COURSE UNIT DESCRIPTION
1. Course unit title
Anesthesiology and Intensive Therapy
2. Course unit code
3. Clinic / Department
Department of Anesthesiology and Intensive Therapy
4. Type of the course unit
Core unit
5. Level of the course unit
Master degree level
6. Year of study
6th
7. Semester when the course unit is delivered
11
8. Number of ECTS credits allocated
9. Course unit coordinator
Tomasz Gaszynski Associate Professor of Anesthesia, MD PhD
10. Names of faculty teachers
Tomasz Gaszynski Associate Professor of Anesthesia, MD PhD
Anna Domagalska Assistant Professor of Anesthesia, MD PhD
Andrzej Wieczorek Assistant Professor of Anesthesia, MD PhD
Tamara Trafidło MD PhD
Marcin Gach MD PhD
Witold Żaryski MD
11. Learning outcomes of the course unit
Knowledge component
Aims
Objectives
To understand basic concepts and principles related to
 Define, explain and give examples of following
anesthesiology and intensive therapy
concepts:
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physiology and pathology of pain
pathology of respiratory and
cardiovascular system diseases
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Explains rudiments of general and regional
anesthesia: indications and
contraindications;
Discuss preparing for anesthesia;
Discuss clinical pharmacology of
anesthetics;
Explain the rules of monitoring of the
patient during the operation and in the
postoperative period and list the necessary
monitoring;
List the complication of general or regional
anesthesia;
Discuss treatment of acute and chronic
pain;
Explain and list principles of intensive
therapy;
Discuss the airway management
techniques and equipment;
Skills component
Aims
Objectives
To develop basic skills in preparing the patient for
 Choose proper laboratory test before
anesthesia and carrying for the patient after anesthesia
general and regional anesthesia depending
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on type of anesthesia and patient`s state;
Interpret the results of laboratory test and
correct them regarding needs for
anesthesia;
Prepare the patient documentation for
anesthesia consultation;
Monitor the patient after anesthesia;
Recognize early anesthesia complications
and treat them;
Administer pain treatment;
Perform airway management and
ventilation;
Attitudes and transferrable skills
Aims
Objectives
To develop the awareness of anesthesiologist role in
Develop:
therapeutic process
Awareness of importance of team cooperation
between anesthesiologist and surgeon and
other specialists in carrying for patient in perioperative period;
Awareness of adequate patient preparation for
anesthesia procedures;
12. Mode of delivery
Face-to-face
13. Number of face-to-face session hours
Lectures – 20 hours
Classes – 60 hours
14. Prerequisites and co-requisites
Pharmacology;
Physiology of cardiovascular and respiratory systems;
Pathology of diseases of cardiovascular and respiratory systems;
15. Recommended optional programme components
16. Course contents
Topics of lectures:
1 . rudiments of general and regional anaesthesia: indications and contraindications, preparing
patient for anesthesia, risk of anesthesia, ASA status, conducting general anesthesia,
2 . clinical pharmacology of anesthetics,
3 . rules of monitoring of the patient during the operation and in the postoperative period,
treatment of postoperative pain,
4 . principles of intensive therapy
Topics of classes:
Class 1:
- Classes in operating theatre- anesthesia machine, monitoring during anesthesia, anesthesia for
general surgery, airway management for anesthesia,
Class 2:
- Classes in operating theatre – anesthesia for neurosurgery, maxillofacial surgery, laryngology,
Class 3:
- Classes in operating theatre – anesthesia for obstetrics and gynecology. Pediatric anesthesia.
Class 4:
- Classes in ICU: principles of intensive therapy, MODS, sepsis, RRT, antibiotic therapy in
critically ill patients.
Class 5:
- postoperative monitoring, MOA, sedation, postoperative pain treatment.
Place:
Seminar rooms of Department of Anesthesiology and Intensive Therapy, Barlicki University Hospital, ul.
Kopcinskiego 22
17. Learning activities and teaching methods
Teaching methods:
whole-class- sessions, small- groups – sessions, practical training on manikins, case discussion, PBL,
classes in operation theatres, clinical simulation on manikins;
Students prepare short presentations on topics of course, case reports related to course topics and
present them during small-group sessions;
The Anesthesiology and Intensive Therapy course student should acquire knowledge and
understanding of:
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Basis of general anesthesia, history of anesthesia;
Rudiments of preparing the patient for anesthesia, taking history of patient during preoperative
visit, estimating the risk of anesthesia, ASA status qualification, contraindications for general or
regional anesthesia;
Types of general anesthesia: balanced, volatile, TIVA;
Principles of basic and advanced monitoring during anesthesia;
Conducting of general anesthesia: introduction of anesthesia, maintaining, completing of
anesthesia;
Performing of regional anesthesia, local anesthetics, techniques of regional anesthesia.
Methods and techniques of airway management for anesthesia procedures;
Clinical pharmacology of anesthetics and other drugs used for anesthesia;
Principles of the postoperative care, monitoring in postoperative period;
Performing of MOA, sedation for diagnostic procedures;
Rudiments of acute and chronic pain treatment;
Principles of intensive therapy, MODS, sepsis, RRT, antibiotic therapy in critically ill patients.
Ethics of issues connected with intensive therapy, end of life therapy, difference between
necessary and futile therapy in critically ill patients;
The Anesthesia and Intensive Therapy course student should acquire and become proficient in:
 performing of non-instrumental and instrumental opening airway;
 preparing the patient for anesthesia procedures;
 recognizing the indications and contraindications for intensive therapy unit admission;
The Anesthesia and Intensive Therapy course student should develop and demonstrate:
 Ethical, professional and personal approach to anesthesia and intensive therapy.
18. Recommended or required learning resources
Basic: Oxford Handbook of Anaesthesia. Edited by Keith G. Allman and Iain H. Wilson. Oxford
University Press. UK
Recommended : Critical Care Handbook of the Massachusetts General Hospital, Edited by
William E. Hurtford. Lippincott Williams & Wilkins, USA.
19. Formative assessment and obtaining credits for the course
MSQ type test on last class, 30 questions, 4 answers – one correct,
all the presentations from lectures and seminars are available on web :
www.umed.lodz.pl/anestezja - english version, subject: anesthesia and intensive therapy
20. Assessment methods and criteria
knowledge component
MSQ type test
skills component
practical testing – performing airway management on manikins
attitudes and transferrable skills component
student evaluation form
21. Language of instruction
english
22. Additional info and support
Web : www.umed.lodz.pl/anestezja - english version
Appendix 1: detailed syllabus
ANESTHESIA – general
1.Anatomy of upper airway
2.Physiology of Respiration O2/CO2 transport. Methods of oxygen therapy.
3.Pre-operative evaluation/pre-medication
4.Anaesthesic agents, stages of Anaesthesia
5.Principles and mechanism of administration of general anesthetics, balanced Anaesthesia
6.IPPV, Endotracheal Intubations
7.Muscle Relaxants
8.Spinal/Epidural Anesthesia
9.Local Anesthesia
10. Cardiopulmonary resuscitation basic, use of simple ventilators
11.Monitoring
12. ICU, role of anesthesiologist in ICU
13. Shock
14. Blood Transfusion and Fluid Electoral Balance
15. Sites of respiratory obstruction and management of airway in an unconscious patient
16. Role of anesthesiologist in acute and chronic relief.
Anesthesia for gynaecology and labor Syllabus:
I. Basics of obstetric anesthesia
1. Adaptative changes in the cardiovascular system, respiratory system
alimentary system, coagulation system in the body of a pregnant woman
2. Clinical implications of the adaptative changes during pregnancy:
• Aorto-caval compression
• A patient with a full stomach
3. Factors influencing utero-placental flow
4. Pain of parturition during the first and the second stage of labour
5. Preanesthetic care
6. Epidural anesthesia for labor and vaginal delivery
7. Anesthesia for cesarean section (elective, emergency)
8. Medical and obstetric complications: PIH, obstetric haemorrhage
SYLLABUS - PAEDIATRIC ANAESTHESIA & INTENSIVE CARE
I.
Paediatric anaesthesia
- The scope of paediatric anaesthesia
- preparation for anaesthesia in children
- day-case surgery and paediatric anaesthesia
- premedication
- induction: inhalation vs intravenous
- other methods (intramuscular, rectal)
- monitoring during anaesthesia
- intravenous anaesthetics in children
- muscle relaxation in children
- fluid supplementation during anaesthesia and surgery
- emergence from anaesthesia, sevoflurane delirium
- postoperative pain management in children
II.
Neonatal & paediatric intensive care
- why infants are prone to respiratory failure ?
- main neonatal problems leading to respiratory failure: RDS, congenital pneumonia, meconium
aspiration, transient tachypnea of the newborn, congenital defects
- staged treatment of respiratory failure: oxygen, CPAP, mechanical ventilation
- basic modes of mechanical ventilation and construction scheme of simple ventilators
- importance of positive airway pressure
- antibiotics in neonates
- resuscitation of neonates, infants and children