Broadcasting live on Thursday 20 April 2023

09.35 - 09.50

Introduction to Webex

Jack Hodson

Online and IT Services Manager, Infomed Online

09.50 – 10.40

CPD Matrix: 2A03

Pre-operative Assessment and Preparations

Dr Sajith Kumar

Consultant Anaesthetist, Heartlands Hospital

• Building up a strategy
• Policies for doing elective surgery
• Long COVID and obesity considerations
• Comorbidities, BMI and Diabetes considerations
• What assessment and investigations?
• Optimisation
• Suitability for Day Case Surgery
• The practicalities of preparation

10.40 – 10.45

Screen break

10.45 – 11.20

CPD Matrix: 2A07

Anaesthetic Induction

Dr Wint Mon

Consultant Anaesthetist, University College London Hospitals NHS Foundation Trust

• Where to anaesthetise the patient and positioning
• Choice of anaesthetic technique and pharmacology
• What monitoring?
• Vascular access
• Managing the Airway: techniques and management
• Difficult intubation

11.20 – 11.30

Break

11.30 – 12.10

CPD Matrix: 2A07

Anaesthetic Maintenance and Reversal

Dr Wint Mon

Consultant Anaesthetist, University College London Hospitals NHS Foundation Trust

• Ventilation strategy
• Anaesthetic technique and pharmacology
• Positioning and Warming
• Managing fluid and blood levels
• Continuous monitoring and reviewing
• Extubating
• Reversal

12.10 - 12.15

Screen break

12.15 - 13.05

CPD Matrix: 2A03, 2A07

Tips from the Bariatric Anaesthetist

Dr Thomas Wojcikiewicz

Consultant Anaesthetist
Royal Surrey County Hospital, Guildford, Surrey

• Indications for bariatric surgery
• Overview of bariatric procedures and anaesthetic management
• The top tips and cases
• Returning patients to theatre after bariatric surgery – what the General Anaesthetist needs to know

13.05 – 13.40

Lunch

13.40 - 14.30

CPD Matrix: 2A07

Post-operative Care

Dr Becky Black

Consultant Anaesthetist, UCLH Hospitals NHS Trust

• Pain management
• Post-operative airway and ventilation management
• Oxygen therapy
• Fluid management
• Opti flow in recovery? COVID issues
• Postoperative complications
• Where next: Ward, HDU, avoiding ICU

14.30 - 14.35

Screen break

14.35 – 15.25

CPD Matrix: 2D02

The Child living with obesity

Dr Raymond Ackwerh

Consultant Anaesthetist with special interest in Paediatric and Bariatric Anaesthesia, University College Hospital, London

• Overview of childhood obesity
• Issues with weight-based drug calculations
• Preoperative assessment
• Strategies for reducing perioperative adverse events
• Practical approach to airway management
• Obese child with asthma
• Obese child with hypertension
• Key principles of postoperative care

15.25 – 15.40

Break

15.40 – 16.30

CPD Matrix: 2B01, 2B02, 2B03

The Obese Parturient

Dr Sarah Wray

Consultant Obstetric Anaesthetist, Royal London Hospital

• Maternal and fetal morbidity
• Physiological changes in pregnancy and antenatal care
• Labour analgesia for the obese parturient
• Anaesthesia for caesarean delivery in the obese and morbidly obese patient
• Managing the obstetric emergency case

16.30

Close

Included in the on-demand catch-up service

45 minutes

CPD Matrix: 2C01, 2C02

The Patient living with obesity and the HDU/ICU

Dr Charles Oliver

Consultant in Anaesthesia and Perioperative Medicine at UCLH London, and Honorary Associate Professor in health systems research, UCL Division of Surgery and Interventional Science

• Pre-assessment – who to admit, when, where
• Obesity plus complications
• Ventilation
• Overnight monitoring: Sleep apnoea, NIV, hypoventilation, pulmonary hypertension
• Emergency re-intubation plan
• Guidelines for nutrition

45 minutes

CPD Matrix: 2A07

TIVA in the Patient living with obesity

Dr Nick Kennedy

Consultant Anaesthetist, Musgrove Park Hospital, Taunton

• Which drugs, what doses, what weight, which algorithms to use
• How good is vascular access?
• Safety, risk and avoiding awareness
• Practical aspects of TIVA in the obese