ANZCA Fellowship interactive diagrams

Glucose homeostasis — Discuss the pathophysiology and anaesthetic management of the following medical conditions particular to pregnancy: • Hypertensive disorders of pregnancy/preeclampsia • HELLP syndrome • Eclampsia • Peripartum cardiomyopa…

Difficult / failed airway algorithm (CICO) — Outline the equipment required to be immediately available for basic airway management and the ‘can’t intubate, can’t oxygenate’ (CICO) situation MCQA, FEx

Difficult / failed airway algorithm (CICO) — Outline potential management plans to ensure oxygenation of the patient with an unexpected difficult airway MCQA, FEx

Spirometry — V-t + flow-volume loop — Discuss how abnormalities of common perioperative investigations (CXR, ECG, haematology, biochemistry, spirometry, arterial blood gases) will affect perioperative management

Anaphylaxis & adrenaline algorithm — Outline the clinical features and management of local anaesthetic toxicity (also refer to the Resuscitation, trauma and crisis management clinical fundamental and the endorsed AAGBI Safety Guideline Management of Severe …

Difficult / failed airway algorithm (CICO) — Describe a ‘can’t intubate, can’t oxygenate’ drill, including the technique for performing an emergency surgical airway MCQA, FEx

Adult bradycardia algorithm + Adult tachycardia (with a pulse) algorithm — Describe the treatment of life threatening arrhythmias (also refer to the Resuscitation, trauma and crisis management clinical fundamental) MCQA, FEx

Spirometry — V-t + flow-volume loop + ECG rhythm recognition trainer + ECG identify drill (real 12-leads) + ECG — coronary territories + Flow-volume loop pattern trainer — Interpret common perioperative investigations (CXR, ECG, haematology, biochemistry, spirometry, arterial blood gases) and identify when abnormalities will affect perioperative management M-CEX, FEx

Anaphylaxis & adrenaline algorithm — Outline the personnel, equipment and drugs available for crisis management in anaesthetising locations MCQA, FEx

Diagnostic tests — 2×2, ROC & Bayes — Describe the basic concepts of evidence-based medicine, including levels of evidence, meta-analysis and systematic review SC

Acute kidney injury staging — In the trauma patient undergoing orthopaedic surgery, discuss the management of the following potential complications: • Cemented implant syndrome • Haemorrhage • Massive transfusion • Crush injury • Compartment syndrome…

Context-sensitive half-time + PK compartment models — Discuss the use of TIVA and target controlled infusions in children

Mechanical ventilation modes — 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

Oxyhaemoglobin dissociation curve — Describe the physiological principles relevant to optimizing blood flow to tissue flaps, including: • Oxygen transport and delivery • Determinants and control of cardiac output • Physics of blood flow • Determinants and …

Oxygen delivery & consumption (DO₂/VO₂) — Outline the use of indicators of tissue oxygenation (base deficit, lactate, mixed venous oxygen saturation) in resuscitation

Vasopressor & inotrope selector — Outline the indications for the use of vasopressors and/or inotropes in the management of shock

Acute kidney injury staging — Describe problems associated with crush injury Anaesthesia training program curriculum v1.14 310 Appendix Five – Final Examination Learning Outcomes

Shock & sepsis haemodynamic profiles — Outline the clinical signs that may differentiate the causes of shock

Ventricular pressure-volume loop + PV loop — valve lesions — Discuss the perioperative assessment of: • Myocardial ischaemia • Cardiac rhythm • Filling status • Left ventricular systolic and diastolic function • Right ventricular function and pulmonary artery pressure • Valve path…

Coagulation cascade — Describe an approach to the patient with heparin resistance, heparin induced thrombocytopenia and thrombosis (HITTS) and heparin induced thrombocytopaenia (HITS)

ECG — coronary territories — Describe the initial medical management of the patient with acute myocardial infarction and cardiogenic shock and outline the principles of providing anaesthesia for acute revascularisation (also refer to the Resuscitati…

Mechanical ventilation modes — Discuss factors influencing duration of postoperative ventilation following cardiac surgery

Mechanical ventilation modes — Discuss the pathophysiology of chronic obstructive pulmonary disease and the strategies available for artificial ventilation to minimise gas trapping 3.11 Thoracic surgery Anatomy

Mechanical ventilation modes — Discuss the management of respiratory failure associated with chest trauma and the place of non-invasive ventilation

Acute kidney injury staging — Discuss the surgical requirements and implications for anaesthetic management of patients having elective surgery for: • Peripheral arterial occlusive disease • Carotid artery stenosis • Aortic and aorto-iliac disease • …

Acute kidney injury staging — Discuss the diagnosis and management of postoperative complications associated with vascular surgery including (also refer to the Resuscitation, trauma and crisis management specialised study unit): • Haemorrhage • Perio…

Cerebral autoregulation (CBF vs MAP / PaCO₂ / PaO₂) — Discuss techniques used to monitor cerebral perfusion during carotid endarterectomy

Oxygen delivery & consumption (DO₂/VO₂) — Outline the clinical use of indicators of tissue oxygenation Anaesthesia training program curriculum v1.14 322 Appendix Five – Final Examination Learning Outcomes

Train-of-four monitoring — Evaluate the use of muscle relaxants in the critically ill patient

Shock & sepsis haemodynamic profiles — Outline the investigation and management of the patient with severe sepsis

Shock & sepsis haemodynamic profiles — Describe the clinical features of the shocked patient and the clinical features differentiating the causes of shock

Vasopressor & inotrope selector — Discuss the use of vasopressors, inotropic and lusitropic agents in the intensive care setting

Mechanical ventilation modes — Describe methods of and indications for providing ventilatory assistance in respiratory failure including the place of noninvasive ventilation

Mechanical ventilation modes — Evaluate ventilation strategies and non-ventilator therapies to optimise oxygenation and ventilation and minimise lung injury

Renal autoregulation (RBF + GFR vs MAP) + Acute kidney injury staging — Describe the pathophysiology, investigation and management of acute renal failure

Acute kidney injury staging — Discuss strategies to prevent acute renal failure in the critically ME ill patient

Acute kidney injury staging — Describe the clinical situations where rhabdomyolysis is likely to occur and discuss the diagnosis and management of acute rhabdomyolysis

Acute kidney injury staging — Describe methods of providing renal replacement therapy in the patient with acute renal failure

Davenport acid-base diagram + Anion gap and delta ratio + ABG interpretation algorithm — Discuss the clinical management of acid-base disturbances in critically ill patients

Hypothalamic-pituitary-adrenal axis + Glucose homeostasis — Discuss the management of endocrine emergencies, including ME thyroid storm, adrenocortical insufficiency, diabetic ketoacidosis and hyperglycaemic non-ketotic coma Neurological and neuromuscular disorders

Cerebral autoregulation (CBF vs MAP / PaCO₂ / PaO₂) + Monro-Kellie intracranial volume + ICP curve — Discuss the determinants and control of: • Intracranial and intraspinal pressure • Cerebral blood flow • Spinal cord perfusion

Monro-Kellie intracranial volume + ICP curve — Discuss the principles of intracranial pressure monitoring

Cerebral autoregulation (CBF vs MAP / PaCO₂ / PaO₂) + Monro-Kellie intracranial volume + ICP curve — Discuss the intensive care management of: • Raised intracranial pressure • Acute traumatic brain injury • Prolonged seizures • Acute spinal cord injury

Iron homeostasis — Outline the investigation and management of anaemia and thrombocytopaenia in intensive care

Difficult / failed airway algorithm (CICO) — Discuss airway strategies for patients with a difficult airway and outline a management plan appropriate to the clinical situation

Spirometry — V-t + flow-volume loop + Flow-volume loop pattern trainer — Interpret relevant airway investigations, for example, nasendoscopy, CT, MRI and flow volume loops 2.2 General anaesthesia and sedation

Context-sensitive half-time + PK compartment models — Evaluate the use of TIVA and TCI in comparison with inhalational anaesthesia

Train-of-four monitoring — Discuss the clinical situations where incomplete reversal of neuromuscular blockade is likely and evaluate measures taken to avoid it

Capnography waveform interpreter — Discuss the potential causes and management of failure to wake from anaesthesia Anaesthesia training program curriculum v1.14 296 Appendix Five – Final Examination Learning Outcomes

Cerebral autoregulation (CBF vs MAP / PaCO₂ / PaO₂) + Monro-Kellie intracranial volume + ICP curve — Outline the changes to cerebral blood flow control and cerebral perfusion pressure in patients with intracranial pathology

Monro-Kellie intracranial volume + ICP curve — Discuss pharmacologic and non-pharmacologic methods to manipulate intracranial pressure

Monro-Kellie intracranial volume + ICP curve — Describe methods of intracranial pressure monitoring

Hypothalamic-pituitary-adrenal axis — Discuss the pathophysiology of pituitary tumours, including the implications of endocrine disorders such as acromegaly, Cushings syndrome, pan-hypopituitarism

Hypothalamic-pituitary-adrenal axis — Describe the pharmacology and clinical utility of corticosteroids in neurosurgical patients

Cerebral autoregulation (CBF vs MAP / PaCO₂ / PaO₂) — Discuss methods to monitor cerebral blood flow including transcranial Doppler