Anaesthesiology and Resuscitation

Study Course Description

Course Description Statuss:Approved

Course Description Version:3.00

Study Course Accepted:29.05.2020 11:48:08

Study Course Information
Course Code:		LF_602		LQF level:		Level 5
Credit Points:		2.00		ECTS:		3.00
Branch of Science:		Clinical Medicine; Anaesthesiology and Resuscitation		Target Audience:		Nursing Science
Study Course Supervisor
Course Supervisor:		Mihails Dolguševs
Study Course Implementer
Structural Unit:		RSU Liepāja Branch
The Head of Structural Unit:
Contacts:		Liepāja, Riņķu iela 24/26, lfrsu[pnkts]lv, lfrsu[pnkts]lv, +371 63442118, +371 63442119, +371 63484632
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	Practical provision of general and regional anesthesia, stages, equipment.			Lectures		1.00	auditorium
2	Preparing the patient for surgery under anesthesia. Examination before anesthesia. Medicines used in premedication.			Lectures		1.00	clinical base
3	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		1.00	clinical base
4	Anesthesia in pediatric patients.			Lectures		1.00	clinical base
5	Shock. Hypovolemic shock. Anaphylactic shock.			Lectures		1.00	auditorium
6	Anesthesiology and intensive care: Advanced cardiopulmonary resuscitation. Defibrillation.			Classes		2.00	METC
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	auditorium
8	Interpretation of the condition of an intensive care patient, organ failure, principles of intensive care.			Lectures		1.00	auditorium
9	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	auditorium
10	Anesthesiology and intensive care: General anesthesia, its types and drugs used in its realization.			Classes		1.00	auditorium
11	Anesthesiology and intensive care: Regional anesthesia, its types and drugs used in its realization.			Classes		1.00	auditorium
12	Anesthesiology and Intensive Care: Shock. Infusion therapy.			Classes		1.00	clinical base
13	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
14	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		2.00	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 by medical sorting of victims, as well as analysis of acute poisonings; OSCE-type examination for advanced 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
Final Examination (Part-Time):
Learning Outcomes
Knowledge:		As a result of the study course acquisition 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.
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.
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 assess the condition of the comatosis patient.
Clinical Skills:
No.	Skill					Level
1	Detecting Respiratory Rate					A - Beginner level
2	Laryngeal tube insertion					A - Beginner level
3	Monitoring					A - Beginner 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. Nacionālais Apgāds, 2008, 1232 lpp.;
3	V.Liguts. Intensīvās terapijas rokasgrāmata. Rīga: Medicīnas apgāds. 2008.
Additional Reading
1	A.Sondore. Anestezioloģijas pamati jautājumos un atbildēs. Rīga: Nacionālais Apgāds, 2011.
2	B.Mamaja. Anestēzija pediatrijā. - Rīga, RSU, 2008.
3	E.Vasiļevskis. Reģionālās anestēzijas ABC. Nacionālais Apgāds, 2008.
4	I.Vanags, E.Daugulis, P.Tominš. Anestezioloģija, reanimatoloģija un intensīvā terapija. Rīga: Nacionālais Apgāds, 2002.
5	Neatliekamā palīdzība. Atdzīvināšana. Rīga: NMPC, D.Krieviņa redakcijā. 2004.
6	Anesthesia. Miller R.D.(ed). New York: Churchill Livingstone, Seventh Edition, 2010.
7	Aitkenhead A.R., Rowbotham D.J., Smith G. Textbook of anaesthesia. Edinburgh: Churchill Livingstone, 2007.
8	Morgan G.E., Mikhail M.S. Clinical Anesthesiology. East Norwalk: Appleton&Lange, 1996.
9	Clinical Anesthesia. Barash PG, Cullen BF, Stoelting RK (ed.). Fifth ed. Lippincott- Williams& Wilkins, 2006.
10	Oxford Handbook of Anaesthesia. Allman KG, Wilson IH (ed.). Second ed. OXFORD University Press, 2007.
11	Textbook of Critical Care, Fifth Edition. By Mitchell P. Fink, M.D., Edward Abraham, M.D., Jean-Louis Vincent, M.D., Ph.D., and Patrick M. Kochanek, M.D. Philadelphia, Elsevier Saunders, 2005.
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/