Anesthesia — Core of Discipline

C14 Providing perioperative management for patients requiring airway diagnostic and therapeutic procedures

- This EPA focuses on providing anesthetic management for procedures involving the upper and lower airway.
- This EPA may be observed in any of the following situations: fiberoptic and rigid bronchoscopy; laser surgery; foreign body removal; airway stents or tracheal resection; tracheostomy
- The emphasis is on “shared airway” cases requiring open and dynamic communication between the surgical team and anesthesia team

Form

F1: Observation

Milestones

• ME 1.4. Perform clinical assessments that address the breadth of issues in each case

• ME 1.6. Seek assistance in situation that are complex or new

• ME 2.1. Consider clinical urgency, feasibility, availability of resources, and comorbidities in determining priorities to be addressed

• ME 2.2. Synthesize information from the preoperative workup to prepare for a patient with a complicated airway

• ME 2.4. Assess risk for, anticipate, and prepare for loss of airway

• ME 3.1. Integrate all sources of information to develop an anesthetic management plan that is safe, patient-centred, and considers the risks and benefits of all approaches

• ME 3.4. Provide anesthesia for invasive airway procedures

• COL 1.1. Anticipate, identify, and respond to patient safety issues related to the function of a team

• COL 1.3.1. Demonstrate efficiency in giving feedback on the patient status to the surgical team during the procedure

• COL 2.1. Delegate tasks and responsibilities and communicate a clear plan of action to an assistant before a procedure

• COL 3.2. Demonstrate safe handover of care, both verbal and written

Context Variables

No context variables defined.

Requirements

• Direct observation by supervisor
• Location: clinical; simulation
• Type of airway and/or ventilation management: spontaneously breathing patient; spontaneously breathing with airway adjunct; use of rigid laryngoscopy or bronchoscopy; use of endotracheal tube; use of jet ventilation; other management
• Patient age [text box]:
• Collect observations from a large breadth of training with the expectations not all will be achieved, with a minimum of 5 observations of achievement.