Veidlapa Nr. M-3 (8)
Study Course Description
Anaesthesia in Abdominal Surgery
Course Code
RAR_011
Branch of Science
Anaesthesiology and Resuscitation; Clinical medicine
ECTS
6.00
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 an understanding of perioperative care of surgical patients undergoing abdominal surgery, as well as improve their theoretical knowledge and specific skills in the application of anaesthetic methods in abdominal surgery.
Learning Outcomes
Knowledge
1.Medical residents must: - be able to describe the surgical patient preparation plan for acute and elective abdominal surgery; - be able to describe the pharmacological properties of medicinal products used in premedication; - be able to describe the pharmacological properties of drugs used for maintenance of anaesthesia, analgesia, myorelaxation; - be able to describe the indications and contraindications for regional anaesthesia and technique thereof; - be able to describe monitoring techniques that can be used during anaesthesia.
Skills
1.Medical residents must: - be able to examine the surgical patient before anaesthesia and surgery, assess the degree of surgical risk in case of elective and acute surgery (by completing an examination report); - be able to prepare patients for surgery and anaesthesia; - be able to prepare the workstation in the operating room; - be able to prepare the anaesthetic machine and monitors; - be able to provide general anaesthesia during abdominal surgery; - be able to perform spinal, epidural and combined spinal-epidural anaesthesia, as well as regional anaesthesia in combination with general anaesthesia; - be able to assess vital signs during surgery and anaesthesia; - be able to ensure patient safety in the post-operative period; - be able to select and prescribe a method of postoperative analgesia.
Competences
1.At the end of the study course, the medical resident is familiar with perioperative surgical patient care, is able to make informed decisions when preparing a patient for surgery, and able to select and provide anaesthesia in abdominal surgery under the guidance of a physician entitled to teach.
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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|---|---|---|
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On site
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Specialized room
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Topics
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Surgery and anaesthetic tension
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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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Clinical pharmacology of opiates, opioids and antagonists thereof
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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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Inhalation anaesthesia
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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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Inhalation anaesthesia
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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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Anesthesiologist’s actions in case of “difficult airways”. Action algorithm.
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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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Practical provision of anaesthesia
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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 anaesthesia in patients with liver pathology
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Total ECTS (Creditpoints):
6.00
Number of Residency Seminars:
7
Length (weeks):
4
Final Examination:
Residency exam (Theory and practice)
Bibliography
Required Reading
1.
Antoņina Sondore. Anestezioloģijas pamati vairāk nekā 1000 jautājumos un atbildēs. Rīga: Medicīnas apgāds, 2016
2.
Klīniskā anestezioloģija un intensīvā terapija (Induļa Vanaga un Antoņinas Sondores redakcijā), Medicīnas apgāds, 2017.
Additional Reading
1.
P.K. Sikka et al. Basic Clinical Anesthesia. New York: Springer, 2015. (ISBN 978-1-4939-1736-5)
2.
R.D. Miller et al. Anesthesia. 8th ed. Saunders, 2014. (ISBN 978-0-7020-5283-5)
3.
A.R. Aitkenhead et al. Smith and Aitkenhead's Textbook of Anaesthesia. 6th ed. Churchill Livingstone Elsevier, 2013. (ISBN 978-0-7020-4192-1)
4.
P.G. Barash. Clinical Anesthesia. 7th ed. Lippincott- Williams& Wilkins, 2013. (ISBN 978-1451144192)
5.
G. E. Morgan. Clinical Anesthesiology. 5th ed. East Norwalk: Appleton&Lange, 2013 (ISBN 978-0071627030)