Anesthesiology Medical Knowledge
Preoperative Critical Objectives:
- Understand the airway evaluation including predictors of difficult intubation
- Understand airway evaluation including predictors of difficult mask ventilation
- Understand difficult airway algorithm and its application to difficult airway cases
- Understand how different surgical pathology relates to anesthetic management and planning.
Preoperative Important Objectives
- Cardiopulmonary history and evaluation in preparation for elective surgery
- Factors involved in ASA grading of patients pre-operatively
- Indications and contraindications for regional block placements
- Understand regional anesthetic approach vs general anesthetic approach in relation to type of surgery (Spinal, Epidural, Peripheral Nerve Blockade)
- Understand applications of local anesthetics, including advantages / disadvatages of lidocaine, bupivacaine, ropivacaine
- Understand management of local anesthetic toxicity including use of intralipid
- Understand Risk factors for increased intraoperative awareness
Intraoperative Critical Objectives:
- Knowledge of standard ASA monitors and ideal placement of all monitors
- Identify induction agents in common use (etomidate, propofol, thiopental, ketamine, midazolam) including advantages / disadvantages of each
- Understand basic ventilation strategies including volume controlled ventilation and pressure controlled ventilation
- Fluid management in the surgical patient; understand differences in fluid management based on type of surgical procedure
- Identify typical anesthesia maintenance agents including inhaled gases and IV agents
- Knowledge of emergence from anesthesia and extubation criteria
- Neuromuscular blockade: appropriate use of non-depolarizing and depolarizing agents, including reversal of neuromuscular blockade
- Understand Risk factors for increased intraoperative awareness and strategies to prevent this including processed EEG monitoring.
Postoperative Critical Objectives:
- Understand Pain Assessment strategies and adjunct modalities for pain management
- Patient Controlled Analgesia
- Epidural Analgesia
- Peripheral Nerve blockade
- Postoperative management of Respiratory Failure
- Identify risk factors for respiratory failure
- Understand ventilation management post-operatively