Anesthesia Lectures, ILO`s and Reading List Semester 142

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Anesthesiology topics ,ILO’s and Reading List for Semester 142
Title of the
lectures
Airway
Management
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
1|Page
Intended Learning Outcomes
(ILOs)
Describe the basic structural anatomy of the
upper airway
Describe the uses and disadvantages of the
face mask
Learn how to choose the appropriate mask
size for adults and pediatric patients
Learn how to choose the appropriate size of
oropharyngeal airway
Describe the parts of LMA and technique of
insertion
Describe advantages, disadvantages,
indications, contraindications of LMA usage
Learn how to choose the proper size of the
LMA
Describe the technique of insertion of LMA
Recognize common causes of difficult ET
intubation
Describe ET tube and learn how to select
proper size
Outline the equipment required to be
immediately available to perform
endotracheal intubation
Describe the optimal patient position for
intubation
Describe pre-oxygenation, including its
physiological basis
List indications and contraindications of ET
intubation
Describe the technique of orotracheal
intubation
Outline methods used to confirm ET proper
placement
List complications of ET intubation
Outline advantages, disadvantages and
contraindications of nasotracheal intubation
Outline management of the difficult airway
Reading List
Chapter 23, page 444 and
Chapter 22, page 462, Smith&
Aitkenhead, Textbook of
Anaesthesia, 6th edition
Anesthesiology topics ,ILO’s and Reading List for Semester 142
Title of the
lectures
Perioperative Fluid
Management
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
Preoperative
Evaluation
2|Page
Intended Learning Outcomes
(ILOs)
Describe total body water and its division
between different body compartments
Calculate body fluid in each compartment
based on the body weight
Outline solute composition of fluid in each
compartment
Outline composition of commonly used IV
fluids
Calculate volume replacement based on the
IV fluid used
calculate the distribution of IV fluids
between different compartments
Describe daily water turnover
Outline perioperative fluid requirements
Outline 4-2-1 rule for calculation of
maintenance fluid requirements
Outline the chemical composition of
crystalloids and colloids used in clinical
practice and their effects when used in
volume replacement
Outline clinical evaluation of fluid
replacement
1. Outline how to take a focused history and
physical examination, including anesthetic
history
2. Describe the ASA physical status
classification system
3. Describe preoperative fasting requirements
and the common measures employed to
decrease the risk of pulmonary aspiration
4. Outline preoperative investigations and
interpretation of these investigations
Reading List
Chapter 12, page 199, Smith&
Aitkenhead, Textbook of
Anaesthesia, 6th edition
Chapter 17, page 357, Smith&
Aitkenhead, Textbook of
Anaesthesia, 6th edition
Anesthesiology topics ,ILO’s and Reading List for Semester 142
Title of the
lectures
General
Anesthesia:
Inhalational
agents, IV agents,
Positioning,
Muscle relaxation,
reversal&
Recovery
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
3|Page
Intended Learning Outcomes
(ILOs)
Outline preparation for anesthesia
Outline the methods of induction of
anesthesia and indication, complications and
difficulties of each method
List the basic positions of patient for surgery
List the potential hazards and safety
precautions that relate to each position
Outline techniques of maintenance of
anesthesia
Outline minimum alveolar concentration of
anesthetics (MAC) and its clinical application
Describe signs of anesthesia
Outline delivery of inhalational agents and
maintenance of airway
Outline anesthesia using neuromuscular
blocking drugs
Understand the differences between
depolarizing and non-depolarizing muscle
relaxants
Outline the factors that influence the choice
between controlled ventilation and
spontaneous breathing
Outline ventilator settings during controlled
ventilation of anesthetized patients
Describe reversal of muscle relaxants
Outline TIVA
Describe the conduct of extubation and its
complications
Outline emergency and recovery from
anesthesia
Outline the pharmacology and dosages of
induction agents, relaxants, analgesics, and
inhalational agents
Learn the pharmacokinetic factors affecting
the rate of induction and emergence from
inhalational anesthesia
Outline the relative advantages of each of
the commonly used intravenous induction
agents (propofol, etomidate, ketamine,
thiopental)
Outline the management of accidental intraarterial injection of harmful substances (e.g.
Thiopentone)
Identify the criteria for discharge of patients
to the ward
Reading List
Chapter 21, page 444, Smith&
Aitkenhead, Textbook of
Anaesthesia, 6th edition
Anesthesiology topics ,ILO’s and Reading List for Semester 142
Title of the
lectures
Anesthetic
Equipment
1.
2.
3.
4.
5.
6.
Monitoring
4|Page
Intended Learning Outcomes
(ILOs)
Recognize the components of the anesthetic
machine
Recognize the high and low pressure systems
Outline specifications of compressed gas
cylinders
Outline the functions of the vaporizer of the
different components of the machine and
factors affecting its proper function
Recognize types of ventilators and settings
during operation
Outline the anesthesia machine checking list
1. Recognize the goals of anesthetic monitoring
2. Outline the ASA standards for basic
anesthetic monitoring
3. Understand the principles behind each of the
key physiologic monitors
4. Know the limitations associated with various
types of monitoring
Reading List
Chapter 15, page 262, Smith&
Aitkenhead, Textbook of
Anaesthesia, 6th edition
Chapter 15, page 262, Smith&
Aitkenhead, Textbook of
Anaesthesia, 6th edition
Anesthesiology topics ,ILO’s and Reading List for Semester 142
Title of the
lectures
Local Anesthetic
Techniques
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
PONV
5|Page
Intended Learning Outcomes
(ILOs)
Outline local Anesthetics Pharmacology and
toxicity (Lidocaine, Bupivacaine)
Understand the basic mechanisms of action
of local anesthetic
Describe anatomy of spinal canal
Describe contraindications of a central
neuraxial block
Outline the technique of spinal and epidural
anesthesia
Distinguish level of anesthesia after
administration of regional anesthesia
Describe how to assess the adequacy of a
regional technique
Outline the management of hypotension
associated with a central neuraxial block
Identify anatomic landmarks for proper
placement of a spinal needle
Define the risks and benefits of regional
(epidural/spinal) anesthesia/analgesia
List contraindications to regional anesthesia
List surgical procedures that can be done
with a spinal anesthetic
Outline differences between spinal and
epidural anesthesia
Describe the techniques and complications
of intravenous regional anesthesia
1. Define nausea, retching and vomiting
2. Outline mechanism of vomiting
3. Outline afferent inputs involved in the
vomiting reflex
4. Describe phases of vomiting
5. List risk factors of PONV
6. Describe Apfel risk stratification of PONV
7. List important causes of PONV
8. Outline prevention and treatment of PONV
Reading List
Chapter41, Page 822,
Aitkenhead, Textbook of
Anaesthesia, 6th edition
Chapter 42, page 843, Smith&
Aitkenhead, Textbook of
Anaesthesia, 6th edition
Anesthesiology topics ,ILO’s and Reading List for Semester 142
Title of the
lectures
Pain Management
1.
2.
3.
4.
5.
6.
7.
8.
Pediatric
Anesthesia
6|Page
Intended Learning Outcomes
(ILOs)
Outline criteria of postoperative pain
Define causes of poor postoperative pain
control in traditional management
Describe physiology of pain sensation
Outline changes occur within the nervous
system following prolonged noxious stimuli
Outline causes of patient variation in
analgesic requirements
Outline measurement of pain
List methods used for treatment of
postoperative pain
Outline patient controlled analgesia (PCA)
1. List physiologic differences between infants
and adults by organ system
2. Describe differences between adult &
pediatric airway anatomy in relation to
intubation
1. Calculate fluid requirements for pediatric
cases
2. Outline preoperative management including
NPO timings of different foods
3. Outline anesthetic managements of pediatric
cases induction techniques, airway
management and intraoperative monitoring
4. Learn common anesthetic techniques used in
pediatric patients
Reading List
Chapter 41, page 822, Smith&
Aitkenhead, Textbook of
Anaesthesia, 6th edition
Chapter 36, page 731, Smith&
Aitkenhead, Textbook of
Anaesthesia, 6th edition
Anesthesiology topics ,ILO’s and Reading List for Semester 142
Title of the
lectures
Obstetric
Anesthesia
1.
2.
3.
4.
5.
6.
Malignant
Hyperthermia
7|Page
Intended Learning Outcomes
(ILOs)
Outline physiological changes of pregnancy
and discuss their impact on anesthetic
management
Describe supine hypotensive syndrome.
List the causes of pain during the first and
second stages of labor and the dermatomes
with which they are associated
List the various methods of pain control
available during labor
Discuss the risks, benefits and side-effects of
of epidural analgesia
Compare the safety of general anesthesia
with neuraxial anesthesia for cesarean
section.
1. Outline etiology of MH syndrome
2. Describe the clinical features of MH including
early intraoperative signs
3. Outline management of MH in the OR
Reading List
Chapter 35, page 690, Smith&
Aitkenhead, Textbook of
Anaesthesia, 6th edition
Chapter 43, page 853, Smith&
Aitkenhead, Textbook of
Anaesthesia, 6th edition
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