Keep Calm in an Anaesthetic Crisis (Sept 2024)

Description

This course is aimed at nurses working in general practice

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:

Understand 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
Recall 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

Learning materials this week:
(released on Monday morning for on demand learning until the course ends – approximate timings)

Pre-recorded tutorial with Rebecca = 55 minutes
Further reading = 60 minutes
Forum discussion topic = 15 minutes
Multiple choice questions quiz = 10 minutes

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
Give 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

Learning materials this week:
(released on Monday morning for on demand learning until the course ends – approximate timings)

Pre-recorded tutorial with Rebecca = 30 minutes
Further reading = 60 minutes
Forum discussion topic = 15 minutes
Multiple choice questions quiz = 10 minutes

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
Understand 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
Understand 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

Learning materials this week:
(released on Monday morning for on demand learning until the course ends – approximate timings)

Pre-recorded tutorial with Rebecca = 55 minutes
Further reading = 60 minutes
Forum discussion topic = 20 minutes
Multiple choice questions quiz = 10 minutes

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
Understand 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
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

Learning materials this week:
(released on Monday morning for on demand learning until the course ends – approximate timings)

Pre-recorded tutorial with Rebecca = 50 minutes
Further reading = 60 minutes
Written task (brachycephalic anaesthesia plan) = 60 minutes
Multiple choice questions quiz = 10 minutes

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
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

Learning materials this week:
(released on Monday morning for on demand learning until the course ends – approximate timings)

Pre-recorded tutorial with Rebecca = 40 minutes
Further reading = 60 minutes
Forum discussion topic = 10 minutes
Multiple choice questions quiz = 10 minutes

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
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

Learning materials this week:
(released on Monday morning for on demand learning until the course ends – approximate timings)

Pre-recorded tutorial with Rebecca = 50 minutes
Further reading = 60 minutes
Forum discussion topic = 10 minutes
Multiple choice questions quiz = 10 minutes

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. This course is tutored for 6 weeks, followed by a two week extension of untutored ‘catch up’ time, before the course officially ends.

All delegates will then have unlimited lifetime access to the learning material for future reference

31 reviews for Keep Calm in an Anaesthetic Crisis (Sept 2024)

Rated 4 out of 5

Apollonia B – 27/11/2023

Comprehensive overview of complications during anaesthesia

Rated: Intermediate level
(Qualified RVN in general practice <5 years - UK)

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Speaker

Rebecca Robinson BVSc MVetMed DipECVAA FHEA MRCVS
European and RCVS Recognised Specialist in Veterinary Anesthesia and Analgesia, 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.

CPD Hours

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.

AVNAT

Australia and New Zealand

The Australian Veterinary Nurse and Technician (AVNAT) Regulatory Council has allocated 15 AVNAT CPD points to this continuing education activity.

This course is also recognised by the New Zealand Veterinary Nursing Association (NZVNA) as providing 15 CPD points.

Information

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 each Monday morning, 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 later that same day. 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, but the time spent will count towards your CPD hours

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’

Levels

This course has been listed as ‘Intermediate’ level

All of our courses are aimed at veterinary nurses in general practice, but everyone who works in the veterinary profession is very welcome to attend, whether you are a clinical receptionist, veterinary surgeon, student nurse or have been a qualified nurse for over 20 years!

The courses are not formally assessed for skill level, so the following CPD levels are just a rough guide to help you decide if a course may be more or less suitable:

Introduction
– maybe most suitable for qualified nurses in general practice approaching a new topic or looking for a refresher course

Intermediate
– maybe most suitable for qualified nurses in general practice along with referral / specialist nurses looking for a refresher course

Advanced
– maybe most suitable for referral / specialist nurses and highly experienced qualified nurses in general practice

Pawprints

You will earn 255 Pawprint Points (£25.50 website credit) when you purchase this course

Our loyalty scheme rewards you with 10% in website credit to spend on future courses. Choose pay with Pawprint Points during checkout.

Invoice My Practice

Invoice

Debit or credit card is the preferred payment method

Please ask your practice manager or accounts department to visit the website, register an account in their own name, and during checkout, complete the ‘delegate name’ and ‘delegate email’ sections with your personal details. We will then register you a personal account on your behalf, and transfer the course booking over to your new personal account. We will of course email you all the information you need to access this new account and your CPD course.

If you need an invoice and no other payment method is available to you, then please email [email protected] with all the following information:

Full name of delegate
Email address for delegate
Course(s) booking
Any discounts / promotions being redeemed
Practice name and address
Invoice name and address (if different)
Corporate group name (Linnaeus, IVC, Medivet, VetPartners etc) (if applicable)
Practice code (eg Vet4Pets practices)
Booking / invoice reference (if required)
Email address to send the invoice (practice manager, accounts department or head office – not your own email address please)

Please note the following:

Invoices must be requested a minimum of 4-6 weeks prior to a course starting, to allow time for the payment to be received
Delegates will not be allowed access to any course without prior payment
An invoice will be emailed to the contact provided and the course booking will be reserved for 7 days, whilst payment via debit / credit card or BACS is arranged
There will be an administration fee of £2.50 +VAT per invoice generated. You may book multiple delegates / multiple courses on a single invoice to the same practice

Tutored Online CPD