|
|
|
||
|
This course explores the fundamental principles of securing vital functions and how anaesthesia and various medical conditions can impact them. We will delve into circulatory failure, ventilation, disorders of consciousness, internal environment, and sepsis. To offer a comprehensive educational experience, we will provide clinical placements in operating rooms and Critical Care Departments and interactive workshops in the morning. During internships in inpatient wards, students will gain knowledge about critical care principles, the significance of monitoring and influencing circulation, UPV basics, ATB therapy, the importance of nutrition in critical care, and manipulation of the internal environment. We will also emphasize the significance of intensive care concerning surgical, traumatic, and infectious organism damage. During their stay in operating rooms, students will have the opportunity to learn about anaesthesia administration, securing airways, pre-operative preparation, the anaesthesia course, and post-operative care. Workshops will focus on life-threatening conditions through CBL. The course is predominantly practical, with some theoretical preparation required by self-study. Active participation and discussion are essential. Although internships, workshops, and seminars provide a foundational curriculum and opportunities for discussion, they do not encompass all AIM-related topics due to time constraints. Thus, acquiring additional knowledge through self-study is necessary. Last update: Bureš Jan, MUDr. (28.08.2024)
|
|
||
|
Our aim is to provide students with a solid foundation in anesthesia care, covering individual techniques, perioperative and resuscitation principles, and pain management.
Our objectives are to help you develop:
The ability to evaluate a patient's condition in the context of surgery.
Understanding of safe anesthesia practices and risks associated with vital function manipulation.
Mastery of central and peripheral blockade techniques.
The skills to identify and address life-threatening situations.
Knowledge of the differences between circulatory and respiratory failure and their treatments.
Expertise in intensive care, including admission standards and initial management.
Recognition, treatment, and prevention of respiratory insufficiency.
The skills to manipulate circulation to ensure comprehensive care for patients in the hospital setting. Last update: Bureš Jan, MUDr. (28.08.2024)
|
|
||
|
Successful completion of the course requires passing the oral exam, which necessitates fulfilling all clinic internships and seminars, as well as active participation in solving typical situations. Attendance is governed by Dean's Measure No. 4/2022 in case of illness. The exam terms will be at the beginning of the week following the course. Places are open on the second Monday of the course.
The oral exam comprises two questions, the first of which focuses on analyzing case history, and laboratory findings interpretation, and designing a treatment plan. The second question is theoretical. Answering both questions is necessary to pass the exam, with the first question carrying more weight at 60%. The exam requires adequate knowledge of circulation and breathing pathophysiology, internal environment, pharmacology, laboratory methods, and risk assessment before surgery. Last update: Bureš Jan, MUDr. (28.08.2024)
|
|
||
|
doporučená:
Barash, P.: Clinical Anesthesia, 6th Ed. 2009
Civetta, Taylor, & Kirby's Critical Care, 2008, 4th Ed., Pub.: Lippincott Williams & Wilkins (LWW)
Last update: Filaun Martin, MUDr., CSc. (12.09.2022)
|
|
||
|
Exam questions AIM 5. year
1. ALS - initial approach, procedure, pharmacotherapy, 4H, 4T, defibrillation, for both adults and children. 2. Respiratory insufficiency - pathophysiology of ventilation, perfusion, diffusion, blood gases, pH, clinical manifestations such as ARDS and COPD. 3. Oxygen therapy and ventilation - invasive and non-invasive methods, basic principles, indications, and adverse effects on the organism. 4. Hypovolemic shock - manifestations, initial therapy, and principles of therapy such as volume therapy and anaemia/coagulopathy. 5. Sepsis and septic shock - manifestations and initial management. 6. Determinants of CO and DO2 - lactate, SvO2, their significance, and interpretation. 7. Acute heart failure - manifestations and causes concerning Anaesthesia and Intensive care, Arrhythmias in intensive care (most common, significance) 8. Thromboembolic disease - perioperative risks, manifestations, initial management, and prevention. 9. Allergic reactions, anaphylactic shock, and acute intoxication – manifestation, management 10. Drugs affecting the autonomic nervous system – Indications, side reactions 11. Volume therapy - crystalloids, colloids, blood products, and blood derivatives. 12. Metabolic acidosis - types, clinical and laboratory signs, therapy. 13. Disorders of consciousness and their assessment - Basic neurological examination in intensive care 14. Craniocerebral injury - brain oedema, intracranial hypertension syndrome, basic therapeutic approach. 15. Hemocoagulation disorders in intensive care and their therapy - dilutional and consumptive coagulopathy, DIC, anticoagulants, and their antidote. 16. Multiple trauma (Polytrauma) in resuscitation care, triage positive patient, initial management, hemorrhagic shock, Life-threatening bleeding and its therapy 17. SIRS and multiorgan dysfunction syndrome, AKI in intensive care and its therapy 18. Types of anaesthesia - basic terms, general, SAB, EPID, RA, differences (advantages and disadvantages of each method) 19. Complications in Anaesthesia – aspiration, difficult airway management, hypotension, postoperative adaptation – a residual effect of anaesthetics, temperature management 20. Pharmaceuticals used during anaesthesia, circulation and breathing affection 21. Monitoring in anaesthesia and intensive care - methods, meaning, interpretation of basic values 22. Pre-operative and pre-anaesthetic examination and preparation – significance, risk assessment, fasting 23. Local anaesthetics - methods of use, types of adverse reactions and their therapy 24. Pain – principles of approach, possibilities of perioperative analgesia Last update: Bureš Jan, MUDr. (28.08.2024)
|
|
||
|
The course is structured as a 2-week block, with the first day dedicated solely to theory from 8:00 a.m. to 2:30 p.m. The remaining days involve smaller group work, with students participating in practical lessons from 7:45-11:30 a.m. These sessions include internships in operating rooms and resuscitation departments, as well as morning workshops that explore life-threatening conditions. Active participation and pre-learning are expected, and practical teaching utilizes interactive simulators and real medical aids. Theoretical seminars, which run from 12:00 to 2:15 p.m., are common to the entire study group and serve as a springboard for deepening knowledge and findings in subsequent practical workshops. These seminars cover a range of topics, including basic anesthesiology concepts and procedures, advanced CPR, issues of circulatory failure, basics of monitoring, approaches to the vascular bed, pharmacology of blood circulation, respiratory system failure, disorders of consciousness, brain edema, intracranial hypertension, issues of brain death, sepsis and MOF, polytrauma, renal failure, ABR disorders, and electrolyte balance Last update: Bureš Jan, MUDr. (28.08.2024)
|