NCCAA board review · for SAAs & CAAs

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PHARMACOLOGY · LOCAL ANESTHETICS

Minutes after a large-volume regional block, a patient reports perioral numbness, tinnitus, and a metallic taste. What is the most appropriate next step?

A Continue the block and reassess in 5 minutes

B Stop the injection and prepare 20% lipid emulsion

✓Correct. Perioral numbness, tinnitus, and a metallic taste are early signs of local anesthetic systemic toxicity — stop the injection and start 20% lipid emulsion.

C Administer a beta-blocker for the tinnitus

D Increase the local anesthetic dose

Cited source · ASRA Practice Advisory on LAST (2018)

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MACPrep organizes dated public facts and links back to the original source. We do not estimate missing acceptance rates, applicant profiles, or experience requirements. For admissions strategy from a former CAA program faculty member and admissions reviewer, visit Aspiring CAA.

THE CAA PATH

What the official sources say

VERIFIED JUL 23, 2026

24-28 monthsCurrent accredited CAA programs run at least two academic years.

Master's degreeGraduates of CAA educational programs earn a graduate degree.

Anesthesia Care TeamCAAs plan and deliver anesthesia care under an anesthesiologist's supervision.

NCCAA certificationEligible graduates complete the national certifying examination before using the CAA credential.

Sources: AAAA About CAAsNCCAA eligibility

WHAT STUDENTS LEARN

Graduate science plus clinical anesthesia

NCCAA describes the educational content required for certification eligibility.

Basic medical sciences, physiology, pharmacology, and anesthesia equipment
Patient assessment, monitoring, laboratory interpretation, and data analysis
Extensive supervised clinical instruction across perioperative settings
Quality assurance, medical literature review, and emergency preparedness

Read the NCCAA eligibility standard

WHAT THE WORK INVOLVES

Across a typical anesthetic

The exact day varies by patient, procedure, facility, and care-team assignment.

Pre-anesthesia history, physical assessment, and care planning
Monitoring, intravenous access, airway management, and induction
Maintenance and emergence while interpreting physiologic and pharmacologic data
Continuity of care through the postoperative period

Read AAAA's description of CAA practice

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CAAHEP is the source for current accreditation listings. Applicant counts, interview offers, admission offers, GPA or test-score profiles, and prior experience appear only with a program-published source and a clear verification date. Missing figures are labeled, never estimated.

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Primary source: CAAHEP Find an Accredited Program

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CAAHEP accredited program finderVerify current accreditation and program listings. AAAA: About CAAsLearn about CAA education, practice, and the Anesthesia Care Team. NCCAA certification eligibilityRead the education, clinical experience, and examination standards. CASAA application portalStart or return to the centralized application. CASAA applicant help centerReview application steps, materials, and processing guidance. Aspiring CAAExpert independent admissions guidance from former CAA program faculty and admissions reviewer Sarah Whitfield.

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pH	7.35–7.45
PaCO₂	35–45 mmHg
PaO₂	80–100 mmHg
HCO₃⁻	22–26 mEq/L
Base excess	−2 to +2
SaO₂	95–100%

Na⁺	135–145 mEq/L
K⁺	3.5–5.0 mEq/L
Cl⁻	98–106 mEq/L
CO₂	22–28 mEq/L
Ca²⁺ (total)	8.5–10.5 mg/dL
Ca²⁺ (ionized)	1.1–1.35 mmol/L
Mg²⁺	1.7–2.2 mEq/L
PO₄	2.5–4.5 mEq/L

BUN	7–20 mg/dL
Creatinine	0.6–1.2 mg/dL
Glucose	70–110 mg/dL
Lactate	0.5–2.2 mmol/L

Hgb	12–17 g/dL
Hct	36–50%
Platelets	150–400 ×10⁹/L
WBC	4–11 ×10⁹/L

PT	11–13.5 s
INR	0.8–1.1
aPTT	25–35 s
Fibrinogen	200–400 mg/dL