ANZCA Fellowship interactive diagrams

46 interactive teaching figures mapped to 38 ANZCA Fellowship learning objectives. Each diagram opens inside the matching note in Primex.

Section ss-obstetrics

Labour analgesia — complications and special considerations in parturients

SS_OB 1.35 Glucose homeostasis

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…

Section bt-it-fex

Cardiovascular risk assessment — revised cardiac risk index, functional capacity, CPET

BT_PO 1.1 Spirometry — V-t + flow-volume loop

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

Diabetes mellitus — insulin management, BSL targets, DKA prevention (Part 2)

IT_PO 2.3 Spirometry — V-t + flow-volume loop

Spirometry — V-t + flow-volume loop — Interpret common perioperative investigations (CXR, ECG, haematology, biochemistry, spirometry, arterial blood gases) and identify when abnormalities will affect perioperative management M-CEX, FEx

Section ss-ortho-oph-other

Lower limb blocks — femoral, adductor canal, popliteal sciatic, ankle block (Part 1)

SS_OR 1.4 Acute kidney injury staging

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…

Section ss-paediatric-pain

Paediatric anaesthesia — intraoperative management and fluid therapy

SS_PA 1.56 Context-sensitive half-time + PK compartment models

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

Paediatric fluid management — Holliday-Segar, deficit replacement, hyponatraemia (Part 1)

SS_PA 1.11 Mechanical ventilation modes

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

Anaesthesia in resource-limited settings — equipment, safety, WHO checklist

SS_PB 1.1 Oxyhaemoglobin dissociation curve

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 …

Section at-trauma-resus

Crush injury — hyperkalaemia, rhabdomyolysis, renal protection (Part 1)

AT_RT 1.14 Acute kidney injury staging

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

Section ss-cardiac-thoracic-vascular

Coronary artery bypass grafting — monitoring, CPB, myocardial protection (Part 1)

SS_CS 1.4 Ventricular pressure-volume loop

Ventricular pressure-volume loop — 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…

Coronary artery bypass grafting — monitoring, CPB, myocardial protection (Part 2)

SS_CS 1.18 Coagulation cascade

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

Valve surgery — aortic stenosis, mitral regurgitation, prosthetic valve (Part 2)

SS_CS 1.20 Mechanical ventilation modes

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

Thoracic epidural — insertion level, cardiovascular effects, complications (Part 1)

SS_TS 1.5 Mechanical ventilation modes

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

Thoracotomy and VATS — positioning, analgesia, chest drain management (Part 2)

SS_TS 1.23 Mechanical ventilation modes

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

Vascular surgery — aortic aneurysm (open and EVAR), carotid endarterectomy (Part 1)

SS_VS 1.4 Acute kidney injury staging

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 • …

Vascular anaesthesia — carotid endarterectomy, peripheral vascular and perioperative complications (Part 1)

SS_VS 1.12 Acute kidney injury staging

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…
SS_VS 1.14 Cerebral autoregulation (CBF vs MAP / PaCO₂ / PaO₂)

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

Section ss-icu

Sedation and analgesia in ICU — RASS, propofol vs dexmedetomidine, daily interruption

SS_IC 1.7 Train-of-four monitoring

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

Mechanical ventilation — modes, lung protective ventilation, ARDS (Berlin criteria) (Part 1)

SS_IC 1.53 Mechanical ventilation modes

Mechanical ventilation modes — Describe methods of and indications for providing ventilatory assistance in respiratory failure including the place of noninvasive ventilation
SS_IC 1.54 Mechanical ventilation modes

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

Renal impairment — drug dosing, AKI prevention, fluid management (Part 1)

SS_IC 1.67 Renal autoregulation (RBF + GFR vs MAP) + Acute kidney injury staging

Renal autoregulation (RBF + GFR vs MAP) + Acute kidney injury staging — Describe the pathophysiology, investigation and management of acute renal failure
SS_IC 1.68 Acute kidney injury staging

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

Acute kidney injury — KDIGO staging, renal replacement therapy indications

SS_IC 1.69 Acute kidney injury staging

Acute kidney injury staging — Describe the clinical situations where rhabdomyolysis is likely to occur and discuss the diagnosis and management of acute rhabdomyolysis
SS_IC 1.70 Acute kidney injury staging

Acute kidney injury staging — Describe methods of providing renal replacement therapy in the patient with acute renal failure
SS_IC 1.72 Davenport acid-base diagram + Anion gap and delta ratio

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

Endocrine and gastrointestinal emergencies in intensive care — DKA, thyroid storm, GI bleeding and pancreatitis (Part 1)

SS_IC 1.77 Hypothalamic-pituitary-adrenal axis + Glucose homeostasis

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

Intracranial pressure — physiology, Monro-Kellie, ICP management

SS_IC 1.80 Cerebral autoregulation (CBF vs MAP / PaCO₂ / PaO₂) + Monro-Kellie intracranial volume + ICP curve

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
SS_IC 1.81 Monro-Kellie intracranial volume + ICP curve

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

Spinal cord injury — acute management, autonomic dysreflexia, ASIA classification

SS_IC 1.86 Cerebral autoregulation (CBF vs MAP / PaCO₂ / PaO₂) + Monro-Kellie intracranial volume + ICP curve

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

DVT prophylaxis and venous thromboembolism prevention — mechanical, pharmacological, timing

SS_IC 1.99 Iron homeostasis

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

Section at-airway-general

Airway assessment — predictors of difficulty, Mallampati, thyromental distance

AT_AM 2.1 Spirometry — V-t + flow-volume loop

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

Induction agents — propofol, thiopentone, ketamine, etomidate — clinical choice (Part 1)

AT_GS 1.3 Context-sensitive half-time + PK compartment models

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

Breathing circuits — Mapleson classification, circle system, FGF rates, rebreathing

AT_GS 1.4 Train-of-four monitoring

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

Section ss-neuro-hn

Intracranial pressure — physiology, Monro-Kellie, ICP management (Part 1)

SS_NS 1.4 Cerebral autoregulation (CBF vs MAP / PaCO₂ / PaO₂) + Monro-Kellie intracranial volume + ICP curve

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
SS_NS 1.8 Monro-Kellie intracranial volume + ICP curve

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

Intracranial pressure — physiology, Monro-Kellie, ICP management (Part 2)

SS_NS 1.20 Monro-Kellie intracranial volume + ICP curve

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

Neuromonitoring — SSEP, MEP, EEG, depth of anaesthesia implications (Part 1)

SS_NS 1.11 Hypothalamic-pituitary-adrenal axis

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

Neuroemergencies in intensive care — seizures, coma, meningoencephalitis and raised ICP

SS_NS 1.17 Hypothalamic-pituitary-adrenal axis

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

Cerebral blood flow autoregulation — CO2 reactivity, anaesthetic effects (Part 1)

SS_NS 1.19 Cerebral autoregulation (CBF vs MAP / PaCO₂ / PaO₂)

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

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