Lesson 1Preoxygenation ways and plans to build oxygen storeExplains aims and ways of preoxygenation, including mask fit, flow speed, time, and plans for high-risk patients, to max oxygen store and slow down low oxygen in start.
Physiologic goals of preoxygenationMask seal, flow rates, and FiO2 settingsPreoxygenation in obese and pregnant patientsHead-up and ramped positioning benefitsAssessing adequacy of preoxygenationLesson 2Allergy/shock reaction: spotting, quick nurse actions, emergency medicines and recordingDetails spotting allergy and shock reactions, quick nurse actions, emergency medicine ready, airway help, and full recording for law and quality.
Early clinical signs of anaphylaxisImmediate airway and breathing supportPositioning and circulatory support stepsPreparing and assisting with epinephrinePostevent documentation and reportingLesson 3Standard during-operation watching rules (ECG, NIBP, SpO2, ETCO2, temperature, anaesthesia gas watch)Goes over standard during-operation watching, including ECG, NIBP, SpO2, ETCO2, temperature, anaesthesia gas watch, stressing setup, alarm limits, reading key 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 4Airway trouble and failed tube put: quick actions, oxygen plans, calling helpDeals with spotting hard airway and failed tube put, quick oxygen plans, following steps, timely call help, helping with rescue tools and emergency neck open.
Predictors of a difficult airwayRecognizing failed intubation earlyMaintaining oxygenation between attemptsAssisting with supraglottic airway devicesSupporting emergency front-of-neck accessLesson 5Common during-operation problems: spotting and step-by-step nurse answers for low blood pressureDetails early spotting of during-operation low blood pressure, proper check, step-by-step nurse answers, including placing, fluid help, pressure medicine ready, talk with anaesthesia doctor.
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 placing rules for keyhole work and pressure place protectionLooks at safe placing for keyhole surgery, including head-down and head-up, limb straight, pressure place protection, regular checks to stop nerve hurt, pressure sores, tight places.
Positioning for gynecologic laparoscopyPositioning for upper abdominal laparoscopyPadding and protection of pressure pointsPrevention of nerve and ocular injuriesPosition checks during long proceduresLesson 7Helping with start: roles during medicine give, airway tool pick, neck pressure careMakes clear nurse role during start, including ready, medicine safety check, airway tool pick help, neck pressure do, keep watch 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 watch during operation: targets, how often, insulin/IV fluid thinkingCovers during-operation sugar watch needs, target ranges, test how often, insulin and IV fluid work, stressing safe adjust, recording, stop low and 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 9Recording ways during operation time: times, happenings, medicine give, actionsDescribes proper, timely during-operation recording of times, happenings, medicines, fluids, watch trends, actions, stressing law, safety, care continue parts of anaesthesia records.
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 anaesthesia: equipment list (anaesthesia machine, suck, airway cart, hard airway trolley)Shows systematic OR ready for general anaesthesia, focusing anaesthesia machine checks, suck ready, airway cart arrange, hard airway trolley setup for safety and fast answer.
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 watch targets and reading in ASA II with high blood pressure and sugar sicknessExplains blood flow targets and watch for ASA II patients with high blood pressure and diabetes, including blood pressure, heart beat, flow goals, nurse actions for off marks.
Baseline assessment in hypertensive patientsBlood pressure and heart rate targetsManaging intraoperative hypertensionMonitoring for myocardial ischemia signsBalancing fluids in diabetic patientsLesson 12Body heat control and active warming for keyhole casesCovers during-operation body heat control in keyhole cases, including cold risk factors, active warming ways, fluid warming, continuous temperature watch to stop problems.
Risks and consequences of hypothermiaForced-air and conductive warming devicesWarming IV fluids and irrigation solutionsTemperature monitoring sites and methodsAdjusting warming strategies over timeLesson 13During-operation talk: SBAR pass, talks with anaesthesia doctor and surgery teamConcentrates on proper during-operation talk using SBAR, before and during talks, closed talk with anaesthesia doctor and surgery team to cut errors and better team work.
SBAR structure for anesthesia handoversPreinduction and timeout briefingsCommunicating critical events and trendsClosed-loop communication techniquesHandover to PACU or ICU staff
