Lesson-Introduction

Please provide feedback Copy BUA


USabcd always strives to improve the quality of the e-learning. We need your help to do this.

Therefore, any feedback provided by you is very important.

After each lesson there will be an opportunity for you to give your feedback regarding the content of the topic.

Feel free to give us any feedback you may have – comments, suggestions, praise, criticism, error reports etc.

Course objectives Copy BUA


By completing this course you will learn:

• How to perform the focused ultrasound examinations that are essential in perioperative medicine
• What to look for
• How to use ultrasound to answer a range of focused clinical questions that make a difference in perioperative setting.

We will not teach you when to perform focused ultrasonography – this depends on you, the patient and the setting.

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Ultrasonography course

The focused questions Copy BUA


The focused questions selected for this entry-level course in perioperative ultrasound are

Heart
• Is a pericardial fluid collection present?
• Is the left ventricular function reduced?
• Are signs of gross valve pathology present?
• Are signs of right heart strain present?
• Are signs of severe diastolic dysfunction present?

Lung
• Can pneumothorax be confirmed or excluded?
• Are signs of pulmonary edema present or can pulmonary edema be excluded?
• Can pleural fluid be confirmed or excluded?
• Are signs of atelectasis present?

Abdomen
• Is the stomac full or empty?
• Is free intraperitoneal fluid visible?

*Morten*: Ændr figur til ultralydsbilleder med de relevante patologier

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Demonstration of how the 9 pathologies presented in this course is seen on the ultrasound screen

Focused questions criteria Copy BUA


The focused questions selected for this e-learning is based on their importance in all three phases of the perioperative patient course

Pre-operative
• Preperation/monitoring
• Anesthesia method and medication choice

Intra-operative
• Differentiating causes of refractory hypotension

Post-operative
• Assessment of postoperative complications
• Choice of postoperative care competences

Whether a certain examination is of importance or not depends on the situation, the patient, you, and your organization.

*Morten”: Ændr billede til anæstesilæge der skanner patient på OP stue.

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Focused ultrasonography performed in a patient’s home.

Diagnostic Point-of-Care Ultrasound (PoCUS) Copy BUA


Point-of-Care Ultrasound (PoCUS) is the use of ultrasound at the bedside to either guide a procedure or answer a clinical question.

This course teaches you how to use an ultrasound transducer in a focused manner for diagnostic purposes.

The content has been carefully selected to answer the basic questions in perioperative medicine, focused ultrasound can answer.

Nothing is left out because of complexity – but everything has been boiled down to the bare essentials of focused ultrasound in a perioperative setting.

*Morten*: Ændr billede til anæstesilæge i scrubs med probe/skanner

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Perioperative ultrasound

Concept
Compared to protocolized ultrasonography, this course represents a paradigm shift as it applies specific parts of the systematic ultrasound examinations to solve specific clinical issues. There are no algorithms and no protocol names.

Only the necessary examinations are performed – and they depend on you and the clinical question you ask regarding your patient.

1 – Introduction to Basic UGRA (Ultrasound Guided Regional Anaesthesia)

Basic UGRA (Ultrasound Guided Regional Anaesthesia) consists of easily learned and safe peripheral nerve blocks allowing effective perioperative analgesia for the majority of surgical procedures involving the upper and lower limbs and the anterolateral abdominal wall

The basic nerve blocks are exclusively performed as single shot injections using the in-plane needle approach to the target nerve

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The in-plane needle approach to the tibial nerve (sciatic nerve branch) in the popliteal fossa

2 – The learning objectives

The learning objectives of the basic ultrasound guided regional anaesthesia program are:

– Understanding the basic anatomy and sonoanatomy of the basic nerve blocks

– Understanding how to perform each of the basic nerve blocks

– Knowledge about the pitfalls

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The intercostal TAP block: local anaesthetic is injected between the posterior rectus sheath and the transversus abdominis muscle

1 – Introduction to Basic UGRA (Ultrasound Guided Regional Anaesthesia)

Basic UGRA (Ultrasound Guided Regional Anaesthesia) consists of easily learned and safe peripheral nerve blocks allowing effective perioperative analgesia for the majority of surgical procedures involving the upper and lower limbs and the anterolateral abdominal wall

The basic nerve blocks are exclusively performed as single shot injections using the in-plane needle approach to the target nerve

Image missing
The in-plane needle approach to the tibial nerve (sciatic nerve branch) in the popliteal fossa

2 – The learning objectives

The learning objectives of the basic ultrasound guided regional anaesthesia program are:

– Understanding the basic anatomy and sonoanatomy of the basic nerve blocks

– Understanding how to perform each of the basic nerve blocks

– Knowledge about the pitfalls

Image missing
The intercostal TAP block: local anaesthetic is injected between the posterior rectus sheath and the transversus abdominis muscle

Course objectives


By completing this course you will learn:

• How to perform the focused ultrasonography examinations that are essential in emergency care
• What to look for
• How to answer nine focused questions that make a difference in emergency care

We will not teach you when to perform focused ultrasonography – this depends on you, the patient and the setting.

Image missing
Ultrasonography course