Veidlapa Nr. M-3 (8)
Study Course Description
Anaesthesia and Intensive Care For Burn Patients
Course Code
RAR_082
Branch of Science
Anaesthesiology and Resuscitation; Clinical medicine
ECTS
3.00
Target Audience
Medicine
LQF
Level 8
Study Course Implementer
Course Supervisor
Oļegs Sabeļņikovs
Residency Speciality
Speciality
Anaesthesiologist-Reanimatologist
Supervisor of Medical Speciality
Oļegs Sabeļņikovs
Contacts
-
About Study Course
Objective
To provide the medical resident with the development and improvement of theoretical knowledge and specific skills in the application of anaesthetic and intensive care methods in the burn clinic.
Learning Outcomes
Knowledge
1.Medical residents are able to describe the following: 1. Anaesthetic specifics of patients with burns, choice of methods depending on the type and extent of surgical manipulation. 2. Acute burn injury, burn shock, inhalation injury, burn wound infection and septic complications, hypermetabolic state in patients with severe burn injury – clinical picture and pathophysiological mechanisms of development. 3. Algorithm of primary check, examination and initial treatment of a patient with acute burn injury. Prognosis. 4. Specifics of infusion therapy in patients with acute burn injury; subsequent infusion and transfusion therapy. 5. Specifics of intensive care of burn injury depending on surgical tactics in burn wound treatment. 6. Specifics of analgesic therapy in patients with acute burn injury, subsequent analgesia; prevention of opiate and benzodiazepine withdrawal syndrome. 7. Specifics of prevention, diagnosis and treatment of septic complications in patients with burn injury. Burn sepsis. 8. Specifics of enteral and parenteral nutrition in patients with burn injury.
Skills
1.Medical residents: 1. Are able to provide anaesthesia for burn patients for the following surgical manipulations: a. treatment and dressing of extensive burn wounds, b. necrectomy of burn wounds, c. necrotomy of a circular burn, d. autodermoplasty of burn wounds. 2. Are able to perform central venous catheterisation in burn patients using different approaches determined by the localisation of burn wounds – v. jugularis, v. subclavia (sub- and supraclavicular approach), v. femoralis. 3. Are able to provide direct arterial and venous pressure monitoring in burn patients. 4. Are able to provide artificial lung ventilation to burn patients. 5. Are able to provide continuous haemodialysis and haemofiltration to burn patients. 6. Are able to provide anaesthesia for burn patients to ensure surgical manipulations and operations. 7. Are able to provide therapeutic and diagnostic manipulations to patients with burn injury.
Competences
1.At the end of the study course, the medical resident will be able to make clinically sound decisions and take effective action in providing anaesthesia and intensive care to burn 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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|---|---|---|
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1.
Individual work |
-
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-
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Theoretical preparation for practical training (including for the acquisition of the skills included in the course) using recommended study materials.
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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 acquisition of clinical skills is evaluated by the supervisor of practical training, while the supervisor of the specialty programme organises the examination of theoretical knowledge of study courses (in accordance with RSU Academic Regulations II). Theoretical knowledge is assessed using a variety of assessment methods: multiple-choice tests, essays, descriptions of solutions to clinical problems, case presentations, etc. Skills are assessed through observation of workplace performance, as well as through observation of demonstrations on a dummy or simulator, and through testing of objectively structured clinical skills. Medical residents’ knowledge and skills are assessed with a grade on a 10-point scale.
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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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Haemostasis disorders in intensive care unit patients.
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Total ECTS (Creditpoints):
3.00
Number of Residency Seminars:
1
Length (weeks):
2
Final Examination:
Residency exam (Theory and practice)
Bibliography
Required Reading
1.
V. Liguts. Intensīvās terapijas rokasgrāmata. Riga: Medicīnas apgāds, 2008
2.
A. Sondore. Anestezioloģijas pamati jautājumos un atbildēs. Rīga: Nacionālais Apgāds, 2011
3.
I. Vanags, A. Sondore. Klīniskā anestezioloģija un intensīvā terapija. Rīga: Nacionālais Apgāds, 2008
Additional Reading
1.
A.R. Aitkenhead, et al. Smith and Aitkenhead's Textbook of Anaesthesia. 6th ed. Churchill Livingstone Elsevier, 2013.
2.
P.G. Barash. Clinical Anesthesia. 7th ed. Lippincott- Williams& Wilkins, 2013.
3.
J.L. Vincent. Annual Update in Intensive Care and Emergency Medicine. Springer, International Publishing, 2016.
4.
J.L. Vincent, et al. Textbook of Critical Care. 6th ed. Elsevier, 2015.
5.
R.D. Miller, et al. Anesthesia. 8th ed. Saunders, 2014.