Lesson 1Preoxygenation techniques and strategies to optimize oxygen reserveThis lesson explains aims and ways of giving oxygen before, mask fit, flow speed, time, plans for hard cases, to store much oxygen 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 documentationThis lesson details spotting allergy bad reactions, quick nurse actions, ready emergency medicines, airway help, full noting for law and good care.
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)This lesson reviews usual watching during operation: heart trace, arm blood pressure, oxygen in blood, breath gas, body heat, gas watch, setup, alarms, 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 helpThis lesson handles spotting hard airway and failed tube, quick oxygen ways, follow steps, call help fast, help with save tools and neck cut if needed.
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 hypotensionThis lesson details early spot of low blood pressure in operation, check steps, nurse answers like place change, fluid help, pressor ready, talk to doctor.
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 protectionThis lesson looks at safe body place for keyhole surgery, head up or down, arms legs straight, stop pressure sores, check often to avoid nerve hurt, sores, tight parts.
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 precautionsThis lesson clears nurse job at start of sleep medicine, ready, check drugs safe, pick airway tool, press neck if needed, 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 considerationsThis lesson covers when and how often check sugar during operation, good levels, insulin and drip plans, safe change, note, stop 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, interventionsThis lesson describes right time noting during operation of times, happenings, drugs, fluids, watch changes, actions, for law, safety, ongoing 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)This lesson outlines room ready for full sleep, check machine, suck ready, airway tools set, hard airway cart for safety and quick help.
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 diabetesThis lesson explains blood flow goals and watch for medium risk patients with high pressure and sugar, pressure, heart beat, flow aims, nurse steps if off.
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 casesThis lesson covers body heat control in keyhole work, cold risks, warm air, warm drips, room heat, watch heat 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 teamThis lesson focuses structured talk during operation with SBAR, before and during meetings, clear talk loop with doctor and cut team to cut mistakes, better team.
SBAR structure for anesthesia handoversPreinduction and timeout briefingsCommunicating critical events and trendsClosed-loop communication techniquesHandover to PACU or ICU staff
