Anesthesia for Specialty Surgeries

Teacher

Dr D Sree Lakshmi

Category

Core Courses

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Course Name : Anesthesia for Specialty Surgeries

Code(Credit) : APANS 501(3-0-1)

Course Objectives

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Learning Outcomes

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Course Syllabus

MODULE -I

Neuroanaesthesia, orthopedics, plastic &reconstructive surgeries Neuro Anaesthesia  * Premedication * Special investigation - CT, Angiography and MRI * Checklist * Induction of a patient * Reinforced Endotracheal tubes * Positioning in neurosurgery * I.C.P. -normal values, factors increasing icp& methods to reduce ICP in the OT * Air embolism * Reversal of the patient * Transferring to I.C.U. / Ward Orthopaedic Surgery * Complications During Orthopaedic procedures-fat embolism, massive hemorrhage, tourniquet complications * Radiation hazard Plastic And Reconstructive Surgery And Vascular Surgery * Complications during revascularisation and its management * Recognition of compartment syndrome * Burns -types and initial management-anesthetic challenges * RAE tubes

MODULE -II

Obstetric Anaesthesia, Paediatric Anaesthesia-   Obstetric Anaesthesia * Differences between a pregnant and a nonpregnant lady * Risks for anaesthesia.-difficult airway, supine hypotension syndrome * Checklist * Regional vs general anesthesia * Induction/maintenance and recovery. * Resuscitation of the newborn, Apgar score * Reversal and extubation * Emergencies - manual removal of the placenta - A.P .H. - P.P.H. - Rupture uterus - Ectopic Pregnancy * Amniotic fluid embolism Paediatric Anaesthesia * Theatre setting * Checklist

* Premedication - modes * Induction * Intubation - Securing the ETT * Reversal & extubation - Problems and its management * Transferring / ICU management * Pain management

MODULE III:

Cardiac Anaesthesia, ENT Surgeries-      Cardiac Anaesthesia : * NYHA classification * Arrhythmias -types of arrhythmias and antiarrhythmic drugs * Angina- types * Dyspnoea-causes * Premedication * Setting up of monitoring system * Monitoring - invasive and non - invasive * Getting ready for the case * Induction of cardiac patient, precautions to be taken * Cardiopulmonary bypass -indication and its function * I.C.U management. * Chest tube management *

MODULE IV:

ENT Anaesthesia* Anaesthesia for adenotonsillectomy-challenges, positioning, throat packing and removal of the pack * Anaesthesia for mastoidectomy& FESS-methods to minimize bleeding * Anaesthesia for Bronchoscopy and oesophagoscopy-challenges in anesthetizing for these procedures

MODULE V:

Urology, anesthesia outside OR, daycare surgeries, laparoscopic and geriatric anaesthesia-Urology * Different endoscopic procedures in urology * Types of irrigation fluids-glycine, normal saline * Complications of TURP * Lithotomy position and its complications

Anesthesia Outside the O.R. Problems of anesthetizing patients in * Endoscopy * Cath Lab * Radiology -CT, MRI

MODULE VI:

Daycare Anaesthesia * Special features * Advantages * Disadvantages * Complication Laparoscopic Surgeries * Complications during laparoscopic procedures * Effects of increased intragastric pressure Geriatric Anaesthesia * Physiological changes * Anaesthetic challenges& problems during positioning.

MODULE VII:

Trauma Anaesthesia, Thoracic Anaesthesia-    Anaesthesia for Trauma & Hypovolemic Shock * Resuscitation -airway, breathing * Preoperative investigations& assessment * Circulatory management * Causes of unconsciousness * Rapid sequence induction * Tension pneumothorax-pathophysiology and management Thoracic Anaesthesia * Pulmonary function tests bedside * Preoperative preparation  * Checklist * Induction. Intubation Lung isolation- Indications, Techniques, Complications * Double lumen tubes * Monitoring during single lung ventilation * Pain management * Extubation * ICU management

Recommended Books.

  1. Paul Marino -The ICU Book -4th edition
  2. Berry, Edna Carnelia & Marie Louis Kohn-Introduction to OR techniques -4th ed.
  3. Brigden, Raymond. J-OT Technical-5th edition
  4. Dixon, Eileen-Theater Techniques-5th edition
  5. Nurse Anaesthesia by Nagelhout and Plans-5th edition (2014)Elsevier

Reference books

 1.  Clinical Anaesthesia by Pramila Bajaj-3rd edition

2. Lee's Synopsis of Anesthesia-13th edition

Session Plan

Session 1

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Session 2

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