FRCA Curriculum – Conduct of Anaesthesia

This section of the curriculum is from “Introduction to Anaesthetic Practice – the start of training” in the basic curriculum. Everything in here is
also included in other parts of the curriculum, but these are all still coded with E in the CCT in Anaesthetics curriculum. They are included here for
completeness, but it is unlikely there will be any content tagged with these codes.

Competence Source Curriculum Description
IG_BK_01 Basic
  • Recalls the pharmacology and pharmacokinetics, including doses, interactions and significant side effects of drugs used during induction of anaesthesia
  • Describes the factors that contribute to drug errors in anaesthesia and strategies used to reduce them
IG_BK_02 Basic
  • Describes the basic function of monitors
  • Recall consensus minimum monitoring standards and the indications for additional monitoring
  • Explains the functions and safety features of the anaesthetic (?machine? – missing in PDF)
IG_BK_03 Basic In respect of the induction of anaesthesia:

  • Describes the effect of pre-oxygenation and knows the correct technique for its use
  • Explains the techniques of intravenous and inhalational induction and understands the advantages and disadvantages of both techniques
  • Describes the pharmacology of common intravenous induction agents
  • Describes the physiological effects of intravenous induction
  • Describes how to recognise an intra-arterial injection of a harmful substance and its appropriate management
  • Describes anaphylactic reactions and explains the appropriate management including follow up and patient information
  • Lists the factors influencing the choice between agents for inhalational induction of anaesthesia
  • Discusses the additional hazards associated with induction of anaesthesia in unusual places [e.g. Emergency Room] and in special circumstances including but not exclusively: brain injury; full stomach; sepsis; upper airway obstruction
  • Identifies the special problems of induction associated with cardiac disease, respiratory disease, musculoskeletal disease, obesity and those at risk of regurgitation/pulmonary aspiration.
IG_BK_04 Basic Describes the principles of management of the airway including:

  • Techniques to keep the airway open and the use of facemasks, oral and nasopharyngeal airways and laryngeal mask airways
IG_BK_05 Basic In respect of tracheal intubation:

  • Lists its indications
  • Lists the available types of tracheal tube and identifies their applications
  • Explains how to choose the correct size and length of tracheal tube
  • Explains the advantages/disadvantages of different types of laryngoscopes and blades including, but not exclusively, the Macintosh and McCoy
  • Outlines how to confirm correct placement of a tracheal tube and knows how to identify the complications of intubation including endobronchial and oesophageal intubation 
  • Discusses the methods available to manage difficult intubation and failed intubation
  • Explains how to identify patients who are at increased risk of regurgitation and pulmonary aspiration and knows the measures that minimise the risk
  • Categorises the signs of pulmonary aspiration and the methods for its emergency management
IG_BK_06 Basic Explains the importance of maintaining the principles of aseptic practice and minimising the risks of hospital acquired infection
IO_BS_09 Basic Respond in a timely and appropriate manner to events that may affect the safety of patients [e.g. hypotension, massive haemorrhage]