Unit ANESTHESIOLOGY AND SURGICAL EMERGENCY

ANESTHESIOLOGY - MOD. 1

Code	50999401
Location	TERNI
CFU	1
Teacher	Simonetta Tesoro
Teachers	Simonetta Tesoro
Hours	12 ore - Simonetta Tesoro
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. - 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	50715801
Location	TERNI
CFU	1
Teacher	Edoardo De Robertis
Teachers	Edoardo De Robertis
Hours	10 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. - 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

EMERGENCY SURGERY

Code	50515301
Location	TERNI
CFU	1
Teacher	Roberto Cirocchi
Teachers	Roberto Cirocchi
Hours	12 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	The aim of the course is to offer at the students a clinical summary of emergency surgery.
Reference texts	DIONIGI - CHIRURGIA - 6 EDIZIONE - Elsevier EDRA- 2017
Educational objectives	The aim of the course is to provide students with a general overview of the diagnostic-therapeutic pathways in emergency surgery. In addition, the student should be know the main symptoms and clinical signs related to different emergency diseases. he acute abdomen. The politraumatized patient. Trauma of the abdomen, pelvis and chest. Digestive bleeding. Peritonitis and abdominal abscess. Intestinal occlusion. Retroperitoneal hematomas. Peptic ulcer complications Intestinal infarction. Acute diverticulitis and complications. The colon volvules.
Prerequisites	Basic knowledge is need in anatomy, pathophysiology, semeiotic and surgical pathology.
Teaching methods	Front-end lessons 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.
Learning verification modality	The exam will be performed through a interview (3 questions).
Extended program	The acute abdomen. The politraumatized patient. Trauma of the abdomen, pelvis and chest. Digestive bleeding. Peritonitis and abdominal abscess. Intestinal occlusion. Retroperitoneal hematomas. Peptic ulcer complications Intestinal infarction. Acute diverticulitis and complications. The colon volvules. Perianal abscesses Acute cholecystitis and its complications Acute pancreatitis Abdominal aortic aneurysms.

EMERGENCY MEDICINE

Code	50503401
Location	TERNI
CFU	1
Teacher	Giacomo Pucci
Teachers	Giacomo Pucci
Hours	12 ore - Giacomo Pucci
Learning activities	Caratterizzante
Area	Emergenze medico-chirurgiche
Academic discipline	MED/09
Type of study-unit	Obbligatorio (Required)

PAIN MEDICINE AND PALLIATIVE CARE

Code	A001718
Location	TERNI
CFU	1
Teacher	Edoardo De Robertis
Teachers	Edoardo De Robertis
Hours	12 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

PROFESSIONAL TRAINING IN ANESTHESIOLOGY - MED/41

Code	50578302
Location	TERNI
CFU	2
Teacher	Rita Commissari
Teachers	Rita Commissari
Hours	40 ore - Rita Commissari
Learning activities	Altro
Area	Tirocini formativi e di orientamento
Academic discipline	MED/41
Type of study-unit	Obbligatorio (Required)

PROFESSIONAL TRAINING IN EMERGENCY SURGERY - MED/18

Code	50078301
Location	TERNI
CFU	1
Teacher	Roberto Cirocchi
Teachers	Roberto Cirocchi
Hours	20 ore - Roberto Cirocchi
Learning activities	Altro
Area	Tirocini formativi e di orientamento
Academic discipline	MED/18
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Contents	The physical examination of the acute abdomen
Reference texts	Andreoni B, Chiara O, Coen D, Vesconi S. Diagnosi e trattamento delle emergenze medico - chirurgiche. Masson-Edra - 2009
Educational objectives	The student must be able to exercise independently and automatically the physical examination of the acute abdomen
Prerequisites	Basic knowledge is need in anatomy, pathophysiology, surgical patholog and clinical examination.
Teaching methods	Training at the bedside
Learning verification modality	Interview
Extended program	Signs and symptoms of a peritonitis Signs and symptoms of an intestinal occlusion Signs and symptoms of digestive hemorrhage The semeiological maneuvers to detect the sign of Murphy, McBurney and Blumberg

PROFESSIONAL TRAINING IN EMERGENCY MEDICINE - MED/09

Code	50578301
Location	TERNI
CFU	1
Teacher	Giacomo Pucci
Teachers	Giacomo Pucci
Hours	20 ore - Giacomo Pucci
Learning activities	Altro
Area	Tirocini formativi e di orientamento
Academic discipline	MED/09
Type of study-unit	Obbligatorio (Required)