b'Anaesthesia for Cardiac and Thoracic SurgeryDescription:By the completion of this unit, the trainee will be able to provide anaesthesia for patients requiring cardiac and/or thoracic surgery of moderate complexity.Legend for Competency TableDomain KSA Expected Standards AssessmentPRE-OPERATIVEConducts an appropriate patient assessment and identifies risk factorsand required pre-operative interventions including Myocardial ischaemia, arrhythmias, filling status, left ventricular systolic CT_M_1 8 S and diastolic function, right ventricular and pulmonary artery pressure,DOPSvalve pathology, shuntConsiders the severity of cardiacand respiratory obstruction, and the implications for anaesthetic managementExplains the results of special investigations used during assessment of patients with cardiac disease including CT_M_2 6, 8 S X-rays, Echocardiography, Scanning techniques such as CT, MRI, CardiacFCAIMRI, Dipyrimadamole Stress Thallium, Coronary angiographyCT_M_3 Explains the significance of pre-operative functional investigations of SALUS 1,8 K respiratory and cardiac performance FCAIDescribes the pathophysiology of pulmonary hypertension and methods CT_M_4 6,8 K to manipulate pulmonary vascular resistance and pulmonary artery FCAIpressureCT_M_5 6 K Discusses the pathophysiology of chronic obstructive pulmonary diseaseFCAICT_M_6 5, 8 K Discusses the assessment of patients with mediastinal masses for CBDsurgical proceduresCT_M_7 4,8 K Describes the principles of perioperative anaesthetic management ofCBDpatients for cardiac surgeryCT_M_8 4,8 K Describes the initial medical management of acute thoracic aorta FCAIdissection, and outline principles for surgical repairCT_M_9 Outlines the risk of the operation in the patient who has cardiac orSALUS 1,8 S respiratory disease using common scoring systems FCAICARDIAC ANAESTHESIADemonstrates the appropriate clinical skills and management skills ofCT_M_10 4,6,8 S general anaesthesiologist for coronary artery bypass graft and valvularMin-CEXrepair/replacement84 Curriculum for the National Specialist Anaesthesiology Training Programme'