UCC Virtual Anaesthesiology Teaching - 3rd Meds & GEM2

Dr. Stephen Mannion, 3rd Med Tutor and Senior Clinical Lecturer, UCC
Consultant Anaesthesiologist, South Infirmary Victoria University Hospital

Instructions:
These videos (total time - 74 minutes) should be viewed in conjunction with the Department of
Anaesthesiology, South Infirmary Victoria University Hospital powerpoint lecture series - available
on Canvas.

The role of the anaesthesiologist (2 mins):

Video: https://www.youtube.com/watch?v=xBPzhqi42Qw

Questions:

1. What do anaesthesiologists (anaesthetists) do?

2. What is anaesthesia?

3. Why is anaesthesia safe?

Overview of General Anaesthesia (5 mins):

Video: https://www.youtube.com/watch?v=B_tTymvDWXk

Questions

1. What is regional anaesthesia?

2. Why is propofol used and what receptor does it bind to?

3. Other than the brain, general anaesthetics act on what other systems?

General Anaesthesia and Regional Anaesthesia including Recovery (5 mins):

Video: https://www.youtube.com/watch?v=cJPRu_0jt74

Questions:

1. List some risks from General Anaesthesia.

2. How is regional anaesthesia different from general anaesthesia?

3. What is monitored after emergence from anaesthesia?

Preoperative Assessment (8 mins):

Video: https://www.youtube.com/watch?v=VoLAiJeQmng

Questions

1. What are the aims of preoperative assessment?

2. What are the benefits of preoperative assessment?

3. What is the commonest physical examination done and why?

ASA Classification (1 min):

Video:https://www.youtube.com/watch?v=aXfYUmEAGHg

Questions:

1. What does ASA stand for?

2. Who is sicker - a patient classed as ASA 5 or ASA 2?

3. Define an ASA 1 patient.

Airway Evaluation (5 mins):

Video: https://www.youtube.com/watch?v=RIISAFeJRBY

Questions

1. Name 3 risk factors for a difficult airway?

2. Describe a Mallampati Grade 3 score.

3. What does Cormack and Lehane grading mean?

Induction of Anaesthesia (6 mins):

Video: https://www.youtube.com/watch?v=aqJuYoRmgX4

Questions:

1. What routine monitors are applied prior to induction of anaesthesia?

2. Why is the facemark applied tightly to the mouth and nose?

3. What are the advantages of an Endotracheal tube compared to an LMA?

Maintaining Anaesthesia - Volatile agents (5 mins):

Video: https://www.youtube.com/watch?v=JXffYwYlnKQ

Questions:

1. What is MAC?

2. What is the shortest acting volatile agent?

3. What side effects do all volatile agents have?

Monitoring during Anaesthesia (ignore that it’s for an animal!) (1 min):

Video: https://www.youtube.com/watch?v=3Rvfjfj8ah4

Questions:

1. Name 3 “vitals” monitored.

2. What is the name of the graph that monitors end tidal carbon dioxide?

3. What other blood pressure measurement is displayed aside from systolic and diastolic?

Anaesthetic Drugs - what are they and what do they do? (10 mins):
Video: https://www.youtube.com/watch?v=-UD0y4jdKuc

Questions

1. What is neostigmine used for?

2. Is fentanyl a long acting or short acting opioid?

3. How do local anaesthetics work?

Acute Postoperative Pain (9 mins)

Video: https://www.youtube.com/watch?v=DcVR9n44wjI

Questions:

1. How is pain transmitted?

2. Why are descending pathways necessary?

3. How does neuropathic pain differ from nociceptive pain?

The anaesthesia machine explained (8 mins):

Video: https://www.youtube.com/watch?v=jEE3TXuiT9E

Summary video - “live streaming’ of GA (10 mins):

Video: https://www.youtube.com/watch?v=CUJYaM-5cKs