Unit ANESTHESIOLOGY AND MEDICAL -SURGICAL EMERGENCY
- Course
- Medicine and surgery
- Study-unit Code
- GP005806
- 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 | GP005820 |
---|---|
CFU | 1 |
Teacher | Gianmaria Cammarota |
Teachers |
|
Hours |
|
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 | 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 | Oral and/or written examination |
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 | GP005821 |
---|---|
CFU | 1 |
Teacher | Gianmaria Cammarota |
Teachers |
|
Hours |
|
Learning activities | Caratterizzante |
Area | Emergenze medico-chirurgiche |
Academic discipline | MED/41 |
Type of study-unit | Obbligatorio (Required) |
Language of instruction | Italian/English |
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 | 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. |
Teaching methods | Frontal lessons, exercises on dummy, attendance in the Operating Room, in Intensive Care and in the outpatient clinics of Pain Medicine. |
Learning verification modality | Oral/and or written examination |
Extended program | 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 | GP005824 |
---|---|
CFU | 1 |
Teacher | Roberto Cirocchi |
Teachers |
|
Hours |
|
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 | GP005823 |
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CFU | 1 |
Teacher | Giacomo Pucci |
Teachers |
|
Hours |
|
Learning activities | Caratterizzante |
Area | Emergenze medico-chirurgiche |
Academic discipline | MED/09 |
Type of study-unit | Obbligatorio (Required) |
Language of instruction | Italian |
Contents | The course will deal with the main medical emergencies, with particular reference to those inherent to the cardiovascular, respiratory and endocrine-metabolic systems |
Reference texts | Harrison' s principles of internal medicine Harrison - Jameson - Loscalzo - Fauci - Kasper - Hauser - Longo Cecil textbook of medicine Ferrari-Barletta ‘’Medicina di emergenza urgenza’’ ed. Elsevier |
Educational objectives | Acquisition of the ability to frame the main internal pathologies with acute evolution. Ability to carry out diagnosis, differential and concomitant pharmacological treatment of clinical pictures with an urgent and emergency nature. |
Prerequisites | Knowledge of medical semiotics, pharmacology and internal medicine. |
Teaching methods | Frontal lessons. Teacher-learner interactions. Practical exercises in the internal department. Sharing interactive material for further information. |
Other information | For information on support services for students with disabilities and / or DSA visit the page http://www.unipg.it/disabilita-e-dsa |
Learning verification modality | Oral interview |
Extended program | Cardiogenic shock (SCA - EP - hemodynamically unstable arrhythmias) Syncope Hypertensive emergencies and emergencies Comi (hepatic - ethyl - uremic) Comi in the diabetic patient. Intoxication and overdosages. |
PAIN MEDICINE AND PALLIATIVE CARE
Code | A001718 |
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CFU | 1 |
Teacher | Gianmaria Cammarota |
Teachers |
|
Hours |
|
Learning activities | Caratterizzante |
Area | Emergenze medico-chirurgiche |
Academic discipline | MED/41 |
Type of study-unit | Obbligatorio (Required) |
Language of instruction | Italian |
Contents | 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. |
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 | 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. |
Teaching methods | Frontal lessons, exercises on dummy, attendance in the Operating Room, in Intensive Care and in the outpatient clinics of Pain Medicine. |
PROFESSIONALISING TRAINING IN ANESTHESIOLOGY
Code | GP005825 |
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CFU | 2 |
Teacher | Rita Commissari |
Teachers |
|
Hours |
|
Learning activities | Altro |
Area | Tirocini formativi e di orientamento |
Academic discipline | MED/41 |
Type of study-unit | Obbligatorio (Required) |
PROFESSIONALISING TRAINING IN EMERGENCY SURGERY
Code | GP005827 |
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CFU | 1 |
Teacher | Roberto Cirocchi |
Teachers |
|
Hours |
|
Learning activities | Altro |
Area | Tirocini formativi e di orientamento |
Academic discipline | MED/18 |
Type of study-unit | Obbligatorio (Required) |
Language of instruction | Italian |
Contents | Core Curriculum Elementary Teaching Unit valid from 2016-2017: UDE 790 UDE 1186 UDE 1268 |
Reference texts | Case Files: Surgery 5e. Author(s): Eugene C. Toy; Terrence H. Liu; Andre R. Campbell; Barnard J. A. Palmer. https://accesssurgery.mhmedical.com/cases.aspx?groupid=386 |
Educational objectives | Ability of the student to make decisions and solve clinical problems in emergency surgery |
Prerequisites | Basic knowledge of human anatomy, physiology, surgical semiotics, pathological anatomy and radiology |
Teaching methods | Interactive presentation of clinical cases |
Other information | Core Curriculum valid from the 2016-2017 Academic Year http://presidenti-medicina.it/core-curriculum/ |
Learning verification modality | Interview |
Extended program | Indicate the diagnostic approach to the acute abdomen. 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. Detect signs of peritoneal inflammation. |
PROFESSIONALISING TRAINING IN EMERGENCY MEDICINE
Code | GP005826 |
---|---|
CFU | 1 |
Teacher | Giacomo Pucci |
Teachers |
|
Hours |
|
Learning activities | Altro |
Area | Tirocini formativi e di orientamento |
Academic discipline | MED/09 |
Type of study-unit | Obbligatorio (Required) |
Language of instruction | Italian |
Contents | The professionalizing internship period will be conducted in the Emergency Medicine and Internal Medicine departments, where the student will be supported by the professor and medical tutors with proven professional experience. |
Reference texts | Harrison' s principles of internal medicine Harrison - Jameson - Loscalzo - Fauci - Kasper - Hauser - Longo |
Educational objectives | Acquisition of the ability to conduct an anamnestic investigation, to interpret data from the physical examination, laboratory tests and instrumental tests. Acquisition of the ability to carry out epicrisis and set a therapeutic course. |
Prerequisites | Knowledge of medical semiotics, pharmacology and internal medicine. |
Teaching methods | During the practical exercises, students will be accompanied by medical personnel for a maximum of three students per shift. During these shifts, students will take a look at the medical emergencies affecting the internist department, put their knowledge in terms of differential diagnosis and specific diagnosis for individual pathologies into practice, take a look at the main therapeutic procedures for the different cases. |
Other information | For information on support services for students with disabilities and / or DSA visit the page http://www.unipg.it/disabilita-e-dsa |
Learning verification modality | Oral interview |
Extended program | Cardiogenic shock (SCA - EP - hemodynamically unstable arrhythmias) Syncope Hypertensive emergencies and emergencies Comi (hepatic - ethyl - uremic) Comi in the diabetic patient. Intoxication. Burns |