ANESTHESIOLOGY
Academic Year : 2015-2016
3 ECTS credits
Total 2 weeks
Date : 01.07.2015
5th year
Undergraduate
Lecturers: 16 h/week
Clinical-integrated practice: 20 h/week
Required
in Turkish
Contact:
Prof. Dr. Ömer Lütfi ERHAN
Prof. Dr. Selami Ateş ÖNAL
Prof. Dr. Azize BEŞTAŞ
Doç. Dr. Ayşe Belin ÖZER
Yrd. Doç. Dr. İsmail DEMİREL
Yrd. Doç. Dr. Aysun Yıldız ALTUN
Yrd. Doç. Dr. Esef BOLAT
Yrd. Doç. Dr. Sibel ÖZCAN
Aims and Objectives of the Course
This course aims to teach the students; main issues in anaesthesia practice such as
cardiopulmonary resusciation, adult/pediatric basic life support guidelines theoretically as
well as practically on manikins; neonatal resusciation; brain death; reanimation in special
conditions (freezing, heat stroke and electrical shock, acute entoxications, drowning,
venomous animal and insect bites, shock and anaphylactic shock, etc.); essentials of the
oxygen therapy; blood transfusion and fluid-electrolyte balance optimization; correction of
acid-base disturbances; medications before/during or after general/regional anesthesia and
postoperative pain treatment; intensive care therapies, i.e. mechanical ventilation, enteral and
parenteral nutrition, essentials of sepsis and multiple organ dysfunction in the intensive care
unit; maintanence in pain clinic and approach to patient in pain and management of pain.
Practical skills training is also performed in the operating theaters during the practice h of the
course so that students gain the ability to prepare or start an intravenous fluid infusion, and to
establish opening the airways and maintaining normal respiration.
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Course Contents
Anesthesiology, reanimation and resusciation: Definitions and general information
Adult and pediatric basic life support: Basic life support guidelines and their
application
Brain death: Criteria for diagnosis of brain death and its definition
Neonatal reanimation: The techniques and time for application, drugs used for
resuscitation
Oxygen therapy: Oxygen transport to the tissues, monitoring during hypoxia, oxygen
therapy
General anesthesia: Preanesthetic evaluation, the effects of anesthesia on organ
systems, drugs used for anesthesia.
Premedication: Drugs used for premedication and their effects
Preanesthetic evaluation of the patient: Anamnesis, physical examinations and
laboratory evalution, identifying the risk of anesthesia and choosing the method for
anesthesia
Pre-, per- and postanesthetic periods: Preparation for anesthesia, induction,
maintenance of and emergence from anesthesia
Neuromuscular blockers: Types and effects of neuromuscular blocker drugs
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Reanimation for per- and postoperative anesthetic complications: Human errors,
complications due to drugs or positioning, anesthetic complications on organ system
Local anesthetics: Drug groups, mechanism of effects, toxic effects and its treatment
Local and regional anesthesia: Applications and its complications
Fluid and electrolytes: Body fluid compartments, fluid and their electrolyte contents
used for therapy, therapy for electrolyte disturbances
Acid-base balance disturbances and its treatment: The effects of acidemia or
alcalemia, evaluation of blood gas analyses
Techniques and methods for blood transfusion: Principals and techniques of blood
transfusion, massive transfusion
Complications of blood transfusion and their treatment: The risks for transfusion,
therapy for acute adverse reactions
Blood products: Blood products, preservation conditions and usage
Pathophysiology of shock: Types of shock, pathophysiology, methods for diagnosis,
and therapy of shock
Hypovolemic shock: Definition, pathophysiology, clinical course and its treatment
Sepsis and septic shock: Definition, pathophysiology, clinical course and its treatment
MODS: Definition, pathophysiology, clinical course and its treatment
Anaphylaxis and anaphylactoid reactions: Mechanism, differential diagnosis
Anaphylactic shock: Drug therapy
Treatment of shock: Drugs used for therapy , effects and doses
Mechanical ventilation: Types of mechenical ventilation, indications for, application
of and adverse affects of mechanical ventilation
Parenteral nutrition: Essentials of, indications for, application of and complications of
parenteral nutrition
Enteral nutrition: Essentials of, indications for, application of and complications of
enteral nutrition
Reanimation for cranio-cerebral trauma: Ethiology, pathophysiology, secondary
effects, and reanimation
Reanimation for seizures: Definition, classification and therapy of seizures
Reanimation in comatous conditions: Definition, reasons of coma, evaluation of the
patient and therapy during coma
Reanimation during acute intoxications: Diagnosis, common approach, clinical
evaluation, avoiding absorption, using antidotes
Reanimation for drowning: Pathophysiology, clinical course and therapy
Reanimation in hyperbaric problems: Decompression illness, air embolism
Venomous animal and insect bites: Clinical signs, toxins and therapy
Reanimation for heat stroke: Clinical signs, and therapy
Reanimation for freezing, electrical shocks and asphyxia: Clinical signs and therapy
Pain: Definition of pain, its classification and neurophysiology, principals of pain
treatment, evaluation of the patient with pain, approach to the patient with pain
Analgesics: Nonsteroidal anti-inflamatory drugs, opioids
Cancer pain
Palliative care for pain: Pain clinics, the reasons for pain, medical and invasive therapy
of pain
Clinical practice: Basic life support applications on manikins, practice of preparing and
maintaining intravenous fluid infusion, opening the airway and establishing a patent airway
Assessment Methods
One exam is scheduled at the end of the 3 weeks training.
Prerequisite/ Recommended
None
Textbook/Recommended Reading