Lesson 1Focused history taking: comorbidities, OSA screening (STOP-Bang), functional status, medication review, fasting statusThis lesson covers systematic preoperative history taking with focus on existing health issues, sleep apnea checks using tools like STOP-Bang, daily activity levels, medicine and allergy checks, and fasting rules to spot changeable risks and plan anesthesia properly in Eritrean clinics.
Main health issues and past anesthesia experiencesSTOP-Bang and other sleep apnea check toolsChecking daily activity and exercise abilityMedicine, allergy, and blood thinner reviewsConfirming fasting and choking risksLesson 2Diabetes management pre-op: glucose targets, perioperative insulin/oral hypoglycemics guidance, blood glucose testing timingThis lesson details how to manage diabetes before and during surgery, including sugar level goals, adjusting insulin and oral medicines, preventing low sugar, check schedules, and working with surgery and hormone teams for tough cases in Eritrean hospitals.
Pre-op sugar goals and reasonsAdjusting base and extra insulin plansHandling oral and non-insulin medicinesSugar testing times and how oftenSpotting and stopping low sugarLesson 3Documentation checklist: crucial items to record for handover and anesthesia record continuityThis lesson outlines key records needed for safe anesthesia in Eritrea, covering base checks, risk talks, consent checks, medicine and allergy lists, and handover notes to keep care smooth, traceable, and protected legally.
Main parts of anesthesia pre-op notesRecording health issues and risk scoresNoting medicines, allergies, and no-food statusStandard handover and transfer notesLegal and quality check pointsLesson 4Respiratory and cardiovascular exam: auscultation, signs of heart failure, blood pressure control, peripheral perfusionThis lesson describes focused checks on breathing and heart systems, including looking, listening, heart failure signs, blood pressure checks, fluid levels, and limb blood flow, linking results to anesthesia risks and improvements in Eritrean settings.
Breathing look and listen checksFinding wheezes, crackles, and blockagesHeart listen and failure signsBlood pressure and fluid checksLimb blood flow and vessel statusLesson 5Identification of anesthesia-related risks: aspiration, difficult airway, hypoventilation, obstructive apnea, perioperative MI/stroke riskThis lesson explores spotting anesthesia risks like choking, hard breathing paths, low breathing, sleep apnea events, and heart or brain issues during surgery, using clinical findings and tools to plan prevention in Eritrea.
Checking choking and full stomach risksPredicting hard mask and tube placementSleep apnea, low breathing, and opioid effectsEstimating heart attack and stroke risks around surgeryPlanning ways to reduce risksLesson 6ASA physical status classification: criteria, examples, applying ASA class to this patient with obesity, HTN, diabetes, OSAThis lesson reviews ASA body status classes, rules for each, common examples, and using them for patients with weight issues, high blood pressure, diabetes, and sleep apnea, stressing steady use, limits, and risk talks in Eritrean practice.
ASA classes I–VI and emergency markClinical examples for each ASA classUsing ASA class for weight and sleep apneaLimits of ASA as risk foretellerUsing ASA in talks and recordsLesson 7Patient communication and informed consent: explaining plan, fasting, CPAP use, postoperative expectationsThis lesson focuses on good patient talks, shared choices, and consent in Eritrea, explaining anesthesia plans, fasting, CPAP machine use, after-surgery pain control, and noting understanding and questions answered.
Setting up pre-op anesthesia talksExplaining fasting, medicines, and CPAP useDiscussing risks, gains, and other optionsSetting after-surgery hopes and recoveryChecking understanding and noting consentLesson 8Airway evaluation: Mallampati, thyromental distance, neck circumference, neck mobility, dentition, prior airway recordsThis lesson covers structured breathing path checks using Mallampati, jaw-to-throat distance, neck size, neck movement, teeth condition, and past records, combining findings into hard path plans and notes for safety in Eritrean surgeries.
Mallampati and mouth-throat checksJaw-to-throat distance and jaw pushNeck size and movement checksTeeth, false teeth, and loose teethReviewing past breathing and anesthesia recordsLesson 9Selecting relevant preoperative investigations: labs, ECG, HbA1c, pregnancy test if indicated, CXR indicationsThis lesson guides choosing pre-op tests based on patient risks and surgery type in Eritrea, including blood work, heart traces, sugar history, pregnancy tests, and chest images, skipping unneeded ones while keeping safety and rules.
Rules for picking tests wiselyBase blood and kidney function testsHeart trace and heart test needsSugar history and diabetes prep rolePregnancy tests and chest image rules
