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