August 27th, 2016
Department of Anaesthesiology
The University of Hong Kong
A Hands On Workshop

Learning Methods

How will you learn?

If you are expecting to be sitting in a comfortable lecture hall and fed with theoretical knowledge, then this course may be somewhat of an eye opening experience for you.  The course is designed to be an interactive experience that will engage various modes of learning.

Like how a good preoperative assessment is key to delivering good perioperative care, to get the most out of this course you should also be prepared, intellectually.   Closer to the time of the workshop, we will ask you complete a survey on TIVA, complete a pre-course knowledge test and be familiar with a couple of publications.  There will also be a chance for you to submit questions online before you arrive.  The course convenors will then try to compile a list of frequently asked questions and provide answers to them during the day.

It would be ideal for you to bring a Wifi enabled device (smartphone, tablet or notebook) to the workshop to participate in the interactive case based studies.

Pre-workshop Reading

Hill. SA. Pharmacokinetics of drug infusions. Continuing Education in Anaesthesia, Critical Care & Pain 2004; 4 (3):76-80. [Full Text]

A concise introduction into the pharmacokinetics of infusions.  Relatively light reading and useful for revising concepts that may be referred to in the workshops.

Absalom AR, Mani V, De Smet T, Struys MMRF Pharmacokinetic models for propofol-defining and illuminating the devil in the detail. British Journal of Anaesthesia 2009; 103: 26-37. [Full Text]

A very detailed exposition on how target control infusion models are derived and explain the differences between different models.  Readers need to be fully caffeinated before starting and may need several sittings to get through it but well worth the effort.  You may get more form the workshop if you attempt to read this before attending.

Cortinez LI What is the k(e0) and what does it tell me about propofol? Anaesthesia 2014; 69: 399-402. [Full Text]

Sneyd JR, Rigby-Jones AE Effect site: Who needs it? British Journal of Anaesthesia 2007; 98: 701-4. [Full Text]

Rigby-Jones AE, Sneyd JR Pharmacokinetics and pharmacodynamics – Is there anything new? Anaesthesia 2012; 67: 5-11. [Full Text]

This trio of articles are really for those who have developed an interest in understanding the intricacies of pharmacokinetics relevant to TCI.  Well written and understandable.  You may want to come back to this after the workshop.

Bennett C, Voss LJ, Barnard JPM, Sleigh JW Practical use of the raw electroencephalogram waveform during general anesthesia: The art and science. Anesthesia and Analgesia 2009; 109: 539-50. [Full Text]

A must read for those who uses processed EEG based depth of anaesthesia monitoring and wants to do it right.  Excellent article.

Pre-workshop Viewing

TIVA infusion systems [Link]

Power indicators and alarms [Link] [Video]

Syringe installation alarms [Link] [Video]

Pressure in the TIVA infusion system [Link] [Video A] [Video B]

Occlusion alarms [Link] [Video A] [Video B]

Disconnection alarms [Link] [Video A] [Video B]

End of infusion warning [Link] [Video]