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.
ESC 2014 guidelines; CV assessment and management
Durrand J and Danjoux G. Preoperative assessment of patients for major vascular surgery. Anaesthesia & Intensive Care Medicine. Volume 20, Issue 5, May 2019, Pages 257-261 .
Zarinsefat A and Henke P. Update in preoperative risk assessment in vascular surgery patients J Vasc Surg 2015;62:499-509.
Key Capabilities B
Manages the preoperative care of elective and emergency open AAA repair.
Abdominal aortic aneurysm: diagnosis and management - NICE guideline NG156,2020.
Abdominal aortic aneurysm: diagnosis and management – Evidence review L: Anaesthesia and analgesia for people having surgical repair of an abdominal aortic aneurysm – NICE guideline NG156, 2020.
Management and Transfer of Patients with a Diagnosis of Ruptured Abdominal Aortic Aneurysm to a Specialist Vascular Centre – RCEM Best Practice Guideline, 2019.
Howell SJ. Abdominal aortic aneurysm repair in the United Kingdom: an exemplar for the role of anaesthetists in perioperative medicine. British Journal of Anaesthesia, 119 (S1): 15–22, 2017.
Leonard A. Anaesthesia for ruptured abdominal aortic aneurysm. CEACCP 8(1): 11 – 15, 2008.
Al-Hashimi M. Anaesthesia for elective open abdominal aortic aneurysm repair. CEACCP 13(6): 208 – 212, 2013.
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.
NEJM 2010 – Endovascular versus Open Repair of Abdominal Aortic Aneurysm (EVAR 1 Trial):
Lancet 2016 - Endovascular versus open repair of abdominal aortic aneurysm in 15-years’ follow-up of the UK endovascular aneurysm repair trial 1 (EVAR trial 1): a randomised controlled trial
NEJM 2010 – Endovascular Repair of Aortic Aneurym in Patients Physically Ineligible for Open Repair (EVAR 2 Trial):
BJAED 2012– Complex endovascular aortic aneurysm repair
Anaesthesia and Intensive Care Medicine 2019 – Anaesthesia for endovascular aneurysm repair
Kothandan H. Anaesthetic considerations for endovascular abdominal aortic aneurysm repair. Annals of Cardiac Ananaesthesia, 19(1): 132 – 141, 2016.
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
CEA review BJA 2007
GALA trial summary Lancet 2008
RA or GA for CEA review 2012
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.
Anaesthetic management for vascular access surgery BJA CPD 2017
RA for AVF BJA editorial 2021
Key Capabilities F
Appreciates the complexities in organising regional vascular services.
Guidelines for the Provision of Anaesthesia Services for Vascular Procedures RCOA 2020
GIRFT VASCULAR SERVICES REPORT 2018