Mastering Anaesthesia for NEET-PG and INI-CET in Just 2 Days

Anaesthesia for NEET‑PG & INI‑CET

2‑Day Plan (quick)

  • Day 1: Basics, Airway, Machine & Circuits; 100 foundation MCQs.
  • Day 2: Drugs, Regional, Monitoring, Ventilation/ICU; 100 clinical MCQs.
  • Revision: Difficult airway, CPR/ACLS, red‑flag complications; 100 targeted MCQs.

1) Pre‑operative evaluation (PAC)

  • Focused history and exam; comorbid optimization; functional capacity.
  • ASA, Mallampati, airway predictors (TMD, ULBT, neck movement).
  • Fasting/NPO; meds to continue/withhold; consent and risk discussion.
  • Basic investigations; fitness for anaesthesia.
  • Positioning risks; pressure‑point and eye protection.

2) Oxygen & preoxygenation

  • Devices: nasal cannula, simple mask, venturi, non‑rebreather, HFNC (know use‑cases).
  • Preoxygenation methods: 3‑minute tidal breathing or 8 deep breaths.

3) Airway management

  • RSI steps and aspiration prophylaxis.
  • SGDs (OPA/NPA, LMA/i‑gel); ETT types (RAE, DLT, reinforced).
  • Laryngoscopes (Mac/Miller, video); bougie and stylet use.
  • Confirmation by EtCO₂; cuff pressure; extubation criteria.
  • Difficult‑airway algorithm; cricothyrotomy basics.

4) Machine, circuits & equipment

  • Boyle’s machine parts and O₂ flush; safety checks.
  • PISS and cylinder colour coding; scavenging.
  • Vaporizers (variable bypass, Tec‑6); SVP and temperature compensation.
  • CO₂ absorber and APL valve.
  • Mapleson A–F (incl. Bain); circle system; low‑flow/closed circuits.

5) Physics & gas laws

  • Boyle, Charles, Gay‑Lussac, Dalton, Henry; ideal gas law.
  • Hagen‑Poiseuille; Reynolds; Venturi/Bernoulli.
  • Vapour pressure; critical temperature; Joule‑Thomson.
  • Altitude/barometric effects on vaporizers.

6) General anaesthesia drugs

  • Induction: propofol, ketamine, etomidate, thiopentone (key pros/cons and contraindications).
  • Inhalational: sevoflurane, isoflurane, desflurane; MAC basics and modifiers.
  • Opioids and reversal; benzodiazepines and flumazenil; alpha‑2 agonist (dexmedetomidine).
  • NMBAs: succinylcholine (hyperkalaemia, MH), rocuronium/vecuronium/atracurium/cisatracurium; reversal (neostigmine+glycopyrrolate, sugammadex).
  • PONV: Apfel score; ondansetron and dexamethasone.

7) Local & regional anaesthesia

  • Local anaesthetics: classes, mechanism, potency vs lipid solubility, additives; LAST + intralipid.
  • Spinal: anatomy/dermatomes; dose/baricity; hypotension, PDPH, total spinal.
  • Epidural: technique; test dose; complications; CSE basics.
  • Peripheral blocks: brachial plexus approaches; femoral/sciatic; fascia iliaca; TAP; ankle; ultrasound basics.
  • Neuraxial and anticoagulation: timing concepts.

8) Monitoring

  • Standards: oxygenation, ventilation, circulation, temperature.
  • ECG basics; NIBP vs arterial line.
  • Capnography patterns; pulse oximetry limitations.
  • Neuromuscular monitoring (TOF); depth monitoring (e.g., BIS).
  • Temperature monitoring and active warming.

9) Ventilation & ICU

  • Modes: VCV/PCV/PSV; tidal volume 6–8 ml/kg PBW; PEEP basics.
  • ARDS: low tidal volume; COPD/asthma: longer expiratory time; avoid auto‑PEEP.
  • ABG and acid–base; electrolytes; fluids (crystalloid/colloid).
  • Vasoactive agents: noradrenaline, phenylephrine, vasopressin, dobutamine (when/why).
  • Weaning readiness; ICU bundles; sedation/analgesia basics.

10) Emergencies & complications

  • Malignant hyperthermia: recognition and dantrolene.
  • Anaphylaxis: epinephrine first; fluids; adjuncts.
  • Laryngospasm/bronchospasm; aspiration management.
  • Transfusion reactions; massive transfusion basics.
  • LAST protocol (lipid emulsion).

11) Resuscitation

  • BLS sequence; high‑quality CPR; AED workflow.
  • ACLS: adult cardiac arrest; tachycardia/bradycardia with pulse; post‑ROSC care.

12) Special situations

  • Obstetric: spinal for LSCS; pre‑eclampsia; difficult airway in pregnancy.
  • Paediatric: airway differences; tube‑size formula; day‑care basics.
  • Comorbidities: diabetes, thyroid, pheochromocytoma, renal/liver disease, OSA.
  • NORA/MRI: equipment compatibility; safety basics.

13) Practice patterns

  • Solve in timed blocks (25–50); review every error.
  • Focus on MAC changes; capnography; ventilator mode selection.
  • Choose induction, relaxant, and reversal per scenario.
  • Select block per surgery; recognise machine/circuit faults.

14) Last‑day revision

  • Airway algorithms and rescue steps.
  • MH, anaphylaxis, laryngospasm, aspiration: first actions.
  • Drug picks and reversal map.
  • Capnography pictures; ventilator knob effects.
  • Spinal/epidural must‑knows.
  • ACLS trees (arrest; tachy/brady; post‑ROSC).
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