.
Anaesthesiology and Intensive Care
Study Course Description
Course Description Statuss:Approved
Course Description Version:4.00
Study Course Accepted:21.03.2022 10:10:12
| Study Course Information | |||||||||
| Course Code: | AURK_001 | LQF level: | Level 6 | ||||||
| Credit Points: | 2.00 | ECTS: | 3.00 | ||||||
| Branch of Science: | Clinical Medicine; Anaesthesiology and Resuscitation | Target Audience: | Nursing Science | ||||||
| Study Course Supervisor | |||||||||
| Course Supervisor: | Irina Evansa | ||||||||
| Study Course Implementer | |||||||||
| Structural Unit: | Department of Anaesthesiology and Intensive Care | ||||||||
| The Head of Structural Unit: | |||||||||
| Contacts: | Riga, Pilsoņu Street 13, VSIA P.Stradiņa KUS, Building 32, ark rsu[pnkts]lv, +371 67069452 | ||||||||
| Study Course Planning | |||||||||
| Full-Time - Semester No.1 | |||||||||
| Lectures (count) | 5 | Lecture Length (academic hours) | 2 | Total Contact Hours of Lectures | 10 | ||||
| Classes (count) | 11 | Class Length (academic hours) | 2 | Total Contact Hours of Classes | 22 | ||||
| Total Contact Hours | 32 | ||||||||
| Study course description | |||||||||
| Preliminary Knowledge: | Prerequisites are the study courses acquired in the previous study years on the types of surgical operations, topographic anatomy, clinical pharmacology, pathological physiology, clinical laboratory examinations, as well as first aid on the patient's primary and secondary on-site examination, basic cardiopulmonary resuscitation algorithm, basic shock algorithm. | ||||||||
| Objective: | To promote the acquisition of knowledge about the stages and types of anesthesia, the risk of surgery and anesthesia, about intensive care in the most common situations in the clinics of internal medicine, neurology and surgery, as well as to learn the basics of advanced cardiopulmonary resuscitation. To provide knowledge about the organizational foundations of disaster medicine, material and technical provision, assessment of the general condition of victims, basic principles of medical sorting and treatment, chemical catastrophes and their elimination, as well as knowledge of the epidemiology of acute exogenous intoxications clinical course, recommended treatment principles and more relevant toxic substances. | ||||||||
| Topic Layout (Full-Time) | |||||||||
| No. | Topic | Type of Implementation | Number | Venue | |||||
| 1 | Disaster medicine: principles and methodology of sorting victims of disasters and mass accidents in the pre-hospital stage, “golden hour” in disaster medicine, medical documentation, solving situation tasks. | Classes | 1.00 | clinical base | |||||
| 2 | Practical provision of general and regional anesthesia, stages, equipment. | Lectures | 1.00 | clinical base | |||||
| 3 | Preparing the patient for surgery under anesthesia. Examination before anesthesia. Medicines used in premedication. | Lectures | 1.00 | clinical base | |||||
| 4 | Anesthesiology and intensive care: Airway permeability techniques (manual methods, Gvedel and COPA airways, laryngeal mask, laryngeal tube, tracheal intubation, extreme cricothyrotomy with “Quick trach” device), lung ventilation with manual ventilator and anesthesia mask. Artificial lung ventilation in anesthesiology and intensive care. | Classes | 2.00 | clinical base | |||||
| 5 | Anesthesiology and intensive care: Advanced cardiopulmonary resuscitation. Defibrillation. | Classes | 1.00 | METC | |||||
| 6 | Anesthesia in pediatric patients. | Lectures | 1.00 | clinical base | |||||
| 7 | Anesthesiology and intensive care: subject and tasks, surgery as a type of trauma, pain, transmission routes and blocking possibilities, specific terminology, standard rules of anesthesia and sample documentation, pre-anesthesia patient surveys and information documentation, anesthesiologist consultation before anesthesia, patient assessment according to the ASA scale. The amount of clinical laboratory tests to be performed on the patient before anesthesia. | Classes | 1.00 | clinical base | |||||
| 8 | Shock. Hypovolemic shock. Anaphylactic shock. | Lectures | 1.00 | clinical base | |||||
| 9 | Interpretation of the condition of an intensive care patient, organ failure, principles of intensive care. | Lectures | 1.00 | clinical base | |||||
| 10 | Anesthesiology and intensive care: Anesthesia stages and practical provision. Standard and extended monitoring of the patient's condition in anesthesiology and intensive care. Evaluation and interpretation of clinical, biochemical, water-electrolyte analyzes, blood gas composition and acid-base balance indicators, coagulation indicators. Postoperative analgesia of patients. | Classes | 1.00 | clinical base | |||||
| 11 | Anesthesiology and intensive care: General anesthesia, its types and drugs used in its realization. | Classes | 1.00 | clinical base | |||||
| 12 | Anesthesiology and intensive care: Regional anesthesia, its types and drugs used in its realization. | Classes | 1.00 | clinical base | |||||
| 13 | Anesthesiology and Intensive Care: Shock. Infusion therapy. | Classes | 1.00 | clinical base | |||||
| 14 | Anesthesiology and intensive care: Basic principles of examination and intensive care of critically ill patients and primary care. Steps of examination and intensive care of a critically ill patient. Critical condition rating and treatment outcome scales (Glasgow, APACHE II) and body function failure scales (SOFA, Euroscore II, etc.). Monitoring of comatose patients and principles of intensive care. Practical demonstration of coma patients and their intensive care in ICU. | Classes | 1.00 | clinical base | |||||
| 15 | Anesthesiology and intensive care: Enteral and parenteral nutrition in the practice of intensive care units. Anesthesiology and intensive care: Haemostasis disorders in intensive care and anesthesiology. | Classes | 1.00 | clinical base | |||||
| Assessment | |||||||||
| Unaided Work: | Preliminary preparation for the topic of the relevant lesson, using the recommended literature and Internet sources, followed by evaluation and practical application in practical lessons. | ||||||||
| Assessment Criteria: | Examination (MCQ test; analysis of clinical cases; cardiopulmonary resuscitation, including defibrillation; methods of ensuring airway patency and ventilation of patients' artificial lungs). Evaluation criteria in the theoretical multi-answer test: more than 75% of correct answers. Evaluation Criteria for Advanced Cardiopulmonary Resuscitation, Including Defibrillation for a Mannequin - Know and Practically Perform Basic Resuscitation Algorithm for Environmental Safety, Response Testing, Emergency Calling, Respiratory Liberation, Respiratory Testing, Chest Compression, Artificial Lung Ventilation, Artificial Lung Ventilation, heart rate analysis, defibrillator charging, defibrillation safety check, practical defibrillation, cardiopulmonary resuscitation, repeat heart rate analysis, pulse and respiration check, intravenous medication, and a description of future tactics. In total, at least 28 points must be obtained according to a special evaluation table, which corresponds to 70% of the accurately realized manipulations. Ensuring airway patency requires knowledge of the practical application of the devices used, rapid and traumatic insertion into the airways, ventilation control and maintenance, and fixation of the inserted tube. | ||||||||
| Final Examination (Full-Time): | Exam (Written) | ||||||||
| Final Examination (Part-Time): | |||||||||
| Learning Outcomes | |||||||||
| Knowledge: | As a result of the study course students will be able to name and describe anesthesiology and intensive care methods, recognize and describe shock (especially hypovolemic, anaphylactic, septic), will be able to perform in-depth cardiopulmonary resuscitation, will be able to name and describe changes in pathophysiological and biochemical processes effects on the body and transmission of nociceptive impulses to the CNS, will characterize the types of pain syndrome blockade in the reflex arc stages, the basic principles of anesthesia, their advantages and side effects, peculiarities of preoperative surgery, basic principles of preoperative preparation and perioperative care, critical conditions and basics of intensive care. As a result of the study course students will gain basic knowledge of the principles of disaster medical consequences, providing emergency care to as many victims as possible as soon as possible, following the principle of priority, as well as basic knowledge of clinical toxicology - toxicological kinetics, clinical course of poisoning opportunities and peculiarities. | ||||||||
| Skills: | It will be possible to perform electrical defibrillation of the heart, basic measures of advanced cardiopulmonary resuscitation, ensure airway permeability with instrumental methods (airways, laryngeal mask, laryngeal tube, tracheal intubation, crichothyrotomy), will be able to assess the condition of the comatose patient. Will be able to sort victims at the scene and in hospitals, will be able to provide victims with vital functions and the necessary emergency treatment, according to the nature of the disaster and injury, will be able to use personal protective equipment; based on medical history, patient complaints, clinical symptoms and laboratory tests will be able to diagnose acute intoxications, assess their severity and the amount of treatment required. | ||||||||
| Competencies: | It will be possible to perform electrical defibrillation of the heart, basic measures of advanced cardiopulmonary resuscitation, ensure airway permeability with instrumental methods (airways, laryngeal mask, laryngeal tube, cricothyrotomy). Will be able to provide victims with vital functions and the necessary emergency treatment, based on medical history, patient complaints, clinical symptoms and laboratory tests. | ||||||||
| Clinical Skills: | |||||||||
| No. | Skill | Level | |||||||
| 1 | Bag-mask ventilation | B1 - Basic level | |||||||
| 2 | Cardiopulmonary resuscitation (basic) | B1 - Basic level | |||||||
| 3 | Defibrilation | B1 - Basic level | |||||||
| 4 | High O2 concentration mask placement | B1 - Basic level | |||||||
| 5 | Nasopharyngeal airway insertion | B1 - Basic level | |||||||
| 6 | Oropharyngeal airway insertion | B1 - Basic level | |||||||
| Bibliography | |||||||||
| No. | Reference | ||||||||
| Required Reading | |||||||||
| 1 | Praktisko nodarbību materiāli un E-studiju resursi. | ||||||||
| 2 | Klīniskā anestezioloģija un intensīvā terapija. I.Vanaga un A.Sondores redakcijā. Veselības Apgāds, 2017 | ||||||||
| 3 | Miller`s Anesthesia. 2-Volume Set. 9th Edition, October 7, 2019. Elsevier. | ||||||||
| 4 | V.Liguts. Intensīvās terapijas rokasgrāmata. Rīga: Medicīnas apgāds. 2008. (akceptējams izdevums) | ||||||||
| 5 | Ārvalstu studentiem/For international students | ||||||||
| 6 | Miller`s Anesthesia. 2-Volume Set. 9th Edition, October 7, 2019. Elsevier. | ||||||||
| Additional Reading | |||||||||
| 1 | A.Sondore. Anestezioloģijas pamati vairāk nekā 1000 jautājumos un atbildēs. Rīga: Nacionālais Apgāds, 2016. | ||||||||
| 2 | B.Mamaja. Anestēzija pediatrijā. Rīga, RSU, 2008. | ||||||||
| 3 | E.Vasiļevskis. Reģionālās anestēzijas ABC. Nacionālais Apgāds, 2008. | ||||||||
| 4 | Aitkenhead A.R., Rowbotham D.J., Smith G. Smith and Aitkenhead's Textbook of Anaesthesia. Edinburgh: Churchill Livingstone, 2019. | ||||||||
| 5 | Morgan and Mikhail`s Clinical Anesthesiology. 7th Edition. McGraw Hill, 2022. | ||||||||
| 6 | Clinical Anesthesia. Barash P.G., Cullen B.F., Stoelting R.K. (ed.). 5th Edition. Lippincott- Williams& Wilkins, 2017. | ||||||||
| 7 | European Resuscitation Council Guidelines for Resuscitation 2021. Resuscitation (Elsevier), 2021, 161 | ||||||||
| 8 | Ārvalstu studentiem/For international students | ||||||||
| 9 | Aitkenhead A.R., Rowbotham D.J., Smith G. Smith and Aitkenhead's Textbook of Anaesthesia. Edinburgh: Churchill Livingstone, 2019. | ||||||||
| 10 | Morgan and Mikhail`s Clinical Anesthesiology. 7th Edition. McGraw Hill, 2022. | ||||||||
| Other Information Sources | |||||||||
| 1 | http://www.anest.lv/ | ||||||||
| 2 | http://www.euroanesthesia.org/ | ||||||||
| 3 | http://www.anaesthesiologists.org/ | ||||||||
| 4 | http://www.shocksocieties.org/international/shockjournal/ | ||||||||
| 5 | http://www.esicm.org/ | ||||||||
| 6 | http://www.intensive.org/ | ||||||||
