Fundamentals of Anaesthesiology
Study Course Implementer
Residency Speciality
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About Study Course
Objective
Learning Outcomes
Knowledge
1.Medical residents are able to demonstrate basic knowledge and understanding of medical theories in anaesthesiology, 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 should: - be familiar with the ASA scale for assessing the patient’s general condition; - be able to describe the structure of an anaesthetic machine, describing the functions of its components; - be able to describe the occupational safety regulations; - be able to identify the indications for cancellation of an elective surgery; - be able to describe the stages of general anaesthesia; - be able to describe the different methods of postoperative analgesia (including the pharmacological characteristics of the medicinal products used).
Skills
1.Medical residents are able to demonstrate successful performance of the manipulations included in the study course description in a clinical setting. Medical residents are able to demonstrate the following skills: - preoperative examination by the anesthesiologist, risk assessment (ASA) and completion of the examination protocol; - prescribing premedication; - standard inspection of the anaesthetic machine; - using the anaesthetic machine to ensure endotracheal anaesthesia; - ensuring monitoring of organ functions during anesthesia; - laryngeal masks, laryngeal tubes, airway insertion (dummies are also used for training); - endotracheal intubation under direct laryngoscopic guidance (dummies also used for training); - puncture of the epidural space and administration of an anaesthetic; - prescribing postoperative analgesia.
Competences
1.At the end of the study course, the medical resident is familiar with the basic issues of perioperative care of surgical patients, is able to make informed decisions when preparing the patient for surgery, and is able to perform basic anaesthetic manipulations 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
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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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Introduction to the specialty (anaesthesiology)
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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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Methods of ensuring airway permeability
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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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Principles of anaesthetic machine structure. Safety technique in anaesthesiology.
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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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Patient examination before anaesthesia and surgery. Anaesthesia risk and mitigation strategy. Premedication
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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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Intraoperative monitoring
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Bibliography
Required Reading
Antoņina Sondore. Anestezioloģijas pamati vairāk nekā 1000 jautājumos un atbildēs. Rīga: Medicīnas apgāds, 2016.
Klīniskā anestezioloģija un intensīvā terapija (Induļa Vanaga un Antoņinas Sondores redakcijā), Rīga: Medicīnas apgāds, 2017.
Additional Reading
Manuel C. Pardo, Ronald D. Miller. Basics of anesthesia. Elsevier, 2018.
P.K. Sikka et al. Basic Clinical Anesthesia. New York: Springer, 2015.
R.D. Miller et al. Anesthesia. 8th ed. Saunders, 2014.
A.R. Aitkenhead et al. Smith and Aitkenhead's Textbook of Anaesthesia. 6th ed. Churchill Livingstone Elsevier, 2013.
P.G. Barash. Clinical Anesthesia. 7th ed. Lippincott- Williams& Wilkins, 2013.
G. E. Morgan. Clinical Anesthesiology. 5th ed. East Norwalk: Appleton&Lange, 2013.