Bugando Curriculum
Month One
Week One
Section 1: Basics of Anesthesia and Pharmacology
Basic Life Support – 2 hours
Advanced Cardiac Life support 2 - hours
Weekly QUIZ and Review
Week Two
Preoperative Assessment
-History and physical exam
-Optimization
-Premedication
Practical Training Physical Examination of the patients (2 Hours)
Weekly QUIZ and Review
Week Three
The Anesthesia Machine and OR setup
Breathing circuits
Patient Monitors
The electrocardiogram
Weekly QUIZ and Review
Week Four
Capnography
Non-invasive blood pressure monitoring
Neuro-muscular blockade monitoring
Temperature
Weekly QUIZ and Review
Month Two
Week One
The Airway
-Airway Anatomy
-Evaluation of the Airway
Intubation
Endotracheal tubes
Laryngeal Mask Airways
Weekly QUIZ and Review
Week Two
The Difficult Airway
- ASA Protocol to handle the difficult airway
-Airway Adjuncts
Basic Principles of Pharmacology
-Distribution, Onset of Action
-Half Life Time and Elimination
Weekly QUIZ and Review
Week Three
Nonopioid Intravenous Induction Agents
-Thiopental
-Propofol
-Ketamine
Muscle Relaxants
-Succinylcholine
-Pancuronium
Reversal agents
Anticholinergic agents
Weekly QUIZ and Review
Week Four
Opiates in Anesthesia
-Morphine
-Fentanyl
-Meperidine
-Dilaudid
Local Anesthetics
Weekly QUIZ and Review
Month Three
Week One
Anesthesia Adjuncts
-Adrenergic Agonists and Antagonists
-Hypotensive Agents
Pharmacology: Inhalational Anesthetic Volatile Agents
-Isoflurane
-Halothane
EMO
Weekly QUIZ and Review
Week Two
Section 2: Cardiovascular System
The Sympathetic Nervous System
The Parasympathetic Nervous System
-Autoregulation and the effects of anesthesia on autoregulation
Weekly QUIZ and Review
Week Three
Cardiac and vascular anatomy
Cardiac physiology
-O2 supply and demand
-Ventricular function; the Starling curve
-Electro physiology and rhythm disturbances
-Baroreceptors and cardiac reflexes
-Central Venous Pressure and Pulmonary Artery Pressure
monitoring
Weekly QUIZ and Review
Week Four
Cardiovascular pharmacology
-Ephedrine, phenylephrine, norepinephrine, epinephrine,
dopamine
Ischemic heart disease
Valvular heart disease
Cardiomyopathy
Preoperative evaluation of the cardiac patient
Anesthesia for the Cardiac Patient
Weekly QUIZ and Review
Month Four
Section 3: Respiratory System
Week One
Respiratory anatomy
Preoperative evaluation of the patient with respiratory disease
Respiratory physiology
-Pulmonary function tests, flow-volume loops
-ABG analysis, oxygen supply and demand, oxygen therapy
-Ventilation/perfusion (V/Q) concepts and the effect of position
-The effects of anesthesia on lung function
Weekly QUIZ and Review
Week Two
Reactive airway disease, asthma
-Chronic obstructive lung disease (COPD)
-Infectious diseases of the lung
-Respiratory failure (ARDS)
Anesthesia for patients with respiratory disease
Weekly QUIZ and Review
Section 4: The Central Nervous System
Week Three
The Somatic Nervous System
- Neurotransmission
The Neuromuscular Junction
- Action potentials
Weekly QUIZ and Review
Week Four
Cerebral Physiology
-Cerebral blood flow (CBF), and the regulation of CBF
-The determinants of cerebral metabolic rate (CMR)
-Intracranial pressure
The effect of anesthesia on CBF and CMR and ICP
Weekly QUIZ and Review
Month Five
Week One
Anesthetic considerations for neurosurgery
Patient positioning in neurosurgery
Neuroendocrine pathophysiology in the neurosurgical patient
Anesthetic considerations/approach for spine surgery
Weekly QUIZ and Review
Week Two
Section 5: Hepatic and Endocrine system
Hepatic physiology and hepatic blood flow (HBF)
Hepatic metabolic function
Hepatic hematological function
The effect of anesthesia on hepatic function
Weekly QUIZ and Review
Week Three
Thyroid disorders
Parathyroid disorders
Adrenal gland disorders
Diabetes mellitus
Steroid replacement
Pituitary gland disorders
Weekly QUIZ and Review
Week Four
Section 6: Renal System
Basic Physiology and Anatomy: The Kidneys
Pharmacology: Diuretic Drugs
Weekly QUIZ and Review
Month Six
Week One
The effects of Anesthesia on Renal Function
Patients with renal disease
Weekly QUIZ and Review
Week Two
Acid-base balance
Fluid and Electrolyte therapy and Fluid Management
Hemotherapy and Hemostasis
Weekly QUIZ and Review
Week Three
Section 8: Regional, Urologic and Gynecologic Anesthesia
Spinal Cord Anatomy
Spinal and Epidural
Weekly QUIZ and Review
Week Four
Anesthesia for Orthopedic surgery
Complications of Orthopedic surgery
Weekly QUIZ and Review
Month Seven
Week One
Anesthetic concerns of the lithotomy position
Physiological consequences and anesthetic concerns of abdominal
laproscopic techniques
Anesthesia for abdominal hysterectomy, vaginal hysterectomy,
myomectomy
Weekly QUIZ and Review
Week Two
6 months exam review session
6 month exam
Exam Review
Section 9: Pediatrics
Week Three
The anatomical and physiological considerations of the newborn,
infant and child.
The pharmacological concerns of the newborn, infant and child.
Weekly QUIZ and Review
Week Four
Resuscitation of the newborn and child
Fluid therapy and blood loss and replacement in children
Pediatric breathing circuits
Inhalational versus intravenous induction of anesthesia
Weekly QUIZ and Review
Month Eight
Week One
Anesthetic consideration in the newborn
-Congenital diaphragmatic hernia, tracheo-esophageal fistula,
gastroschisis, omphalocoele, Prune-Belly Syndrome, pyloric stenosis,
Anesthesia for common pediatric conditions
-Aspiration of a foreign body, epiglottitis, tonsillectomy and
adenoidectomy, myringotomy and insertion of ear tubes, scoliosis
Weekly QUIZ and Review
Week Two
Section 10: Obstetrics
The anatomical and physiological changes of pregnancy
Anesthesia for labor and vaginal delivery
-Parenteral agents
-Inhalational analgesia (N2O)
-Paracervical and pudendal nerve blocks
- Regional anesthetic techniques
Weekly QUIZ and Review
Week Three
Anesthesia for Cesearan Section
-regional anesthesia
-spinal anesthesia
-epidural anesthesia
-general anesthesia
Anesthesia for the complicated obstetrical patient
-Pre-term labor, premature rupture of membranes and
chorioamnionitis
-Abnormal presentations and dystocia
-Placental abruption
-Placenta previa, placenta accreta and placenta percreta
Weekly QUIZ and Review
Week Four
Prolapsed umbilical cord
-Uterine rupture
-Post-partum hemorrhage and uterine atony
-Amniotic fluid embolism
-Hypertensive disease of pregnancy, eclampsia and preeclampsia
-Cardiac disease in pregnancy
Anesthesia for the obstetrical patient for non-obstetrical
emergencies
Weekly QUIZ and Review
Month Nine
Week One
Section 11: Trauma, Shock and Burn Management
Review of Adult Life Support
Review of Pediatric Life Support
Anesthetic considerations of the trauma patient
Weekly QUIZ and Review
Week Two
-Hemorrhagic shock
-Septic shock
-Spinal shock
Anesthetic considerations for the burn patient
-Electrolyte disturbances and fluid replacement
-Monitoring challenges
Weekly QUIZ and Review
Week Three
Section 12: Anesthesia for Orthopedic Surgery
Anesthesia for hip fracture
Anesthesia for total joint replacement
Anesthetic considerations of the patient with osteoarthritis or
rheumatoid arthritis
-Transfusion
Weekly QUIZ and Review
Week Four
Section 13: Anesthesia for General Surgery
Preoperative assessment of the patient with an acute abdomen
Anesthesia for laparoscopic/open cholecystectomy
Anesthesia for intestinal obstruction
Anesthesia for liver resection
Anesthesia for splenectomy
Weekly QUIZ and Review
Month Ten
Week One
Section 14: Anesthesia for Eye, ENT and Dental Surgery
Preoperative evaluation of the patient for eye surgery
The effects of anesthetic drugs on intraocular pressure
The oculocardiac reflex
Anesthesia for emergency eye surgery (the open eye)
Anesthesia for elective eye surgery
Weekly QUIZ and Review
Week Two
Preoperative evaluation of the patient for major OTL surgery
-The shared airway
-Anesthesia for nasal and sinus surgery
Anesthesia for major head and neck surgery
Tracheostomy
Anesthetic techniques to reduce blood loss (controlled hypotension)
Weekly QUIZ and Review
Week Three
Section 15: Pain Management
The definition and classification of pain
The systemic response to pain
Evaluation of the patient with pain
Acute post-operative pain management
Oral agents
Chronic Pain management
Weekly QUIZ and Review
Week Four
Section 16: Anesthetic Complications and Postoperative Care
Airway injury and Fires
Malignant Hyperthermia
Weekly QUIZ and Review
Month Eleven
Week One
Peripheral Nerve Injuries
Eye Injuries
Post-anesthesia care
Weekly QUIZ and Review
Week Two
Section 17: Anesthesia and Rare Diseases
Pseudocholinesterase deficiency
Neuromuscular disorders
Hemoglobinopathies
Myasthenia gravis
Weekly QUIZ and Review
Week Three
Section 18: Critical Care
Oxygen therapy
Mechanical ventilation
-modes of mechanical ventilation
-sedation, paralysis and monitoring
-Weaning from the ventilator
-PEEP
Respiratory failure
Renal failure
Myocardial infarction
Weekly QUIZ and Review
Week Four
The Anesthesia Machine and Equipment
Breathing circuits
Patient Monitors
The electrocardiogram
Weekly QUIZ and Review
Month Twelve
Week One
Sepsis and septic shock
Gastrointestinal hemorrhage
Hemodynamic monitoring
Weekly QUIZ and Review
Week Two
Anesthesia Review Session
Anesthesia Review Session
Review
Week Three
Final Exams