Practical's programme - 5th class - General Medicine

Anaesthesiology and intensive care

 

Winter semester

Tutorial no. 1

Familiarisation with recovery room

Familiarisation with anaesthetic workplace in the operating theatre

Familiarisation with Intensive Care Unit

Pain clinic and pre-op assesment clinic


Airway management (airways, ET tubes, laryngeal mask airways, cricothyrotomy set, tracheostomy tubes)

Practicing of endotracheal intubation

Tutorial no. 2

Cardiopulmonary resuscitation (CPR) on PC model

Arrythmias simulator

Defibrilation and cardioversion, pacemaking

Practicing of CPR on mannequin


Ambu bag

Recovery position

Preanaesthetic assesment and premedication, ASA classification

Drugs used during anaesthesia

Tutorial no. 3

Spinal anaesthesia

Epidural anaesthesia, epidural catheter

Regional anaesthesia using peripheral block


Anaesthesia delivery machine

Anaesthesia simulator on PC

Monitors udes during general anaesthesia - ECG, NIBP, ventilation, temperature, SpO2, CO2, nerve stimulator, gases...

Summer semester

Tutorial no. 1

Explanation of blood gases analysis (acid base balance, pO2)

Oxygen therapy (nasal prongs, face mask, Ayre's s T..)

Pneumothorax, hydrothorax, chest drains, expalnation of chest X-rays


Fluid balance

Use od PC for metabolic balance assesment

Infusion therapy (crystalloids, colloids - artificial and naturally occuring, blood and blood products)

Tutorial no. 2

Artificial nutricion (parental and enteral, preparations and equipment)

Drugs user in Intensive Care Unit


Acute and chronic respiratory failure

Artificial lung ventilation - equipment used

Ventilator associated pneumonia

Tutorial no. 3

Central venous catheter placement

Arterial line placement and invasive blood pressure monitoring, Hemosonic

Shock treatment (volume replacement, catecholamines...), Swan-Ganz catheter

Syringe driver and infusion pumps


Craniocerebral injuries

Post neurosurgery patients, Intracranial pressure monitoring

Coma - differential diagnosis, First Aid, Glasgow coma Scale

Post CPR patient, CPR guidelines

Brain death, Organ donor care

Intoxications - antidotes, elimination (gastric lavage, activated charcoal...)

Anaesthesia for faycase surgery