Cardiothoracic Anaesthesia
Training Objectives
Pre-operative assessment of patients undergoing lung resection
- Various approaches and their relevant equipments for lung isolation
- Various double lumen tubes and their placement
- Principle of chest drain
- Physiology and management of one lung ventilation
- Anatomy and techniques for intercostals nerve block
- Anatomy, techniques and placement of paravertebral block/catheter
- Post-operative care of patients with pneumonectomy
- Peri-operative management of patients with myasthenia gravis
- Peri-operative management of patients with mediastinal mass
- Anaesthetic management of major airway stenting
- Anatomy of coronary arteries and their territories
- Assessment of cardiac patient with ischaemic heart and valvular heart disease
- Principle and complication of cardiopulmonary bypass
- Principle of trans-esophageal echocardiography
- Principle of circulatory support: inotropes, IABP, pacing
- Coagulation and management of coagulopathy, aprotinin
Ear, Nose & Throat / Head
Training Objectives
- Hazard and safety precaution of laser surgery
- Various endotracheal tube for microlaryngoscopy and laser
- Anaesthetic techniques for micro-laryngoscopy
- Anaesthetic techniques for rigid bronchoscopy
- Various types of bronchoscopes
- Topical cocaine and vasoconstrictor toxicity
- Management of patient with stridor, included epiglottitis
- Analgesia (included regional technique) for upper airway surgery
- Management of post-tonsillectomy bleeding
- Management of tracheostomized patient and various tracheostomy tubes
- Principle of jet ventilation
Emergency Anaesthesia
Training Objectives
- Prioritization of emergence cases
- Management of massive haemorrhage and massive blood transfusion
- Transportation of critically ill patient
- Anaesthetic management of trauma patients – ATLS
- Anaesthetic management of geriatric patients with fracture neck of femur
- Anaesthetic management of severe burns patients
- Anaesthetic management of rapidly progressing spinal compression
- Anaesthetic management of massive haemoptysis and lobectomy
- Anaesthetic management of peritonitis from various suspected causes
- Anaesthetic management of acute upper airway obstruction, such as foreign body, epiglottitis, infection
- Anaesthetic management of cardiac tamponade from eg post cardiac surgery, malignant pericardial effusion.
- Peri-operative management of rupture AAA
- Pathophysiology of sepsis, SIRS and ARDS
- Management of intra-operative cardiac arrest
- Management of intra-operative bronchospasm
General Surgery Anaesthesia
Training Objectives
- Anatomy and techniques of thoracic epidural placement
- Management of thoracic epidural anaesthesia and analgesia
- Placement of epidural catheter and anti-coagulant / Aspirin / NSAIDs
- Anaesthetic implication of patients with cirrhosis
- Various surgical approaches of oesophagectomy
- Mortality and morbidity of oesophagectomy
- Pre-operative assessment of cardiac patient for non-cardiac surgery
- Intra-operative monitoring of myocardial ischaemia
- Intra-operative management of aortic surgery
- Physiological changes and complications of laparoscopic surgery
- Principle of blood conservation and blood component therapy
- Peri-operative management of endocrine surgery – phaeochromocytoma, carcinoid syndrome, hyperparathyroidism, hyperthyroidism and goiter, Conn’s syndrome, Cushing’s disease
Intensive Care Medicine
Training Objectives
- Coming Soon
Paediatric Anaesthesia
Training Objectives
- Physiology and pharmacology in paediatric patients
- Guideline for pre-operative fasting in children and pre-medication
- Anaesthetic equipment, airways, endotracheal tubes and breathing circuit for children
- Anaesthesia management for premature and newborn
- Parental consent and their present during induction
- Induction of anaesthesia – inhalational vs intravenous
- Paediatric pain management
- Anatomy and techniques of caudal, dorsal penile and inguinal region block
- Management of a child with a heart murmur
- Assessment of a child with URTI
- Management of fluid and electrolytes in children
- Anaesthetic management of a malignant hyperthermia susceptible child
- Anaesthetic management of a child with concurrent disease – Down’s, Pierre Robin syndrome, von Willebrand’s disease and cyanotic congenital heart disease
Neurosurgery Anaesthesia
Training Objectives
- Pharmacokinetic of total intravenous anaesthesia
- Physiology and management of cerebral circulation
- Principal of neuro-monitoring and spinal cord monitoring
- Pharmacological and non-pharmacological strategies for cerebral protection
- Electrolytes disturbance in neurosurgical patients
- Anaesthesia for clipping of cerebral aneurysm
- Peri-operative management of acute and chronic subarachnoid haemorrhage
- Peri-operative management of acute and chronic sub-dural haematoma
- Peri-operative management of cervical spine and head injury
- Anaesthesia for carotid endarterectomy
- Anaesthetic implication of sitting position, monitoring and management of complications
- Anaesthetic implication of posterior fossa surgery
- Anaesthetic management of spinal cord surgery
- Peri-operative endocrine management of pituitary surgery – acromegaly, diabetes insipidus, hypopituitarism
Obstetrics Anaesthesia
Training Objectives
- Physiological change during pregnancy and its anaesthetic implication
- Anatomy, techniques and complications in neuro-axial block in obstetric patients
- Management of failed epidural/spinal blockade
- Pathogenesis, prevention and management of post-dural puncture headache
- Management and assessment of parturient with neurological deficit
- Systemic analgesia for labour
- Principle of intra-uterine fetal monitoring
- Informed consent for obstetric patient in labour
- Airway management in obstetric patient
- Prophylaxis and management of Mendelson’s syndrome
- Anaesthetic management of patient with pre-eclampsia and eclampsia
- Management of massive haemorrhage, included antepartum and post-partum haemorrhage
- Management of other obstetric complications – aminotic fluid embolism, dystocia and uterine atonia
- Anaesthetic implication of placental previa and placental abruptia
- Anaesthetic implication of multiple pregnancy, per-term and abnormal fetal lying – occipital posterior, breech and transverse lie
- Anaesthetic management of obstetric patient for non-obstetric procedure
- Management of obstetric patients with co-existing disease – valvular heart disease, asthma
- Resuscitation of newborn
Orthopaedic Anaesthesia
Training Objectives
- Anatomy and techniques for awake fiberoptic intubation
- Anaesthetic implication of prone position
- Complications / side effect of cement
- Pathophysiology of fat embolism
- Complications of tourniquet
- Anatomy and techniques of brachial plexus block and placement of interscalene catheter
- Anatomy and techniques of femoral and sciatic nerve block
- Anatomy and techniques of ankle block
- Prophylaxis of deep venous thrombus
- Peri-operative management of patient for scoliosis repair
- Principle of somatosensory evoked potential monitoring
- Anaesthetic management of patients with rheumatoid arthritis, osteogenesis imperfecta
Acute and Chronic Pain Management
Training Objectives
Acute Pain
- Organization of acute pain service and role of acute pain nurse
- Pain assessment in various groups of patients
- Physiological changes secondary to pain
- Different modalities of pain control
- Pharmacology and side effects of opioid analgesia and non-opioid analgesia
- Principle of patient-controlled analgesia and assessment of its efficacy
- Pharmacology and side effects of epidural/intra-thecal opioid
- Neurological assessment of epidural blockade and management of failed block
- Management of regional blockade – brachial plexus, para-vertebral and intra-pleural block
- Management of epidural abscess
- Substance abuse and acute pain control
- Pain control in concurrent medical diseases – COAD, IHD, bleeding tendency, geriatric
- Pain control in burns patients
- Pain control in trauma patients included multiple rib fracture
Chronic Pain
- Differentiation of nociceptive pain and neuropathic pain
- Mechanism of chronic pain and role of NMDA receptor
- Different modalities of chronic pain management – physical therapy, psychotherapy, neuro-ablation, neuro-augmentation, spinal opioid, interventional neuro-blockade, non-opioid analgesia
- Anatomy, indication, technique and complication of chemical sympathectomy (lumbar sympathectomy, stellate ganglion block, celiac plexus block)
- Principle of management of cancer pain
- Principle of management of non-cancer neuropathic pain – phantom limb pain, post-herpetic neuralgia, complex regional pain syndrome, trigeminal neuralgia
- Principle of management of non-cancer nociceptive pain – myofascial pain, lower back pain, intractable angina, burns, chronic pancreatitis, PVD
- When to refer to pain medicine specialist and role of pain medicine specialist
Vascular Anaesthesia
Training Objectives
- Coming Soo