hot topics - awsome hot topics (feb 2017).pdf · •heart failure •the spleen •extubation of...
TRANSCRIPT
Hot topics Lauren Weekes
What’s this session about?
• Highlighting high yield areas
• Signposting some areas you may wish to investigate further
• Disclaimer- these are not question predictions! Simply topical subjects that might make good SAQs…
Sept 2016 paper
• Aspiration
• Brainstem death
• EVAR
• Enhanced recovery
• Ascites
• CRPS
• MR safety
Sept 2016 paper
• Aspiration CEACCP 2014
• Brainstem death CEACCP 2012
• EVAR CEACCP 2012
• Enhanced recovery CEACCP 2014
• Ascites CEACCP 2013
• CRPS CEACCP 2013
• MR safety CEACCP 2012
Feb 2016 Paper
• CV effects of laparoscopy
• Trauma major haemorrhage
• Intrathecal opioids
• CEA under LA
• Transphenoidal hypophysectomy
• Apnoeic oxygenation
• Accidental awareness
Feb 2016 Paper
• CV effects of laparoscopy CEACCP 2011
• Trauma major haemorrhage CEACCP 2014
• Intrathecal opioids CEACCP 2008
• CEA under LA CEACCP 2012
• Transphenoidal hypophysectomy CEACCP 2011
• Apnoeic oxygenation CEACCP 2009 BJAE 2016
• Accidental awareness CEACCP 2013
September 2015 Paper
• Procedural sedation
• Patients with SCI
• Regional anaesthesia shoulder
• VAP
• POCD after bypass
September 2015 Paper
• Procedural sedation CEACCP 2012
• Patients with SCI BJAE2015
• Regional anaesthesia shoulder BJAE 2015
• VAP BJAE 2015
• POCD after bypass CEACCP 2013
March 2015 Paper
• Recovery from NMB
• Autistic Spectrum Disorder
• Critical Illness Weakness
• Anticoagulation on CPB
• Liver disease
• ECT
March 2015 Paper
• Recovery from NMB CEACCP 2012
• Autistic Spectrum Disorder CEACCP 2013
• Critical Illness Weakness CEACCP 2012
• Anticoagulation on CPB CEACCP 2007
• Liver disease CEACCP 2010
• ECT CEACCP 2010
Sept 14 Paper
• Analgesia for thoracic trauma
• Surgery in early pregnancy
• Cardioplegia
• ASD in children
• Propofol infusion syndrome
• Rheumatoid disease
• Myotonic dystrophy
• Ankle block
Sept 14 Paper
• Analgesia for thoracic trauma (CEACCP 2014)
• Surgery in early pregnancy (CEACCP 2012)
• Cardioplegia (CEACCP 2009)
• ASD in children (CEACCP 2012)
• Propofol infusion syndrome (CEACCP 2013)
• Rheumatoid disease (CEACCP 2006)
• Myotonic dystrophy (CEACCP 2011)
• Ankle block (CEACCP 2013)
High yield resources • RCoA
– Chairman’s report – Their books (Guide to the Final 180 MCQ 30SBA) – The website – The Gas newsletter – The Candidate newsletter
• CEACCP/BJAE • Guidelines & publications:
– SALG – AAGBI – National Audit Projects – NICE – NCEPOD
WHERE MIGHT YOU LOOK?
Guidelines & Reports NICE:
– Prevention SSI – Low back pain – Routine preop tests – Major trauma/spinal injury – Blood transfusion – Antibiotic stewardship – Diagnosis/mx type II DM – Diabetic mothers – Pneumonia – Drug allergy – AF management – Neuropathic pain
NHS Improvement – Never events – NATSSIPS
NCEPOD – NIV – Acute pancreatitis – GI haemorrhage – Lower limb amputation – Tracheostomy care – Sepsis – Subarachnoid haemorrhage
National Audit Projects – 3: regional – 4: airway – 5: awareness – 6: anaphylaxis
AAGBI – Consent for anaesthesia – Blood components & alternatives – Management of hypertension pre-op – Safe vascular access – Peri-operative management of the surgical patient with diabetes – Reducing risk from cemented hemiarthroplasty (in March 2015 paper)
– Perioperative management of the obese pt – Skin antisepsis prior to neuraxial anaesthesia – Perioperative Care of the Elderly (esp. delirium) – Regional anaesthesia in pts with abnormal coag. – Dental damage (SALG) – Epidural haematoma (SALG)
RCoA – Remote site anaesthesia – Child protection (in Feb 2016)
– Safe sedation (Sept 2015)
– Diabetes – Epidurals in chronic pain
BJA Education (from April 2015-formerly CEACCP)
• Heart failure
• The spleen
• Extubation of difficult airway
• Renal replacement therapy
• Antibiotic stewardship
• Management acute UGI bleeding
• Opioid tolerant patients
• Parkinsons
• Connective tissue disorder/vasculitides
• Sudden cardiac death/ventricular arrythmias
• Free flap surgery
• Blood management & periop anaemia
• Interventional stroke therapies
• Mitral valve disease
• Adult epilepsy and anaesthesia
• Major obstetric haemorrhage
• Periop hypertension/Antihypertensive drugs (see also BJA)
• DKA in adults
• Pain after thoracotomy
• Pain after amputation (&PSP in general)
• Perioperative care of patients with sleep disorders
• Rib fracture management
• Principles of total intravenous anaesthesia
CEACCP
• Sepsis in obstetrics
• Children with renal disease
• Foreign body inhalation
• Periop AKI
• Opioid receptors
• Pain in day-case surgery
• Iatrogenic airway injury
• LA toxicity
• Perioperative SVT
• Tracheostomy management
• Awake intubation
CEACCP cont
• Inherited disorders coagulation
• Major spinal surgery/anaesthesia in prone position
• Rhabdomyolysis
• COPD and anaesthesia
• Traumatic brain injury
• Acute spinal cord injury
BJA & Anaesthesia editorials/review articles
• Postop pulm complications
• Fluid mx burns
• Vasospasm after SAH
• Opioid hyperalgesia
• Preoperative anaemia
• Perioperative stroke
• Cerebral perfusion pressure
• DAS Guidelines 2015
• Peripheral neuropathic pain
• CKD
• Pulmonary hypertension in non-cardiac surgery
• Periop hypertension
What’s come up in more than one place?
• Antibiotic stewardship
• Upper GI bleeding
• Diabetes
• Post-surgical pain
• Hypertension
• Community-acquired pneumonia
What would I look at?
• General/medical: – Consent – UGI bleeding (risk scoring,
medical, interventional) – Parkinsons – Hypertension- mx, agents,
guidelines – Epilepsy – Connective tissue disorders – TIVA TIVA TIVA
• Neuro – SAH – (acute SCI)
• Cardiac – MVR – Ventricular arrythmias/sudden
cardiac death syndromes
• Obs – ? sepsis
• Pain – Back pain/epidurals – Post surgical pain – Opioid tolerance – Opioid hyperalgesia
• ICU – Antibiotics – RRT
FOAMed
• BJA podcasts (BJA & BJA Education)
• Critical Care Reviews