Anaesthesiology in Adults (RNM_034)
About Study Course
Objective
To ensure possibility to master knowledge on anesthetic methods for the adult patients as well to obtain skills on the ensuring the airway and breathing ways with the purpose to be able to make them individually in emergency situations in the pre-hospital and hospital admission unit’s phase till the patient is delivered in the operation hall.
Learning outcomes
1.1. Describe methods of anesthesia, pharmacotherapy of the anesthesia means, operational principles of the anesthesia devices.
2. Expound the specific aspects of pain in the emergency medicine: application of analgesia and sedation for adults; explain the anatomical, physiological, pharmacological mechanism of pain transmission; interpret the evaluation of pain, explain the pharmacology of sedative and pain killing medications; explain the psychological and social aspects of pain in pediatrics, in the care taking of adult and geriatric patients.
3. Explain the ways of ensurance of airways
1.Student will be able to:
In the first year (6 weeks, not less than 1/3 of the required number of manipulations)
1. Choose and practically realize airway opening and maintenance methods and apply the oropharyngeal and nasopharyngeal airways, trachea intubation, alternative airway ensurance methods: cricothyrotomy, conicotomy, laryingeal mask;
2. Practically evaluate pain and sedation level;
3. Monitor vital life functions during anesthesia and potential side effects of anesthesia and analgesia;
4. Will be able to use the narcosis devices.
In the second year (4 weeks, 1/3 of the required number of manipulations) – in addition to the independently performable manipulations of the year 1 will be able to apply the following algorithms under the supervision of a certified doctor:
5. Difficult airway algorithm for a trauma patient;
6. Fast intubation algorithm in an emergency situation.
Examination in the end of the second year after the passing of which the student will be able to choose independently and realize practically anesthesia and analgesia in emergency situations, including during the diagnostic procedures and manipulations in the prehospital and hospital Admission Department phase.
In the third year – ensure the going through capacity of airways for patients with facial – jaw traumas, during 2 weeks broadening the knowledge obtained during the first two years at the State Facial – Jaw Surgery Center of the State Limited Liability Company "Pauls Stradins Clinical University Hospital” (minimum 8 intubations).
In the fifth year (8 weeks, 1/3 of the required number of manipulations
1.Independently choose and practically realize anesthesia and analgesia in emergency situations, including during the diagnostic procedures and manipulations in the prehospital and hospital Admission Department phase.
