Paediatric Anaesthesia for Special Cases

MEDN60051 Paediatric Anaesthesia for Special Cases 15 Semester 1 Postgraduate Taught Level 7 Jacques Diacono Unit coordinator Division of Medical Education 1 FHEQ level (Framework for Higher Education Qualifications) ' Masters/Integrated Masters P4 ' European Credit Transfer & Accumulation System Rating : 7.5 The unit will explore difficult airway management in children with existing conditions that are likely to cause concern to the paediatric anaesthetist. In particular the unit will discuss the anaesthetic management of mucopolysaccharidosis; explore the associated conditions likely to require anaesthetic intervention and explain the concerns and risks to the child’s parents. <div> The unit will assess the anaesthetic management of known patient and familial conditions that may influence the choice of anaesthetic technique such as Duchenne’s muscular dystrophy, central core disease and malignant hyperthermia. The unit will examine metabolic conditions such as MCADD (Medium-chain acyl-coenzyme A dehydrogenase deficiency) and justify perioperative fluid management plans.Other conditions included are Congenital HyperInsulinism (CHI) and Cockayne syndrome.</div>   The unit will explore difficult airway management in children with existing conditions that are likely to cause concern to the paediatric anaesthetist. In particular the unit will discuss the anaesthetic management of mucopolysaccharidosis; explore the associated conditions likely to require anaesthetic intervention and explain the concerns and risks to the child’s parents. <div> The unit will assess the anaesthetic management of known patient and familial conditions that may influence the choice of anaesthetic technique such as Duchenne’s muscular dystrophy, central core disease and malignant hyperthermia. The unit will examine metabolic conditions such as MCADD (Medium-chain acyl-coenzyme A dehydrogenase deficiency) and justify perioperative fluid management plans.Other conditions included are Congenital HyperInsulinism (CHI) and Cockayne syndrome.</div>   The unit is designed to compare, appraise and justify particular anaesthetic techniques and management plans for special patient circumstances, for example difficult airway management in patients with mucopolysaccharidosis or Pierre-Robin sequence. The students will revise particular pathologies in children and determine specific anaesthetic conditions or recommend specialist input in the perioperative period.  Knowledge and understanding  <ul> <li> Assess children with specific pathologies and conditions to determine an anaesthetic management plan.</li> <li> Revise existing knowledge of known circumstances that require specific adaptations to anaesthetic management.  </li> </ul> Intellectual skills  <ul> <li> Recommend and justify difficult airway management strategies in expected and unexpected circumstances.</li> <li> Evaluate the need for input from other paediatric specialties.  </li> </ul> Practical skills  <ul> <li> Choose an appropriate anaesthetic technique for children at risk of malignant hyperthermia.</li> </ul> Transferable skills and personal qualities <ul> <li> Deduce anaesthetic risk from existing paediatric pathologies and explain this to parents (and children as appropriate).</li> <li> Agree perioperative management plans with multidisciplinary teams.</li> </ul> <ul> <li> Online discussions on weekly cases</li> <li> Seminars and lectures during contact days</li> <li> Assignments</li> <li> Additional reading</li> </ul>   2 Written assignment (inc essay) 50% 7 Oral assessment/presentation 50% Personalised feedback within 15 working days PG Cert Paediatric Anaesthesia PGCert Paediatric Anaesthesia PGDT Taught Component Mandatory N 0 0 150