FRCA Curriculum – Cardiothoracic

Competence Source Curriculum Description
CT_IK_01 Intermediate Describes the principles of the perioperative anaesthetic management of patients for cardiac surgery
CT_IK_02 Intermediate Understands and explains the principles of cardiopulmonary bypass including the use of cardioplegia
CT_IK_03 Intermediate Learns from the perioperative management of patients with cardiac disease knowledge applicable to those requiring non cardiac surgery
CT_IK_04 Intermediate Understands the pathophysiological changes and organ dysfunction associated with cardiac disease, and their implications in the perioperative period
CT_IK_05 Intermediate Correctly assesses the risk of operation in a patient who has cardiac or respiratory disease, using common scoring systems
CT_IK_06 Intermediate Explains the results of the special investigations used during the assessment of patients with cardiac disease including, Xrays, coronary angiography, ECHO, and Scanning techniques including CT, MRI and PET
CT_IK_07 Intermediate Understands and explains the principles of antibiotic prophylaxis in patients with cardiac disease
CT_IK_08 Intermediate Recalls/describes the anaesthetic and surgical problems associated with ‘off pump’ cardiac surgery
CT_IK_09 Intermediate Describes the problems associated with post-cardiac surgery including bleeding and the clinical signs and symptoms of cardiac tamponade, and its management
CT_IK_10 Intermediate Evaluates the indications for invasive and non-invasive cardiovascular monitoring, and is able to interpret the common findings
CT_IK_11 Intermediate Describes the methods used to cool and re-warm patients during cardiac surgery, and the complications
CT_IK_12 Intermediate Explains the need for, and methods of, altering blood coagulability during cardiac surgery
CT_IK_13 Intermediate Recalls/describes the indications for cardiac pacing and lists the different modes available
CT_IK_14 Intermediate Describes the principles of action, and the use of, Intra-aortic balloon counter-pulsation and other assist devices
CT_IK_15 Intermediate Recalls/explains the abnormalities found in the adult patient with congenital heart disease [including corrected or partially corrected], and the implications for anaesthesia in these patients
CT_IK_16 Intermediate Recalls/explains the indications for the use of inotropes and vasodilators during cardiac surgery
CT_IK_17 Intermediate Explains the significance of preoperative functional investigations of respiratory and cardio-respiratory performance
CT_IK_18 Intermediate Describes specific risks associated with induction and maintenance of anaesthesia in patients requiring thoracic surgery and precautions to be taken to minimise these risks
CT_IK_19 Intermediate Describes commonly performed thoracic surgical procedures and the relevant anaesthetic problems
CT_IK_20 Intermediate Describes commonly used methods of local and general anaesthesia for bronchoscopy including techniques of ventilation
CT_IK_21 Intermediate Describes the airway management of a patient undergoing one-lung ventilation and anaesthesia including placement of double lumen endobronchial tubes and bronchial blockers [Ref; EN_IK_11]
CT_IK_22 Intermediate Recalls/explains the changes that occur during one lung ventilation and the strategies to manage these changes
CT_IK_23 Intermediate Recalls the causes, symptoms and signs of a pneumothorax and explains the principles of its management
CT_IK_24 Intermediate Describes the common problems associated with the postoperative care of patient who have had thoracic surgery and the methods that can be used to minimise these
CT_IS_06 Intermediate Demonstrates an understanding of effective and evidence based use of inotropes and vasodilators