Basic Principles of Anesthesia

CRNA Examination

It should come as no surprise that as part of the CRNA examination, you’ll be tested on the basic principles of anesthesia. This portion of the examination directly calls upon your working knowledge regarding the safety and use of various anesthetic techniques and topics Altogether, you’ll be tested on a total of 11 various subject matters, which accounts for a total of 30 percent of the entire examination. Continue reading to uncover the various topics which may be tested within your examination.

Part A – Preoperative Assessment and Preparation of Patient

Throughout this section of the examination, be prepared to discuss the various steps and techniques used to assess the current status and medical history of the patient, as well as how to effectively and safety prepare a patient for anesthesia.

Part B – Fluid/Blood Replacement Techniques

Throughout this section, be prepared to discuss the following two primary topics regarding fluid and blood replacement:

Fluid Therapy – Be prepared to be tested on the topics of colloids and crystalloids.
Hemotherapy – This portion of the examination will test your working knowledge regarding blood component therapy.

Part C – Patient Positioning Techniques

There are a total of eight different patient positioning techniques in which you’ll be tested about. The exam questions may delve into the exact technique, complications that may arise from using a specific technique as well as the physiological alterations required to execute a specific technique. Be prepared to discuss at least one of the following eight positioning techniques:

Beach Chair
Reverse Trendelenburg

Part D – Interpretation of Data

As a CRNA, you’ll be called upon to interpret a wide array of data sets, which are derived either from lab tests, diagnostic data or through the use of intra-operative monitoring devices. Therefore, you should be ready to discuss the use and techniques associated with interpreting a wide array of data. However, this should be relatively easy because as a Registered Nurse you were required to interpret a host of data from a variety of sources.

Part E – Airway Management Techniques

Throughout this section, you should be prepared to discuss a variety of airway management techniques, which also includes discussing difficult airways. There are a total of five specific topics that may be covered during the examination, which include:

Mask Use
Supralaryngeal Management

Part F – Local and Regional Anesthetics

You must be prepared to discuss the various techniques, physiologic alternations and potential complications when using local or regional anesthetics. There are a total of 19 potential topics you’ll be required to discuss, some of which include:

Topical Anesthetic Techniques
Regional Blocks
Ultrasound Guided Nerve Blocks
Nerve Stimulator Guided Nerve Blocks

Part G – Monitored Anesthesia Care/Conscious Sedation

Throughout this section of the examination, you should be prepared to discuss the use of various monitored anesthesia care and various conscious sedation techniques.

Part H – Pain Management

Be prepared to discuss a total of four different pain management techniques and processes, which include:

Epidural Analgesia
Infiltration Nerve Blocks
Intrathecal Narcotics
PCA Management

Parts I – K

Throughout the final portions of this exam block, you should be prepared to discuss the following:

Hypotensive Techniques
Hypothermia for Pain Relief and Anesthesia
Postanesthesia Care and Respiratory Therapy
Pain Theory

You can find more information about CRNA classes and the examination at CRNA Schools Today.