Anesthesiology

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ANESTHESIOLOGY
3 ECTS credits
Total 2 weeks
5th year
Undergraduate
Required
Lecturers: 16 h/week
Clinical-integrated practice: 20 h/week
in Turkish
Contact:
Prof. Dr. Ömer Lütfi ERHAN
Prof. Dr. Selami Ateş ÖNAL
Prof. Dr. Mustafa Kemal BAYAR
Doç. Dr. Azize BEŞTAŞ
Yrd. Doç. Dr. Ayşe Belin ÖZER
Yrd. Doç. Dr. İsmail DEMİREL
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.
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

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
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