SYLLABUS FOR THEATRE TECHNICIAN – KERALA MEDICAL EDUCATION SERVICES – KERALA PSC

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I BASIC ANATOMY AND PHYSIOLOGY
Basic anatomy and physiology of cardiovascular system
Basic anatomy and physiology of central nervous system
Basic anatomy and physiology of respiratory system
Hepatic and renal metabolism of drugs and elimination
Basic Physiological changes in pregnancy and paediatrics
II ANAESTHESIA EQUIPMENTS
Modern anaesthesia machine and vaporisers– design, function,
physical principles, safely measures and checking
Gas cylinders, physical properties, parts and safety measures
Manifold and central oxygen pipeline supply
Endotracheal intubation- positioning, techniques, laryngoscopes,
endotracheal tubes, facemasks, airways, stylets, modern airway
gadgets (LMA, ILMA, video-laryngoscopes), Fibre optic broncoscopy
Paediatric anaesthesia equipment and preparation
III ANAESTHESIA TECHNIQUES
General anaesthesia- preparation of OT, monitoring, management of
complications
Neuraxial blocks- spinal and epidural anaesthesia- techniques,
positioning and preparation, monitoring, complications
Regional blocks- different types, techniques, equipments, positioning
and preparation monitoring and complications
Central venous lines, indications, techniques, preparation and
complications
Blood transfusion and component therapy
IV OPERATION THEATRE EQUIPMENTS
Electrocautery, operation tables, infusion pumps, OT lights- parts,
physical properties and safety measures, maintenance
Specialised equipments- endoscopy/ laproscopy, operating microscope,
ultrasonic aspirators, C arm- sterilization and maintenance
Radiation hazards- precautions and safety measures
Electric vacuum, nitrogen cylinders, compressed air and vacuum
pipelines and outlets – physical principles, safety measures and
maintenance
Electric and fire hazards in OT and management
V STERILIZATION TECHNIQUES AND UNIVERSAL PRECAUTIONS
Principles of Aseptic precaution and biohazards
Sterilization techniques- autoclaving, plasma sterilization, ETO
sterilization, Gluteraldehyde (Cidex)- principles and techniques
Cleaning and Sterilization of anaesthesia equipments
Cleaning and sterilization of surgical equipments
Segregation and disposal of waste and contaminated material
VI POSITIONING
Positioning for neuraxial blocks, arterial and central venous lines and
regional blocks
Prone position- technique, different equipments, precautions and
complications
Sitting position- technique, complications, preventive methods and
additional monitoring
Lateral position, Trendelenberg position and lithotomy positiontechnique, complications and precautions.
Precautions in positioning the obese, pregnant, paediatric and elderly
patient.
VII DRUGS
Drugs used for premedication, inhalational and intravenous
anaesthetics, analgesics
Local anaesthetics and adjuvant agents.
Cardiac drugs- inotropes, vasopressor agents and vasodilator agents,
heparin and protamine
Neuromuscular blocking agents and drugs used for their reversal
IV fluids and preparation of intravenous infusions
VIII MONITORING
Basic monitoring- ECG, pulseoxymetry, non- invasive blood pressure
monitoring, capnography, temperature monitoring- management of
equipments and sterilization
Advanced monitoring equipments and their maintenance and
sterilization- invasive blood pressure, ultrasound probe,
transesophageal echocardiography probe, cardiac output monitoring,
neuromuscular monitoring, depth of anaesthesia monitoring.
Blood gas analysis and interpretation
Pulmonary function tests and their interpretation
Point of care testing of haemoglobin, blood glucose and
anticoagulation- ACT (activated clotting time), thromboelastography
(TEG)
IX CARDIOPULMONARY RESUSCITATION
Basic Life Support ( BLS)
Advanced Cardiac Life Support (ACLS)
Defibrillators and their maintenance
Drugs used in ACLS
Paediatric and neonatal resuscitation- equipments, drugs and
maintenance
X SPECIAL CIRCUMSTANCES
Preparation for anaesthesia for Open- heart procedures and
cardiopulmonary bypass
Preparation for anaesthesia in remote locations- MRI, endoscopy,
angiography suites
Preparation for difficult airway management
Day to day maintenance, sterilization, and preparation of ventilators
and humidifiers.
Managerial duties and maintenance of stock and narcotic registers

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