Veidlapa Nr. M-3 (8)
Study Course Description
Intensive Care and Cardiac Anaesthesia
Course Code
RSK_013
Branch of Science
Anaesthesiology and Resuscitation; Clinical medicine
ECTS
25.05
Target Audience
Medicine
LQF
Level 8
Study Course Implementer
Course Supervisor
Romans Lācis
Residency Speciality
Speciality
Cardiac surgeon
Supervisor of Medical Speciality
Romans Lācis
Contacts
-
About Study Course
Objective
To get primary experience and skills in cardiac surgical anesthesia, performing surgery under CPB and managing early postoperative period.
Learning Outcomes
Knowledge
1.To know how to prepare a patient for cardiac surgery and anesthesia, how to monitor patient circulation and manage CPB.
Skills
1.To manage blood clotting system, to intubate the patient, to establish venous and arterial lines, to evaluate circulation vitals in ICU in patients after cardiac surgery.
Competences
1.To provide primary and professional emergency aid to patients.
Assessment
Individual work
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Title
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% from total grade
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Grade
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1.
Individual work |
-
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-
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The resident (based on the data of the specialized departments, current guidelines) constantly creates protocols for the acute situation of cardiology and cardiac surgery (bleeding, imminent arrhythmias, rapidly progressive heart failure [INTERMACS profile 1, profile 2, profile 3]).
The resident compiles an overview of the types of ECMO systems, indications for use, operating modes. Preferably in graphic form.
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Examination
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Title
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% from total grade
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Grade
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|---|---|---|
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1.
Examination |
-
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-
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The material is submitted in printed and data carrier format. The lecturer evaluates the material according to a 10-point system.
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Study Course Theme Plan
FULL-TIME
Part 1
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Seminar
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Modality
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Location
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On site
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Specialized room
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Topics
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Dedicated cardiac ICU and postoperative care
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-
Seminar
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Modality
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Location
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|---|---|---|
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On site
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Specialized room
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Topics
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Intensive monitoring and postop treatment: 1) concepts of respiratory support, 2) oxygenation values, 3) abnormalities of acid-base balance, 4) assessing blood chemistry values
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-
Seminar
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Modality
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Location
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On site
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Specialized room
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Topics
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Basic concepts of cardioanesthesiology
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Seminar
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Modality
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Location
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|---|---|---|
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On site
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Specialized room
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Topics
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Specifics of general anesthesia in cardiac surgery. Monitoring modalities
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-
Seminar
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Modality
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Location
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|---|---|---|
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On site
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Specialized room
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Topics
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Life threatening conditions, resuscitation ABC,cardiac arrhythmias, pulmonary oedema.
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-
Seminar
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Modality
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Location
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|---|---|---|
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On site
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Specialized room
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Topics
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Managing preload, afterload and myocardial contractility.
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-
Seminar
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Modality
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Location
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On site
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Specialized room
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Topics
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Managing fluid balance.
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Seminar
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Modality
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Location
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On site
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Auditorium
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Topics
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Novelties in the treatment of a septic patient after heart surgery.
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Seminar
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Modality
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Location
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|---|---|---|
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On site
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Specialized room
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Topics
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Constituents of heart failure.
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-
Seminar
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Modality
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Location
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|---|---|---|
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On site
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Specialized room
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Topics
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Pulsating flow CPB
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-
Seminar
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Modality
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Location
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-
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-
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Topics
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Cardiac replacement therapy measures.
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Total ECTS (Creditpoints):
25.05
Number of Residency Seminars:
11
Length (weeks):
16
Final Examination:
Residency exam (Theory and practice)
Bibliography
Required Reading
1.
Kirklin/Barratt-Boyes Cardiac Surgery. 4th Edition, 2012.
2.
Cardiothoracic Anesthesia and Critical Care, An Issue of Anesthesiology Clinics. 1st Edition, 2019.