Dr. Essam ManaaDr. Essam Manaae_manaa@yahoo.com

pager # 2017pager # 2017

045 Course Outline045 Course Outline

Lecture Lecture Objectives..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. 92005 Dr. Waleed ……….bleep 2032 or tel. 92356 Mr. Waleed ……… tel. 92356

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 procedured) 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 proceduresd) Expanding the knowledge in acute care medicine to include , Acute

Chest pain, Trauma ,and shock management

General anaesthesia technique

a) Definition of general Anaesthesiab) Steps of general anaesthesiac) Learn about several agents used on induction & maintenance of

general anaesthesiad) Complications commonly encountered during general

anaesthesia

Airway Management and equipment

a) Basic airway anatomyb) Conduct a preoperative airway assessmentc) Identify a potentially difficult airwayd) Understand the issues around aspiration and its preventione) The management of airway obstructionf) Become familiar with airway equipmentg) Practice airway management skillsh) Learn about controlled ventilationi) 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 deficitd) How do you calculate the patient’s perioperative fluid deficits?e) Know information about blood productsf) Identify the risk and complications of blood transfusion

Monitoring During anaesthesia

Standard Monitors : a) Non-invasive blood pressure b) ECG c) Pulse oximetryd) 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 setc) What are the different sites suitable for central venous catheter

placement?d) Discuss precautionse) Indications and complications of central venous access

Management of postoperative complications

a) Study post-operative respiratory and hemodynamic problemsb) Learn about PONVc) Post-operative agitation and deliriumd) Learn about the causes of delayed emergence and know how to deal

with this probleme) Postoperative shivering

Pharmacokinetics and Pharmacokinetics

a) Types of Anestheticsb) Adjuvantsc) Reaction in different situationsd) Interactione) Fate

Postoperative pain management

a) Learn types of painb) Complications results from painc) Stepladder way for pain managementd) How to deal with adult and pediatricse) Multimodal use of drugs

Practical Activities

Enabling Objectives in the operative room

General Anesthesia a) Anesthetic Machineb) Airway managementc) Intravenous access

Regional AnesthesiaIndications and contraindicationsUSG nerve blockLocal 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