CME Topics 2007-2008

Whangarei Hospital:

(1) Identifying and assessing Aortic stemosis in the peri-operative setting, (Kushla Higgie)

(2) A Case of Multiple Sclerosis, (Chanchal Ayodah)

CME contacts: Cambell Bennet, Cambell.bennet@Northlanddhb.org.nz and Sven Karmann, Skarmann@nhl.co.nz

Short Stay Surgical Unit, Green Lane Medical Centre:

   (1)   Personalised ACLS/Crisis Resource Management Course over half a day at the Advanced Clinical Skills Centre at Mercy Hospital. This provided an update of adult and pediatric resuscitation skills and knowledge relevant to SSSU in a hands-on, simulation based teaching format

   (2)   Are in the process of setting up a tailored half day airway skills course for the department providing an opportunity to practise new advanced airways techniques with new technology

CME contact: Lisa Chapman, lisa@adhb.govt.nz   

Level 4 Auckland City Hospital

(1)   Non-cardiac surgery for cardiac patients(lecture by Polderman from the Netherlands organized by the Auckland City Symposium)

(2)    Infection Issues for Anaesthetists ( Prof Rupert Handy ID (?) consultant, ACH, organized by Lisa Chapman, L8, ACH)

CME Contact: J Cooper

Waikato Hopsital

(1)    Problem based learning – Cardiology --A series of short cases were presented, followed by a panel discussion of each case by a cardiologist with an interest in perioperative medicine and several anaesthetists with an interest in cardiovascular anaesthesia.   The important and controversial key perioperative issues were identified and the audience was involved.

(2)    Series of workshops through which the department rotated including:

a.      U/S for upper limb blocks

b.      U/S for lower limb blocks

c.      U/S for venous access

d and e. two airways stations familiarizing the department with difficult airway equipment in our boxes.

Note: CME runs for 120 minutes after a very good M & M session which is probably the most valuable learning experience

CME Contact: Andrew Miller, almiller1972@yahoo.com

Masterton Hosptial

QA/General meetings, through which the following needs have been identified:

(i)     Development of postoperative analgesic protocols for maternity and for general surgical. (Ross Dimock, Auckland Pain Workshop)

(ii)    Ultrasound guided regional service  (Chris Smith , WCA)

(iii)  Dedicated pre-assessment anaesthetic clinic with a dedicated anaesthetic nurse.

CME Contact: Chris Smith 

Timaru Hospital                  

(1)   ICU Mortality:  6 monthly programme

Case presentation and round table multidisciplinary discussion r.e. in-ICU deaths. Recommended because of

(a)     refresher on difficult ICU management problems

(b)   consequent discussion on “retroscopic” alternatives that might have avoided demise

(c)    multidisciplinary input

(Organiser: Dr A Robert)

(2)   Anaesthesia: mortality audit 6-monthly programme

All deaths within 90 days of anaesthesia – structured analysis based on Scottish Audit of Surgical Mortality (initial reporting –Anaesthesia arm)

Case presentation of potential causality or link-identified by primary anaesthetist. Recommended because of:

(a)    round table discussion of problems encountered

(b)   internal quality assurance

(Organiser: Dr R Rarity)