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

Anaesthesia in Thoracic Surgery

Main Study Course Information

Course Code
RAR_063
Branch of Science
Anaesthesiology and Resuscitation; Clinical medicine
ECTS
10.00
Target Audience
Medicine
LQF
Level 8

Study Course Implementer

Course Supervisor

Residency Speciality

Speciality
Supervisor of Medical Speciality
Contacts

-

About Study Course

Objective

To provide the medical resident with an understanding of perioperative care of surgical patients undergoing thoracic surgery, as well as develop and improve their theoretical knowledge and specific skills in the application of anaesthetic methods in thoracic surgery.

Learning Outcomes

Knowledge

1.Medical residents are able to demonstrate specific knowledge and understanding of medical theories on anaesthesia in vascular surgery, 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 physiological, pharmacological and clinical specifics of non-cardiac thoracic operations (lung and bronchial operations, mediastinal operations, thymus operations, etc.), - be able to describe the choice of anaesthetic method, the choice of mode of artificial lung ventilation, - be able to describe the absolute and relative indications for surgery with one-lung ventilation, - be able to describe operations in special situations using jet ventilation mode: bronchopleural fistulas, empyema, tracheal resection.

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 prepare the patient for surgery and anaesthesia, - be able to perform endobronchial intubation, - be able to prevent complications and provide analgesia in the early post-operative period.

Competences

1.At the end of the study course, the medical resident is familiar with perioperative care of surgical patients undergoing thoracic surgery, is able to make clinically sound decisions and act effectively in preparing the patient for surgery, providing anaesthesia and postoperative care.

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 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.

Study Course Theme Plan

FULL-TIME
Part 1
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Anaesthesia in thoracic surgery
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Artificial lung ventilation in thoracic surgery
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Anaesthesia for patients with COPD, bronchial asthma
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Blockades of peripheral nerves and nerve plexus.
Total ECTS (Creditpoints):
10.00
Number of Residency Seminars:
4
Length (weeks):
7
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.

Antoņina Sondore. Anestezioloģijas pamati vairāk nekā 1000 jautājumos un atbildēs. Rīga: Medicīnas apgāds, 2016 (ISBN: 9789984813899)

3.

R.P. Alston. Oxford Textbook of Cardiothoracic Anaesthesia. Oxford: Oxford University Press, 2015 (ISBN 978–0–19–965347–8)

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)

6.

D. Borshoff. Anaesthetic crisis manual. Cambridge: Cambridge university press, 2011. (ISBN 978-0-521-27986-4)

Other Information Sources