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

Intensive Care in Neurosurgery

Main Study Course Information

Course Code
RAR_037
Branch of Science
Anaesthesiology and Resuscitation; Clinical medicine
ECTS
4.00
Target Audience
Medicine
LQF
Level 8

Study Course Implementer

Course Supervisor

Residency Speciality

Speciality
Supervisor of Medical Speciality
Contacts

-

About Study Course

Objective

To improve the medical resident’s competences in neuro-intensive care.

Learning Outcomes

Knowledge

1.Medical residents are able to demonstrate basic knowledge and understanding of medical theories in neurosurgical intensive care, which meets the requirements of the specialty of anaesthesiologist, reanimatologist, which provides a basis for creative thinking in clinical practice and partly in research, as well as the ability to work in interdisciplinary interactions. Medical residents must: - be able to describe the main components of an artificial lung ventilation equipment, the basic principles of operation; - be able to assess the functional status of the patient’s circulatory system; - be able to assess the functional status of a critically ill patient’s respiratory system; - be able to assess conditions requiring artificial lung ventilation; - learn the principles of operation of artificial ventilation equipment; - be able to assess the functional status of the patient’s circulatory system and to correct disorders; - be able to diagnose the degree of brain damage and provide care for an unconscious patient; - be able to interpret the water-electrolyte and acid-base status of the blood and correct disorders; - be able to diagnose multiple organ failure; - be familiar with the indications for haemodialysis, haemofiltration, hemadsorption and hyperbaric oxygenation.

Skills

1.Medical residents are able to demonstrate successful performance of the manipulations included in the course description in a clinical setting. Medical residents must: - be able to practise basic and specialised monitoring of the patient’s condition; - be able to practically provide artificial lung ventilation to the patient; - be able to assess the functional status of the critically ill patient’s respiratory system; - be able to assess conditions requiring artificial lung ventilation; - be able to perform basic monitoring of the patient’s condition.

Competences

1.Medical residents are able to successfully apply intensive care methods to critical patients in toxicology, understanding the nature of the methods and making informed decisions appropriate to their competence.

Assessment

Individual work

Title
% from total grade
Grade
1.

Individual work

-
-
Theoretical preparation for practical training (including for the acquisition of the skills included in the course) using recommended study materials. Clinical skills development on models, dummies, in simulated environment.

Examination

Title
% from total grade
Grade
1.

Examination

-
-
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 knowledge assessment methods: multiple-choice tests, essays, descriptions of clinical problem solutions, case presentations, etc. Skills are assessed by observation of performance in the workplace, by observation of demonstrations on a dummy or simulator, and by testing objectively structured clinical skills. Medical residents’ knowledge and skills are assessed with a grade on a 10-point scale.

Study Course Theme Plan

FULL-TIME
Part 1
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Acid-alkaline imbalances. Interpretation, indications for active correction of disorders.
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Intensive care in neurosurgery.
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Intensive care for cerebral oedema.
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Modes of artificial lung ventilation used for intensive care in neurosurgery.
Total ECTS (Creditpoints):
4.00
Number of Residency Seminars:
4
Length (weeks):
3
Final Examination:
Residency exam (Theory and practice)

Bibliography

Required Reading

1.

Klīniskā anestezioloģija un intensīvā terapija (Induļa Vanaga un Antoņinas Sondores redakcijā), Rīga: Medicīnas apgāds, 2017. (ISBN: 978-9984-813-96-7)

2.

V. Liguts. Intensīvās terapijas rokasgrāmata. Riga: Medicīnas apgāds, 2008

Additional Reading

1.

M. Kumar ed. Neurocritical Care Management of the Neurosurgical Patient. Essevier, 2018. (ISBN: 978-0-323-32106-8)

2.

Z.D. Levy Ed. Absolute Neurocritical Care Review. Springer 2017, (ISBN 978-3-319-64632-9)

3.

Jean-Louis Vincent. Annual Update in Intensive Care and Emergency Medicine. Springer International Publishing, 2018

4.

J.A. Asensio et al. Current therapy of trauma and surgical critical care, 2nd.ed. Elsevier, 2016. (ISBN: 978-0-323-07980-8)

Other Information Sources