Lesson 1Preoxygenation techniques and strategies to optimize oxygen reserveE go explain aim and ways of preoxygenation, like mask fit, flow speed, time, and plans for high risk patient, 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 2Allergic/anaphylactic reaction: recognition, immediate nursing interventions, emergency drugs and documentationE go detail spot allergy and big shock reaction, quick nurse action, prepare emergency med, airway help, and good write down 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 intraoperative monitoring standards (ECG, NIBP, SpO2, ETCO2, temperature, anesthetic agent monitoring)E go review standard inside operation watching, like ECG, NIBP, SpO2, ETCO2, heat, and anesthesia med watch, stress setup, alarm limits, and read 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 difficulty and failed intubation: immediate actions, oxygenation strategies, calling for helpE go talk spot hard airway and fail tube, quick oxygen ways, follow plans, call help fast, and help with rescue tools and neck cut if need.
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 hypotensionE go detail early spot inside operation low blood pressure, check step by step, nurse answers like position, fluid help, prepare pressor med, and 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 protectionE go look safe position for scope surgery, like head up and down, limb straight, pressure protect, regular check to stop nerve hurt, sore, and tight space.
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 precautionsE go clear nurse role in start, like prepare, med safety check, airway tool pick help, neck pressure, and 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 8Glucose monitoring intraoperatively: targets, frequency, and insulin/IV fluid considerationsE go cover inside operation sugar watch need, target range, check time, insulin and IV water match, stress safe adjust, write down, 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, interventionsE go describe good, quick inside operation write down of time, happen, med, water, watch trend, actions, stress law, safety, and continue care.
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)E go show system OR prep for full sleep anesthesia, focus anesthesia machine check, suck ready, airway cart arrange, hard airway cart set for 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 diabetesE go explain blood flow targets and watch for ASA II patient with high pressure and sugar, like blood pressure, heart beat, flow aim, and nurse action for wrong.
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 casesE go cover inside operation heat control in scope cases, risk for cold, active warm ways, warm IV water, continue heat 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 communication: SBAR handovers, briefings with anesthesiologist and surgical teamE go focus structured inside operation talk using SBAR, before and during brief, close loop talk with anesthesia and surgery team to cut error and better team.
SBAR structure for anesthesia handoversPreinduction and timeout briefingsCommunicating critical events and trendsClosed-loop communication techniquesHandover to PACU or ICU staff
