Year 5 : Anaesthesia & ITU (AN & ITU)
- Mr Shafi Ahmed
- shafi.ahmed@bartsandthelondon.nhs.uk
Introduction
In the Anaesthesia and ICU module you will learn valuable skills that enable you to recognise sick or deteriorating patients and initiate appropriate steps for first management. You will learn techniques on how to deal with complex clinical situations in a systematic manner and know when to refer for specialist help.
This three week module has been designed to expose you to a range of acutely unwell patients in different clinical settings and at different stages of their disease.
During your time on the anaesthetic firm, you will follow your patients on their journey; note how they are prepared; witness and reflect upon the practicalities of informed consent and the legal and ethical principles that underpin it.
Sessions
Anaesthesia & ITU (AN & ITU): Outcomes
- Appreciate the importance of clinical guidelines, evidence-based practice, and audit in peri-operative care and within the ICU setting
- Identify the high risk patient and initiate appropriate management, including investigations and specialist referral for optimisation for surgery
- Recognise the critically unwell patient;initiate resuscitative management and appropriate referral to senior team members and specialists
- Appreciate the principles of Intensive Care therapy, how different specialities work as a team and how care is delivered in contrast to ward care
- Recognise the importance of the various teams involved in perioperative care; communicate effectively to facilitate the patient journey through the peri-operative period, including specialist referral and discharge
- Develop the professional attitudes and responsibilities befitting a doctor
Lecture: Acute Pain Management
- Gain an understanding of simple analgesics (e.g., NSAIDs and opioids) based on the WHO ladder and local protocols
- Have a basic understanding of the use of PCAs and epidurals for post-operative pain
- Develop a general understanding of the role of the anaesthetist in managing acute and chronic pain
- Understand the role of the pain management team and various modalities of analgesic provision; and how to access, refer to, and interact with them
- Learn the importance use of local anaesthesia for post-operative pain
- Know how to take a pain history
Lecture: Intravenous Fluid Therapy
Lecture: Recognising the at risk patient
