Unit ANESTHESIOLOGY AND MEDICAL AND SURGICAL EMERGENCY

Course
Medicine and surgery
Study-unit Code
GP005680
Location
PERUGIA
Curriculum
In all curricula
CFU
9
Course Regulation
Coorte 2017
Offered
2022/23
Type of study-unit
Obbligatorio (Required)
Type of learning activities
Attività formativa integrata

ANESTHESIOLOGY - MOD. 1

Code GP005743
Location PERUGIA
CFU 1
Teachers
  • Edoardo De Robertis (Codocenza)
Hours
  • 12.5 ore (Codocenza) - Edoardo De Robertis
Learning activities Caratterizzante
Area Emergenze medico-chirurgiche
Academic discipline MED/41
Type of study-unit Obbligatorio (Required)
Language of instruction Italian
Contents -
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.
Other information -
Learning verification modality written and/or oral
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)

EMERGENCY SURGERY

Code GP005747
Location PERUGIA
CFU 1
Learning activities Caratterizzante
Area Emergenze medico-chirurgiche
Academic discipline MED/18
Type of study-unit Obbligatorio (Required)

Cognomi A-L

CFU
1
Teacher
Carlo Boselli
Teachers
  • Carlo Boselli
Hours
  • 12.5 ore - Carlo Boselli
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

Cognomi M-Z

CFU
1
Teacher
Roberto Cirocchi
Teachers
  • Roberto Cirocchi
Hours
  • 12.5 ore - Roberto Cirocchi
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
Learning activities Caratterizzante
Area Emergenze medico-chirurgiche
Academic discipline MED/09
Type of study-unit Obbligatorio (Required)

Cognomi A-L

CFU
1
Teacher
Gaetano Vaudo
Teachers
  • Gaetano Vaudo
Hours
  • 12.5 ore - Gaetano Vaudo
Language of instruction
Italian
Contents
The course consists of treating the most urgent-emergency diseases in the internal medicine field, with particular reference to those concerning the cardiovascular system, the respiratory and endocrine-metabolic.
Reference texts
VAUDO G.: dispense dalle lezioni. SIMEU - MEDICINA DI EMERGENZA URGENZA ELSEVIER MASSON - 2011.
Educational objectives
The main objective of the course is to empower students to recognize and treat internal diseases with urgency and emergency. The evaluation will take place by means of an oral examination lasting about 30 minutes,during which will be assessed the theoretical knowledge of the individual student in terms of diagnostics and therapy of diseases of internal medicine in the rapidly changing and will also discuss the issues raised during exercises practices carried out by the department according to frequency shifts clearly defined.
Prerequisites
Knowledge of medical and surgical semeiology and internal medicine
Teaching methods
The course is organized as follows: - Lectures on all topics of the course, through lectures with interaction between the teacher and the learners; - Practical training in internal medicine department, during which the students will be accompanied to the medical staff for a maximum of three students per shift; each turn provides for a duration of four hours to three shifts, for a total of 12 hours for each student. During these rounds the students will take vision of medical emergencies that belong in internal medicine department, they will put into practice the knowledge in terms of differential diagnosis and specific diagnosis for each disorder, take vision of the main therapeutic procedures for individual cases.
Learning verification modality
Oral examination
Extended program
Cerebrovascular emergencies. Chest pain. Acute coronary syndromes. Tachyarrhythmias and bradyarrhythmias. Heart failure and acute pulmonary edema. Cardiomyopathies, myocarditis and pericarditis. Pulmonary embolism and deep vein thrombosis. Emergency-Hypertensive urgency. Vascular dissection and aneurysms. Critical ischemia of the lower limbs. Acute respiratory failure. Pneumonia. Pneumothorax. Hemoptysis and hemoptysis. Acute asthma. Indications for Non Invasive Ventilation. Acute liver failure. Diabetes mellitus emergencies.

Cognomi M-Z

CFU
1
Teacher
Cecilia Becattini
Teachers
  • Cecilia Becattini
Hours
  • 12.5 ore - Cecilia Becattini

PAIN MEDICINE AND PALLIATIVE CARE

Code A001708
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 Vito Peduto
Learning activities Altro
Area Tirocini formativi e di orientamento
Academic discipline MED/41
Type of study-unit Obbligatorio (Required)

Cognomi A-L

CFU
1
Teacher
Gianmaria Cammarota
Teachers
  • Gianmaria Cammarota
Hours
  • 25 ore - Gianmaria Cammarota
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.

Cognomi M-Z

CFU
1
Teacher
Edoardo De Robertis
Teachers
  • Edoardo De Robertis
Hours
  • 25 ore - Edoardo De Robertis

PROFESSIONALISING TRAINING IN ANESTHESIOLOGY II

Code GP005751
Location PERUGIA
CFU 1
Teacher Vito Peduto
Learning activities Altro
Area Tirocini formativi e di orientamento
Academic discipline MED/41
Type of study-unit Obbligatorio (Required)

Cognomi A-L

CFU
1
Teacher
Edoardo De Robertis
Teachers
  • Edoardo De Robertis
Hours
  • 25 ore - Edoardo De Robertis
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.

Cognomi M-Z

CFU
1
Teacher
Edoardo De Robertis
Teachers
  • Edoardo De Robertis
Hours
  • 25 ore - Edoardo De Robertis
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
Learning activities Altro
Area Tirocini formativi e di orientamento
Academic discipline MED/18
Type of study-unit Obbligatorio (Required)

Cognomi A-L

CFU
1
Teacher
Carlo Boselli
Teachers
  • Carlo Boselli
Hours
  • 25 ore - Carlo Boselli
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.

Cognomi M-Z

CFU
1
Teacher
Annibale Donini
Teachers
  • Annibale Donini
Hours
  • 25 ore - Annibale Donini

PROFESSIONALISING TRAINING IN EMERGENCY MEDICINE

Code GP005749
Location PERUGIA
CFU 1
Learning activities Altro
Area Tirocini formativi e di orientamento
Academic discipline MED/09
Type of study-unit Obbligatorio (Required)

Cognomi A-L

CFU
1
Teacher
Gaetano Vaudo
Teachers
  • Gaetano Vaudo
Hours
  • 25 ore - Gaetano Vaudo

Cognomi M-Z

CFU
1
Teacher
Cecilia Becattini
Teachers
  • Cecilia Becattini
Hours
  • 25 ore - Cecilia Becattini
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