Teaching

In the School of medicine, Surgical department I teach:

• Fifth year students, Airway management

• Sixth year students, Peri-operative fluids

• Higher study students. Clinical Anesthesia, Anesthetic Management of Different Conditions , ICU management 

Course Book Content

Anesthesia Lecture (fifth year)

Dr. Amir Boujan

Detail of Syllabus

Airway Management  (5hr)

Objectives: the student will learn about:

Ø     Anatomy of the airway

Ø     Airway assessment and difficult airway

Ø     Endotracheal intubation, it’s indications and complications

Ø     Surgical intervention to control the airway

References

•         Robert K.stoetling, Ronald D.Miller, Basics of anesthesia 2010

•         Kith G.Allman, Iain Wilson, Oxford Handbook of Anaesthesia 2011

•         A.R. Aitkenhead, G.Smith, Textbook of Anaesthesia 2010

 Question Examples

Q1/ Enumerate the complications of endotracheal intubation while the tracheal tube is in place:

Q2/Chose the most appropriate statement by encircling the letter in front of it (answer on this paper):

1.  Regarding oropharyngeal airway all are true except:

a.   Inserted secondary to loss of upper airway muscle tone in anesthetized patient

b.  Airway obstruction caused by tongue falling against posterior pharyngeal wall

c.   Length of airway estimated by measuring from the mouth to meatus of ear

d.  Caution when used with patient has basal skull fracture

Anesthesia Lecturers( Diploma Students)

•         Dr. Amir Boujan

Detail of Syllabus

•        Introduction to anesthesia  

Objectives: the student will learn about

1.     History of anesthesia.

2.     Preoperative preparation of a patient to anesthesia which includes preoperative visit of the anesthetist to the patient.

Ø     History (including drug history and its effect on anesthesia)

Ø     clinical examination

Ø     Interpretation of laboratory data

Ø     Consent

Ø     Planned management of anesthesia

Ø     Methods available for relief of post operative pain

Ø     Fasting guidelines

Ø     Assignment the physical status classification

Ø     Premedication and

•         Types of Anesthesia  

Objectives:

The student should know the aim of anesthesia, the definition of general anesthesia and the meaning of induction maintenance and recovery.

Also the student will learn about local anesthesia and the types of local anesthesia procedures (e.g. regional anesthesia)

v    General anesthesia

v    Local and regional anesthesia

v    Induction

v    Maintenance

v    Recovery

•        Drugs used in anesthesia  

Objectives:

The student will learn about different groups of anesthesia drugs, there effects, side effects also drug interaction.

v    Inhalational agents (anesthetic gases, halogenated agents)

v    Intravenous agents

v    Muscle relaxants (depolarizing agent, non-depolarizing agents)

v    Local analgesics (ester group, amide group)

•         Post operative complications 

•         Objectives:

The student should know the postoperative anesthesia complications and how to manage them

v    Upper airway obstruction

v    Arterial hypoxemia

v    Hypoventilation

v    Hypotension

v    Hypertension

v    Cardiac dysrthymia

v    Oligurea

v    Bleeding

v    Decreased body temperature

v    Agitation (emergence delirium)

v    Delayed awakening

v    Nausea and vomiting

v    Pain

•        Pain management  

Objectives:

The student will learn about pain, types of pain and the methods available to control acute pain and the methods to control chronic pain

v    Acute pain and its management

v    Chronic pain and its management

•         Monitoring

Objective:

The student will learn about patient monitoring in the operation room or in the ICU.

v    ECG monitor

v    Pulse oximeter

v    Capnograph

v    Blood pressure monitoring

•        Cardiopulmonary resuscitation

Objectives:

The student should know the ABC of Cardiopulmonary resuscitation and how to deal with patient developed cardiac arrest

v    BLS

v    ALS

•        Intensive Care Unite  

Objectives:

The Student will learn about:

Ø     ICU and the instrument available in it (e.g. respiratory support instruments)

Ø     Criteria for admission to ICU

Ø     Criteria for patient to discharge from ICU

Ø     Care to critical ill patient

Ø     Dealing with specific conditions in ICU (e.g. Salicylic acid poisoning)

Ø     Total parenteral nutrition

References

•         Robert K.stoetling, Ronald D.Miller, Text Book of anesthesia 2010

•         Kith G.Allman, Iain Wilson, Oxford Handbook of Anaesthesia 2011

•         A.R. Aitkenhead, G.Smith, Textbook of Anaesthesia 2010

 Question Examples

Q1/ Enumerate the Important aspects of the preoperative evaluation.

An/ Important aspects of the preoperative evaluation includes the followings:

•          History

•         Review of current drug therapy

•         Physical examination

•         Interpretation of laboratory data

•         Consent

•         Planned management of anesthesia

•         Methods available for relief of post operative pain

•         Fasting

•         Assignment the physical status classification

•         Premedication

Q2/ Write short notes on the causes of post operative hypertension.

An/ the causes are:

1.     Arterial hypoxemia.

2.     Enhanced sympathetic nervous system activity (pain, bladder distension).

3.     Preoperative hypertension.

4.     Hypervolemia.

5.     Hypercarbia

Q3/choose the most appropriate answer

•         The sources of blood clot embolization in the arteries are all except:

A.   Mural thrombus

B.   Following myocardial infarction

C.   Mitral stenosis

D.   Aortic stenosis

E.    Atrial fibrillation