Home » Anaesthesia

Anaesthesia

In rural and remote Australia, anaesthesia services are mostly provided either by fly-in, fly-out specialist anaesthetists or by rural doctors who have undergone advanced training in anaesthesia, to a standard determined by the Joint Consultative Committee on Anaesthesia.

Whilst the purpose of such training is to ensure the GP-Anaesthetist can deliver safe services for selected, low complexity cases in an elective setting, the reality is that these doctors may also be called upon to provide expert assistance to colleagues in an emergency with a difficult airway. They need to be both appropriately trained, to have appropriate equipment and to continue ongoing professional development.

The FOAMed revolution has been enthusiastically taken up by Emergency & Critical Care Physicians (with the inaugural SMACC2013 conference in Sydney being a success). Clearly there are topics relevant to the rural doctor from this explosion of debate – particularly in regard to airway planning, equipment and management. New paradigms and debates are active – the role of cricoid pressure, the argument for rocuronium over suxamethonium for RSI, ketamine use, delayed-sequence intubation and apnoeic diffusion oxygenation.

There is a lot here that would be useful for GP-anaesthetists and may not be taught by FANZCAs on annual upskilling – the elective and emergency airway are different beasts, plus rural doctors have to practice in resource-limited settings where options like awake fibreoptic intubation are only a dream.

This section contains information on JCCA training in anaesthesia, on anaesthesia resources and relevant FOAMed.


Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s

Enter your email address to follow this blog and receive notifications of new posts by email.

About

Http://about.me/timleeuwenburg

Http://about.me/timleeuwenburg

I am a Rural Doctor on Kangaroo Island, South Australia with interests in EM, Anaes & Trauma. Currently working with MedSTAR Retrieval, SA. Avid user & creator of #FOAMed; EMST & ATLS Director, Instruct on ETMcourse.com. My sites include KIdocs.org & RuralDoctors.Net, affiliated with smaccCHICAGO Opinions expressed on these sites must not be used to make decisions about individual health related matters or clinical care as medical details vary from one case to another. Reader is responsible for checking information inc drug doses etc.

View Full Profile →

Follow

Get every new post delivered to your Inbox.

Join 79 other followers

%d bloggers like this: