cases within the clinic with use of the available equipment

 

Week 4
Respiratory Complications

  • Alterations in ventilation:
    • Hypoventilation
    • Hyperventilation (including tachypnoea)
    • Apnoea or respiratory arrest
  • Hypoxaemia
  • Respiratory obstruction:
    • Upper respiratory tract
    • Lower respiratory tract
  • Restrictive pulmonary disease
  • Aspiration (and regurgitation)

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

  • Recognise what are abnormal physiological parameters with regards to the respiratory system for individual patients undergoing anaesthesia.
  • Gain an understanding of the most common underlying causes for alterations in ventilation, including hypo- and hyperventilation, apnoea and respiratory arrest.
  • List the main treatments for the most common changes in ventilation under anaesthesia.
  • Understand the difference between hypoxaemia and hypoxia, listing the potential causes for these and therefore be able to suggest methods to manage these conditions.
  • Recognise the clinical signs of respiratory obstruction and restrictive pulmonary disease and describe what steps could be taken to alleviate the underlying problem
  • Have the knowledge to state why aspiration is a risk under anaesthesia and how to manage a case of gastro-oesophageal reflux in order to minimise patient risk
  • Begin to apply this knowledge to individual cases within the clinic with use of the available equipment

 

Week 5
'Other' Complications

  • Central nervous system:
    • Emergence delirium
    • Post anaesthetic blindness and deafness
  • Thermoregulation:
    • Hypothermia
    • Hyperthermia
  • Anaphylactic and anaphylactoid reactions
  • Embolism

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

  • Outline why cats are at particular risk for post anaesthetic blindness and deafness and describe methods which can minimise this risk.
  • List available methods for patient warming, with recognition of the need to counteract patient hypothermia and the potential risks associated with warming device use.
  • List risk factors associated with peri-operative hyperthermia and discuss steps which can be implemented to manage the hyperthermic patient.
  • Have the ability to recognise if an anaphylactic or anaphylactoid reaction is occurring and be able to suggest steps to manage the situation.
  • Understand that embolisms are a rare, but potential complication during anaesthesia and be able to list the clinical signs associated with their occurrence.

 

Week 6
Cardiopulmonary Resuscitation

  • Detecting cardiopulmonary arrest
  • Basic life support:
    • Chest compressions
    • Tracheal intubation
    • Ventilation
  • Advanced life support"
    • Drug therapy
    • Oxygen supplementation
    • Intravenous fluid therapy
    • Correction of electrolyte and metabolic disturbances
    • Defibrillation
  • Monitoring during CPR
  • Post cardiac arrest care

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

  • Explain the purpose of cardiopulmonary resuscitation and describe its two main components.
  • Recognise when cardiopulmonary resuscitation should be instigated
  • Understand the importance of regular CPR training within the practice team.
  • Describe and demonstrate the method for effective chest compressions, tracheal intubation and ventilation during cardiopulmonary resuscitation.
  • Have the knowledge to list what steps can be taken to provide advanced life support during cardiopulmonary resuscitation.
  • Know what monitoring tools are recommended for cardiopulmonary resuscitation and be able to interpret the main waveforms that will be seen during a resuscitation event.

 

This course will be fully tutored by Becky Robinson, and will consist of 15 hours of CPD given in various formats, including tutorials, tasks, case studies, forum discussions and quizzes.

 

For some further information about our Online Tutored CPD courses - please open the guide below:

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Becky Robinson

BVSc MVetMed DipECVAA FHEA MRCVS

EUROPEAN & RCVS SPECIALIST IN VETERINARY ANAESTHESIA, DAVIES VETERINARY SPECIALISTS

Becky graduated from the University of Liverpool in 2008. After a short spell in first opinion small animal practice, she completed a 12 month rotating internship in the Small Animal Teaching Hospital at the University of Liverpool. Upon conclusion of this internship, Becky spent a further 6 months in first opinion practice before embarking on a 3 year residency programme in veterinary anaesthesia and analgesia at the Royal Veterinary College, University of London in 2010. She passed her European Diploma in Veterinary Anaesthesia and Analgesia in 2013 and subsequently became an RCVS Recognised Specialist in Veterinary Anaesthesia.

 

This online course is worth 15 hours of CPD.

 

A certificate will be available from the ‘My Courses’ section, for you to download and print, once you have completed the course.  A permanent record of your total CPD hours will also be recorded in your account section.

 

Upon purchase you will be registered to attend the course, for 6 weeks from the start date.  The course will consist of various interactive tasks and lessons, including quizzes, case studies, forum discussions and further reading material.

 

The course is fully tutored, with new material will be provided weekly, but the onus will be on the individual delegate to ensure that all tasks are fully complete.  The certificate will only be issued at the end of the course when all tasks have been accomplished.  Fewer CPD hours will be awarded at the the end of the course if there are unfinished tasks or there has been no contribution to the discussion forum, for example.

 

The course is fully flexible, and there are no weekly ‘deadlines’ – the lessons and tasks may be completed whenever is convenient for each delegate, and any live lessons with be recorded and made available in that format.   Furthermore, all the course material will be available for a further 2 weeks, to allow delegates the opportunity to catch up on missed lessons and tasks, or to take the opportunity to delve further into the suggested reading texts.  Please note however, that the course will not be tutored by the speaker during these final two weeks.

 

After 8 weeks, the course will be complete and there will be no further opportunity to gain the certificate or CPD hours, however, you will have unlimited lifetime access to the tutorials, further reading and quizzes for future reference.  If you make any personal notes during the course using the ‘take notes’ app, these will be saved, along with your certificate and CPD record for permanent access in ‘My CPD’.

 

For some further information about our Online Tutored CPD courses – please read our PDF guide to Online Tutored CPD