Lesson 1Preoxygenation techniques and strategies to optimize oxygen reserveE explain goals and ways of preoxygenation, like mask fit, flow rates, time, and plans for high-risk patients to build oxygen reserve and delay low oxygen during 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 documentationE detail spotting allergy and anaphylaxis, quick nurse actions, preparing emergency drugs, airway help, and full documentation 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 review standard theatre monitoring like ECG, NIBP, SpO2, ETCO2, temperature, anesthetic agents, stressing 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 helpE address spotting hard airway and failed intubation, quick oxygen plans, following steps, calling help fast, helping with rescue tools 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 hypotensionE detail early spotting of low blood pressure in theatre, structured check, step-by-step nurse responses like positioning, fluids, vasopressors, and telling 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 explore safe positioning for keyhole surgery, like Trendelenburg, limb straight, pressure protection, regular checks to stop nerve damage, sores, compartment problems.
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 clear nurse role during induction, preparing, drug checks, airway tool help, cricoid pressure, staying alert 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 cover theatre glucose checks, targets, how often, insulin and IV fluids, safe adjusting, documentation, stopping low or 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 describe accurate, quick theatre documentation of times, events, drugs, fluids, trends, actions, stressing law, 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 10OR setup for general anesthesia: equipment checklist (anesthesia machine, suction, airway cart, difficult airway trolley)E outline systematic theatre prep for general anesthesia, checking machine, suction, airway cart, hard airway trolley for safety and quick response.
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 explain blood flow targets and monitoring for ASA II patients with high BP and diabetes, BP, heart rate, perfusion goals, nurse actions for off-target.
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 cover body heat control in keyhole cases, hypothermia risks, warming methods, warm fluids, monitoring 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 focus on structured theatre talk using SBAR, briefings before and during, closed-loop with anesthesia and surgeons to cut errors and build team.
SBAR structure for anesthesia handoversPreinduction and timeout briefingsCommunicating critical events and trendsClosed-loop communication techniquesHandover to PACU or ICU staff
