ANESTHESIOLOGY

Face to face and specifically:

The teaching of the "ANESTHESIOLOGY" course consists of lectures, clinical and practical training. Attendance at tutorials and exercises is mandatory.

The elections based on the clinical scenarios they develop the material described above.

The clinical exercises, (in 4 groups of students, 6 teachers per group of 20 students) constitute the clinical exercise of the students, are a necessary supplement to the lectures and aim to familiarize them with the use of techniques, the operation of instruments and the conduct of tests that are often used in anesthesiology, as well as helping to understand concepts that are not easily understood theoretically (practice-based learning)

The practical exercises, (in 4 groups of students, 2 teachers per group) recapitulate and deepen the material by using examples of clinical cases (problem-based learning and simulation) that highlight the application of anesthetic knowledge in the diagnosis and treatment of serious diseases. In each practicum, students take a history, practice the clinical examination, apply the clinical skills taught and prepare answers to the questions related to the clinical cases being examined so that they can discuss them with the lecturers.

Information and Communication Technologies are used to prepare lecture materials and provide online information and learning aids to students.

Specifically:

• Common software (eg powerpoint) is used to prepare lecture material and display slides and videos.
• Use of a critical incident simulation program in the operating room
• The study guide (analytical material & additional bibliography), the material of clinical and practical exercises (clinical cases for processing), the slides of the presentations after each lesson as well as videos and scientific articles related to the taught material are made available online and online at students through the e-class.
• The Library has the necessary textbooks for the course. Students also have access to international scientific databases (PubMed), which the Library has.
• Common software (eg excel) is used for the statistical processing of the student evaluation.
• Announcements, information, etc. are available online through e-class. Communication is also done via e-mail.

Evaluation methods.

A. In the clinical - practical exercises:

The students' participation in the exercises is done with continuous evaluation. Successful participation in the exercise is certified by the teacher's signature.

B. In theory – lecture material: Written Exams with multiple choice questions .

The exams of the course are written, lasting 2 hours, and consist of multiple-choice, critical or short-answer questions concerning clinical cases depending on those discussed in the courses (examples have been given at the end of each lecture). Examinable material is the material of the lectures as described above. Students who have successfully completed the clinical exercise and attended the required number of lectures have the right to participate in the course exams.

The final grade of the course is calculated from the grade of the written exams taking into account the total attendance during the clinical and practical training.

The material of the course aims to understand and become familiar with the fundamental principles and techniques related to the controlled and reversible loss of consciousness or analgesia that every doctor should know, regardless of specialty. It additionally discusses the basics of pain treatment and palliative care, two key topics that all healthcare providers should be able to approach.

Learning outcomes are achieved by:

a. monitoring the activities of the Anesthesiology Clinic (operating rooms, Postanesthetic Care Unit, Pain Clinic and pre-anaesthetic control)

b. BLS (BasicLifeSupport) practice and AED (AutomatedExternalDefibrillator) use according to the modern standards of the ERC (EuropeanResuscitationCouncil)

c. ALS practice (AdvancedLifeSupport) according to modern ERC standards

d. internship in airway management

e. simulation in Anesthesiology

Finally, the aim of the course is for the students to understand the importance of the correct execution and assessment of the medical history, physical examination, symptoms and semiology and the corresponding skills required for the correct clinical practice related to the specialty of anesthesiology and in general the clinical specialties, as anesthesiology is in contact with almost all specialties as it requires the management of patients with a variety of comorbidities.

Description of the Level of Learning Outcomes according to the Qualifications Framework of the European Higher Education Area (EHEA): Students, after a successful examination, have proven knowledge and understanding of topics in the subject of Anesthesiology (PPS level). The knowledge and skills they acquire are level 6 (1^u study cycle) of the European Qualifications Framework (EQF).

Upon successful completion of the course, the student will be able to:

• He has knowledge and understanding of the basic principles of General Anesthesia, Regional Anesthesia, anesthetic drugs, the possibilities of modern Patient Monitoring, the management of fluids, blood and derivatives.
• Has knowledge and understanding of the basic principles of pain management and palliative care.
• Perform the initial approach of a critically ill patient and apply the modern principles of ERC resuscitation.
• Can collaborate with fellow students in a clinical setting to perform basic and specialized clinical procedures

General Skills

The course aims to acquire the following skills:

• Search, analysis and synthesis of data and information, using the necessary technologies
• Approaching new situations
• Decision making
• Autonomous work
• Teamwork
• Work in an international environment
• Promotion of free, creative and inductive thinking
• Download history
• Physical examination
• Correct diagnostic, pharmaceutical and therapeutic approach
• Project planning and management
• Demonstrating social, professional and ethical responsibility and sensitivity to gender issues
• Exercise criticism and self-criticism

The material of the ANESTHESIOLOGY course is structured as follows:

A. The theoretical clinical skills that students must acquire in order to succeed in
lesson.
B. The practical and clinical skills that students must acquire to be considered
successfully tracking them.
C. The knowledge of the material that students must have in order to succeed in the course
A. Theoretical clinical skills
I. By theory chapter based on clinical scenarios
1. Basic Life Support in child and adult, airway obstruction by foreign body.
2. Specialized Life Support in adults.
3. Physiology during anesthesia how the systems are affected
4. Anesthesia techniques, advantages, disadvantages.
5. The drugs used by the anesthetist.
6. Pre-anaesthetic assessment and preparation of a patient to undergo surgery – Medical Behavior.
7. How does the anesthesiologist monitor the patient perioperatively? (Monitoring).
8. Vascular access and management of fluids, blood and derivatives.
9. Critical events during anesthesia and patient resuscitation and their management. Postoperative care.
10. The importance of teamwork
11. Management: a. acute and postoperative pain, b. chronic benign pain, c. cancer pain.
12. Music therapy as a complementary method in medicine
13. Palliative care
14. Blood donation
15. Organ donation
II. In mandatory clinical practice – problem-based learning
Presentation, analysis, discussion and treatment of real clinical cases of patients with the following pathological conditions:
Critically ill patient
Patient in cardiac arrest
Patient with allergic shock
Patient with acute coronary syndrome
Patient with stroke
Critical perioperative events:
Bronchospasm
Laryngospasm
Pulmonary embolism
Bleeding
Malignant hyperthermia
Chronic Pain
Palliative/Palliative Care
Music therapy
Blood donation
Patient for organ donation

B. Practical and clinical skills
In the mandatory clinical and practical training – learning based on practical experience
Acquisition of general and specific practical skills by medical students during the preparation of clinical tutorials and lectures:
1. General skills
Drawing conclusions from data
Solving practical problems
Extract information from graphs
Operation of basic machine equipment in operating rooms
Effective teamwork
Safe work in a laboratory environment
Receiving and following instructions
Perception of clinical errors and identification of their sources

2. Special skills
Upon successful completion of the course you will be able to:
1. identify and assess the critically ill patient
2. apply Specialized Cardiopulmonary Resuscitation according to current ERC guidelines.
3. place a nasogastric tube
4. insert a IV catheter into the patient
5. take blood gases
6. apply basic monitoring
7. ventilate the patient with a mask
8. place the appropriate airway on the patient
9. place the appropriate laryngeal mask on the patient
10. suction and clean the airway
11. you prescribe medication to treat pain
12. apply the principles of palliative care

The training includes a) discussion and clinical scenario management seminars that will combine theory with practice and b) advanced skills training in small groups in a simulated setting. At the same time, the students will participate in the operation of the surgeries, the Metaesthetic Care Unit and the Pain Clinic.

In detail, the content of the course includes the following:
1. Assessment of the Deteriorating Patient (ABCDE)
2. Resuscitation (Basic and Specialized according to ERC) and drowning
3. Preanesthetic assessment and optimization of the surgical patient
4. Introduction and maintenance of anesthesia
5. Follow-up in the Metaesthetic Care Unit (MMCA)
6. Airway management
7. Basic principles of safe transport of critically ill patients
8. Mechanical ventilation
9. Capnography monitoring and evaluation
10. Acute postoperative pain
11. Chronic pain
12. Palliative care
13. Anaphylaxis
14. Bronchospasm
15. Acute coronary syndrome
16. Counter-donation of medicines
17. Securing venous lines
18. Basic interpretation of blood gases
19. Basic principles of blood transfusion
20. Organ donation

C. Knowledge – Lecture material
Publications: Anesthesia at a Glance, EWDOXOS code: 122090169
Slides available in e-class

Anesthesiology: Basic Principles, code EUDOXOS: 122090169 

-Related scientific journals: