Hot topics Lauren Weekes Whats this session about

Hot topics Lauren Weekes

What’s this session about? • Highlighting high yield areas • Signposting some areas you may wish to investigate further • Disclaimer- these are not question predictions! Simply topical subjects that might make good SAQs…

September 2018 • Postoperative pulmonary complications after non-cardiothoracic surgery • Critical review of meta-analysis • MRI • Ventilator-associated pneumonia • Obesity in obstetrics

September 2018 • Postoperative pulmonary complications after non-cardiothoracic surgery Sept 2017 • Critical review of meta-analysis Dec 2015 • MRI Dec 2019 • Ventilator-associated pneumonia June 2016 • Obesity in obstetrics Aug 2011

March 2018 • • • Free flap breast reconstruction Implantable cardiac devices Phaeochromocytoma Cerebral palsy TIVA Bimaxilliary ostetomy

March 2018 • • • Free flap breast reconstruction Implantable cardiac devices Phaeochromocytoma Cerebral palsy TIVA Bimaxilliary ostetomy BJAE 2015 BJAE 2016 BJAE 2010 BJAE 2016 BJAE 2014

Sept 2017 Paper • • • Renal replacement therapy Spinal cord injury Rib fracture management CPET OSA

Sept 2017 Paper • • • Renal replacement therapy Spinal cord injury Rib fracture management CPET OSA BJAE 2017 CEACCP 2013 BJAE 2016 CEACCP 2013 CEACCP 2015

March 2017 Paper • • • Status epilepticus Preoperative anaemia Cadaveric renal tranplantation ARDS Analgesia for NOF

March 2017 Paper • • • Status epilepticus Preoperative anaemia Cadaveric renal tranplantation ARDS Analgesia for NOF BJAE 2015 BJAE 2017 BJAE 2016 BJAE 2017 BJAE 2014

Sept 2016 paper • • Aspiration Brainstem death EVAR Enhanced recovery Ascites CRPS MR safety

Sept 2016 paper • • Aspiration Brainstem death EVAR Enhanced recovery Ascites CRPS MR safety CEACCP 2014 CEACCP 2012 CEACCP 2014 CEACCP 2013 CEACCP 2012

High yield resources • RCo. A – Chairman’s report – Their books (Guide to the Final 180 MCQ 30 SBA) – The website – The Gas newsletter – The Candidate newsletter • BJAE (formally CEACCP)

• Guidelines & publications: – SALG (dental damage Sep 2017) – AAGBI – Specialist groups eg OAA, DAS, SOBA – National Audit Projects – NICE – NCEPOD

SOURCES OF INFORMATION?

Ask yourself… • Does this article/guidance cover an aspect of the core curriculum? • Is there a basic science component to the topic? • Is there enough ‘meat on the bones’ to make an SAQ?

Guidelines & Reports NICE: – – – – – Pancreatitis Decision making/capacity VTE prevention Parkinsons disease Low back pain Blood transfusion Antibiotic stewardship Diagnosis/mx type II DM AF management Neuropathic pain NHS Improvement – Patient safety alerts – Never events – NATSSIPS NCEPOD – – – – Bowel obstruction Pulmonary embolism NIV GI haemorrhage Lower limb amputation Tracheostomy care Subarachnoid haemorrhage National Audit Projects – – 3: regional 4: airway 5: awareness 6: anaphylaxis

AAGBI – Perioperative care of people with dementia (2019 new) – Cell salvage- (2018 new) – Safe practice of TIVA (sept 2018) – Blood components & alternatives (updated Oct 18) – Management of hypertension pre-op – Perioperative management of the obese pt – Perioperative Care of the Elderly (esp. delirium) – Regional anaesthesia in pts with abnormal coag. – Dental damage (SALG) – Epidural haematoma (SALG)

RCo. A – Child protection – Safe sedation – Epidurals in chronic pain – Guidelines for the management of children referred for dental extractions under general anaesthesia – Local anaesthesia for ophthalmic surgery

BJA Education • Nutrition in critical care • Regional anaesthesia for shoulder surgery • Anaesthetic management of an inhaled foreign body in a child • Management of the patient presenting for emergency laparotomy • Perioperative management of oral anticoagulation • Treatments for neuropathic pain • Osmotherapy • Adult congenital heart disease & pregnancy • Cardiac arrest after cardiac surgery • Endocrine emergencies in critically ill • Cardiomyopathies

• • • Access for dialysis Heart failure Antibiotic stewardship Management acute UGI bleeding Parkinsons Connective tissue disorder/vasculitides Sudden cardiac death/ventricular arrythmias Free flap surgery Periop hypertension Perioperative care of patients with sleep disorders Rib fracture management Principles of total intravenous anaesthesia

Million dollar question…

What would I look at? • General/medical: – VTE, management of oral anticoag – Cell salvage – Parkinsons – UGI bleeding (risk scoring, medical, interventional) – Hypertension- mx, agents, guidelines – Connective tissue disorders • Neuro & Trauma – SAH – Osmotherapy • Cardiac – Cardiomyopathies – Cardiac arrest after cardiac surgery • Pain – Antineuropathic agents – Back pain/epidurals – Opioid hyperalgesia • ICU – Antibiotics – Nutrition

FOAMed • BJA podcasts (BJA & BJA Education) • Critical Care Reviews • Intensive Care Network