Lesson 1Preoxygenation techniques and strategies to optimise oxygen reserveExplains aims and ways of preoxygenation, mask fit, flow speeds, time, and plans for tricky patients, to build oxygen stores and slow drop 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 2Allergic/anaphylactic reaction: recognition, immediate nursing interventions, emergency drugs and documentationDetails spotting allergy and shock reactions, quick nurse steps, emergency drug prep, airway help, and full records for legal and quality needs.
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, anaesthetic agent monitoring)Reviews usual theatre monitoring like ECG, cuff BP, oxygen sat, CO2, temp, and gas watch, setup, alarms, and reading 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 helpHandles spotting hard airway and failed tube, quick oxygen plans, following steps, fast help calls, and aiding rescue tools and 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 hypotensionCovers early spotting of low BP in theatre, checks, step-by-step nurse fixes, position, fluids, pressor prep, and doctor talks.
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 protectionLooks at safe positions for keyhole surgery, head-up/down, limb setup, pressure pads, checks to stop nerve harm, sores, and tight spots.
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 precautionsClears nurse tasks at induction, prep, drug checks, airway tool help, throat pressure, and watching for issues.
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 considerationsCovers theatre sugar checks, goals, how often, insulin and drip plans, safe adjusts, records, stopping low/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, interventionsDescribes spot-on, quick theatre records of times, happenings, drugs, fluids, trends, fixes, for legal, safety, and care links.
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 checklist (anaesthesia machine, suction, airway cart, difficult airway trolley)Outlines theatre prep for full sleep anaesthesia, machine checks, suction ready, airway trolley sort, hard airway cart for safety and fast action.
Daily anesthesia machine safety checksSuction setup and patency verificationStandard airway cart layout and restockingDifficult airway trolley contents and labelingBackup oxygen and power supply checksLesson 11Haemodynamic monitoring targets and interpretation in ASA II with hypertension and diabetesExplains blood flow goals and watch for medium-risk patients with high BP and diabetes, BP, pulse, flow aims, and 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 12Thermoregulation and active warming measures for laparoscopic casesCovers body heat control in keyhole cases, cold risks, warm air, hot fluids, room 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 communication: SBAR handovers, briefings with anaesthesiologist and surgical teamFocuses on clear theatre talk with SBAR, before/during meets, loop-back with sleep doc and surgeons to cut mistakes and boost team.
SBAR structure for anesthesia handoversPreinduction and timeout briefingsCommunicating critical events and trendsClosed-loop communication techniquesHandover to PACU or ICU staff
