2021 RCOA Anaesthetics Curriculum - Annex E - Stage 3 Special Interest Areas; Anaesthesia for vascular surgery
Below is a selection of CPD articles, key trials and editorials which have been mapped to the new Royal College Curriculum (2021). It is based on the key capabilities in stage 3 - special interest areas (Anaesthesia for Vascular Surgery).
This is not an exhaustive, or comprehensive list to cover these areas, but is designed to offer trainees and trainers some direction and guidance to their Vascular training time. It may also be beneficial to those revising for their final FRCA exams.
Suggestions for further material in this page would be most welcome (via Education and training sub-committee).
Key Capabilities A
Capable of providing advanced cardiovascular risk assessment relating to vascular surgery.
Suggested reading:
ESC 2014 guidelines; CV assessment and management
Key Capabilities B
Manages the preoperative care of elective and emergency open AAA repair.
Suggested reading:
Abdominal aortic aneurysm: diagnosis and management - NICE guideline NG156,2020.
Leonard A. Anaesthesia for ruptured abdominal aortic aneurysm. CEACCP 8(1): 11 – 15, 2008.
Cheesman M. Anaesthesia for the ruptured aortic aneurysm. Vascular Anaesthesia 17(5): 243-248, 2016.
Key Capabilities C
Manages the preoperative care of complex endovascular repair of thoracic and aortic aneurysm.
Suggested Reading:
NEJM 2010 – Endovascular versus Open Repair of Abdominal Aortic Aneurysm (EVAR 1 Trial):
BJAED 2012– Complex endovascular aortic aneurysm repair
Anaesthesia and Intensive Care Medicine 2019 – Anaesthesia for endovascular aneurysm repair
BJA 2016 – Spinal cord protection in aortic endovascular surgery
Key Capabilities D
Manages the perioperative care for patients requiring carotid endarterectomy under general and regional anaesthesia
Suggested reading:
GALA trial summary Lancet 2008
Regional anaesthesia for carotid endarterectomy Review BJA 2015
NYSORA US guided cervical plexus block
Arterial pressure management and carotid endarterectomy Review BJA 2009
Anesthesia Management for Carotid Endarterectomy: Review Article EJCM 2019
Key Capabilities E
Provides perioperative care of patients requiring vascular access procedure for renal dialysis.
Suggested Reading:
Anaesthetic management for vascular access surgery BJA CPD 2017
Key Capabilities F
Appreciates the complexities in organising regional vascular services.
Suggested Reading:
Guidelines for the Provision of Anaesthesia Services for Vascular Procedures RCOA 2020