More Foto for anaesthesia in remote area: cardiac centre

Anaesthesia outside OR: Cardiac cathetherisation LAB

Anaesthesia outside OR can be a big challenge if there is something goes out of plan, because the environment is different from the traditional OR setting. The Radiology table, for instance, cannot be adjusted to a trendelenberg position if the patient regurgitates or vomits.

Inside the CathLab, after you have discussed with your patient, then he/she would be entered the room, monitored for cardiac rhythm (planned for termination of arrhythmias, pacemaker implant or electrophysiologic study, EPS) or ST-segment or coronary angiogram (in the coronary artery disease patients). In paediatric patients, they are scheduled for right or left heart or both sides study, with some kinds of congenital anomalies either cyanotic or not.

The ambulatory service or day-case means that you have to evaluate your patients on the day of the procedure, and the space or the room to perform that may be a tiny area in the waiting as well as the recovery area.

Inside the CathLab, after you have discussed with your patient, then he/she would be entered the room, monitored for cardiac rhythm (planned for termination of arrhythmias, pacemaker implant or electrophysiologic study, EPS) or ST-segment or coronary angiogram (in the coronary artery disease patients). In paediatric patients, they are scheduled for right or left heart or both sides study, with some kinds of congenital anomalies either cyanotic or not.

The choice of anaesthesia can be variable from local anaesthesia to light sedation to deep sedation or through general anaesthetics, it will depend on the procedure planned, the placement of transoesophageal echocardiography probe placement.

One thing you have to keep in mind is the occupational hazard from the radiation, yes, we have much less exposure compared to our cardiologist counterpart, but we do have to protect ourselves as well.

Educational videos

Although we have included our "General Anesthesia" video as a means of education to our medical students, however, the quality of the video and the problem of low quality in our home made video is still in developing status. Therefore, we have tried to search for other source of educational videos for our med students.

Today we ran across this website from "Northeastern Anesthesia Services" based in New York, when you enter the site, you can learn from introduction of anesthesia services to the operating room setting, and choices of anaesthesia techniques through the postoperative care.

Enjoy the introduction and get started by click at the title of this post.

Here are some photo for the Simulation teaching

Simulation teaching

The department has started teaching with a simulation based topic since the second term of 2011 academic year. We spent a half day morning session with two anaesthetic consultants, an anaesthetic nurse, a managing secretary with a technician together with a group of approximately ten medical students.

The main education purposes would be for the competency training for a life-threatening or crisis especially in surgical patients. The perioperative complications especially the cardiovascular and respiratory in origin are taught as a high priority.

Although we are the pioneer in teaching medical students with this high technology method, however, all equipment are belonged to the faculty and we look forwards to teaching in a simulation centre in the future.