5.3. Intensywna terapia i anestezjologia

nternal evaluation of the patient's general condition

Basic knowledge of surgical procedures.

Physiology of the circulatory and respiratory systems. Drugs used in anesthesiology and intensive care (anesthetics, analgesics, muscle relaxants, local anesthetics)

1. The workload associated with activities requiring direct participation of academic teachers is:

- participation in seminars: 12 hours(online)

- participation in LECTURE: 6 hours

- participation in tutorials: 24 hours including

- 15 hours of clinical classes

- 9 hours in the Centre For Medical Simulation

- consultation: 0.5 hour

- conducting the introductory meeting: 1 hour

- carrying out the practical test: 1 hour

- conducting the final test: 1 hour

- conducting the examination: 2 hours

The workload associated with activities requiring direct participation of academic teachers is 47.5 h corresponding to 1,58 ECTS

2. Balance of student workload:

- participation in online seminars: 12 hours (0,4 ECTS)

- participation in on-site seminars: 6 hours (0,4 ECTS)

- participation in tutorials: 24 hours (0,8 ECTS)

- consultations: 0.5 hours

- preparation for tutorials (including reading the indicated literature): 2,5 hours

- preparation for passing and passing: 3 +2 = 5 hours

- exam preparation and examination: 5 + 2 = 7 hours

- participation in the introductory meeting: 1 hour

Total student workload is 57.0 hours which corresponds to 1,9 ECTS points

3. Workload related to scientific research:

- reading the indicated scientific literature: 2 hours

- participation in seminars: (taking into account the results of scientific studies in the field of anesthesiology and intensive care) - 5 hours

- participation in tutorials (taking into account the results of scientific studies in the field of anesthesiology and intensive care): 1 hours

- preparation for credit in the field of research and scientific aspects: 1 hours anaesthesiology and intensive care: 0.5 hours

The total amount of student work associated with the conducted research is 9.0 hours, which corresponds to 0.3 ECTS point

4. Time required for preparation and participation in the assessment process:

- preparation for the credit: + credit (practical and theoretical) 3 + 2 hours =5 hours

- exam preparation and examination: 5 + 2 = 7 hours

The total amount of student work associated with preparation and participation in the assessment is 12.0 hours, which corresponds to 0.4 ECTS point

5. Balance of the student's workload of a practical nature:

- participation in tutorials + practical pass: 12 + 1 = 13 hours

The total student workload of a practical nature is

13 hours, corresponding to 0,43 ECTS points

6. Time required for compulsory placement:

not applicable

W1 - Student describes the water-electrolyte balance of biological systems and understands its impact on perioperative management and intensive care treatment(B K_W01)

W2 - Student describes acid-base balance and the mechanisms of buffer actions, and understand its influence on the perioperative management and intensive care treatment(B K_W02)

W3 - Student knows the functions and mechanisms of regulation of organs in normal conditions, understands the influence exerted on them by anesthesia, in particular on the circulatory system and the respiratory system.(B K_W25)

W4 - The student has the basic knowledge necessary to diagnose, differentiate and treat shock, with special regard to the various causes of shock and multiple organ failure(C K_W28)

W5 - Student knows the major mechanisms of drug action and the course of drug distribution in human’s body depending on age(C K_W35)

W6 - Student knows the most common life-threatening conditions in children and the rules of management of these conditions in anesthesiology and intensive care(E K_W06)

W7 - Student knows the principles of pain management, including cancer-related and chronic pain(E K_W29)

W8 - Student knows the principles of referring for and performing basic surgical procedures and invasive diagnostic and treatment procedures(F K_W03)

W9 - Student knows the principles of perioperative safety, preparation of a patient for the surgery, administration of general and local anaesthesia and controlled sedation(F K_W04)

W10 - Student knows the principles of postoperative treatment, including pain management and therapeutic drug monitoring(F K_W05)

W11 - Student knows the indications and principles of intensive therapy;(F K_W06)

W12 - Student knows the guidelines for cardiopulmonary resuscitation in newborns, children and adults, with particular emphasis on perioperative management(F K_W07)

W13 - Student has basic knowledge related to transplant surgery, knows indications for transplantation of irreversibly damaged organs and tissues and related procedures(F K_W14)

U1 - Student is able to plan and perform a simple scientific research and to interpret their results and draw conclusions in the field of anesthesiology and intensive care(B K_U14)

U2 - Student is able to select drugs in appropriate doses to correct pathological phenomena in the body and in individual organs, during general anesthesia and treatment in the intensive care unit(C K_U14)

U3 - Student is able to conduct a medical interview with an adult patient as a part of preparation for anesthesia (a preanesthesia visit) (E K_U01)

U4 - Student is able to assess the general condition, state of consciousness of the patient, including in the patient under the influence of sedative drugs(E K_U07)

U5 - Student is able to recognize the life-threatening conditions in anesthesiology and intensive therapy(E K_U14)

U6 - Student is able to plan diagnostic, therapeutic and prophylactic procedures in anaesthesiology and intensive therapy(E K_U16)

U7 - The student is able to use nutritional treatment, including enteral and parenteral nutrition in intensive therapy(E K_U25)

U8 - Student is able to perform basic medical procedures, including:

a) taking temperature and pulse, non-invasive blood pressure measurement

b) monitoring vital signs using a cardiac monitor, pulse oximeter

c) spirometry testing, oxygen therapy, assisted and controlled mechanical ventilation

d) oropharyngeal airway insertion

e) intravascular, intramuscular and subcutaneous injection, peripheral venous cannulation, peripheral blood draw, blood culture draw, arterial blood draw, arterialised capillary blood draw

f) nasal, pharyngeal and skin swabbing

g) urinary catheterisation in men and women, gastric probing, gastric lavage, enema

h) standard resting electrocardiogram with interpretation, electrical cardioversion, defibrillation

i) basic strip tests and blood glucose level tests(E K_U29)

U9 - Student is able to monitor the condition of a patient poisoned with chemicals or drugs in anesthesiology and intensive therapy(E K_U34)

U10 - Student is able to recognize patient's agony and confirm patient’s death in the conditions of intensive therapy(E K_U37)

U11 - Student is able to perform basic life support with the use of an external defibrillator and other basic rescue activities in the perioperative period(F K_U10)

U12 - Student is able to operate in accordance with the algorithm of advanced life support, with particular emphasis on the conditions of the operating room(F K_U11)

U13 - Student is able to monitor the patient's condition in the postoperative period based on the basic life parameters in the Post-Anesthesia Care Unit (F K_U12)

U14 - Student identifies subjective and objective symptoms indicating a pathological course of pregnancy (abnormal bleeding, abnormal uterine contractions)(F K_U13)

K1 - Student considers patients’ well-being as a priority(K_K04)

K2 - Student observes medical confidentiality and other patient rights (including the right to information, intimacy, informed decision, dignified dying)(K_K06)

K3 - Student is aware of own limitations and is able to pursue continuing education(K_K01)

K4 - Student has the habit of and skills related to pursuing continuing education(K_K08)

Seminars:

- Online seminar lecture in direct form

- Didactic discussion

- For online classes: indirect informative lecture with the possibility of asking questions

Lectures:

- Online informative lecture in direct form

- Didactic discussion

Exercises:

• demonstration with instruction

• subject exercises

simulation methods (case study; simulated patient)

The aim of the course is to teach the rules of performing various types of anesthesia for various surgical procedures, handling the patient in the perioperative period, using specialized methods of treatment in the intensive care unit, and treating basic life-threatening conditions.

Students acquire knowledge of the subject, based on their preclinical and clinical knowledge in the field. During clinical practice in the operating suite, students get acquire with the specific organization and work in the operating theatre. Students also participate passively and actively in some medical procedures under an attending physician, particularly in range: mechanical ventilation, airway management, basic and advanced hemodynamic monitoring, as well as vein cannulation. Getting the knowledge of volatile and intravenous anesthetics influence on central nervous system, circulatory and respiratory

system. Evaluating patients' condition with an algorithm of preceding in particular clinical situations. Learn the basic issues in conducting therapy in the intensive care unit, especially different kinds of shock.

Regional anesthesia: spinal, epidural, local. Perioperative management of patients scheduled for different kinds of surgery. Basic and advanced life support are also the part of conducted tutorials.

1) Main handbooks:

a. Basics of Anesthesia, Pardo, Manuel C., MD, Seventh Edition(available by Clincalkey)

2) Supplementary handbooks:

a. Miller's Anesthesia, Gropper, Michael A., MD, PhD, Ninth Edition (available by Clincalkey)

b. ERC Guidelines 2015 (available by Clincalkey https://cprguidelines.eu/)

Entrance test (0-20 points)> 60% (W1, W2, W3, W5)

Extended follow-up> 50% - (U1, K1, K5)

Practical test (0-1 system) (U2 - U14)

Oral test (W4, W6-W15)

Examination (0-40 points)> 60% (W1-W15)

The student recieves the credit for the course obtaining positive test results and a positive assessment in the field of social competences, which is a condition for taking the exam.

Not applicable