Lesson 1Preoxygenation methods and ways to build oxygen storesExplains aims and methods of preoxygenation like mask fit, oxygen flow, time, and plans for high-risk patients to boost oxygen stores and slow desaturation at induction.
Physiologic goals of preoxygenationMask seal, flow rates, and FiO2 settingsPreoxygenation in obese and pregnant patientsHead-up and ramped positioning benefitsAssessing adequacy of preoxygenationLesson 2Allergy or anaphylaxis reaction: spotting, quick nurse actions, emergency drugs and recordsCovers spotting allergy and anaphylaxis, quick nurse steps, preparing emergency drugs, airway help, and full records for legal and quality needs.
Early clinical signs of anaphylaxisImmediate airway and breathing supportPositioning and circulatory support stepsPreparing and assisting with epinephrinePostevent documentation and reportingLesson 3Standard monitoring during surgery (ECG, NIBP, SpO2, ETCO2, temperature, anaesthesia gas checks)Reviews usual surgery monitoring like ECG, NIBP, SpO2, ETCO2, temperature, gas monitoring, setup, alarms, and reading changes.
ECG lead placement and rhythm recognitionNoninvasive blood pressure setup and cyclesPulse oximetry use and artifact reductionCapnography and ETCO2 waveform basicsTemperature and anesthetic agent monitoringLesson 4Hard airway and failed intubation: quick steps, oxygen plans, calling helpDeals with spotting hard airway and failed intubation, quick oxygen plans, following steps, calling help fast, aiding rescue tools and neck access.
Predictors of a difficult airwayRecognizing failed intubation earlyMaintaining oxygenation between attemptsAssisting with supraglottic airway devicesSupporting emergency front-of-neck accessLesson 5Usual surgery problems: spotting and step-by-step nurse responses for low blood pressureCovers early spotting of low blood pressure in surgery, checks, step-by-step nurse actions like positioning, fluids, vasopressors, and telling anaesthetist.
Defining and grading intraoperative hypotensionRapid assessment of causes and contributing factorsImmediate nonpharmacologic nursing measuresSupporting fluid resuscitation and blood productsPreparing and assisting with vasopressor therapyLesson 6Positioning rules for keyhole surgery and protecting pressure pointsCovers safe positioning for keyhole surgery like head-up/down, limb setup, pressure protection, checks to avoid nerve damage, sores, compartment problems.
Positioning for gynecologic laparoscopyPositioning for upper abdominal laparoscopyPadding and protection of pressure pointsPrevention of nerve and ocular injuriesPosition checks during long proceduresLesson 7Helping with induction: roles during drugs, airway tools, cricoid careClarifies nurse role at induction, prepping, drug checks, airway tool help, cricoid pressure, staying alert for problems.
Preparation of induction drugs and equipmentPatient identification and safety checksSupporting airway device selection and sizingCorrect application of cricoid pressureMonitoring and reporting induction responsesLesson 8Sugar checks during surgery: goals, how often, insulin/IV fluid plansCovers sugar monitoring in surgery, goals, frequency, insulin and IV plans, safe adjusting, records, avoiding low/high sugar.
Glycemic targets for common surgical patientsPoint-of-care glucose testing frequencyInsulin infusion and bolus coordinationIV fluid selection in diabetic patientsRecognition and treatment of hypoglycemiaLesson 9Record-keeping during surgery: times, events, drugs, actionsDescribes accurate, quick surgery records of times, events, drugs, fluids, trends, actions for legal, safety, care continuity.
Core elements of the anesthesia recordTime-stamping critical intraoperative eventsRecording drugs, fluids, and blood productsCharting monitoring values and trendsDocumenting complications and responsesLesson 10Theatre setup for general anaesthesia: equipment list (anaesthesia machine, suction, airway cart, hard airway trolley)Outlines theatre prep for general anaesthesia, machine checks, suction, airway cart, hard airway trolley for safety and quick response.
Daily anesthesia machine safety checksSuction setup and patency verificationStandard airway cart layout and restockingDifficult airway trolley contents and labelingBackup oxygen and power supply checksLesson 11Blood flow monitoring goals and reading in moderate-risk patients with high BP and diabetesExplains blood flow goals and monitoring for moderate-risk patients with high BP and diabetes, pressure, heart rate, perfusion, nurse actions for issues.
Baseline assessment in hypertensive patientsBlood pressure and heart rate targetsManaging intraoperative hypertensionMonitoring for myocardial ischemia signsBalancing fluids in diabetic patientsLesson 12Body temperature control and warming for keyhole casesCovers temperature control in keyhole surgery, hypothermia risks, warming methods, warm fluids, monitoring to avoid problems.
Risks and consequences of hypothermiaForced-air and conductive warming devicesWarming IV fluids and irrigation solutionsTemperature monitoring sites and methodsAdjusting warming strategies over timeLesson 13Surgery communication: SBAR handovers, talks with anaesthetist and surgeonsFocuses on structured surgery talks using SBAR, before/during briefings, closed-loop with anaesthetist and surgeons to cut errors and boost teamwork.
SBAR structure for anesthesia handoversPreinduction and timeout briefingsCommunicating critical events and trendsClosed-loop communication techniquesHandover to PACU or ICU staff
