The Objective Structured Clinical Examination in Anaesthesia

✍ Scribed by Cyprian Mendonca, Shyam Balasubramanian

• Publisher: Tfm Publishing
• Year: 2007
• Tongue: English
• Leaves: 400
• Category: Library

✦ Synopsis

The Objective Structured Clinical Examination (OSCE) is a highly reliable and valid tool for the evaluation of trainees in anaesthesia. It enables examiners and trainers to assess a number of competencies in an organised way. Performance in the OSCE is considered to be a fair reflection of the level of knowledge and skill attained during anaesthesia training. Apart from having a wide and deep knowledge on the subject, trainees are expected to have the capacity to demonstrate their competency in a short period of time allotted for each station.The authors of this book have a rich experience in successfully conducting OSCE courses in the United Kingdom. The sample OSCE sets in the book closely simulate the style and content of the Royal College of Anaesthetists' examination format. The book contains 100 OSCE stations with answers based on key practical procedures, clinical skills, communication

✦ Table of Contents

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Contents
Preface
Foreword
Acknowledgements
Abbreviations
OSCE set 1
Station 1.1 Anaesthetic equipment: circle absorber
Station 1.2 Data interpretation: ECG
Station 1.3 Data interpretation: haemodynamic data
Station 1.4 Data interpretation: statistics
Station 1.5 Anatomy: internal jugular vein
Station 1.6 Communication: awake tracheal intubation
Station 1.7 Technical skill: cricothyrotomy
Station 1.8 Clinical examination: assessment of a trauma patient
Station 1.9 Measuring equipment: pulmonary artery flotation catheter
Station 1.10 Resuscitation: paediatric resuscitation
Station 1.11 Anatomy: base of the skull
Station 1.12 History taking: teeth extraction
Station 1.13 Simulation: anaphylaxis
Station 1.14 Monitoring equipment: capnography
Station 1.15 Clinical safety: diathermy and electrical safety
Station 1.16 Radiology: chest X-ray
Station 1.17 History taking: arthroscopy of the knee
Station 1.18 Communication: awareness under anaesthesia
Station 1.19 Anatomy: intercostal nerve block
Station 1.20 Clinical examination: cranial nerves
OSCE set 2
Station 2.1 Anaesthetic equipment: Humphrey ADE breathing system
Station 2.2 Data interpretation: ECG
Station 2.3 Data interpretation: drug overdose
Station 2.4 Data interpretation: neuro-observation chart
Station 2.5 Anatomy: stellate ganglion
Station 2.6 Communication: brain stem test
Station 2.7 Technical skill: lumbar puncture for spinal anaesthesia
Station 2.8 Clinical examination: cardiovascular system
Station 2.9 Measuring equipment: Wright respirometer
Station 2.10 Resuscitation: basic life support of a pregnant mother
Station 2.11 Anatomy: vagus nerve
Station 2.12 History taking: laparoscopic cholecystectomy
Station 2.13 Simulation: failed intubation
Station 2.14 Monitoring equipment: peripheral nerve stimulator
Station 2.15 Clinical safety: defibrillator
Station 2.16 Radiology: chest X-ray
Station 2.17 History taking: varicose veins
Station 2.18 Communication: suxamethonium apnoea
Station 2.19 Anatomy: cubital fossa
Station 2.20 Technical skill: ankle block
OSCE set 3
Station 3.1 Anaesthetic equipment: anaesthesia machine check
Station 3.2 Data interpretation: biochemistry
Station 3.3 Data interpretation: ECG
Station 3.4 Data interpretation: coagulation studies
Station 3.5 Anatomy: neck and thorax
Station 3.6 Communication: postponed surgery
Station 3.7 Technical skill: tracheostomy tube exchange
Station 3.8 Clinical examination: respiratory system
Station 3.9 Measuring equipment: temperature measurement
Station 3.10 Resuscitation: atrial fibrillation
Station 3.11 Anatomy: trigeminal nerve
Station 3.12 History taking: mastectomy
Station 3.13 Simulation: ST depression
Station 3.14 Monitoring equipment: pulse oximeter
Station 3.15 Clinical safety: administration of blood to a patient
Station 3.16 Radiology: CT scan of the head
Station 3.17 History taking: hernia repair
Station 3.18 Anaesthetic equipment: entonox valve
Station 3.19 Technical skill: intra-osseous infusion
Station 3.20 Technical skill: intravenous regional anaesthesia
OSCE set 4
Station 4.1 Anaesthetic equipment: Bain breathing system
Station 4.2 Data interpretation: lung function tests
Station 4.3 Data interpretation: ECG
Station 4.4 Data interpretation: vital parameters
Station 4.5 Anatomy: the orbit and ophthalmic anaesthesia
Station 4.6 Communication: Jehovah’s Witness
Station 4.7 Technical skill: laryngeal mask airway (LMA) insertion
Station 4.8 Clinical examination: airway examination
Station 4.9 Measuring equipment: Bourdon gauge
Station 4.10 Resuscitation: broad complex tachycardia
Station 4.11 Anatomy: larynx
Station 4.12 History taking: tympanoplasty
Station 4.13 Simulation: post-induction hypotension
Station 4.14 Monitoring equipment: oxygen analyser
Station 4.15 Clinical safety: peripheral nerve injury
Station 4.16 Radiology: chest X-ray
Station 4.17 History taking: total hip replacement
Station 4.18 Communication: labour analgesia
Station 4.19 Clinical skill: cricoid pressure
Station 4.20 Anatomy: caudal block
OSCE set 5
Station 5.1 Anaesthetic equipment: airway equipment
Station 5.2 Data interpretation: lung function tests
Station 5.3 Data interpretation: statistics
Station 5.4 Data interpretation: arterial blood gas result
Station 5.5 Anatomy: sciatic nerve block
Station 5.6 Communication: dental injury
Station 5.7 Technical skill: chest drain insertion
Station 5.8 Clinical examination: arterial and venous pulses, and pressures
Station 5.9 Measuring equipment: Severinghaus carbon dioxide electrode
Station 5.10 Resuscitation: pulseless electrical activity
Station 5.11 Anatomy: arterial system of the hand
Station 5.12 History taking: septoplasty
Station 5.13 Simulation: bronchospasm
Station 5.14 Monitoring equipment: invasive blood pressure monitoring
Station 5.15 Clinical safety: patient positioning
Station 5.16 Radiology: cervical spine X-ray
Station 5.17 History taking: abdominal hysterectomy
Station 5.18 Communication: abdominal aortic aneurysm repair
Station 5.19 Anatomy: spine and vertebrae
Station 5.20 Technical skill: supraclavicular brachial plexus block
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