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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. Poslední úprava: Bureš Jan, MUDr. (17.09.2025)
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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. Poslední úprava: Bureš Jan, MUDr. (17.09.2025)
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To successfully complete the course, students must pass the oral exam. This requires completing all clinical internships and seminars, as well as actively participating in solving typical clinical scenarios. Credits will be awarded upon fulfilling all attendance requirements and performing a case analysis on the interactive simulator, which includes ALS (Advanced Life Support).
Attendance policies are outlined in Dean's Measure No. 4/2022, especially in cases of illness. The exam will be scheduled for the beginning of the week following the course, with spots made available on the second Monday of the course.
The oral exam consists of two questions. The first question focuses on analyzing a case history, interpreting laboratory findings, and designing a treatment plan. The second question is theoretical. Both questions must be answered to pass the exam, with the first question carrying a weight of 60%. Adequate knowledge of circulation and breathing pathophysiology, the internal environment, pharmacology, laboratory methods, and risk assessment prior to surgery is required to succeed. Poslední úprava: Bureš Jan, MUDr. (17.09.2025)
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Durila a kol: Anesthesiology, Resuscitation and Intensive Care for Medical students - in press
Barash, P.: Clinical Anesthesia, 6th Ed. 2009
Civetta, Taylor, & Kirby's Critical Care, 2008, 4th Ed., Pub.: Lippincott Williams & Wilkins (LWW Poslední úprava: Bureš Jan, MUDr. (17.09.2025)
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The subject includes the following teaching methods:
The internship takes place at clinical inpatient facilities according to the student's choice or the recommendation of the subject guarantor, always based on a valid contractual relationship between the healthcare facility and the 2nd Faculty of Medicine, Charles University. Poslední úprava: Bureš Jan, MUDr. (17.09.2025)
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The exam comprises a case analysis and a theoretical question.
1. The case studies will focus on the management of acute life-threatening conditions and complications during the perioperative period. **An analysis of risks, an initial approach, an assessment of physical condition, and laboratory tests, along with a proposal for therapy, are expected. **
Relevant laboratory and imaging results will be available.
2.** For the theoretical question, knowledge of the given topic with emphasis on clinical application is expected. A broader discussion of the topic is likely. Areas of theoretical questions:**
1. ALS, initial approach, procedure, pharmacotherapy, 4H, 4T, defibrillation, adults, children
2. Respiratory insufficiency – pathophysiology (ventilation, perfusion, diffusion), blood gases, pH, clinical manifestations (ARDS, COPD)
3. Respiratory insufficiency – Oxygen therapy, mechanical ventilation–invasive and non-invasive (basic principles, indications, effects of mechanical ventilation on the organism)
4. Hypovolemic shock – manifestations, initial therapy, principles of treatment (volume therapy, anaemia and coagulopathy)
5. Sepsis, septic shock – manifestations, initial management
6. Determinants of CO and DO₂, lactate, SvO₂ – significance, interpretation of disorders, options of circulatory support
7. Acute heart failure – manifestations, causes of AMI, arrhythmias in intensive care
8. Thromboembolic disease – perioperative risks, manifestations, initial management, prevention
9. Allergic reactions, anaphylactic shock, acute intoxications – basic approaches, drug dosages and routes of administration
10. Drugs affecting the autonomic nervous system – indications
11. Volume therapy – crystalloids, colloids, transfusion products and blood derivatives
12. Metabolic acidosis – types, laboratory findings, basic therapy
13. Disorders of consciousness and their assessment, basic neurological examination in intensive care
14. Traumatic brain injury, cerebral oedema, intracranial hypertension syndrome – basic therapeutic approaches
15. Coagulation disorders in intensive care and their treatment – dilutional and consumptive coagulopathy, DIC, anticoagulants and their antidotes
16. Polytrauma in resuscitation care – triage of a positive patient, initial management, hemorrhagic shock, MTP (massive transfusion protocol) and its therapy
17. SIRS and multiple organ dysfunction syndrome, AKI in intensive care and its treatment
18. Types of anaesthesia – basic concepts, general, spinal, epidural, regional; differences (advantages and disadvantages of each method)
19. Anesthesiological complications – aspiration, difficult airway management, hypotension, postoperative adaptation (residual effect of anaesthetics, temperature management)
20. Drugs used during anaesthesia – effects on circulation and respiration
21. Monitoring in anaesthesia and intensive care – methods, significance, interpretation of basic parameters
22. Preoperative and pre-anaesthetic evaluation and preparation – significance, risk assessment, fasting
23. Local anaesthetics – methods of use, types of adverse reactions and their treatment
24. Pain – principles of management, options for perioperative analgesia
25. Brain death – principles of donor management Poslední úprava: Bureš Jan, MUDr. (17.09.2025)
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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 Poslední úprava: Bureš Jan, MUDr. (17.09.2025)
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