DEPARTMENT  OF ANAESTHESIA

OVERVIEW

The department of Anaesthesia was set up to assist the process of anesthetic service in the teaching hospital and to train both undergraduate and postgraduate students in the noble art of anaesthesia. It has suffered from lack of qualified staff until quite recently when its service has received boost. We hope to continue to have such boost in the future by placing emphasis on postgraduate training locally and abroad.

OBJECTIVES

The course is aimed at acquisition of knowledge on the principles and practice of anaesthesia by the graduating doctor. The student is expected to be in a position to supervise the nurse anaesthetists or nurse who  in many cases in the developing countries administers anaesthesia. In this situation therefore the student requires a broad knowledge. Students graduating from our University therefore have a broad and in depth knowledge of the principles of anaesthesia. It is in this light that this curriculum is formulated.

At the end of the training, the student is expected to

1. know the general principles of anaesthesia
2. be able to perform life-support procedures(respiratory and cardio-pulmonary resuscitation, care for the unconscious patient and other such measures)
3. use pharmacological actions of common drugs for the purpose of analgesia and anaesthesia
4. be able to understand and perform simple regional and general anaesthetic procedures.

TEACHING AND LEARNING METHODS

Anaesthesia is taught through demonstrations at surgical theatres and by video or VCD demonstrations.

EVALUATION

Examination is via multiple choice questions, essays and the final examination is at the surgical paper on the 5^th MBBS Examination.

600 LEVEL CLASS

ANT 653:  ANAESTHETICS THEORETICAL & PRACTICAL INSTRUCTION (3 CREDITS)

Course objectives:

At the end of the course the student should be able to develop the skill to anaesthetise a patient for a simple surgical procedure.

Teaching & Learning Methods:

Lectures, tutorials

Problem based learning.

Practical demonstrations during theatre sessions and in the laboratory

Evaluation

MCQ (True-False items, Essay, Practical)

Content

History of Anaesthesia

Scope of Anaesthesia

Types of Anaesthetic techniques

      -General anaesthesia

      -Regional anaesthesia

Preanaesthetic Evaluation

Premedication Preparation

Induction

Intubation 

Maintenance of Anaesthesia

Termination of Anaesthesia

Recovery from Anaesthesia

Technique of General Anaesthesia:

       -General endotracheal anaesthesia

       -Muscle Relaxant Technique

       -Balanced anaesthesia

       -Techniques of General anaesthesia

       -TIVA (Total Intravenous Anaesthesia)

       -Inhalational Anaesthesia

Uptake of Inhalational Agents

IV Anaesthesia‑Barbiturates

Local Anaesthetics

Techniques of Regional Anaesthesia

Muscle Relaxants

Anti-cholinesterases (Reversal)

Choice of Anaesthesia

Anaesthesia in various disease conditions

Obstetric analgesia and anaesthesia

Monitoring during anaesthesia

Anaesthetic accidents and complication

Circulatory arrest/cardiopulmonary resuscitation

     -Cardiopulmonary Resuscitation

      Basic Cardiac life support

      Advance Cardiac life support

      Prolonged cardiac life support

Shock/ Hypovolaemia/Haemorrhage

      Septic/Neurogenic shock

      Respiratory insufficiency

      Cardiogenic shock

Oxygen Therapy

Neonatal Resuscitation

Paediatric anaesthesia

Anaesthesia for removal of foreign bodies/bronchoscopy

Intensive Care Unit

Management of Critically ill patients

Acid base disturbances and Management

Airway obstruction

Airway Management

Artificial Ventilation

Pain management

Practical

Boyle's Anaesthetic machine

Gas cylinders

EMO  (Epstein Macintosh Oxford) machine

OMW (Oxford Miniature Vaporiser)

Endotracheal tubes

Resuscitation Equipment

Intubation Equipment

Suctioning

Pressure gauges

Monitoring Equipment

Safety Mechanisms on Anaesthetic machines­

Anaesthetic gases

Ventilators

Tracheostomy tubes

CVP (Central venous pressure) and lines

Demonstrations

Theatre Practical

(Clinicals).

Laboratory demonstrations/practical

TUTORIAL TOPICS FOR FINAL MBBS STUDENTS

1.        The anaesthetic machine/equipment, Gas cylinders Boyle's machine, intubation equipment)

2. Management of the Airway/Airway obstruction with Emphasis on Intubation ‑Equipment, indication and complications

3.          Care of Unconscious patient/post-operative care

4.             Preoperative Assessment and preparation

5.          Stages of Anaesthesia/types of Anaesthesia

6             Resuscitation ‑ CPR, drugs, equipment, shock

7.          IV Fluid therapy/Blood transfusions types, indications, complications etc.

8.          Muscle Relaxants & anti-cholinesterases (Reversal)

9             Intensive Care Unit

10.       Common Anaesthetic drugs ‑ IV/inhalational agents, muscle relaxants and anti-cholinesterases, analgesics , local anaesthetics, resuscitation drugs

11.           Anaesthetic complications/Emergencies

12.             Regional Anaesthesia.