Concepts of Diseases and Techniques in Regional & General Anesthesia (CUTM1821)

Teacher

Majid Anwar Bhat

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Course outcome: CO1: To learn the basics of balanced anesthesia, pre anaesthetic assessment. CO2: To be able to execute intraoperative management and postoperative complications & management. CO3: To analyse the technique and practical concept to handle patient with critical condition. CO4: To investigate intra operative management and post operative complications and their management.   Syllabus: Module 1: Introduction: First successful clinical demonstration: Balanced anesthesia, Minimum standard of Anesthesia, Ten golden rules of Anesthesia, Assess & prepare, starve, check the drugs and equipment suction, keep the airway clear, be ready to control ventilation have a vein open, monitor pulse & BP, have someone in the room to apply cricoids pressure if needed. Module 2: Pre-op preparation: Pre anaesthetic assessment, History – HOPI, Past history – disease /surgery / anesthesia, Personal history – smoking / alcohol, General physical assessment, Systemic examination – CVS, RS, CNS, PA Local examination. Module 3: Investigations and Pre-anesthetic orders, Routine – Urine, E.C.G, Chest x-ray, Patient – Informed consent, NPO, Premedication – advantages, drugs used, Special instructions – if any, Machine – Checking the machine, o2, N2O, suction apparatus, Laryngoscopes, ET tubes, airways, Things for IV accessibility, Other monitoring systems, Drugs – Emergency drugs, Anesthetic drugs

Module 4:

Intraoperative management and Postoperative complications & management, Confirm the identification of the patient, Monitoring – Non-invasive & invasive monitoring, Induction – drugs used, Endotracheal intubation, Maintenance of anesthesia, Positioning of the Patient, Blood / Fluid & electrolyte balance, Reversal from Anesthesia – drugs used, transferring the patient. Recovery room – Set up, Things needed, Problems/Complications, Obesity, Anemia

Module 5:

Minor sequelae and Major catastrophes Nausea & vomiting, Sore throat, Laryngeal granuloma, Neurological complications, Awareness, Vascular, Mortality, Causes of death, Cerebral damage, Prevention Module 6: Anesthetic consideration in Cardiac Anesthesia, Cardiac Anesthesia: NYHA classification, Arrhythmias -types of arrhythmias and antiarrhythmic drugs, Angina- types, Dyspnea-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

Module 7:

Water Electrolyte & Acid Base Disturbances Distribution of Body Water, Dehydration Hyperkalemia, Hypokalemia. Sodium, Calcium Acid Base Disturbances – Types and Treatment. Fluid management in OT, blood loss calculations, Endocrine Disease, Diabetes Mellitus, Thyroid Dysfunction – Thyrotoxicosis, Hypothyroidism Adrenal Gland Dysfunction Diabetes Insipidus.

Course Plan

Session 1

Topic: Balanced anesthesia, Minimum standard of anesthesia, Who should give anesthesia

Study Materials:

Article- http://www.thoracentesis.science/2020/01/balanced-anesthesia-definition.html Slide share: https://www.slideshare.net/FarazaJaved/general-anesthetics-76618175   Session 2 Topic: Ten golden rules of anesthesia Study Materials: Slide share- https://www.slideshare.net/BHAWNASHARMA156/golden-rules-of-anesthesia Article- https://medchrome.com/minor/anaesthesia-minor/10-golden-rules-anesthesia/comment-page-1/   Session 3                  Topic: Pre-op preparation Study Materials: Article- https://basicmedicalkey.com/preoperative-preparation-of-the-patient/ Slide share- https://www.slideshare.net/hanisahwarrior/preoperative-preparations   Session 4 Topic: Investigations and Pre-anaesthetic orders Study Materials: Article: https://www.sciencedirect.com/science/article/pii/S2666262020300036 Slide Share- https://www.slideshare.net/RamanGhimire3/preanesthetic-assessment   Session 5 Topic: Premedication Study Materials: Article- https://aneskey.com/premedication/ Slide Share: https://www.slideshare.net/anaesthesiology-mgmcri/premedication-63732850                Session 6 Topic: Intraoperative management and Postoperative complications & management Study Materials: Article- https://www.mayoclinicproceedings.org/article/S0025-6196(20)30262-7/pdf https://link.springer.com/chapter/10.1007/978-981-19-6045-1_23   Session 7 Topic: Non-invasive & invasive monitoring Study Materials: Slide Share- https://www.slideshare.net/Renji200/non-invasive-and-invasive-blood-pressure-monitoring                                                                    Session 8 Topic: Endotracheal intubation, Maintenance of anesthesia Study Materials: Slide Share- https://www.slideshare.net/nka63/endotracheal-intubation-46564829 Slide Share- https://www.slideshare.net/alexlagoh/anaesthesia-induction-maintenace-reversal   Session 9 Topic: Positioning of the Patient Slide share: https://www.slideshare.net/shibinath/patient-position-and-anesthesia   Session 10 Topic: Minor sequelae and Major catastrophes Study Materials: Slide Share- https://www.slideshare.net/nka63/complications-of-general-anesthesia   Session 11 Topic: Anesthetic consideration in Cardiac disease Study Materials: Slide Share- https://www.slideshare.net/krishnadhakal5/ischemic-heart-disease-and-anesthetic-management   Session 12 Topic: Respiratory disease – COPD, Bronchial Asthma Study Materials: Slide share- https://www.slideshare.net/mohanad09/lecture-5-asthma-and-copd Article- https://www.uptodate.com/contents/anesthesia-for-patients-with-chronic-obstructive-pulmonary-disease#!   Session 13 Topic: Endocrine disease – DM, Thyroid dysfunction Study Materials: Slide share- https://www.slideshare.net/FIRDOUS88/endocrine-disorders-12818909 Article- https://www.bjanaesthesia.org.uk/article/S0007-0912(17)33023-4/fulltext   Session 14 Topic: Renal disease – CRF Study Materials: Slide Share- https://www.slideshare.net/mathewvallanamatathil/renal-failurearf-crf Slide share- https://www.slideshare.net/SarmisthaShines/anaesthesia-in-chronic-kidney-disease   Session 15 Topic: Obesity Study Materials: Slide share- https://www.slideshare.net/mrmodaq/obesity-29886847 Slide Share- https://www.slideshare.net/Nir2ran/obesity-and-anaesthesia   Session 16 Topic: Water Electrolyte & Acid Base Disturbances Distribution of Body Water Study Materials: Book Chapter- https://basicmedicalkey.com/water-electrolytes-and-acid-base-balance-3/       Session 17 Topic: Diabetes Mellitus Study Materials: Slide Share- https://www.slideshare.net/100002840600351/diabetes-mellitus-72487523   Session 18 Topic: Thyroid Dysfunction Study Materials: Slide Share- https://www.slideshare.net/drshama65/thyroid-dysfunction-edited  

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Majid Anwar Bhat

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Mr. Majid Anwar Bhat is working at Centurion University of Technology and Management since July 2022.  He has completed his  MSc in Operation Theatre Technology  from SGT University, Gurugram, Haryana (2022). His research area includes fields such as, Anesthesia, Surgery and Artificial Intelligence, in which he has accomplished publication in a peer reviewed journal. At […]