CPD Activities

SAFE Paediatrics Training


SAFE Paediatrics Training


Starting on :08:00 AM 30 January, 2019 Venue:Kijabe Hospital
Ending on :05:00 PM 30 January, 2019 Max Credits:30
Moderator:No Activity Moderator Activity Cost: Free Order

Presenters

1. Dr. Mirriam Simiyu
Consultant Anaesthesiologists

2. Dr. Mark Gacii
Consultant Anaesthesiologist

3. Dr. Allan Kochi
Consultant Anaesthesiologists

4. Dr. Emma Mutio
Consult Anaesthesiologists

5. Dr. Nancy Okonu
Consultant Anaesthesiologist

6. Dr. Susane Nabulindo
Consultant Anaesthesiologist

7. Dr. Joan Wanyama
Consultant Anaesthesiologist

8. Dr. Zipporah Gathuya
Consultant Anaesthesiologist

9. Dr. Mary Mwangi
Consultant Anaesthesiologist

10. Dr. Angela Onyando
Consultant Anaesthesiologist

11. Dr. Praxades Okutoyi
Consultant Anaesthesiologists

Description

This is the facilitator manual of the SAFE (Safer Anaesthesia from Education) Paediatric Anaesthesia course. The course was developed by the International Relations Committee of the Association of Anaesthetists of Great Britain & Ireland (AAGBI), with support from the World Federation of Societies of Anaesthesiologists (WFSA) and Mercy Ships, and has been endorsed by the Society of Pediatric Anesthesia. Anaesthetists from the UK, Canada, USA and Uganda have written the course materials. Providing anaesthesia and basic critical care for essential surgery in children requires a trained workforce. In many countries there are few specialist surgeons and anaesthetists, and paediatric surgery and anaesthesia are, of necessity, the work of the general surgeon and non-physician anaesthetist in the district hospital. Children present particular challenges to surgeons and anaesthetists and, not surprisingly in many settings, peri-operative morbidity and mortality is high compared to developed world standards. The aim of the SAFE Paediatric Anaesthesia course is to provide refresher training for both physician and non-physician anaesthetists in the essentials of paediatric anaesthesia in resource-limited countries. It is not intended as a comprehensive training course in paediatric anaesthesia, but emphasises basic principles of safe care for children, in particular, assessment, vigilance and competence in essential skills. Access to safe surgery is an important component of paediatric practice in low-income countries. More than 50% of the population is under 14 years of age, and it has been estimated that 85% of children will require some sort of surgery before their 15th birthday. Children require surgery for a range of congenital conditions including hernia repair or cleft lip and palate, acquired conditions of childhood such as appendicitis or intussusception, and for common emergencies such as inhaled foreign body, road traffic accidents or burns. Failure of access to safe and timely surgical intervention for simple surgical conditions can lead to a lifetime of disability, social exclusion or, for some, premature death. Anaesthetists (whether physician or non-physician) play a key role in the management of children in hospital. They provide anaesthesia care and postoperative pain management for children undergoing surgery, also initial resuscitation and basic critical care for seriously ill children. Anaesthetists have a role in planning and managing resources for safe anaesthesia. Application of well-established principles, particularly with respect to peri-operative care and postoperative pain control, has the potential to relieve unnecessary suffering in millions of children every year. The SAFE Paediatric Anaesthesia course is a 3-day course addressing the special needs of children who require surgery, and the particular differences between paediatric and adult practice. It has been written by paediatric anaesthetists with relevant experience, and includes sessions on newborn and paediatric life support, pain management, fluid resuscitation, and paediatric trauma management, as well as the common elective and emergency conditions of childhood. There are five brief lectures, with the rest of the course run as modular breakout sessions. The participants are divided into four pre-allocated small groups (ideal is one facilitator to eight participants) and the groups rotate around four sessions for each course module. The course modules are listed on page 11. The SAFE Paediatric Anaesthesia course is an ‘off the shelf package’ supported by a facilitator manual, teaching materials and standard operating procedures. It is hoped that the course is clinically relevant and will improve the practice of anaesthesia for children to a safe standard. It is educationally sound, recognising the specific needs of the adult learner. In keeping with this, it will comprise a range of teaching modalities to include skill sessions, scenarios, demonstrations, discussions, workshops, DVDs, and interactive lectures. The SAFE Paediatric Anaesthesia course is supported by a ‘Training of the Trainers’ course to achieve independence and sustainability for the programme. It also has a robust monitoring and evaluation system and rigorous quality assurance (more details available from the AAGBI). The AAGBI does not offer certification for completion of the course, but encourages local organisers to recognise participation of learners in the course. This manual includes a set of detailed instructions on how to run the breakout sessions.

Objectives

naesthetists have a role in planning and managing resources for safe anaesthesia. Application of well-established principles, particularly with respect to peri-operative care and postoperative pain control, has the potential to relieve unnecessary suffering in millions of children every year.




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