Hot topics Lauren Weekes

What’s this session about?

• Highlighting high yield areas

• Signposting some areas you may wish to investigate further

• Disclaimer- these are not question predictions! Simply topical subjects that might make good SAQs…

March 2017 Paper

• Status epilepticus

• Preoperative anaemia

• Cadaveric renal tranplantation

• ARDS

• Analgesia for NOF

March 2017 Paper

• Status epilepticus BJAE2015

• Preoperative anaemia BJAE2017

• Cadaveric renal tranplantation BJAE2016

• ARDS BJAE2017

• Analgesia for NOF BJAE2014

Sept 2016 paper

• Aspiration

• Brainstem death

• EVAR

• Enhanced recovery

• Ascites

• CRPS

• MR safety

Sept 2016 paper

• Aspiration CEACCP 2014

• Brainstem death CEACCP 2012

• EVAR CEACCP 2012

• Enhanced recovery CEACCP 2014

• Ascites CEACCP 2013

• CRPS CEACCP 2013

• MR safety CEACCP 2012

Feb 2016 Paper

• CV effects of laparoscopy

• Trauma major haemorrhage

• Intrathecal opioids

• CEA under LA

• Transphenoidal hypophysectomy

• Apnoeic oxygenation

• Accidental awareness

Feb 2016 Paper

• CV effects of laparoscopy CEACCP 2011

• Trauma major haemorrhage CEACCP 2014

• Intrathecal opioids CEACCP 2008

• CEA under LA CEACCP 2012

• Transphenoidal hypophysectomy CEACCP 2011

• Apnoeic oxygenation BJAE 2016

• Accidental awareness CEACCP 2013

September 2015 Paper

• Procedural sedation

• Patients with SCI

• Regional anaesthesia shoulder

• VAP

• POCD after bypass

September 2015 Paper

• Procedural sedation CEACCP 2012

• Patients with SCI BJAE2015

• Regional anaesthesia shoulder BJAE 2015

• VAP BJAE 2015

• POCD after bypass CEACCP 2013

March 2015 Paper

• Recovery from NMB

• Autistic Spectrum Disorder

• Critical Illness Weakness

• Anticoagulation on CPB

• Liver disease

• ECT

March 2015 Paper

• Recovery from NMB CEACCP 2012

• Autistic Spectrum Disorder CEACCP 2013

• Critical Illness Weakness CEACCP 2012

• Anticoagulation on CPB CEACCP 2007

• Liver disease CEACCP 2010

• ECT CEACCP 2010

High yield resources

• RCoA

– Chairman’s report

– Their books (Guide to the Final 180 MCQ 30SBA)

– The website

– The Gas newsletter

– The Candidate newsletter

• CEACCP/BJAE

• Guidelines & publications:

– SALG

– AAGBI

– National Audit Projects

– NICE

– NCEPOD

WHAT WOULD I LOOK AT?

Guidelines & Reports NICE:

– Parkinsons disease – Prevention SSI – Low back pain – Major trauma/spinal injury – Blood transfusion – Antibiotic stewardship – Diagnosis/mx type II DM – Diabetic mothers – Drug allergy – AF management – Neuropathic pain

NHS Improvement – Never events – NATSSIPS

NCEPOD – NIV – Acute pancreatitis – GI haemorrhage – Lower limb amputation – Tracheostomy care – Sepsis – Subarachnoid haemorrhage

National Audit Projects – 3: regional – 4: airway – 5: awareness – 6: anaphylaxis

AAGBI – Consent for anaesthesia – Blood components & alternatives – Management of hypertension pre-op – Perioperative management of the obese pt – Skin antisepsis prior to neuraxial anaesthesia – Perioperative Care of the Elderly (esp. delirium) – Regional anaesthesia in pts with abnormal coag. – Dental damage (SALG) – Epidural haematoma (SALG)

RCoA – Remote site anaesthesia – Child protection (in Feb 2016)

– Safe sedation (Sept 2015)

– Epidurals in chronic pain

BJA Education • Cardiomyopathies (Advance Access)

• Laryngectomy

• Access for dialysis

• Pulmonary hypertension in ICU

• Heart failure

• Renal replacement therapy

• Antibiotic stewardship

• Management acute UGI bleeding

• Parkinsons

• Connective tissue disorder/vasculitides

• Sudden cardiac death/ventricular arrythmias

• Free flap surgery

• Interventional stroke therapies

• Periop hypertension

• Perioperative care of patients with sleep disorders

• Rib fracture management

• Principles of total intravenous anaesthesia

Million dollar question…

What would I look at?

• General/medical: – Parkinsons – Consent – UGI bleeding (risk scoring,

medical, interventional) – Hypertension- mx, agents,

guidelines – Connective tissue disorders – TIVA TIVA TIVA

• Neuro & Trauma – SAH – Rib fracture mx- who gets

fixed? – (acute SCI)

• Cardiac – Pulm hypertension – Sudden cardiac death

syndromes – Cardiomyopathies

• Pain – Back pain/epidurals – Opioid tolerance – Opioid hyperalgesia

• ICU – Antibiotics – RRT

FOAMed

• BJA podcasts (BJA & BJA Education)

• Critical Care Reviews

• Intensive Care Network