Unit ADE - Anaesthetic and analgesic techniques in horses
- Course
- Veterinary medicine
- Study-unit Code
- A002680
- Curriculum
- In all curricula
- Teacher
- Sara Nannarone
- Teachers
-
- Sara Nannarone
- Hours
- 25 ore - Sara Nannarone
- CFU
- 1
- Course Regulation
- Coorte 2017
- Offered
- 2021/22
- Learning activities
- A scelta dello studente
- Area
- A scelta dello studente
- Academic discipline
- VET/09
- Type of study-unit
- Opzionale (Optional)
- Type of learning activities
- Attività formativa monodisciplinare
- Language of instruction
- Italian, if necessary, given the presence of Erasmus’ students, it would be provided in English
- Contents
- Students will be able to manage an anesthetic / analgesic protocol adequate to the clinical condition of the patient, focusing on equine animals.
According to the caseload of the OVUD, the practical activity will be performed on clinical cases: from the preanesthetic evaluation to the anesthesia or sedation management, being able to adequately use clinical and instrumental monitoring during the surgical or diagnostic procedure.
Students will become familiar with the execution of the principal loco-regional anesthetic techniques which account for the main multimodal analgesic approach in clinical practice. In this purpose it will be necessary to have anatomical knowledge of the region of interest as well as of the main drugs and materials required for each technique- - Reference texts
- Lumb & Jones' Veterinary anesthesia and analgesia 4th ed.
Muir & Hubbel: Equine Anesthesia - monitoring and emergency therapy. 2009, 2nd ed. Saunders - Educational objectives
- D1 - KNOWLEDGE AND UNDERSTANDING ABILITY
The student must
- have knowledge of the molecules that can be used in equine anesthesiology, in terms of times and routes of administration, as well as their desired and undesired effects;
- have knowledge of the clinical and physiological parameters to be evaluated during the preanesthetic examination and their subsequent continuous monitoring, both clinical and instrumental, during anesthesia;
- know how the anesthesia machine works and the basic principle of ventilatory use for maintenance of general anesthesia;
- know the possible anesthetic maintenance techniques in the equine species and the main loco-regional anesthesia techniques as an important analgesic aid.
D2 - ABILITY TO APPLY KNOWLEDGE AND UNDERSTANDING
At the end of the training the student must:
- Know how to perform a preanesthetic examination and assign the ASA status class;
- know how to do the functional test of an anesthesia machine by recognizing its main components;
- know how to apply intra-operative instrumental monitoring
- be familiar with the execution of the principal loco-regional anesthetic techniques on the equine head.
D3 - AUTONOMY OF JUDGMENT
At the end of the training the student will be able to:
- know how to choose the most appropriate perioperative anesthetic and analgesic protocol, based on the visit and any collateral exams performed on the actual patient;
- evaluate and interpret intra-operative clinical and instrumental monitoring
- know how to respond to tackle an intra-operative complication using drugs or particular clinical attention
D4 - COMMUNICATION SKILLS
At the end of the training the student will be able to:
- know how to organize, prepare and exhibit, to an audience composed of peers, a presentation on a hypothetical clinical case (animal with a defined physiological or pathophysiological condition previously assigned; healthy patient referred for elective surgery, patient referred in emergency for acute abdomen, c-section, head injury, limb fracture, neonate patient, pregnant mare) with a specific history requiring anesthesia or analgo-sedation for surgery (elective or emergency).
D5 - LEARNING SKILLS
At the end of the training the student will be able to:
- possess a sufficient mastery of the subject to guarantee an acceptable basis for continuing professional development throughout life, through ongoing lifelong learning - Prerequisites
- To better understand and apply the procedures required in this course, it is necessary to have passed the exams of Veterinary Surgical Pathology, Veterinary Physiology and Veterinary, and Pharmacology have attended the course of Veterinary Anesthesiology
- Teaching methods
- A theoretical part will be taken as introduction in each session supported by didactic material (slides)
According to the number of students, anesthetic procedures will be directly performed on animals referred to the OVUD requiring surgery or diagnostic procedures which require deep sedation/analgesia and for each case a clinical planning will be accurately discussed.
If no clinical cases will be available, interactive clinical cases will be discussed where patients with different diseases will be presented and will require a specific perioperative treatment from pre surgical management up to the best analgesic management possible for the post-operative time.
Wet-labs on equine specimens will be provided to allow students to practice on the main loco-regional techniques such as on head or epidural. - Other information
- Mandatory attendance
This course includes also complementary didactic activity represented by meetings and seminars with PhD students, interns and students by planning and agreeing with the student during the ADE.
For dates and times consult
http://www.medvet.unipg.it - Learning verification modality
- This course considers only the presence at the professional course.
Final discussion with the students. Discussion by means of power points on previously assigned clinical cases, in order to assess the methods of approach to the clinical case and the knowledge acquired during ADE related to perioperative management, defining an anesthetic protocol, intraoperative monitoring, management of postoperative analgesia.For information on support services for students with disabilities and / or SLD, visit the page http://www.unipg.it/disabilita-e-dsa - Extended program
- The ADE foresees to carry out theoretical and practical activity of anesthesia and analgesia on clinical horses referred to OVUD for surgical problems, on anatomical specimens and on simulated cases
- Peculiarities of the main sedative/anesthetic molecules that can be used in the equine species (5 hours)
Special patients and their perioperative management in view of surgery: foal, mare, horse in colic, horse with head injury, horse with acute orthopedic disease (5 hours)
Principles of intraoperative clinical-instrumental monitoring in the equine species: interpret blood gas analysis, capnography, blood pressure parameters and know how to intervene appropriately (3 hours)
Major emergencies in equine anesthesia (2 hours)
Main loco-regional techniques in the horse: perineural blocks (practical exercise for the nerves of the head); paravertebral and epidural blocks (5 hours)
Presentation of clinical cases by each student through power point and subsequent discussion between peers (5 hours)