Unit ANESTHESIOLOGY AND MEDICAL AND SURGICAL EMERGENCY

ANESTHESIOLOGY - MOD. 1

Code	GP005743
Location	PERUGIA
CFU	1
Teacher	Edoardo De Robertis
Teachers	Edoardo De Robertis
Hours	12.5 ore - Edoardo De Robertis
Learning activities	Caratterizzante
Area	Emergenze medico-chirurgiche
Academic discipline	MED/41
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Reference texts	Miller's Anesthesia - Editor Ronald D. Miller (Churchill Livingstone Elsevier) Basics of Anesthesia - Robert K. Stoelting and Ronald D. Miller (Churchill Livingstone) Critical Care - Civetta, Taylor and Kirby (Lippincott)
Educational objectives	- To frame anesthesia as "perioperative medicine" aimed at protecting the patient from surgical trauma. - Perform BLS correctly, tracheal intubation and electrical defibrillation, know the resuscitation problems posed by drowning, electrocution and asphyxial syndromes, know how to treat anaphylactic shock. - Know the therapeutic strategies to stabilize vital functions and prevent post-anoxic brain damage, learn the semeiotics of coma and the pathophysiology of hypovolemic shock, be able to discriminate nosologically and therapeutically the acute respiratory insufficiency due to obstruction of the pathways airborne, from impaired respiratory mechanics, from alterations in the chemical drive and from hemodynamic causes. - Be able to adequately treat acute and chronic algic syndromes.
Prerequisites	In order to understand the contents of the lessons and the learning objectives, the student must have a solid foundation of physiology, pathophysiology and clinical pharmacology, as well as the ability to integrate information from different disciplinary sectors.
Teaching methods	Frontal lessons, exercises on dummy, attendance in the Operating Room, in Intensive Care and in the outpatient clinics of Pain Medicine.
Extended program	Pharmacological basis anesthesia (Clinical pharmacology of intravenous and inhalation anesthetics, opioids, benzodiazepines, NSAIDs, local anesthetics) Perioperative medicine Preoperative evaluation and preparation General and locoregional anesthesia techniques Anesthesia work station and intraoperative monitoring Management of acute postoperative and first aid pain Chronic cancer pain Palliative therapy principles Cardiac arrest (BLS-D, ALS) Respiratory failure (ALI, ARDS, COPD) Basic concepts of mechanical ventilation Shock: possible causes and treatment Nosocomial infections in UTI and Sepsis Heart failure Coma Acid-base balance and related alterations CO intoxication Drowning electrocution Transplants and organ donation

ANESTHESIOLOGY - MOD. 2

Code	GP005744
Location	PERUGIA
CFU	1
Teacher	Simonetta Tesoro
Teachers	Simonetta Tesoro
Hours	12.5 ore - Simonetta Tesoro
Learning activities	Caratterizzante
Area	Emergenze medico-chirurgiche
Academic discipline	MED/41
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Reference texts	Miller's Anesthesia - Editor Ronald D. Miller (Churchill Livingstone Elsevier) Basics of Anesthesia - Robert K. Stoelting and Ronald D. Miller (Churchill Livingstone) Critical Care - Civetta, Taylor and Kirby (Lippincott)
Educational objectives	- To frame anesthesia as "perioperative medicine" aimed at protecting the patient from surgical trauma. - Perform BLS correctly, tracheal intubation and electrical defibrillation, know the resuscitation problems posed by drowning, electrocution and asphyxial syndromes, know how to treat anaphylactic shock. - Know the therapeutic strategies to stabilize vital functions and prevent post-anoxic brain damage, learn the semeiotics of coma and the pathophysiology of hypovolemic shock, be able to discriminate nosologically and therapeutically the acute respiratory insufficiency due to obstruction of the pathways airborne, from impaired respiratory mechanics, from alterations in the chemical drive and from hemodynamic causes. - Be able to adequately treat acute and chronic algic syndromes.
Prerequisites	In order to understand the contents of the lessons and the learning objectives, the student must have a solid foundation of physiology, pathophysiology and clinical pharmacology, as well as the ability to integrate information from different disciplinary sectors.
Teaching methods	Frontal lessons, exercises on dummy, attendance in the Operating Room, in Intensive Care and in the outpatient clinics of Pain Medicine.
Extended program	Pharmacological basis anesthesia (Clinical pharmacology of intravenous and inhalation anesthetics, opioids, benzodiazepines, NSAIDs, local anesthetics) Perioperative medicine Preoperative evaluation and preparation General and locoregional anesthesia techniques Anesthesia work station and intraoperative monitoring Management of acute postoperative and first aid pain Chronic cancer pain Palliative therapy principles Cardiac arrest (BLS-D, ALS) Respiratory failure (ALI, ARDS, COPD) Basic concepts of mechanical ventilation Shock: possible causes and treatment Nosocomial infections in UTI and Sepsis Heart failure Coma Acid-base balance and related alterations CO intoxication Drowning electrocution Transplants and organ donation

EMERGENCY SURGERY

Code	GP005747
Location	PERUGIA
CFU	1
Teacher	Roberto Cirocchi
Teachers	Roberto Cirocchi
Hours	12.5 ore - Roberto Cirocchi
Learning activities	Caratterizzante
Area	Emergenze medico-chirurgiche
Academic discipline	MED/18
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Contents	Basic knowledge concerning the pathophysiology, the diagnostic process and the treatment of the main emergency surgical pathologies: abdominal trauma, intestinal obstruction, peritonitis and digestive hemorrhages
Reference texts	Di Minno G., Milone F. Manuale di emergenze medico-chirurgiche. EDRA 2019
Educational objectives	The course is aimed at allowing the student to acquire mastery of the diagnostic-therapeutic courses in emergency surgery.
Prerequisites	Knowledge of some topics of general surgery and gstroenterology is required: - Complications of peptic ulcer - Acute diverticulitis and its complications. - Acute cholecystitis and its complications. - Acute appendicitis and its complications. - Meckel's diverticulum - Acute pancreatitis and its complications. - Acute intestinal ischemias - Hernias of the abdominal wall - Portal hypertension
Teaching methods	Lectures using powerpoint projections. The lesson material (except copyright-protected illustrations) is always made available to students electronically (file in pdf) the day before the lesson on the ateneum platform: https://www.unistudium.unipg.it/unistudium/login/index.php.
Other information	Core Curriculum Elementary Teaching Unit valid from 2016-2017: UDE 790: Indicate the diagnostic approach to the acute abdomen. UDE 1186: Detect signs of peritoneal inflammation. UDE 1268: Hypothesize the diagnosis of acute intestinal obstruction (from mechanical or dynamic ileum) indicating the possible causes. Assume several differential diagnoses starting from the history data for the clinical onset of mechanical ileus and paralytic ileus, intestinal perforation, intestinal obstruction indicating, where necessary, the diagnostic investigations and therapeutic guidelines. http://presidenti-medicina.it/core-curriculum/
Learning verification modality	Interview
Extended program	- Acute abdomen Intestinal obstructions - Peritonitis - Intestinal infarction - Gastrointestinal tract bleeding - Principles of traumatology - Abdominal trauma

EMERGENCY MEDICINE

Code	GP005746
Location	PERUGIA
CFU	1
Teacher	Cecilia Becattini
Teachers	Cecilia Becattini
Hours	12.5 ore - Cecilia Becattini
Learning activities	Caratterizzante
Area	Emergenze medico-chirurgiche
Academic discipline	MED/09
Type of study-unit	Obbligatorio (Required)

PAIN MEDICINE AND PALLIATIVE CARE

Code	A001709
Location	PERUGIA
CFU	1
Teacher	Edoardo De Robertis
Teachers	Edoardo De Robertis
Hours	12.5 ore - Edoardo De Robertis
Learning activities	Caratterizzante
Area	Emergenze medico-chirurgiche
Academic discipline	MED/41
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian/english
Contents
Reference texts
Educational objectives	- To frame anesthesia as "perioperative medicine" aimed at protecting the patient from surgical trauma. - Know the physiopathological bases as well as the main diagnostic and therapeutic strategies of the main acute and chronic algic conditions - palliation bases
Prerequisites	In order to understand the contents of the lessons and the learning objectives, the student must have a solid foundation of physiology, pathophysiology and clinical pharmacology, as well as the ability to integrate information from different disciplinary sectors.
Teaching methods	Frontal lessons, exercises on dummy, attendance in the Operating Room, in Intensive Care and in the outpatient clinics of Pain Medicine.
Other information
Learning verification modality	Oral and/or written examination
Extended program	Pathophysiology concepts of pain Pharmacological bases of the main drugs used in pain medicine Acute and chronic pain Pain monitoring Main acute and chronic algic conditions Main therapeutic approaches to acute pain Main therapeutic approaches to chronic pain Basic concepts of palliation

PROFESSIONALISING TRAINING IN ANESTHESIOLOGY I

Code	GP005748
Location	PERUGIA
CFU	1
Teacher	Edoardo De Robertis
Teachers	Edoardo De Robertis
Hours	25 ore - Edoardo De Robertis
Learning activities	Altro
Area	Tirocini formativi e di orientamento
Academic discipline	MED/41
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian/english
Contents
Reference texts
Educational objectives	The course aims to provide students with the information and tools necessary to implement basic resuscitation maneuvers, deal with emergency clinical situations, adequately treat the most common pain syndromes, and use profitably analgesics, sedatives, hypnotics and local anesthetics.
Prerequisites	In order to understand the contents of the lessons and the learning objectives, the student must have a solid foundation of physiology, pathophysiology and clinical pharmacology, as well as the ability to integrate information from different disciplinary sectors.
Teaching methods	Theoretical lessons and practical exercises: Intensive Care Units, Pain Medicine and Operating Rooms, simulation center
Other information
Learning verification modality	oral
Extended program	- Resuscitation maneuvers of (BLS); - Laryngoscopy and intubation; - Electrical defibrillation; - Stabilization of vital functions (ABS); - The asphyxiated patient (from foreign body); - The patient with severe cardiac arrhythmia; - Application of "triage"; - The patient with acute respiratory failure (asthma, bronchitis chronic obstructive pulmonary embolism); - The patient with severe hypertensive crisis; - The patient in a convulsive state; - The patient with acute low flow syndrome (cardiogenic shock, cardiac tamponade); - The patient in a septic state; - The patient burned and drowned; - The patient in acute ethyl crisis; - The freezing and hyperthermic patient (sunstroke or heat stroke); - The electrocuted patient; - The patient in opioid overdose; - The patient with acute bleeding (hemorrhagic shock); - Acute postoperative pain; - Chronic algic syndromes.

PROFESSIONALISING TRAINING IN ANESTHESIOLOGY II

Code	GP005751
Location	PERUGIA
CFU	1
Teacher	Edoardo De Robertis
Teachers	Edoardo De Robertis
Hours	25 ore - Edoardo De Robertis
Learning activities	Altro
Area	Tirocini formativi e di orientamento
Academic discipline	MED/41
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian/english
Contents
Reference texts
Educational objectives	The course aims to provide students with the information and tools necessary to implement basic resuscitation maneuvers, deal with emergency clinical situations, adequately treat the most common pain syndromes, and use profitably analgesics, sedatives, hypnotics and local anesthetics.
Prerequisites	In order to understand the contents of the lessons and the learning objectives, the student must have a solid foundation of physiology, pathophysiology and clinical pharmacology, as well as the ability to integrate information from different disciplinary sectors.
Teaching methods	Theoretical lessons and practical exercises: Intensive Care Units, Pain Medicine and Operating Rooms, simulation center
Other information
Learning verification modality	oral
Extended program	- Resuscitation maneuvers of (BLS); - Laryngoscopy and intubation; - Electrical defibrillation; - Stabilization of vital functions (ABS); - The asphyxiated patient (from foreign body); - The patient with severe cardiac arrhythmia; - Application of "triage"; - The patient with acute respiratory failure (asthma, bronchitis chronic obstructive pulmonary embolism); - The patient with severe hypertensive crisis; - The patient in a convulsive state; - The patient with acute low flow syndrome (cardiogenic shock, cardiac tamponade); - The patient in a septic state; - The patient burned and drowned; - The patient in acute ethyl crisis; - The freezing and hyperthermic patient (sunstroke or heat stroke); - The electrocuted patient; - The patient in opioid overdose; - The patient with acute bleeding (hemorrhagic shock); - Acute postoperative pain; - Chronic algic syndromes.

PROFESSIONALISING TRAINING IN EMERGENCY SURGERY

Code	GP005750
Location	PERUGIA
CFU	1
Teacher	Annibale Donini
Teachers	Annibale Donini
Hours	25 ore - Annibale Donini
Learning activities	Altro
Area	Tirocini formativi e di orientamento
Academic discipline	MED/18
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Contents	Perform an objective examination of the abdomen. - Knowing how to complete the informed consent form. - Compilation of the clinical record. - Prepare a sterile field for surgery. - Management of the traumatized patient.
Educational objectives	To know and be able to fill in motivated requests for diagnostic, laboratory and instrumental investigations, providing relevant clinical information, explaining the methods of execution, motivations and risks to the patient. Knowing how to fill in a medical record, know how to perform surgical prophylaxis procedures. Knowing how to perform sterilization procedures for surgical field preparation.
Teaching methods	Frequency Department and Surgery and Operating Room
Learning verification modality	Esercitazioni
Extended program	Eseguire un esame obbiettivo dell'addome. - Saper compilare il modulo di consenso informato. - Compilazione cartella clinica. - Preparare un campo sterile per intervento chirurgico. - Gestione del paziente politraumatizzato.

PROFESSIONALISING TRAINING IN EMERGENCY MEDICINE

Code	GP005749
Location	PERUGIA
CFU	1
Teacher	Cecilia Becattini
Teachers	Cecilia Becattini
Hours	25 ore - Cecilia Becattini
Learning activities	Altro
Area	Tirocini formativi e di orientamento
Academic discipline	MED/09
Type of study-unit	Obbligatorio (Required)
Language of instruction
Contents
Reference texts
Educational objectives
Prerequisites
Teaching methods
Other information
Learning verification modality
Extended program