1. ALL ANAESTHETISTS (including DGH)
2. ON-CALL ANAESTHETIC TEAM (Plastic Surgical Unit)
3. SPECIALIST PLASTIC ANAESTHETIST/INTENSIVIST

1. ALL ANAESTHETISTS (including DGH)

Burns(Paediatric and Adult)

• Resuscitation and early management

• Pathophysiology of the burned patient
• Assessment of burn (dermal and respiratory)
• Treatment
• Other injuries
• Initial resuscitation
• The airway
• Analgesia

 

• Communication with the burns unit

• Awareness of the need for early discussion
• Answers to what %? When? How? respiratory involvement, state of resuscitation etc.

 

• Management of the transport of burns between hospitals

• Need for patient stability
• Airway
• pain control
• monitoring
• experience of accompanying anaesthetist

2)ON-CALL ANAESTHETIC TEAM (Plastic Surgical Unit)

a. Burns (Paediatric and adult)

• Resuscitation and early management as above

• Recognition of risk of upper airway damage

• Assessment
• Treatment

• Anaesthesia for grafting and related procedures

• Airway
• Difficult venous access
• Monitoring
• Surgical procedures in the major burn
• Blood loss

• Analgesia

b. Plastic and maxillofacial surgery (Paediatric and Adult)

• Assessment and resuscitation of trauma victims

• Anaesthesia for acute surgical complications (all ages)

• Management of the difficult or threatened airway

• Anaesthesia for free tissue transfer and replantation (Visiting Plastic Surgical Team)

• Regional techniques and blocks applicable to plastic and maxillofacial surgery

3) SPECIALIST PLASTIC ANAESTHETIST/INTENSIVIST

a. Burns (Paediatric and Adult)

• Resuscitation and early management as above

• Recognition of risk of upper airway damage as above

• Management in the intensive care unit

• Anaesthesia for grafting and related procedures

• Analgesia as above

• Organisational problems associated with burns
• Reception of patients from other hospitals
• MRSA
• Unscheduled lists

b. Plastic and Maxillofacial surgery

• Management of the acutely compromised airway

• Prediction
• Management including LMA, fibreoptic intubation and transtracheal ventilation

 

• Anaesthesia for all aspects e.g. general plastic and maxillofacial surgery

• Acute and elective surgery
• General and regional anaesthesia
• Methods of reducing blood loss including the use of adrenaline
• Hypotensive anaesthesia
• Specialised areas e.g. face

 

• Anaesthesia for head and neck surgery

• Ensuring a good airway against competition
• Prevention of blood loss
• Reconstructive techniques

 

• Cleft lip and palate surgery

• Primary (infant) repair
• Secondary repair

 

• Other major paediatric surgery e.g. craniofacial - Specialised Units

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