Lesson 1Preoxygenation techniques and strategies to optimize oxygen reserveSplain goal and way fi preoxygenation, mask fit, flow rate, time, and plan fi high risk patient, fi max oxygen store and slow down breath drop pon induction.
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 documentationDetail spot allergy and big reaction, quick nurse fix, emergency drug ready, airway help, and good document fi law and quality.
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)Check standard operation time monitorin, ECG, NIBP, SpO2, ETCO2, temp, anesthesia agent watch, stress set up, alarm limit, interpret change dem.
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 helpDeal wid spot hard airway and fail tube, quick oxygen plan, follow step dem, call help quick, help wid rescue tool and emergency neck access.
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 hypotensionDetail early spot operation low pressure, structured check, step by step nurse fix, position, fluid help, pressor ready, tell anesthesiologist.
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 protectionDig into safe position fi laparoscopic surgery, Trendelenburg and reverse, limb line up, pressure protect, regular check fi stop nerve hurt, sore, compartment problem.
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 precautionsClear up nurse role pon induction, prep, drug check, airway tool pick help, cricoid press, stay alert fi problem.
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 considerationsCover operation sugar check need, target range, how often test, insulin and IV fluid team up, stress safe adjust, document, 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 9Documentation practices during intraoperative phase: times, events, drug administration, interventionsSplain accurate timely operation document a time, event, drug, fluid, monitor trend, fix dem, stress law, safety, care continue.
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)Lay out OR prep fi general anesthesia, anesthesia machine check, suction ready, airway cart sort, hard airway trolley set fi safety and quick move.
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 diabetesSplain blood flow target and monitor fi ASA II wid high pressure and diabetes, blood pressure, heart rate, flow goal, nurse fix fi 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 casesCover operation temp control fi laparoscopic case, risk fi low temp, active warm way, warm fluid, continuous temp check fi stop problem.
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 teamFocus structured operation chat use SBAR, pre and operation brief, close loop wid anesthesia and surgery team fi less error and better team.
SBAR structure for anesthesia handoversPreinduction and timeout briefingsCommunicating critical events and trendsClosed-loop communication techniquesHandover to PACU or ICU staff
