Anesthesia — Foundation of Discipline

F14 Providing perioperative anesthetic management for non-complex cases in pediatric patients

Key Features:
- This EPA includes preoperative assessment, investigation and optimization if needed,
as well as informed consent from parents/caregivers, anesthetic management and
determination of postoperative disposition.
- This EPA may be observed with a variety of non-complex procedures in various
surgical disciplines; done on an ambulatory basis or requiring hospital admission.

Form

F1: Observation

Milestones

• ME 1.4. Recognize urgent problems that may need the involvement of more experienced colleagues and seek their assistance

• ME 2.2. Perform a focused history, including a review of electronic medical records, and physical exam including regional areas where invasive procedures may be planned, review investigations, and interpret their results for the purpose of preoperative assessment and optimization of patient prior to surgery

• ME 2.2. Synthesize patient information to determine anesthetic considerations, including considerations relevant to the surgical procedure

• ME 2.4. Develop and implement initial management plans

• ME 3.1. Determine the most appropriate anesthetic management in relation to patient’s condition and surgical procedure

• ME 3.4. Perform the anesthetic management plan

• ME 3.2. Obtain and properly document informed consent for commonly performed anesthesia procedures and therapies

• COM 3.1. Use language that is clear and avoid medical jargon

• ME 3.4. Perform common procedures in a skillful, fluid, and safe manner including appropriate infection control measures and using protective equipment

• ME 5.1. Incorporate, as appropriate, into a differential diagnoses, harm from health care delivery

• COM 5.2. Use cognitive aids such as procedural checklists, structured communication tools, or care paths, to enhance patient safety

• COM 1.1. Communicate using a patient-centred approach that encourages patient trust and autonomy and is characterized by empathy, respect, and compassion

• COM 1.2. Optimize the physical environment for patient comfort, privacy, engagement, and safety

• COM 2.1. Conduct a patient-centred interview, gathering all relevant biomedical and psychosocial information for any clinical presentation

• COL 3.2. Communicate with physicians or health care professionals during transitions in care, clarifying issues after transfer as needed

• S 1.2. Identify, record, prioritize and answer learning needs that arise in daily work, scanning the literature or attending formal or informal education sessions

• P 1.1. Exhibit appropriate professional behaviours

Context Variables

• Age of patient (free-text)
• Type of anesthesia (single-choice)
  • general
  • regional
  • neuraxial
• Type of surgical procedure (single-choice)
  • urology
  • ophthalmology
  • other surgery
  • otolaryngology
  • general surgery
  • plastic surgery
  • orthopedic surgery

Requirements

• Collect a minimum of 10 observations (minimum 10)
• At least two observations of patients under the age of 10