Lesson 1Pre-oxygen ways and plans to build oxygen storeExplains aims and ways of pre-oxygen, mask fit, flow rates, time, and plans for high-risk patients, to max oxygen store and slow low-oxygen during 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 steps, emergency drugs and notingDetails spotting allergy and shock reactions, quick nurse steps, emergency drug prep, airway help, and full noting for legal and quality.
Early clinical signs of anaphylaxisImmediate airway and breathing supportPositioning and circulatory support stepsPreparing and assisting with epinephrinePostevent documentation and reportingLesson 3Usual intraoperative monitoring rules (ECG, cuff BP, SpO2, ETCO2, temp, anaesthesia gas watch)Reviews usual intraoperative monitoring like ECG, cuff BP, SpO2, ETCO2, temp, anaesthesia gas, 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: quick steps, oxygen plans, calling helpHandles spotting hard airway and failed tube, quick oxygen plans, rule-follow, timely help call, aiding rescue gear and neck access.
Predictors of a difficult airwayRecognizing failed intubation earlyMaintaining oxygenation between attemptsAssisting with supraglottic airway devicesSupporting emergency front-of-neck accessLesson 5Usual intraoperative problems: spotting and step-by-step nurse fixes for low BPDetails early spotting of intraoperative low BP, orderly check, step-by-step nurse fixes, placing, fluid help, pressor prep, talking to 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 6Patient placing rules for keyhole surgery and pressure spot guardCovers safe placing for keyhole surgery, head-down and reverse, limb line-up, pressure guard, regular checks to stop nerve harm, sores, tight areas.
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 in drug giving, airway gear pick, neck pressure careClears nurse role in start, prep, drug safety checks, airway gear help, neck pressure, keeping 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 surgery: aims, how often, insulin/IV fluid plansCovers intraoperative sugar watch needs, aim ranges, check times, insulin and IV fluid team, safe adjust, noting, 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 9Noting during surgery phase: times, happenings, drug giving, fixesDescribes exact, timely intraoperative noting of times, happenings, drugs, fluids, monitor trends, fixes, 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: gear list (anaesthesia machine, sucker, airway trolley, hard airway cart)Outlines orderly theatre prep for general anaesthesia, anaesthesia machine checks, sucker ready, airway trolley order, hard airway cart setup for safety and quick fix.
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 aims and reading in moderate risk with high BP and diabetesExplains blood flow aims and watch for moderate risk patients with high BP and diabetes, 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 12Body heat rules and warming steps for keyhole casesCovers intraoperative heat watch in keyhole cases, cold risks, warming ways, warm IV fluids, ongoing temp 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 13Intraoperative talking: SBAR hand-overs, talks with anaesthetist and surgery teamFocuses on orderly intraoperative talking with SBAR, pre/during talks, closed-loop with anaesthetist and surgery team 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
