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Course content: Anaesthesiology
Teaching of the course includes:
1. Theoretical Component
The theoretical component consists of lectures and interactive discussions of clinical cases and scenarios, conducted in the amphitheaters of Maggineion Aretaieion University Hospital.
2. Practical Training
Practical training takes place in the operating theatres and Pain Clinic of the Aretaieion University Hospital, including skills stations and participation in on-call duties. Training is conducted in groups of a predetermined size, according to schedules and dates that are announced at the beginning of the academic semester.
3. Course Syllabus-Theoretical component
- Introduction to Anesthesiology – History of Anesthesiology – Core disciplines and scope of Anesthesiology.
- Types of anesthesia – Preoperative evaluation and preparation – Patient classification according to physical status and perioperative risk.
- Airway management – Anesthesia breathing circuits – Anesthesia workstation – Ventilators.
- General anesthesia: intravenous and inhalational anesthetic agents.
- Physiology of the neuromuscular junction – Neuromuscular blockade and reversal.
- Opioid and non-opioid analgesics – Adjuvant anesthetic medications.
- Anatomy and physiology of neural transmission – Pharmacology of local anesthetics – Regional anesthesia.
- Selection of the appropriate anesthetic technique.
- Perioperative monitoring of vital functions – Monitoring modalities: pulse oximetry, capnography.
- Perioperative fluid management (homeostasis, hemodynamic stability, acid–base balance) – Management of massive hemorrhage (blood transfusion and blood products).
- Complications: intraoperative, immediate post-anesthetic, and postoperative (bronchospasm, shock, anaphylaxis, cardiac arrest) – Postoperative nausea and vomiting – Postoperative delirium.
- Post-anesthesia recovery and care in the Post-Anesthesia Care Unit (PACU) – Postoperative analgesia.
- Types of pain – Pathophysiological mechanisms of pain.
- Pharmacology and treatment of acute and chronic pain – Supportive and palliative care.
4. Course Syllabus-Practical Training
Interactive, hands-on training sessions are conducted in small groups, in the operating theatre, the Post-Anesthesia Care Unit, and the Pain Clinic. Teaching is provided by faculty members in collaboration with attending physicians of the Department of Anesthesiology.
5. Core Clinical Skills
Demonstration using simulators and in the operating theatre:
- Mask ventilation with self-inflating bag (AMBU)
- Insertion of supraglottic airway devices
- Endotracheal intubation
- Airway management and oxygenation
- Anesthesia workstation
- Mechanical ventilation – Modes of mechanical ventilation – Ventilators
- Placement of peripheral intravenous catheters
- Monitoring techniques in the operating theatre and PACU: arterial oxygen saturation, capnography, arterial blood pressure (invasive and non-invasive), central venous pressure
- Perioperative ultrasonography (vascular, nerve, and cardiac ultrasound)
- Pre-anesthetic and preoperative evaluation
- Demonstration of general anesthesia: induction, maintenance, and emergence
- Selection of the appropriate anesthetic technique
- Monitoring of anesthetic administration
- Demonstration of regional anesthesia techniques: spinal, epidural, combined spinal–epidural anesthesia and peripheral nerve blocks for various surgical procedures
- Perioperative medicine and basic principles of clinical pharmacology and physiology as applied to anesthesiology
- Postoperative analgesia
- Pain Clinic:
- Follow-up of patients receiving treatment for acute and chronic pain
- Supportive and palliative care
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