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SSU: Paediatric Anaesthesia
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SSU: Paediatric Anaesthesia
84
SS_PA 1.2
Describe airway and ventilatory equipment specific for paediatric patients, including:
Estimation of ETT size based on age
Accurate placement of ETT including fixation techniques
Issues relating to use of cuffed tubes in paediatrics
Breathing circuits
Not Started
SS_PA 1.3
Describe how preoxygenation and rapid sequence induction may be modified in children
Not Started
SS_PA 1.4
Describe how positioning for direct laryngoscopy differs in children
Not Started
SS_PA 1.5
Describe how techniques for endotracheal intubation differ in neonates and children
Not Started
SS_PA 1.6
Discuss indications for nasal intubation
Not Started
SS_PA 1.7
Describe the clinical features associated with a difficult airway, including those of syndromes and congenital abnormalities such as Pierre Robin, mucopolysaccaridoses and Treacher Collins
Not Started
SS_PA 1.8
Discuss the clinical features, possible causes, and management of perioperative upper airway obstruction including laryngospasm
Not Started
SS_PA 1.9
Describe the clinical features of children with critical airway obstruction and outline a management plan for the child with critical airway obstruction.
Not Started
SS_PA 1.10
Describe a technique for fibre optic intubation in children
Not Started
SS_PA 1.11
Discuss the principles of mechanical ventilation in paediatric patients, including selection of appropriate modes of ventilation, normal volumes and pressures, and the role of PEEP
Not Started
SS_PA 1.12
Describe the principles of the assessment of acute pain in children including the difficulties, relevance of functional assessment and the use of paediatric pain scales
Not Started
SS_PA 1.13
Discuss the importance of psychological and social factors in the presentation and management of acute pain in children
Not Started
SS_PA 1.14
Discuss the particular requirements for acute pain management in day-case anaesthesia
Not Started
SS_PA 1.15
Discuss the factors which influence the choice of mode of delivery of parenteral opioids in acute pain management (patient controlled anaesthesia, continuous infusion and prn prescription) in children
Not Started
SS_PA 1.16
Outline clinical situations where regional infusion techniques may be of benefit for management of acute pain in paediatric patients (also refer to the Regional and local anaesthesia clinical fundamental)
Not Started
SS_PA 1.17
Describe appropriate prescription, set up, and monitoring of patient controlled anaesthesia (PCA) and parenteral opioid infusions for paediatric patients with acute pain
Not Started
SS_PA 1.18
Outline the risks and appropriate monitoring of neonates receiving parenteral opioids
Complete
SS_PA 1.19
Outline a plan to transition paediatric patients with acute pain from parenteral to oral analgesic therapies
Not Started
SS_PA 1.20
Formulate a plan for acute pain management that shows integrated knowledge of the interaction of analgesic agents, patient factors and the aetiology of pain
Not Started
SS_PA 1.28
Define and use terms that describe paediatric age and development
Not Started
SS_PA 1.29
Outline the implications of the developmental stage of children for their anaesthetic care
Complete
SS_PA 1.30
Discuss the clinical features and implications for anaesthetic care of the following medical conditions:
Prematurity and the problems of ex-premature infants
Asthma
Sleep apnoea
Cystic fibrosis
Quinsy
Croup
Epiglottitis
Down syndrome
Cerebral palsy
Autism
Obesity
Diabetes
Not Started
SS_PA 1.31
Outline the clinical features and implications for anaesthetic care of the following medical conditions:
Muscular dystrophies
Congenital heart disease, including shunts, Fontan circulation and tetralogy of Fallot
Mediastinal mass
Not Started
SS_PA 1.32
Describe the preoperative preparation of children and their parents in the preoperative consultation
Not Started
SS_PA 1.33
Describe the assessment and management of a child with URTI or other intercurrent medical illness in the preoperative period
Not Started
SS_PA 1.34
Describe the assessment and management of a child with an undiagnosed murmur detected in the preoperative assessment
Not Started
SS_PA 1.35
Describe the clinical features helpful in recognising the critically ill child
Not Started
SS_PA 1.36
Describe the aetiology of cardiac arrest in paediatric patients, both in the peri-anaesthetic and non-anaesthetic setting
Not Started
SS_PA 1.37
Discuss the assessment of blood loss in children
Not Started
SS_PA 1.38
Describe a fluid resuscitation regimen for acute blood loss appropriate for children
Complete
SS_PA 1.39
Discuss the assessment and management of dehydration
Complete
SS_PA 1.40
Outline an approach to obtaining vascular access in the shocked paediatric patient
Not Started
SS_PA 1.41
Discuss the diagnosis and resuscitative management of children with the following life threatening conditions:
Cardiac arrest
Respiratory arrest
Shock
Anaphylaxis
Sepsis, including meningococcal sepsis
Aspiration of gastric contents
Severe bronchospasm
Post-tonsillectomy haemorrhage
Gas embolism
Fat embolism
Raised intracranial pressure
Local anaesthetic toxicity
Malignant hyperthermia
Coagulopathy
Severe electrolyte and acid-base disturbances
Not Started
SS_PA 1.42
Describe the principles of safe intra- and inter-hospital transport of critically ill neonates and children (also refer to the Safety and quality in anaesthetic practice clinical fundamental and College professional document PS52: Guidelines for Transport of Critically Ill Patients)
Not Started
SS_PA 1.43
Outline special preparations in the emergency department prior to the arrival of a paediatric trauma patient
Not Started
SS_PA 1.44
Outline the use of the Broselow tape in paediatric trauma
Not Started
SS_PA 1.45
Describe traumatic injury patterns in children that differ from adults, including spinal cord injury without radiological abnormality (SCIWORA) and tension pneumothorax
Not Started
SS_PA 1.46
Describe indicators of non-accidental injury in paediatric populations and outline an appropriate course of action when non-accidental injury is suspected
Not Started
SS_PA 1.47
Describe the initial assessment and management of the child with severe burn injury including (also refer to the Resuscitation, trauma and crisis management clinical fundamental):
Fluid management
Pain management
Diagnosis and management of inhalational injury (also refer to the Airway management clinical fundamental)
Diagnosis and management of carbon monoxide poisoning
Not Started
SS_PA 1.48
Describe the initial assessment and management of the child who has experienced (also refer to the Resuscitation, trauma and crisis management clinical fundamental):
Electrocution
Drowning and near drowning
Envenomation
Severe hypothermia
Not Started
SS_PA 1.49
Describe methods to optimise the environment during the induction of anaesthesia in children
Not Started
SS_PA 1.50
Describe methods to minimise the anxiety of children and their parents during induction of anaesthesia
Not Started
SS_PA 1.51
Discuss the advantages and disadvantages of parental presence at induction of anaesthesia
Not Started
SS_PA 1.55
Describe the pharmacology of topical anaesthesia agents and their use for cannulation and venepuncture
Not Started
SS_PA 1.56
Discuss the use of TIVA and target controlled infusions in children
Not Started
SS_PA 1.57
Discuss the effects of anaesthesia on the developing brain
Not Started
SS_PA 1.58
Describe fasting guidelines used in paediatric anaesthesia and their basis
Not Started
SS_PA 1.59
Discuss the use of preoperative sedative premedication in children, including selection of patients, choice of drug, and appropriate route, dosing and timing
Not Started
SS_PA 1.60
Evaluate the role of pharmacologic and non-pharmacologic preoperative preparation of children of different ages
Not Started
SS_PA 1.61
Discuss the prevention and management of postoperative delirium
Not Started
SS_PA 1.62
Discuss the physiological effects of pneumoperitoneum in children
Not Started
SS_PA 1.63
Discuss temperature maintenance in the anaesthetised child
Not Started
SS_PA 1.64
Describe the anatomy, including ultrasonic anatomy, of the peripheral venous system relevant to performing intravenous cannulation in children
Not Started
SS_PA 1.65
Outline measures to minimise patient discomfort and to improve success with intravenous cannulation in children
Not Started
SS_PA 1.66
Outline the differences in central venous cannulation between children and adults
Not Started
SS_PA 1.67
Evaluate the prevention and management of postoperative nausea and vomiting in children
Not Started
SS_PA 1.68
Calculate intravenous fluid requirements and choose intravenous fluid therapy appropriate to the clinical situation for children
Complete
SS_PA 1.69
Discuss the methods available for monitoring depth of anaesthesia and sedation and their utility in neonates and children
Not Started
SS_PA 1.70
Discuss the anaesthetic management of children requiring more complex shared airway procedures, for example, cleft lip and palate, laryngoscopy, oesophagoscopy, removal of airway foreign body
Not Started
SS_PA 1.71
Discuss the anaesthetic management of children requiring neurosurgical procedures of moderate complexity, for example, VP shunt, burr hole for subdural/extradural haematoma
Not Started
SS_PA 1.72
Outline the general principles of anaesthetic management of children requiring major neurosurgery, for example, craniotomy for tumour
Not Started
SS_PA 1.73
Discuss the anaesthetic management of children with penetrating eye injury
Not Started
SS_PA 1.74
Outline the general principles of anaesthetic management of children requiring major abdominal surgery, for example, fundoplication
Not Started
SS_PA 1.75
Discuss anaesthesia for laparotomy for trauma in children
Not Started
SS_PA 1.76
Discuss the anaesthetic management of infants having pyloromyotomy
Not Started
SS_PA 1.77
Discuss the anaesthetic management of neonatal hernia repair
Not Started
SS_PA 1.78
Outline the principles of anaesthetic management of neonates and infants requiring major surgery, for example, necrotising enterocolitis
Not Started
SS_PA 1.81
Describe the anatomy of the neonatal spine and spinal cord and how this changes with growth and development and the implications for neural blockade
Not Started
SS_PA 1.82
Outline the physiology of nerve conduction in neonates and children
Not Started
SS_PA 1.83
Outline the assessment of the adequacy of a regional technique in neonates and children
Not Started
SS_PA 1.84
Describe the physiological response to a central neuraxial block in neonates and children
Complete
SS_PA 1.85
Describe the use of adjuvant agents to enhance the quality or extend duration of peripheral or neuraxial block in neonates and children
Complete
SS_PA 1.86
Describe the pharmacokinetics of drugs administered in the epidural and subarachnoid space in neonates and children
Not Started
SS_PA 1.87
Describe how the use of ultrasound imaging differs between adults, children and neonates
Not Started
SS_PA 1.88
Describe the methods used for checking for inadvertent intravenous and intraneural administration of local anaesthetic, particularly with caudal anaesthesia
Complete
SS_PA 1.89
Outline factors influencing dose and choice of anaesthetic agents for spinal anaesthesia and epidural anaesthesia/analgesia in neonates and children
Not Started
SS_PA 1.90
Describe post-anaesthesia instructions for patients who have undergone regional anaesthesia with a plan for postoperative analgesia and surveillance for neurological injury
Not Started
SS_PA 1.91
Describe the recognition, investigation and management of complications of regional techniques in neonates and children
Not Started
SS_PA 1.92
Outline the differences in performance of spinal and epidural anaesthesia and major plexus blocks in neonates and children compared with adults
Not Started
SS_PA 1.93
For the following blocks commonly performed in paediatric anaesthesia:
Describe the anatomy relevant to block performance and complications
Discuss the indications and contraindications, risks and benefits.
Describe the appropriate patient positioning, anatomical landmarks and insertion techniques and methods to minimise risk of complication
Ilioinguinal
Femoral
Fascia iliaca
Penile
TAP
Caudal epidural
Not Started
SS_PA 1.94
Describe the ANZCA requirements for non-specialist paediatric hospitals providing paediatric anaesthesia and the principles to be considered in formulating protocols and making decisions regarding the transfer of a child to a tertiary centre (refer to College professional document: PS29 Statement on Anaesthesia Care of Children in Healthcare Facilities Without Dedicated Paediatric Facilities
Not Started
SS_PA 1.95
Discuss requirements for postoperative monitoring in neonates and ex-premature infants
Not Started
SS_PA 1.96
Discuss the safety of methods of manipulating body temperature during anaesthesia and sedation, including active warming and cooling of infants and children
Not Started
SS_PA 1.97
Discuss the safety precautions and equipment requirements when providing anaesthesia and sedation in the MRI suite (also refer to the Safety and quality in anaesthetic practice clinical fundamental and to College professional document: PS55 Recommendations on Minimum Facilities for Safe Administration of Anaesthesia in Operating Suites and Other Anaesthetising Locations)
Not Started

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