Lesson 1Preoxygenation methods and building oxygen storesThis lesson explains preoxygenation aims and methods, mask fit, flows, time, and tips for high-risk patients to boost oxygen stores and slow desaturation.
Physiologic goals of preoxygenationMask seal, flow rates, and FiO2 settingsPreoxygenation in obese and pregnant patientsHead-up and ramped positioning benefitsAssessing adequacy of preoxygenationLesson 2Allergy or severe reaction: spotting, quick nurse actions, emergency drugs and recordsThis lesson details spotting allergy or severe reactions, quick nurse steps, 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 theatre monitoring (ECG, cuff BP, oxygen sats, CO2, temp, gas checks)This lesson reviews theatre monitoring like ECG, cuff BP, oxygen sats, CO2, temp, and gases, with 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 4Tricky airway and failed tube: quick steps, oxygen plans, calling helpThis lesson covers spotting tricky airways and failed intubation, oxygen plans, following guides, quick help calls, and aiding rescue tools.
Predictors of a difficult airwayRecognizing failed intubation earlyMaintaining oxygenation between attemptsAssisting with supraglottic airway devicesSupporting emergency front-of-neck accessLesson 5Usual theatre issues: spotting and step-by-step nurse responses for low blood pressureThis lesson details early spotting of low blood pressure in theatre, checks, and nurse steps like positioning, fluids, drug prep, and anaesthetist updates.
Defining and grading intraoperative hypotensionRapid assessment of causes and contributing factorsImmediate nonpharmacologic nursing measuresSupporting fluid resuscitation and blood productsPreparing and assisting with vasopressor therapyLesson 6Positioning rules for keyhole surgery and pressure sore preventionThis lesson explores safe positioning for keyhole ops, head-up/down, limb setup, pressure protection, and checks to avoid nerve damage or sores.
Positioning for gynecologic laparoscopyPositioning for upper abdominal laparoscopyPadding and protection of pressure pointsPrevention of nerve and ocular injuriesPosition checks during long proceduresLesson 7Helping with induction: duties during drugs, airway tools, neck pressureThis lesson clarifies nurse role in induction, prep, drug checks, airway help, neck 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 8Sugar level checks in theatre: goals, frequency, insulin/fluid plansThis lesson covers theatre sugar checks, goals, timing, insulin and fluids, safe adjustments, records, and avoiding 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 9Record-keeping in theatre: times, events, drugs, fluids, interventionsThis lesson describes timely theatre records of times, events, drugs, fluids, trends, interventions for legal, safety, and 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: equipment lists (anaesthesia machine, suction, airway trolley, emergency cart)This lesson outlines theatre prep for general anaesthesia, machine checks, suction, airway setup, emergency cart 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 11Blood flow monitoring goals and reading in moderate-risk patients with high BP and diabetesThis lesson explains blood flow goals for moderate-risk patients with high BP and diabetes, BP, heart rate, perfusion, and nurse actions for issues.
Baseline assessment in hypertensive patientsBlood pressure and heart rate targetsManaging intraoperative hypertensionMonitoring for myocardial ischemia signsBalancing fluids in diabetic patientsLesson 12Body temperature control and warming for keyhole casesThis lesson covers temperature control in keyhole surgery, hypothermia risks, warming tools, fluid warming, monitoring to avoid issues.
Risks and consequences of hypothermiaForced-air and conductive warming devicesWarming IV fluids and irrigation solutionsTemperature monitoring sites and methodsAdjusting warming strategies over timeLesson 13Theatre communication: SBAR handovers, team briefings with anaesthetist and surgeonsThis lesson focuses on structured theatre talk using SBAR, briefings, closed-loop with anaesthetist and surgeons 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