Dr. Essam Manaa pager # Course Outline

Lecture Objectives.. The format of the course Knowlede and skills that can be gained Course program Materials - text books - clinical anesthesia

Attendence Requirement Assessment Final exam Contact information Dr. Manaa ………. bleep 2017 or tel Dr. Waleed ……….bleep 2032 or tel Mr. Waleed ……… tel

LECTURES

Role of anaesthetist in the preoperative care The student will learn pre-anesthetic patient evaluation and risk stratification a)Obtain a full history and physical examination including allergies, current medications, past anesthetic history, family anesthetic history b)Understand how patient co-morbidities can affect the anesthetic plan c)Able to plan an anesthetic for a basic surgical procedure d)Understand risk stratification of a patient undergoing anesthesia

General objectives of the emergency room management a)Recognize and be aware of the basic management of common BLS and ACLS protocols b)Gain experience in the evaluation and management of patients presenting to the ER for acute care c)Developing proficiency with emergency procedures d)Expanding the knowledge in acute care medicine to include, Acute Chest pain, Trauma,and shock management

General anaesthesia technique a)Definition of general Anaesthesia b)Steps of general anaesthesia c)Learn about several agents used on induction & maintenance of general anaesthesia d)Complications commonly encountered during general anaesthesia

Airway Management and equipment a)Basic airway anatomy b)Conduct a preoperative airway assessment c)Identify a potentially difficult airway d)Understand the issues around aspiration and its prevention e)The management of airway obstruction f)Become familiar with airway equipment g)Practice airway management skills h)Learn about controlled ventilation i)Know the different ways of monitoring (oxygenation and ventilation)

Regional Anaesthesia Techniques a)What are the risks and benefits of regional (epidural/spinal) anesthesia? b)What are the contraindications to regional anesthesia? c)How do you prevent hypotension following epidural/spinal anesthesia?

Intravenous Fluid Resuscitation and Blood Transfusion a)What perioperative factors affect the patient’s fluid requirements? b)How do you estimate maintenance fluid requirements? c)List the potential physical and laboratory findings seen in a patient with a volume deficit d)How do you calculate the patient’s perioperative fluid deficits? e)Know information about blood products f)Identify the risk and complications of blood transfusion

Monitoring During anaesthesia  Standard Monitors : a) Non-invasive blood pressure b) ECG c) Pulse oximetry d) Capnography (CO2 monitor) e)Temperature f)***Peripheral nerve stimulator  Specialized monitors : a)Arterial line (invasive blood pressure) b)Central venous line (cvp monitoring) c)Pulmonary artery flotation catheter ( monitors function of right and left side of the heart) d)BIS monitor (depth of anesthesia) e)TOF

Vascular Access a)Anatomical considerations b)Prepare and set-up an IV infusion set c)What are the different sites suitable for central venous catheter placement? d)Discuss precautions e)Indications and complications of central venous access

Management of p ostoperative complications a)Study post-operative respiratory and hemodynamic problems b)Learn about PONV c)Post-operative agitation and delirium d)Learn about the causes of delayed emergence and know how to deal with this problem e)Postoperative shivering

Pharmacokinetics and Pharmacokinetics a) Types of Anesthetics b) Adjuvants c) Reaction in different situations d) Interaction e) Fate

Postoperative pain management a) Learn types of pain b) Complications results from pain c) Stepladder way for pain management d) How to deal with adult and pediatrics e) Multimodal use of drugs

Practical Activities

Enabling Objectives in the operative room General Anesthesia a)Anesthetic Machine b)Airway management c)Intravenous access Regional Anesthesia Indications and contraindications USG nerve block Local anesthetics

Enabling Objectives in the Emergency room Resuscitation Assessment of the patient Anaphylactic reaction Management of Trauma patients Management of shock

Case Scienario with Simulation Case Possibility Way of discussion Management Human application

Post-operative Care Unit Orientations PACU HDU SICU

Books recommended -Anesthesia for medical students (Bryce Smith) - Literature & Manual (Dept. of Anesthesia) - Anesthesia (Carl Gwinnutt) - Equipments and Practice in Anesthesia For Medical Students - Pain Pocket Guide

Written examination OSCE examination

Key Success Factors Attendance Realistic Expectations Maintains communication with the faculty member Good organizational skills Expect to work beyond the classroom Stay on track/understand commitment required Ask questions