Veidlapa Nr. M-3 (8)
Study Course Description

Anesthesiology in Adults I

Main Study Course Information

Course Code
RNM_064
Branch of Science
Anatomy; Clinical medicine
ECTS
11.00
Target Audience
Medicine
LQF
Level 8

Study Course Implementer

Course Supervisor

Residency Speciality

Speciality
Supervisor of Medical Speciality
Contacts

-

About Study Course

Objective

To ensure possibility to master knowledge on anesthetic methods for the adult patients as well to obtain skills on the ensuring the airway and breathing ways with the purpose to be able to make them individually in emergency situations in the pre-hospital and hospital admission unit’s phase till the patient is delivered in the operation hall.

Learning Outcomes

Knowledge

1.• Describe methods of anesthesia, pharmacotherapy of the anesthesia means, operational principles of the anesthesia devices. • Expound the specific aspects of pain in the emergency medicine: application of analgesia and sedation for adults; explain the anatomical, physiological, pharmacological mechanism of pain transmission; interpret the evaluation of pain, explain the pharmacology of sedative and pain killing medications; explain the psychological and social aspects of pain in pediatrics, in the care taking of adult and geriatric patients. • Explain the ways of ensurance of airways.

Skills

1.The student will be able to: • choose and practically implement the methods of opening and maintaining the airways and apply oropharyngeal and nasopharyngeal airways, tracheal intubation, alternative airway management methods: cricothyrotomy, conicotomy, laryngeal mask; • practically evaluate the level of pain and sedation; • monitor vital signs during anesthesia and potential side effects of anesthesia and analgesia; • will know how to use anesthesia machines. Will be able to apply the following algorithms under the supervision of a certified doctor: • difficult airway algorithm for a trauma patient; • rapid intubation algorithm in an emergency situation.

Competences

1.Independently choose and practically realize anesthesia and analgesia in emergency situations, including during the diagnostic procedures and manipulations in the prehospital and hospital Admission Department phase.

Assessment

Individual work

Title
% from total grade
Grade
1.

Individual work

-
-
In-depth research of seminar topics and preparation of presentations for each seminar.

Examination

Title
% from total grade
Grade
1.

Examination

-
-
Examination of theoretical knowledge and practical skills at the end of the study course in a 10-point system.

Study Course Theme Plan

FULL-TIME
Part 1
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Airways and ensuring their patency. Action in case of "difficult airway". Fibroptic tracheal intubation I
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Airways and ensuring their patency. Action in case of "difficult airway". Fibroptic tracheal intubation II
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Airways and ensuring their patency. Action in case of "difficult airway". Fibroptic tracheal intubation III
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Peculiarities of anesthesia in emergency situations. Preparation of patients and selection of anesthesia depending on the pathology and the patient's condition.
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Principles of anesthesia apparatus construction
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Application of KPR algorithms in practice I
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Application of KPR algorithms in practice II
Total ECTS (Creditpoints):
11.00
Number of Residency Seminars:
7
Length (weeks):
8
Final Examination:
Residency exam (Theory and practice)

Bibliography

Required Reading

1.

Ron Walls, Robert Hockberger, Marianne Gausche-Hill, Timothy B. Erickson, Susan R. Wilcox, Rosen's Emergency Medicine: Concepts and Clinical Practice, 10th Edition - June 13, 2022

2.

Wyatt J.P. et al. Oxford handbook of emergency medicine. Oxford University Press, 2020.

3.

Vanags I., Sondore A. Klīniskā anestezioloģija un intensīvā terapija, 2017

4.

Sondore A. Anestezioloģijas pamati 1000 jautājumos un atbildēs. Rīga, medicīnas apgāds, 2016