Anesthesiology and Essentials of Intensive Medicine - FG10075

• Title: Anesthesiology and Essentials of Intensive Medicine
• Guaranteed by: Department of Anesthesiology, Resuscitation and Intensive Medicine (15-446)
• Faculty: Faculty of Medicine in Hradec Králové
• Actual: from 2018
• Semester: summer
• Points: 0
• E-Credits: 2
• Examination process: summer s.:
• Hours per week, examination: summer s.:10/20, C+Ex [HS]
• Capacity: unlimited
• Min. number of students: unlimited
• 4EU+: no
• Virtual mobility / capacity: no
• State of the course: taught
• Language: English
• Teaching methods: full-time
• Teaching methods: full-time
• Note: deregister from the exam date if a requisite was not fulfilled
• Guarantor: doc. MUDr. Pavel Dostál, Ph.D., MBA
• Pre-requisite : {General Medicine 2nd year}
• Incompatibility : FV10074
• Interchangeability : FV10074
• Is incompatible with: FVP042, FV10074
• Is interchangeable with: FVP042, FV10074
• In complex pre-requisite: FG10069, FG10070, FG10071, FG10072, FG10073, FG10076, FG10077, FG10078, FG10079, FG10080, FG10096, FG10097, FG10099

Annotation

Last update: Eva Tůmová (19.01.2024)

Annotation: Anaesthesia, analgesia, preanaesthetic examination, risk assessment, preoperative preparation, equipment for safe anaesthesia management, airway and i.v. access equipment, general anaesthesia, regional anaesthesia, post anaesthetic care, postoperative pain relief. Advanced life support, post cardiac arrest care, intensive care - definitions, critically ill patient, types of ICUs, organization. SIRS, sepsis, MODS, respiratory failure, ALI/ARDS, oxygen therapy, mechanical ventilation. Shock, shock models, catecholamines, inotropes, fluids - hypovolemia management, unconsciousness - intoxications, cerebral stroke, craniocerebral trauma, neuroinfections, essentials of infusion therapy, nutrition, haemotherapy, prevention of common nosocomial complications.

Requirements to the exam

Last update: Eva Tůmová (19.01.2024)

Credit:

80% attendance at lectures and workshops

 

Exam - MCQ test:

Exam results:

Number of wrong answers               Result

0-1                                                      Excellent

2-3                                                      Very good

4-5                                                      Good

More than 5                                          Failed

 

 

Syllabus

Last update: Eva Tůmová (19.01.2024)

Lectures:

Extent of teaching: 10 h

 

1. Anaesthesia, analgesia - definitions, types, preanaesthetic examination, risk assessment, preoperative preparation, equipment for safe anaesthesia management, airway and i.v. access equipment.

2. General anaesthesia - types, pharmacology of drug used in general anaesthesia, course of general anaesthesia, complications

3. Regional anaesthesia - types, pharmacology of drugs used in regional anaesthesia, course of regional anaesthesia, complications

4. Post anaesthetic care, postoperative pain relief.

5. Advanced life support, post cardiac arrest care.

6. Intensive care - definitions, critically ill patient, types of ICUs, organization. SIRS, sepsis, MODS.

7. Respiratory failure, ALI/ARDS, oxygen therapy, mechanical ventilation.

8. Shock, shock models, catecholamines, inotropes, fluids - hypovolemia management

9. Unconsciousness - intoxications, cerebral stroke, craniocerebral trauma, neuroinfections.

10. Essentials of infusion therapy, nutrition, haemotherapy, prevention of common complications.

 

Workshops:

Extent of teaching: 20 h

 

1. Practical training in advanced life support - 4 hours.

BLS, airway obstruction (foreign body obstruction), iv access, medication, defibrillation, 4H, 4T, clinical scenarios in teams (standard ward CPR, postanesthesia unit, catheterization theatre)

2. Anaesthesia simulation – 4 hours

Safety in anaesthesia (patient identity, equipment check, ..), intravenous access, airway management, intravenous induction of anaesthesia, trachea intubation, anaesthesia management (inhalational anaesthetic agent, muscle relaxation, analgesia), clinical scenarios in teams

3. Anaesthesia demonstration at the operating theatre – 4hours

Principles of general and regional anaesthesia management, post anaesthetic care, postoperative pain relief case reports.

4. Intensive care  1 (multidisciplinary unit) – 4 hours

Case reports presentation and analysis, the most common cases in intensive care, complications of intensive care and their prevention (nosocomial infections, thrombosis, stress gastrointestinal bleeding), infusion therapy, nutritional support, mechanical ventilation, oxygen therapy

5. Intensive care 2 (cardiac surgery)  - 4 hours

Case reports presentation and analysis, shock, shock models, bleeding, blood loss management, extracorporeal support, renal replacement therapy in intensive care

 

Literature

Last update: Eva Tůmová (19.01.2024)

Literature:

Compulsory:

Lectures

Current Version of European Resuscitation Council guidelines https://cprguidelines.eu/https://cprguidelines.eu/

 

Recommended:

1. Understanding anaesthesia  http://www.understandinganesthesiology.com/e-books
2. https://www.lf3.cuni.cz/cs/pracoviste/anesteziologie/vyuka/studijni-materialy/zaklady-anesteziologie/
3. Anesthesia and Intensive Care Courses for Medical students http://atimures.ro/wp-content/uploads/2012/09/Anesthesia-and-Intensive-Care-courses-for-medical-students.pdf