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ABCs guide to crisis management

Imagine it’s your first month in anaesthesia. 30mins into an elective laparoscopic cholecystectomy your consultant goes for a tea break and leaves you in theatre alone with the patient. The patient’s saturations suddenly fall to 90% just as the BP comes back at 70/30! What do you do? This is obviously a challenging situation for […]

A basic guide to preoperative assessment

Preoperative assessment - operation theatre

What is the preoperative assessment and what is its purpose? A consultation performed by an anaesthetist prior to administration of anaesthesia. The aim of the pre-operative consult is to minimize perioperative mortality & morbidity and prevent last minute unplanned cancellation through proper assessment and decision-making. To do this we assess with a history, examination and […]

Valve lesions

Model of heart to demonstrate valve lesions

Aim: To give you a grasp of the important valve lesions, identify severity and how to manage a safe anaesthetic. What is common? Aortic stenosis (AS) and mitral regurgitation (MR) What is deadly? AS, mitral stenosis (MS), hypertrophic obstructive cardiomyopathy (HOCM) What preparation? The usual setup for anaesthesia and Arterial monitoring Metaraminol, ephedrine (and adrenaline) […]

The Critical Inductions in Anaesthesia

Anaesthesia mask from patients point of view

After you have performed your first 1000 or so inductions in anaesthesia you’ll probably realise that they are mostly the same. Most patients are reasonably well and as long as you give a reasonable dose of propofol, opioid (alfentanil or fentanyl) and muscle relaxant your patient will like have stable haemodynamics. Sometimes a dose of […]

What is the ANZCA final exam?

This exam is the final exam which anaesthesia trainees must pass prior to gaining specialist qualification as an Anaesthetist in Australia Detailed information can be found at ANZCA’s website The exam information page is located here including dates and venues: Exam Format Section Format Duration Multiple-choice questions (MCQs) 150 questions 150 minutes Short-answer questions […]