Unit VETERINARY SURGERY I

VETERINARY ANESTHESIOLOGY

Code	GP001169
CFU	2
Teacher	Marco Pepe
Teachers	Sara Nannarone (Codocenza)
Hours	26 ore (Codocenza) - Sara Nannarone
Learning activities	Caratterizzante
Area	Discipline cliniche veterinarie
Academic discipline	VET/09
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Contents	The aim of the course is to provide students with the basic knowledge required to choose the more appropriate anesthetic protocol according to the type of surgery, the ASA status of the patient (i.e. its clinical condition) and the species. Basic knowledge of pharmacology and drugs useful in anesthesia will be discussed, beside the practical management of anesthetic protocols in several clinical settings. PROGRAM - introducution to the course : preanesthetic examination, preoperative instrumental exams (1,5h) - Phases of anesthesia and balanced anesthesia. Determination of anesthetic risk (1,5h) - The anesthetic machine - notes on instrumental monitoring (1,5h) - Breathing systems linear and circular (1,5h) - Preanesthetic drugs: phenothiazines and benzodiazepine (1,5h) - Preanesthetic drugs: alpha2 agonists and opioids (1,5h) - Induction drugs: barbiturates, cycloexamines (1,5h) - Induction drugs: propofol and alfaxolone. Inhalant anesthetics: halogenates (3h) - Maintenance drugs: Introduction on pain evaluation on domestic animals (1,5h) - Notes on farm animals anesthesia (1,5h)
Reference texts	Main text: Bufalari Antonello & Lachin Adriano: Anestesia cane, gatto e animali non convenzionali Other text useful for consultation of all other animal species: Lumb & Jones' Veterinary anesthesia and analgesia. for a deeper consultation on equine anesthesia: Muir & Hubbel: Equine Anesthesia - monitoring and emergency therapy. 2009, 2nd ed. Saunders
Educational objectives	Students should be able to apply in practice what we discuss during theoretical lectures (KNOW). KNOW HOW -> students should be able to: - perform a preanesthetic examination, - choose the most adequate anesthetic protocol and breathing circuit to provide general anesthesia or sedation, according to the type of patient and occurring disease, - being able to evaluate vital parameters both clinically and helped by instrumental monitoring, in order to provide the best welfare to both patient and operators.
Teaching methods	THEORETICAL ACTIVITY: - lectures in classroom on all the subjects of the course. PRACTICAL ACTIVITY: - practical activities with clinical cases referred to the OVUD where the group of students involved will have to: * visit the patient and define its ASA status * identify and discuss possible problems which could arise during anesthesia due to the concurrent disease and /or the surgical procedure * define an anesthetic protocol which fit to the case, choose the moleculs and calculate the amount to administer * surgically prepare the area and insert the intravenous catheter, administer preoperative medical tretment required (i.e. antibiotics and antinflammatory drugs) *assist during premedication and induction phases, as well as during maintenance while recording vital parameters by means of clinical and instrumental support, recognizing the adequate phyiologic range in order to provide a safe anesthesia devoid of risks for the animal and the operators - According to the availability of cadaver,s wet-lab would be perform to improve skillness on : * tracheal intubation, * venous catheterization * loco-regional anesthesia SELF-DIRECTED LEARNING ACTIVITY: - preparation of an "anesthetic plan" based on an hypothetic patient according to its history, lab exams and occurring disease and surgeli to be performed, so that they will provide description of: possible complications, anesthetic protocol (drugs selected for each anesthetic phase: premedication, induction, maintenance, moreover drugs and fluids of support), perioperative analgesia, breathing circuit and elective monitoring.
Extended program	- introducution to the course : preanesthetic examination, preoperative instrumental exams (1,5h) - Phases of anesthesia and balanced anesthesia. Determination of anesthetic risk (1,5h) - The anesthetic machine - notes on instrumental monitoring (1,5h) - Breathing systems linear and circular (1,5h) - Preanesthetic drugs: phenothiazines and benzodiazepine (1,5h) - Preanesthetic drugs: alpha2 agonists and opioids (1,5h) - Induction drugs: barbiturates, cycloexamines (1,5h) - Induction drugs: propofol and alfaxolone. Inhalant anesthetics: halogenates (3h) - Maintenance drugs: Introduction on pain evaluation on domestic animals (1,5h) - Notes on farm animals anesthesia (1,5h)

DIAGNOSTIC IMAGING

Code	GP001170
CFU	3
Teacher	Marco Pepe
Teachers	Rodolfo Gialletti (Codocenza)
Hours	75 ore (Codocenza) - Rodolfo Gialletti
Learning activities	Caratterizzante
Area	Discipline cliniche veterinarie
Academic discipline	VET/09
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Contents	Allow the student to learn the diagnostic possibilities of different diagnostic techniques such as radiology, ultrasound, TAC, magnetic resonance imaging and scintigraphy in pets.
Reference texts	Reef: Equine diagnostic ultrasound. Kidd: Atlas of Equine ultrasonography. Butler: Clinical Radiology of the Horse Bertoni Brunetti Pozzi: Radiologia Veterinaria.
Educational objectives	The course is the first lesson all dedicated to the management of diagnostic means for usable images in small and large animals. (know and know how) The main objective of the course is to provide theoretical and practical sessions with the basis for tackling good diagnostic tests utilizzado systems available to the veterinary surgeon. Through the knowledge first and then the use of diagnostic means for the student images will have the most modern instruments for arriving at a diagnosis. The knowledge and use of radiology, ultrasound, the CT, MRI and scintigraphy are fundamental tools in veterinary clinical practice. The main skills (ie the ability to apply their knowledge) will be the acquisition by the student to manage virtually clinical cases in small and large animals
Teaching methods	The course is organized as follows. Lectures on some of the topics of the module program Tutorial in operating theaters and surgeries of dell'OVUD Surgery. The students according to the number are divided into groups for the practical work and for the Clinical Rotation and, possibly with the caseload dell'OVU, as regards the clinical routine cases while a group take place directly on the patient diagnostic procedures, another affrontarà with the teacher, the traditional surgical procedures and / or therapies as appropriate. Particular attention will be paid to the logic of clinical cases from the accepted approach to the diagnosis until the therapy and possible dismissal of the case.
Extended program	Introduction to the course of diagnostic imaging; Procedures and rules for the examination; Teaching materials.(60') sonographic artifacts (60') abdominal ultrasound (90') Ultrasound abdominal parenchymal organs(90') Outbuildings umbilical foal(60') Ultrasound soft tissues of the neck(60') Principles of ultrasound tendon and articular (90') Ultrasound hock and knee in the dog (60') Ultrasound shoulder dog (60') foot(60') fetlock(60') metacarpus(60') carpus(60') hock(60') stifle(60') OCD radiographic signs(60') Neck and back (60') muscle injury(60') thoracic ultrasound(90') Interpretation of radiographic signs(60') CT (60') Magnetic Resonance(60') scintigraphy (60') Use image intensifier(60') eye ultrasound(60')

SURGICAL MEDICINE

Code	GP001171
CFU	2
Teacher	Marco Pepe
Teachers	Marco Pepe
Hours	50 ore - Marco Pepe
Learning activities	Caratterizzante
Area	Discipline cliniche veterinarie
Academic discipline	VET/09
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Contents	Knowdlege of the main surgical procedures in all apparatus of the domestic animals. The emphasis of this course is development of advanced understanding of relevant surgical procedures in small and large animals that lead to appropriate decision making. There will be particular attention on the principles of reconstructive surgery, intestinal surgery and determination of intestinal viability and postoperative care and complications associated with abdominal surgery. There are also an overview of upper respiratory airway, all procedures af the muscoloscheletral apparatus, uro-genital system, nervous system and eye and adenexa. PROGRAM Introduction to the surgery Surgery facilities sterilization, Antisepsis Preparation on the surgical patient sepsis; Sterilization; Post Operative management 2 ORE Shock Patient with trauma Endotoxiemia (1,5 ORE) Biomaterials Surgical theatre 1,5 ORE Surgical instrumentations Surgical techniques Suture Materials and patterns surgical techniques, 1,5 ORE Surgical implants and instruments Laser in veterinary surgery Wound management and repair Surgical site infection and treatment Drains, Bandages, External Coaptation Musculoskeletal surgical techniques: method of internal and external fracture fixation 3,5 ORE arthroscopy, tenoscopy, concept of joint treatments Gastrointestinal surgical techniques: surgery of oral cavity, oesophagus, salivary glands, stomach, intestine, rectum and anus, liver and biliary system 4 ORE Respiratory surgical techniques: upper and lower respiratory tract in large and small animals 4 ORE Urinary and reproductive system surgical techniques: surgery of kidneys, bladder, urethra, in small and large animals testicles, ovarian and perineum Nervous system surgical techniques: CNN, spinal cord and peripheric nervous system Principles of Ophthalmic surgery
Reference texts	Auer: Equine Surgery, IV edition Saunders Ed. ISBN 0 7216 2860 5 Fossum: Chirurgia dei piccoli animali, Masson Ed. ISBN 88 214 2684 X Slatter: Chirurgia dei piccoli animali, III Ed., Antonio Delfino Ed. Roma ISBN 88 72873347
Educational objectives	The course is the first dedicated to teaching all operative medicine of small and large animals. The main objective of the course is to provide theoretical and practical sessions to address the knowledge and techniques of surgical instrumentation an materials, and most common procedures in domestic animals. The main focus of the knowledge gained will be mainly for the knowledge of operating rooms and surgical environments, the concepts of sterilization, antisepsis, surgical patient preparation and surgical instruments as well the knowledge of the techniques and conventional and minimally invasive surgical procedures The main skills (ie the ability to apply their knowledge) will be the acquisition by the student to know practically instrumentations and surgical procedures in small and large animals.
Prerequisites	.
Teaching methods	The course is organized as follows .. Classroom lectures on the topics of the course 18 hours Exercises in ambulatory and surgical suites of the OVUD. The students based on the number will be divided into groups and, possibly with the OVUD caseload, one group take place directly on the patient diagnostic procedures, another will be involved under the teacher supervision in the surgical procedures or therapies and critical care as appropriate. Particular attention will be paid to the logical approach of the emergency from the referred animals until the therapy and possible dimission of the case necessary. 8 hrs student divided in small groups
Extended program	Introduction to the surgery Surgery facilities sterilization, Antisepsis Preparation on the surgical patient sepsis; Sterilization; Post Operative management (1 hr) Shock Patient with trauma Endotoxiemia (1 Hr) Biomaterials Surgical theatre (1 Hr) Surgical instrumentations Surgical techniques Suture Materials and patterns surgical techniques, (1 Hr) Surgical implants and instruments Laser in veterinary surgery Wound management and repair Surgical site infection and treatment Drains, Bandages, External Coaptation (1 Hr) Musculoskeletal surgical techniques: method of internal and external fracture fixation (1 Hr) Gastrointestinal surgical techniques: surgery of oral cavity, oesophagus, salivary glands, stomach, intestine, rectum and anus, liver and biliary system (2 Hr) Respiratory surgical techniques: upper and lower respiratory tract in large and small animals (3 Hr) Urinary and reproductive system surgical techniques: surgery of kidneys, bladder, urethra, in small and large animals testicles, ovarian and perineum Laparoscopy (1 Hr) Opthalmic surgery (1 Hr) Arthroscopy, tenoscopy, concept of joint treatments (1 Hr) Rectal and rectovaginal tears (1 Hr) Knee elbow and ankle disease small animals Equine hoof diseases (1 Hr) Tendons and Ligament diseases (1 Hr) Angular limb Deformity (1 Hr)