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Subject Code | Name of the Subject | T-Pr-Pi | Credits |
CUTM 1821 | CONCEPTS OF DISEASES AND TECHNIQUES RELATED TO ANESTHESIA | 3-0-1 | 4 |
Course Objectives
Course Outcomes
CO1: Understand the principles and preparation steps for safe anesthesia practice.
CO2: Demonstrate preoperative assessment and preparation for various patient profiles.
CO3: Apply intraoperative monitoring and anesthetic techniques in different surgical situations.
CO4: Identify and manage postoperative complications, minor sequelae, and catastrophic events.
Module I: Introduction : First successful clinical demonstration: Balanced anesthesia, Minimum standard of anaesthesia, Who should give anaesthesia?, Ten golden rules of anaesthesia, 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 II: Pre-op preparation: Pre anaesthetic assessment, History – HOPI, Past history – disease
/surgery / anesth, Personal history – smoking / alcohol, General physical assessment, Systemic examination – CVS, RS, CNS, PA Local examination.
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, Anaesthetic drugs
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 anaesthesia – drugs used, transferring the patient.
Recovery room – Set up, Things needed, Problems
Complications, Obesity, Anaemia
Nausea & vomiting, Sore throat, Laryngeal granuloma, Neurological complications, Awareness, Vascular
Mortality, Causes of death, Cerebral damage, Prevention
Module VI: Anaesthetic consideration in Cardiac Anaesthesia, 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
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.
RECOMMENDED TEXTBOOKS
Session 1: First successful clinical demonstration in anesthesia
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Session 2: Principles of balanced anesthesia
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Session 3: Minimum standards of anesthesia practice
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Session 4: Who should administer anesthesia (scope and responsibilities)
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Session 5: Ten golden rules of anesthesia practice
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Session 6: Patient assessment and preparation before anesthesia
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Session 7: Preoperative starvation and its importance
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Session 8: Checking anesthesia drugs and equipment before induction
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Session 9: Maintaining a clear airway and readiness to control ventilation
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Session 10: Securing intravenous access and preparing for emergencies
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Session 11: Monitoring pulse and blood pressure during anesthesia
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Session 12: Pre-anaesthetic assessment
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Session 13: Premedication advantages and drugs used
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Session 14: Special preoperative instructions for specific cases
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Session 15: Anesthesia machine checks
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Session 16: Checking laryngoscopes, endotracheal tubes, airways, and IV access
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Session 17: Emergency drugs and anesthesia drugs
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Session 18: Confirming patient identity before induction
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Session 19: Non-invasive and invasive monitoring techniques
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Session 20: Induction of anesthesia
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Session 21: Endotracheal intubation
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Session 22: Maintenance of anesthesia during surgery
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Session 23: Patient positioning during surgery
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Session 24: Fluid, blood, and electrolyte balance in the operating theatre
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Session 25: Reversal from anesthesia
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Session 26: Recovery room setup and necessary equipment
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Session 27: Recovery room problems and solutions
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Session 28: Postoperative complications
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Session 29: Minor sequelae
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Session 30: Major catastrophes
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Session 31: Anesthetic considerations in cardiac anesthesia
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Session 32: Water, electrolyte, and acid-base disturbances
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Teacher in Anesthesia Department