Lesson 1Preoxygenation techniques and strategies to optimize oxygen reserveExplains preoxygenation aims and ways, mask fit, flows, time, high-risk plans to max oxygen store and slow low-oxygen in induction for Eritrea.
Physiologic goals of preoxygenationMask seal, flow rates, and FiO2 settingsPreoxygenation in obese and pregnant patientsHead-up and ramped positioning benefitsAssessing adequacy of preoxygenationLesson 2Allergic/anaphylactic reaction: recognition, immediate nursing interventions, emergency drugs and documentationDetails spotting allergy shocks, quick nurse steps, drug prep, airway help, full records for law and quality in Eritrean ORs.
Early clinical signs of anaphylaxisImmediate airway and breathing supportPositioning and circulatory support stepsPreparing and assisting with epinephrinePostevent documentation and reportingLesson 3Standard intraoperative monitoring standards (ECG, NIBP, SpO2, ETCO2, temperature, anesthetic agent monitoring)Reviews usual during-surgery monitoring like ECG, cuff BP, oxygen sat, CO2, temp, gas watch, setup, alarms, change reads in Eritrea.
ECG lead placement and rhythm recognitionNoninvasive blood pressure setup and cyclesPulse oximetry use and artifact reductionCapnography and ETCO2 waveform basicsTemperature and anesthetic agent monitoringLesson 4Airway difficulty and failed intubation: immediate actions, oxygenation strategies, calling for helpHandles hard airway and failed tube, quick oxygen plans, algorithm follow, call help, aid rescue gear and neck access in Eritrea.
Predictors of a difficult airwayRecognizing failed intubation earlyMaintaining oxygenation between attemptsAssisting with supraglottic airway devicesSupporting emergency front-of-neck accessLesson 5Common intraoperative complications: recognition and stepwise nursing responses for hypotensionDetails early spot of low BP in surgery, checks, step nurse fixes like position, fluids, pressor prep, talk with doctor in Eritrea.
Defining and grading intraoperative hypotensionRapid assessment of causes and contributing factorsImmediate nonpharmacologic nursing measuresSupporting fluid resuscitation and blood productsPreparing and assisting with vasopressor therapyLesson 6Patient positioning principles for laparoscopic procedures and pressure-area protectionCovers safe positions for keyhole surgery, head-up/down, limbs, pressure pads, checks to stop nerve hurt, sores, tight areas in Eritrea.
Positioning for gynecologic laparoscopyPositioning for upper abdominal laparoscopyPadding and protection of pressure pointsPrevention of nerve and ocular injuriesPosition checks during long proceduresLesson 7Assisting with induction: roles during drug administration, airway device selection, and cricoid precautionsClears nurse role in induction, prep, drug checks, airway pick help, throat press, watch for issues in Eritrean ORs.
Preparation of induction drugs and equipmentPatient identification and safety checksSupporting airway device selection and sizingCorrect application of cricoid pressureMonitoring and reporting induction responsesLesson 8Glucose monitoring intraoperatively: targets, frequency, and insulin/IV fluid considerationsCovers during-surgery sugar checks, aims, times, insulin/IV plans, safe adjust, records, stop low/high sugar in Eritrea.
Glycemic targets for common surgical patientsPoint-of-care glucose testing frequencyInsulin infusion and bolus coordinationIV fluid selection in diabetic patientsRecognition and treatment of hypoglycemiaLesson 9Documentation practices during intraoperative phase: times, events, drug administration, interventionsDescribes exact, quick records of times, happenings, drugs, fluids, trends, fixes for law, safety, care continue in Eritrean anesthesia sheets.
Core elements of the anesthesia recordTime-stamping critical intraoperative eventsRecording drugs, fluids, and blood productsCharting monitoring values and trendsDocumenting complications and responsesLesson 10OR setup for general anesthesia: equipment checklist (anesthesia machine, suction, airway cart, difficult airway trolley)Outlines OR prep for full anesthesia, machine checks, suction, airway cart, hard airway trolley for safety and fast response in Eritrea.
Daily anesthesia machine safety checksSuction setup and patency verificationStandard airway cart layout and restockingDifficult airway trolley contents and labelingBackup oxygen and power supply checksLesson 11Hemodynamic monitoring targets and interpretation in ASA II with hypertension and diabetesExplains blood flow aims and watch for medium-risk patients with BP and sugar issues, BP, heart rate, flow goals, nurse steps for off-track.
Baseline assessment in hypertensive patientsBlood pressure and heart rate targetsManaging intraoperative hypertensionMonitoring for myocardial ischemia signsBalancing fluids in diabetic patientsLesson 12Thermoregulation and active warming measures for laparoscopic casesCovers temp control in keyhole cases, cold risks, warm air, warm fluids, OR temp, watch to stop problems in Eritrea.
Risks and consequences of hypothermiaForced-air and conductive warming devicesWarming IV fluids and irrigation solutionsTemperature monitoring sites and methodsAdjusting warming strategies over timeLesson 13Intraoperative communication: SBAR handovers, briefings with anesthesiologist and surgical teamFocuses on talk tools like SBAR, pre/during briefs, loop-back with docs and surgeons to cut errors, boost team in Eritrean ORs.
SBAR structure for anesthesia handoversPreinduction and timeout briefingsCommunicating critical events and trendsClosed-loop communication techniquesHandover to PACU or ICU staff
