University: Alexandria Faculty: Medicine Program ... · pharmacology of drugs related to anesthetic practice - Understanding of human anatomy and physiology related to anesthesia

University: Alexandria

Faculty: Medicine

Program Specifications

(Academic year: 2016/ 2017)

A. Basic Information: 1. Program title: Master Degree of Anaesthesia and Surgical intensive Care

2. Department offering the program: Anesthesia and Surgical intensiveCare.

3. Program Coordinator: Prof. Dr. Hussein Agameya.

4. External evaluator(s):

5. Type of the program: Single

6. Date of most recent program specifications approval: ………………..

2.

B. Professional Information: 1- Program Aims: The aim of this program is to:

•

1. Develop the core educational knowledge and capabilities of the trainee and to develop them

professionally as an effective learner.

2. Have insight into educational responsibilities as a Trainee in anaesthesia, intensive care and pain

management.

3. Consider the importance of patient safety in relation to clinical practice and clinical supervision.

4. Specifically understand the importance of workplace-based assessments, keeping a reflective

portfolio, the role of developmental feedback in promoting professional learning and the need to

engage effectively in multi-source feedback.

2- Academic reference standards (ARS)& ILOs:

Academic reference standards of Master Degree in Anaesthesia and Surgical intensive Care

designed and approved by Department of Anesthesia and Surgical intensive Care. Faculty of

Medicine. Alexandria University. Based on: Generic Academic Reference Standards (ARS):

Postgraduate Medical Education, Egypt (2009). Published

by National Authority for Quality Assurance and Accreditation of Education (NAQAAE) National

[http://naqaae.org/main/php/book/index.php]

And adapted from:

The Royal College of Anesthetist Educating, Training and Setting Standards in Anaesthesia,

Critical Care and Pain Medicine.

http://naqaae.org/main/php/book/index.php%5D

ILOS

Academic Reference

Standards

Domain

A1 State mechanism of action of

drugs

A2 Mention toxic drug effect

A3 Achieve clear working

knowledge of anatomy of the

respiratory, cardiovascular

system and the spinal and brain.

A4 Demonstrate a clear knowledge

of the physiological changes which

occur in all of the systems of the

body during and after anesthesia.

A5 Achieve clear knowledge of

the physics relevant to anesthesia.

A6 Describe full pre-operative

evaluation of the patient.

A7 Describe the anesthetic plans for

patients

A8 State recovery criteria.

A9 Enumerate admission and

discharge criteria for intensive care

unit.

A10 Discuss the main lines of

managing an intensive care unit

patient

A11 Describe resuscitation of

life threatening conditions.

A12 Explain different

modalities for pain management.

Graduates of this program

must have:

- Basic knowledge about

pharmacology of drugs related

to anesthetic practice

- Understanding of human

anatomy and physiology

related

to anesthesia.

-Clear working knowledge of

the physics relevant to

anesthesia.

- Sufficient knowledge about

management of patient during

the perioperative period and

during resuscitation.

-Sufficient knowledge about

pain management.

A. Knowledge

and

understanding

B1 Explain how to interpret clinical

data and deal with artifact and error.

B2 Applies conclusions from critical

appraisal into clinical care

B3 explain the evidence base of

clinical care to patients and to

other members of the clinical

team

B4 Administer proper drug per patient

condition.

B5 Treat abnormal drug reaction

B6 Aware of drug-drug interaction.

B7 Plan the appropriate lines of

management convenient for

intensive care unit patient

B8 Select and apply the appropriate

regimen for pain management.

-Interpret information to

achieve patient's wellbeing

during and post anesthesia.

-Apply proper anesthetic

technique per

patient condition.

-Diagnose abnormal, sudden

perioperative events.

-excel patient pain

management.

B. Intellectual skills

C.1. Practice central cannulation for

difficult cases.

C.4. Master connecting patients to

advanced monitoring devices

C.6. Decide connecting and weaning

patients from mechanical ventilation

C.7. Select proper ventilation mode.

C.8. Perfect selection of fluid

C.9. Lead cardiopulmonary resuscitation

team

C. Professional skills

D.1. Demonstrate ability to get

recent knowledge.

D.2. Use information

technology to prepare lectures

and research

D.3. Acquire skills for preparing

scientific research

D.4. Demonstrate skills to

present scientific talks.

D. General and

transferable

ILOs Course title D

1 D 2

D 3

D 4

D 5

D 6

D 7

D 8

E 1

E 2

E 3

E 4

E 5

E 6

E 7

Basics of research

Basic Clinical Pharmacology for

Anaesthesia

X

X X X

Basic Human Anatomy for Anaesthesia X X X

Internal Medicine for Anaesthesia X X X

Basic Medical Physiology for Anaesthesia

Physics & Clinical Measurements I X X

Anaesthesia: Drugs & Techniques X X X X

Anaesthesia: General Lectures and General

Surgery X X X

X X X

Cardio Thoracic Anaesthesia I X x X X X

E1 educational supervisors and

understand who to approach

locally regarding training issues

and concerns.

E2 Demonstrate an inquisitive and

questioning approach to clinical

practice.

E3 Appreciate ethical and approval

considerations raised during

practice and research.

E4 Explain in a sympathetic manner

variable situations to patients and

relatives.

E5 Consider the importance of patient

consent

E6 Check drugs, machines and

equipment to insure patient safety.

E7 Explain the scientific basis of

clinical practice.

work with patients, their

relatives, colleagues, seniors

and assistants

E. ethical behavior

Neuro And Ophthalmic Anaesthesia X X X X X X X

Maxillofacial & ENT Anaesthesia X X X

X X X

Obstetric & Paediatric Anaesthesia X X X

Hepatorenal Anaesthesia I X

X

X X

Orthopaedic, Plastic, Vascular And Outpatient

Anaesthesia

X X X X X

Intensive Care For Anaesthesia I

X X X X X

Intensive Care For Anaesthesia II

X X X X X x x

Integrated Anaesthesia I X X X X X X

-

3- Curriculum Structure:

Program duration: This program is fulfilled in not less than 2 years with a maximum of 5 years (7 semesters &

thesis).

-Program structure:

Total hours 40 credit hours

1. 1. Obligatory subjects: 27 Credit Hours.

2. 2. Basics of research: 3 Hours

3. 3. Thesis: 8 Credit Hours.

4. 4.2 Elective Subjects: one Credit Hour Each.

-Program Content:

Code Course Credit

Hours

Contact hours

Lectur

es

Practic

al

Other

s 1 05500801 Basics of research 3

2 050608010 Basic Clinical Pharmacology for

Anaesthesia

1

3 051408010

Basic Human Anatomy for Anaesthesia

1

4 051508010 Internal Medicine for Anaesthesia 1

5 052008010 Basic Medical Physiology for

Anaesthesia

1

6 05010801 Physics & Clinical Measurements I 2

7 05010802 Anaesthesia: Drugs & Techniques 1

8 05010803 Anaesthesia: General Lectures and

general surgery

1

9 05010804 Cardio Thoracic Anaesthesia I 2

10 05010805 Neuro And Ophthalmic Anaesthesia 2

11 05010806 Maxillofacial & ENT Anaesthesia 2

12 05010807 Obstetric & Paediatric Anaesthesia 2

13 05010808 Hepatorenal Anaesthesia I 1

14 05010809 Orthopaedic, Plastic, Vascular And

Out patient Anaesthesia

2

15 05010810 Intensive Care For Anaesthesia (I) 2

16 05010811 Intensive Care For Anaesthesia (II) 2

17 05010812 Integrated Anaesthesia I 2

B. Elective Courses

Course

Code

Course Title No of Hours/Week Contact hours

Lectures Practica

l

Others

1 05070739 Biostatistics & Computer

2 05180831 Hospital Associated Bacterial

Infection

3 05110805 Medical Ethics

4 05160832 Molecular Biology

4- Program Admission Requirements:

According to the regulations of the credit hour bylaws of the Faculty of Medicine Alexandria

University (annex).

5- Regulations for Progression and Program Completion:

According to the regulations of the credit hour bylaws of the Faculty of Medicine Alexandria University

(annex)

assessment: studentof ods Meth -6

Methods Intended Learning outcomes to be

assessed

1. 1. Written Exam

2. 2. Practical Exam

3. 3. Assignments

4. 4. Thesis

7- Methods of program evaluation

Evaluator Tool Sample

1. 1. Students enrolled in the program Questionnaires.

2. 2 .Al umni

3. 3. Stakeholders (Employers) Focus group

4. 4. External Evaluator (s)

5. 5. Others:

*

Program Director Prof. Dr. Nader Elgamal

* Program Coordinator: Prof. Dr. Hussein Agameya

1 Code Credit hours (3) Course Prerequisites

05500801 Basics of research

This course is a general course is intending to prepare the candidate with the basic knowledge to

collect date, use statistical analysis, prepare papers, publish in international journals and learn the

ethics of research and publication

2

Code Credit hours (1)

Course Prerequisites

050608010 Basic Clinical Pharmacology for

Anaesthesia

Pharmacologic principles. Drug interaction. Nervous system (central, peripheral). Analgesic drugs.

Skeletal Muscle Relaxants. Autacoids. Cardiovascular system: antiarrhythmics, antihypertensives,

inotrop, vasopressors & vasodilators. Plasma expanders & substitutes. Coagulants & anticoagulants.

Kidney: diuretics. Respiratory system:

bronchodilators & mucolytics. Endocrine system: antidiabetic drugs, thyroid & antithyroid drugs,

corticosteroids. Inhalation anaesthetics, IV Anaesthetics.

3

Code Credit hours (1)

Course Prerequisites

051408010 Basic Human Anatomy for

Anaesthesia

Head and Neck: nasal cavity, mouth cavity, pharynx and larynx.

Back: Layers of back muscles & the different vertebrae. Thorax: walls, lung, heart & mediastinum.

Peripheral nervous system: cranial and spinal nerves and plexuses. Central Nervous System: spinal cord,

tractology, cranial nerve nuclei, cortical areas & C S F. Limb vessels: arteries & Veins.


051508010 Internal Medicine for

Anaesthesia

CVS: Ischemic, valvular, congenital, heart, disease, abnormalities, of cardiac

conduction thythm, hypertension, congestive heart failure, cardiomyopathies

, cor pulnonale, pericardial diseases, peripheral vascular disease Respiratory system: chronic obstructive

pulmonary disease, bronchial asthma, restrictive lung Neurological disorders, coma &

strok. Diseases of the gastrointestinal system, liver, renal disease,

water, electrolyte, and acid-base disturbances, endocrine disease, metabolic and

nutritional disorders. Anemia & coagulopathy. Skin manifestation of

systemic diseases. Malignancy. Immunity & immunologic disorders. Geriatric patient.

5

•

Code Credit hours (1) Course Prerequisites

052008010 Basic Medical Physiology for

Anaesthesia

The cell. Control of internal environment..Cardiovascular system, Respiratory system, Nerve &

muscle. Blood transfusion, Haemostasis & coagulation. Body fluids and the kidneys, including

water-electrolytes and acid-base balance. CNS: basic functions. Somatic sensations: Pain.

Wakefulness and sleep The autonomic nervous system; stress response. GIT Lower oesphageal

sphincter. Emptying of the stomach, Liver functions. Vomiting, regurgitation. Metabolism and

temperature regulation. Endocrinology, an overview, Pituitary, Thyroid, Supra-renal & Pancreas.

6 Code

Credit hours (2) Course Prerequisites

05010801 Physics & Clinical

Measurements

I

050608010

051408010,

051508010,

052008010

Units of measurements. Pressure, fluid. ABP & CVP, COP & PCWP measurements. Pulmonary function

tests. Gas laws, exponential functions. Solubility, diffusion & osmosis. Work, energy & power.

Temperature & heat. Sine wave, electricity. 02, pH & CO2 measurement. CNS monitoring. Gas

analysis, Gas supplies. Breathing & scavenging systems. Radiation. Presentation & handling of

data.

7 Code


05010802 Anaesthesia: Drugs &

Techniques

050608010

051408010,

051508010,

052008010

Preoperative assessment: physical, psychological & medical preparation, premedication. Inhalation

anaesthetic drugs, intravenous anaesthesia, muscle relaxants: drugs, monitoring neuromuscular function.

local & spinal subarachnoid & epidural anaesthesia. Monitoring & diagnostic procedures.

Scientific Activities for Master of Anaesthesia included in this course


05010803

Anaesthesia:

General lectures

and general

surgery

050608010

Hypothermia, Acid base balance, Airway management, fluid therapy, Deliberate hypotnsion

electrolyte disorders. Oxygen therapy. Definition & classification of pain. Anatomy & physiology

of nociception. Systemic response to pain. Pain evaluation. Pharmacologic interventions. Neural blockade. Therapeutic

adjuncts.. Scientific Activities for Master of Anaesthesia included in this course

11-1 .. 44401 ;1441.-


05010804 Cardio Thoracic

Anaesthesia I

05010801

05010802

05010803

Thoracic endoscopies: thoracoscopy, mediastinoscopy, broncoscopy & oesophagoscopy.

Pneumonectomy and lobectomy. Management of patients with mediastinal mass. One lung

anaesthesia & double lumen intubation. Thoracic epidural catheter. Closed cardiac surgery (PDA,

mitral comissorotomy. PAB) Anaesthesia for cardiac catheter. Perioperative evaluation &

management of patients undergoing open cardiac surgery (valve replacement, congenital heart

disease, CABG)



05010805 Neuro And Ophthalmic

Anaesthesia

05010801

05010802

05010803

Neurosurgery: Neurophysiology & anaesthesia, CBF &

metabolism. ICP. intracranial mass lesion, head trauma &

vascular malformation. Spine surgery. Nerve injury.

Ophthalmic: ocular physiology, IOP: effect of anaesthetic drugs.

General & regional techniques, special adult & paediatric

problems.

stereotactic surgery, Ocular

blood flow,

Scientific Activities for Master of Anaesthesia included in

this course

I

5.V1-1.4:1c 11 .A

11 Code


05010806 ENT & Maxillofacial

Anaesthesia

05010801

05010802

05010803

ENT: Nasal & sinus surgery. Ear surgery. Laryngeal surgery. Head & neck surgery,

thyroidectomy, glomus body tumor. Skull base surgery Otorhinollaryneologic endoscopies.

Laser surgery. Difficult airway. Maxillo-facial surgery: Correction of congenital defects:

cleft lip & palate. Cranio-facial abnormalities including craniosynostosis. Tempromandibular

joint surgery, ankylosis. Benign cyst and tumors

Malignant tumors, flap reconstruction. Oral surgery: fixation of fracture. Pediatric dental

procedures. Endoscopies, laser.



05010807 Obstetric & Paediatric

Anaesthesia

05010801

05010802

05010803

Obstetric anaesthesia: Phyiologic changes during pregnancy. Placental transfer of drugs.

Effect of anaesthesia on uteroplacental blood flow & uterine contraction.. Analgesia in

labour. Anaesthesia for normal labour. Anaesthesia for cesarean section. Anaesthesia for

high risk obstetric patient & complicated obstetrics. Neonatal resuscitation. Paediatric

anaesthesia: anatomic & physiologic & pharmacologic differences in paediatric.

Paediatric anaesthetic

techniques. Specific paediatric disorders.


13 Code


05010808 Hepatorenal Anesthesia

I

0501081,

0501082,

0501083 Renal physiology & anaesthesia. The nephron. Renal

circulation.. effect of anaesthesia on renal of renal function

Anaesthesia for patients with renal diseases. Renal failure, renal

transplantation. Lextracorporial shock lithotripsy, radical

surgery for urologic malignancy,ithotripsy,

function.. Evaluation

Cystoscopy,

Scientific Activities forMaster of Anaesthesia included in this

course


05010809 Plastic, Vascular &

Orthopaedic

Anaesthesia

05010801

05010802

05010803

Vascular surgery: A-V shunt, Peripheral vascular surgery aortic cross clamping, carotid

artery & aortic surgery. Burn & plastic surgeries.



05010810 Intensive Care For

Master Of

Anaesthesia (I)

05010801,

05010802,

05010803

Scoring systems of the critically ill, respiratory failure, mechanical ventilation: I:

basic concepts, II: new modes of analgesia, sedation & relaxants, nutritional support, renal

failure, gastro-intestinal, neurological & immune disorders in the critically ill.


16 Code


0501081

1

Intensive Care For Master Of

Anaesthesia (II)

05010801,

05010802,

05010803

Haematologic, obstetric emergencies, trauma. Clinical shock syndromes, septic patient. Brain

death. Scientific Act:vibes for Master of Anaesthesia included in this course


05010812 Integrated

Anaesthesia I

All courses

This course is aiming at testing the general and collective knowledge of the candidate

regarding the whole previous courses

Course Specifications


Faculty: Medicine

Department: Anaesthesia and Surgical Intensive Care

Course Information

Course Code: 05010804 Course Name: cardiothoracic Anesthesia I

Program in which the Course is Given: Master Degree in Anesthesia and Surgical Intensive Care

Number of Credit

Hours: 2

Theoretical

1.0

Clinical/

1.0

Scientific activities

Course Aims:

The aim of this course is to upgrade the candidate abilities in:

1. Gain mastery in the delivery of safe and effective perioperative anesthetic care to patients

undergoing elective and emergency complex/major thoracic, and cardiacl surgery.

2. To be capable of conducting anesthesia and put plans for different scenarios of intra-

operative as well as postoperative problems in pediatric and adult surgical cases in cardio-

thoracic surgery areas. 3. To acquire knowledge, skills and experience in dealing with patients undergoing cardiac or

thoracic surgery.

4. Becomes familiar with recent developments in perioperative anesthetic care to this area of

practice.

Intended Learning Outcomes (ILOs)

Program ILOs Course ILOs

A. Knowledge

and

Understanding

Graduate of this program must acquire knowledge about: A.4. Revise clear working knowledge of anatomy applied in anaesthetic practice A.5. Describe the impact of physiologic derangement on the

course of anaesthesia.

A.7. Mention the principles underling anaesthetic machines and monitoring equipment

A.1. Describe the physiology of pulmonary as well as different cardiac problems. A.2. Discuss the principles of pre-operative assessment of both adult and congenital cardiac

problems. A.3. Describes the range of procedures performed during in adult and pediatric cardiac and thoracic surgeries. A.4. Enumerate anesthetic problems common among patients scheduled for pediatric cardiac and thoracic surgeries.

A.5. Describe anesthesia for different cases of

A.8. Describe specific points stressed upon during taking history from the patient A.9. list steps of physical examination in medically compromised patient A.10. State specific points in relation to surgical procedure A.11. Define special laboratory investigations A.12. Discuss perioperative complications A.13. Mention special patient’s needs during postoperative period

cardiothoracic anesthesia including thoracoscopic procedures. A.6. Understanding the physiology and describe anesthetic and perfusion strategies of cardiopulmonary bypass during open cardiac surgery. A.7. Describe strategy for bleeding prevention and control during cardiac and thoracic surgeries. A.8 . Describe strategy for pain control after cardiac and thoracic surgeries including regional techniques. A.9. Describe strategy for postoperative care of patients undergoing cardiac and thoracic surgeries.

B. Intellectual

skills

Graduate should be competent to: B.1. Select necessary investigations according to situation B.2. Identify potential problems from history and clinical examination. B.3. Judge which patient is in need for further workup before admission to surgery B.5. Predict intra and postoperative events according to intervention

B.1. Optimize patients with significant pathology before cardiac and thoracic surgeries B.2. Optimize patients with concomitant disease such as renal or hepatic problems. B.3. Plan a strategy for managing such complex surgery.

B.4. Detect patient at risk for difficult

weaning from CPB as well as from

mechanical ventilation after open cardiac

surgery. B. 5. Discusse the importance of managing inotropic support after open cardiac surgery.

C. Professional

and Practical

Skills

Student should develop the appropriate skills in relation to C.1. Practice central cannulation for difficult cases. C.4. Master connecting patients to advanced monitoring devices C.6. Decide connecting and weaning patients from mechanical ventilation C.7. Select proper ventilation mode. C.8. Perfect selection of fluid

C.1. Master arterial and central line cannulation.

C.2. Deal with adverse events associated with

intra-operative problems as bleeding and

hypoxia. C.3. Master one lung intubation and anesthesia. C.4. Master thoracic epidural analgesia. C.5. Maste arterial and central pressures monitoring. C.6. master dosing and management of inotropic drug support.

therapy. C.9. Lead cardiopulmonary resuscitation team

C.7. master pacemaker function and management.

C.8. Apply protocol for bleeding prevention

and coagulation monitoring.

C.9 . Apply protocol for post operative pain

control.

D. General Skills

Graduate should be competent

in the following:

D.1. Demonstrate ability to get recent knowledge. D.2. Use information technology to prepare lectures and research D.3. Acquire skills for preparing scientific research D.4. Demonstrate skills to present scientific talks.

D.1. Demonstrate the necessary multi-

disciplinary leadership,

D.2. Demonstrates effective communication skills with patients and relatives particularly when allaying anxiety in patients who recognize that their surgical/medical condition is a severe risk to life, or when things have not gone well.

D.3. Demonstrate ability to get recent knowledge in the field of cardiac and thoracic anesthesia and intensive care D.4. Acquire skills for preparing scientific research. D.5. Explain anesthetic events to patients. D.6. Deal gently with patients and their families. D.7.. Appraise the importance of patient consent for intervention during management &/or enrollment in research

Course Content (Units/Topics)

Teaching/Learning Methods

Lectures self

learning

Practical/

Clinical

Small

group

discussion

Others

Physiology of pulmonary circulation

Anesthesia for mediastinal syndrome

Anesthesia for lobectomy and

pneumonectomy

Anesthesia for congenital heart disease

undergoing closed cardiac surgery

Anesthesia for congenital heart disease

undergoing open cardiac surgery

Anesthesia for valvular heart diseases

Anesthesia for tracheal resection &esophageal surgery.

Anesthesia for CABG surgery

Cardiopulmonary bypass

Recent trends in cardiac anesthesia

Preoperative assessment for cardiac surgery.

One lung ventilation & anesthesia for thoracoscopic surgery.

Please check () the appropriate method.

Student Assessment

Methods of Assessment

Essay

Case

Assignment

Others

Objective questions

OSCE/OSPE

Logbook fulfillment

Schedule of Assessment

End of term 100 %

Distribution of Marks

Written Exam 70 %

Practical exam OSCE 20 %

Oral 10 %

List of Textbooks and References

Lecture Notes

Course Text Books

Miller MD, Anesthesia.

Morgan ’s clinical anesthesiology.

Suggested Extra Reading

Kpplan’s cardiac anesthesia.

Journals and Periodicals, others

Course Instructor

Name: Prof Dr: Amal Sabry Signature:

Program Coordinator

Name: Prof: Hussein Agameya Signature:

Program Director (Head of Department)

Name: Prof: Nader Elgamal Signature:



Faculty: Medicine


Course Information

Course Code: 05010805 Course Name: Neuro and Ophthalmic Anesthesia

Program in which the Course is Given: Master of Anaesthesia and Surgical Intensive Care

Number of Credit Hours 2 Theoretical Clinical/Practical

Course Aims: The aim of this course is to upgrade the candidate abilities in:

Strategies for brain protection. Intracranial hypertension (monitoring and control). Infratentorial masses and brain stem. Manegement of head injury. Anaesthesia for neurovascular surgery. Spinal surgery (anaesthesia). Anaesthesia for stereotactic surgery. Anaesthesia for supratentorial mass. Anatomy and physiology of the eye. Anaesthesia and intraocular pressure. Penetrating eye injury. Occular pathology and systemic disease. Anaesthetic ramification of ophthalmic drugs. Regional blocks. Special ophthalmic procedures and their anaesthetic management. Outpatient ophthalmic surgery. Ophthalmic complications of anesthesia and surgery. Scientific Activities for Doctor of Anaesthesia. included in this course


Program ILO (refer to program

matrix) Course ILOs

A. Knowledge

and

Understanding

Graduates of this program must

have:

A.1 Describe advanced

pharmacological principles of

drugs.

A.2. Discuss the toxic drug effect

A.3 Explain mechanism of drug-

drug interaction

A.4. Revise clear working

knowledge of anatomy applied in

anaesthetic practice

A.5. Describe the impact of

physiologic derangement on the

A.1. Outline the principles of anesthesia for

craniotomy (for vascular disease, cerebral

tumors and posterior fossa lesions).

A.2. Discuss anesthetic implications of

pituitary disease including endocrine effects

(acromegaly) and trans-sphenoidal surgery.

A.3. Describe anesthesia for spinal column

surgery and anesthetic implications of spinal

cord trauma.

1 1

course of anaesthesia

A.9. list steps of physical

examination in medically

compromised patient

A.10. State specific points in

relation to surgical procedure

A.11. Define special laboratory

investigations

A.12. Discuss perioperative

complications

A.17. Explain admission and

discharge criteria for intensive

care unit

A.4. Outline principles of immediate

postoperative management including pain

relief and special considerations with

narcotics, as well as principles of

neurological monitoring.

A.5. Understand the basic concepts of the

eye anatomy and the physiology of the eye

A.6. Identify different types of eye blocks.

A.7. Understand distribution of acuaes

humor and its circulation.

A.8. Understanding basic Knowledge's for

anaethetic management of penetrating eye

enjuries.

A.9. Identify the types of sedoanalgesia used

during eye surgery

B. Intellectual

skills

Graduate should be competent to:

B.2. Identify potential problems

from history and clinical

examination.

B.3. Judge which patient is in need

for further workup before

admission to surgery

B.4. Modify anaesthetic plane

according to surgery

B.5. Predict intra and

postoperative events according to

intervention

B.12. Design strategies for acute

and chronic pain management

B1. Gaining the skills for uses of different

local techniques.

B2. Gaining the skills for the anaesthetic

management during strabismus surgery

B.3.Detect and manage air embolism.

B.4. Plan a strategy for managing such

complex surgery.

B.5. Discuss the importance of managing

nutrition in major surgery and how this can

be optimized.

B.6. Assist colleagues in decisions the

suitable anaesthetic technique for surgery in

difficult situations

C.

Professional

and Practical

Skills



C.5. Perform difficult regional

blocks guided by advanced

devices

C.10. Perfect advanced pain

management techniques

C.11. write precise patient records

C.1. Perform resuscitation and patient

transfer, safe patient positioning-prone,

park-bench (lateral), advise for ventilation

and critical care for patients.

C.2. Interpret EEG and evoked potentials,

intracranial pressure measurements, spinal

drainage.

C.3. Master awake intubation

C.4. Deal with adverse events associated

with difficult airway

C.5. Master fiberoptic intubation

C.6.Apply the good methods for effective

local eye blocks

D. General

Skills

Graduate should be able to:


recent knowledge.

D.2. Use information technology

to prepare lectures and research


scientific research

D.4. Demonstrate skills to present

scientific talks.

D.1. Provide anesthesia for planned

intracranial and spinal surgery and for

emergency neurosurgery for head trauma.

D.2. Excel practical anesthetic aspects of

patient management for CT and MRI and

interventional radiology.

D.3. Manage raised intracranial pressure and

the manipulation of cerebral perfusion

pressure, fluid and electrolyte balance in

neuro-critical care, assuring cerebral

protection and prevention of cerebral

ischemia.



Lectures self

learning

Practical/

Clinical

Small

group

discussion

Others

Effect of anaesthesia on cerebral and

spinal cord physiology &

neurophysiologic monitoring.

Cerebral protection and resuscitation.

Anaesthesia for supratentorial tumors.

Anaesthesia for posterior fosea tumors.

Anaesthetic management of intracranial

aneurysm.

Anaesthetic management of head

trauma.

Neuroendocrine procedures.

Anaesthesia in spinal cord injury.

Anaesthetic management of diagnostic

and therapeutic neuroradiological

procedures.

Anatomy and physiology of the eye

IOP

Local techniques for ophthalmic surgery

Systemic effect of ophthalmic

medications

Anaesthesia for penetrating eye syrgery

Anaesthesia for strabismus surgery

Sedoanalgesia and monitoring

anaesthesia care


Student Assessment


Essay Objective questions

Case OSCE/OSPE

Assignment Logbook fulfillment

Others


Mid-term %

End of term 100 %


Written Exam 70 %

Practical/Clinical Exam 20 %

Others 10 %


Lecture Notes

Course Text Books

Miller, textbook of anaethesia, handbook of

neuroanaesthesia.



Course Instructor

Name: Emad El dine Abdel moneim Arida Signature:

Program Coordinator

Name: Prof. Hussein Agameya Signature:


Name: Prof. Nader Elgamal Signature:



Faculty: Medicine

Department: Anesthesia and Surgical Intensive Care

Course Information

Course Code: 05010806 Course Name: Maxillofacial and ENT

Anesthesia

Program in which the Course is Given: Master Degree in Anesthesia and Surgical Intensive Care

Number of Credit

Hours

Theoretical

Clinical Scientific activities


1. Gain mastery in the delivery of safe and effective perioperative anesthetic care to patients

undergoing elective and emergency complex/major ENT & maxillofacial surgery.

2. To be capable of undertaking the perioperative anesthetic care to a wide variety of complex

elective and emergency pediatric cases in ENT& maxillofacial surgery.

3. To acquire knowledge, skills and experience treating complex clinical cases and

challenging airway situations

4. Becomes familiar with recent developments in perioperative anesthetic care to this area of

practice, to evaluate these developments and to advise colleagues of useful changes in

practice.

5. Ability to manage extremely complex airway problems.

6. Provide teaching to less experienced colleagues of all grades.



matrix) Course ILOs

A. Knowledge

and

Understanding

Graduate of this program must

acquire knowledge about:

A.4. Revise clear working knowledge

of anatomy applied in anaesthetic

Graduate of this program must acquire

knowledge about:

A.1. Describe the impact of anatomical

structures on anesthetic & airway management.

0.2 1

0.8 2



course of anaesthesia.

A.8. Describe specific points stressed

upon during taking history from the

patient.

A.9. list steps of physical examination

in medically compromised patient.

A.10. State specific points in relation

to surgical procedure.


investigations.


complications.

A.13. Mention special patient’s needs

during postoperative period

A.2. Determine the effect of respiratory and

cardiovascular derangement on anesthetic and

airway management.

A.3. History of previous ENT & maxillofacial

surgery.

A.4. History of previous difficult intubation.

A.5. History of preoperative drug therapy.

A.6. History of cardiovascular and respiratory

problem.

A.7. Cardiovascular & respiratory system

examination.

A.8 Head & neck examination.

A.9.Different methods for airway examination.

A.10. Patient ventilation during total

laryngectomy.

A.11. Intraoperative complications during

stomach pull up.

A.12. Prevent flap ischemia during free

vascular flap surgery.

A.13. Prevent laser fire during airway laser

surgery.

A.14. Effect of diathermy on cochlear implant.

A.15. Respiratory function test before total

laryngectomy.

A.16. Indirect laryngoscopy .

A.17. C.T scan of head and neck.

A.18. Serial haematocrite during free vascular

flap.

A.19. Airway obstruction.

A.20. Hemorrhage.

A.21. Adrenaline induced arrhythmias.

A.22. Nausea & vomiting.

A.23. Special position in bed.

A.24. Maintain clear airway.

A.25. Pain control.

A.26. Control nausea & vomiting.

A.27. Oxygen therapy.

B. Intellectual

skills


B.1. Select necessary investigations

according to situation.

B.2. Identify potential problems from

history and clinical examination.

B.4. Modify anaesthetic plan

according to surgery.

B.5. Predict intra and postoperative

events according to intervention.

B.12. Design strategies for acute and

chronic pain management.


B.1. Analyze blood gas analysis.

B.2. Interpret respiratory function test.

B.3. To distinguish airway problem by

B.4.radiological examination.

B.5. Detect difficult intubation.

B.6. Detect respiratory & cardiovascular

problem.

B.7. Detect postoperative airway obstruction.

B.8. Identify pediatric syndromes associated

with the need for anesthesia for ENT&

maxillofacial surgery.

B.9. Enumerate anesthetic problems common

among patients scheduled for ENT &

maxillofacial surgery.

B.10. Describe the anesthetic plans for patients

scheduled for ENT & maxillofacial surgery.

B.11. Describe deferent techniques of

endotracheal intubation.

B.12. Advice airway device suitable for such

cases.

B.13. Describe anesthesia plane for outpatient

ENT & dental procedures.

B.15. Describe strategy for extubation of the

difficult airway.

B.16. Mention important points for

postoperative care of patients undergoing

ENT& maxillofacial surgery.

B.17. Discuss the importance of managing

nutrition in major head and neck surgery and

how this can be optimized.

B.18. Discusses the pathophysiological effects

of chemotherapy and radiotherapy.

B.19. Select and apply the appropriate regimen

for pain management.

C.

Professional

and Practical

Skills

Candidate should develop the

appropriate skills in order to:


difficult cases.

C.2. Diagnose difficult airway

C.3. Master application of advanced

airway devices and techniques to

maintain patent airway.


advanced monitoring devices.

C.5. Perform difficult regional blocks

guided by advanced devices.


management techniques.

C.11. write precise patient records.

Student should develop the appropriate skills in

order to: C.1. Cannulate IJV & subclavian vein by

different techniques.

C.2. Determine different measures to diagnose

difficult airway.

C.3. Master awake intubation.

C.4. Master blind nasal intubation.

C.5. Master submental intubation.

C.6. Master fiberoptic intubation.

C.7. Deal with adverse events associated with

difficult airway.

C.8. Apply an intubation & extubation

algorithm.

C.9. Apply tube exchange catheter.

C.10. Cranial nerve monitoring.

C.11. Preserve facial nerve functions during

procedures.

C.12. Diagnose pulmonary air embolism.

C.13. Apply regional block of the nose.

C.14. Apply regional block of the ear.

C.15. Apply laryngeal nerve block.

C.16. To treat postoperative pain.

C.17. To record patient data & filling.

D. General

Skills


D.1. Demonstrate ability to get recent

knowledge.

D.2. Use information technology to


D.1. Get recent knowledge in the field of ENT

and maxillofacial anesthesia and intensive care.

D.2. Collect data from internet and periodic to

prepare lectures and research


scientific research.


scientific talks.

D.5. Conduct teaching and training

sessions.

D.6. Provide leadership and

instruction to junior residents,

students, and nurses.

prepare lecture and research.

D.3. Network search for topics retaliated to his

work.

D.4. Design protocol for scientific research.

D.5. Construct pilot study for the research.

D.6. Cooperate in multidisciplinary research

teams.

D.7. Present scientific talks in power point

presentation.

D.8. Present talks in proper language.

D.9. Present tables & diagrams.

D.10. Conduct teaching sessions for airway

assessment.

D.11. Conduct teaching session for difficult

airway manipulation.

D.12. Conduct training session for fiberoptic

laryngoscope.

D.13. Conduct training session for extraglottic

airway devices.

D.14. Provide teaching to less experienced

colleagues of all grades.

E. Attitudes

and ethical

behavior.


E.1. Explain anaethetic events to

patients.

E.2. Include any choices of

anaesthetic technique.

E.3. Deal gently with patients and

their families.


E.1. Describe anesthetic steps to patients.

E.2. Describe endotracheal intubation to

patients.

E.3. Describe postoperative pain and its

management.

E.4. Use general or regional anesthesia.

E.5. Use different methods to maintain airway.

E.6. Demonstrates effective communication

skills with patients and relatives particularly

when allaying anxiety in patients who recognize

that their surgical/medical condition is a severe

risk to life, or when things have not gone well.

E.4. Appraise the importance of

patient consent for intervention

during management &/or enrollment

in research.

E.5. Check drugs, machines and

equipments.

E.7. Appraise medico-legal rules of patient

consent for intervention during management&

enrollment in research.

E.8. All drugs used should be labeled.

E.9. Check the anesthesia machine before use.

E.10. Check all anesthesia equipment.



Lectures self

learning

Practical/

Clinical

Small

group

discussion

Others

Anesthesia for ear& skull base

surgery.

Anesthesia for nose surgery &

FESS.

Anesthesia for

adenotonsillectomy.

Anesthesia for sleep apnea

syndrome.

Anesthesia for laryngeal surgery.

Anesthesia for direct

laryngoscope & laser.

Anesthesia for deep neck

infection.

Anesthesia for tracheal stent

insertion.

Anesthesia for free vascular flap

surgery.

Anesthesia for maxillofacial

trauma.

Anesthesia for craniofacial

abnormalities & neoplastic

conditions

Fiberoptic intubation.

Special airway techniques.

Anesthesia for pediatric dental

surgery.


Student Assessment



Case OSCE/OSPE


Others


Mid-term %

End of term 100 %


Written Exam 70 %


Others %


Lecture Notes

Course Text Books

Miller's Anaesthesia



Course Instructor

Name: Prof: Maher Doghiem Signature:

Program Coordinator

Name: Prof: Hussein agamya. Signature:


Name: Prof. Nader Elgamal Signature :



Faculty: Medicine

Department: Anaesthesia and Surgical intensive care.

Course Information

Course Code: 05010807 Course Name: Obstetric and Pediatric

Anesthesia

Program in which the Course is Given

Master Degree of Anaesthesia and Surgical intensive Care


Course Aims The aim of this program is to:

develop the core educational knowledge and capabilities of the trainee and to develop them professionally as an effective learner.

have insight into educational responsibilities as a Trainee in anaesthesia, intensive care and pain management.

consider the importance of patient safety in relation to clinical practice and clinical supervision.

specifically understand the importance of workplace-based assessments, keeping a reflective portfolio, the role of developmental feedback in promoting professional learning and the need to engage effectively in multi-source feedback.



matrix) Course ILOs

A. Knowledge

and

Understanding

Graduate of this course must acquire knowledge to:



knowledge of anatomy applied in

anaesthetic practice

A.6. Achieve clear working

knowledge of the physics relevant

to anaesthesia

a.2.Describe anatomy and physiological changes with normal pregnancy

a.4.Describe physiology of labour

a.6.Describe effect of pregnancy on

technique of general and regional

anaesthesia

a.7.Outline gastrointestinal physiology and

acid aspiration prophylaxis

a.8.Discuss emergencies in obstetric

1 1

A.7. Mention the principles

underling anaesthetic machines

and monitoring equipment

A.8. Describe specific points

stressed upon during taking history

from the patient


investigations

anaesthesia

a.11.Describe preoperative assessment of

neonate, infant, child, anaesthetic equipment

and differences from adult practice

B. Intellectual

skills

Graduate should be competent to: B.3. Judge which patient is in need for further workup before admission to surgery B.4. Modify anaesthetic plane according to surgery B.5. Predict intra and postoperative events according to intervention B.6. Relate events to underlying clinical condition B. 7. Arrange proper drug administration according to patient condition.

b.3.Explain preoperative assessment of the pregnant patient and the sick mother b.4.Select proper drugs for post-delivery pain relief. b.5.Solve problems of complications of regional blocks b.6.Manage the awake patient during surgery b.7.Plan to adequately manage the airway in paediatric patients

C.Professional

and Practical

Skills

Student should develop the appropriate skills in order to C.2. Diagnose difficult airway C.3. Master application of advanced airway devices and techniques to maintain patent airway C.5. Perform difficult regional blocks guided by advanced devices C.8. Perfect selection of fluid therapy.

c.2.Demonstrate how to provide analgesia for labour c.3.Evaluate antepartum,postpartum haemorrhage. c.5.Perform intubation in full-term mother c.8.Perform paediatric resuscitation

D. General

Skills

Graduate should be competent in the following:




scientific research


scientific talks.


sessions.

d.1.Able to search the medical literature through different modalities. d.4. Demonstrates an informed critical approach to scientific literature. d.8. Appreciate preferred approach to self learning.



Lectures self

learning

Practical/

Clinical

Small

group

discussion

Others

1.Physiological changes in pregnancy + + + +

2.Anaesthetic effects on the foetus and

newborn

+ + + +

3.Analgesia in normal labour + + + +

4.Anaesthesia for Caesarean delivery + + + +

5.Management of parturient with

cardiovascular disease

+ + + +

6.Anaesthetic management of pre-

eclamptic patient

+ + + +

7. Obstetric emergencies and

anaesthetic management

+ + + +

8. Neonatal resuscitation + + + +

9.Coagulopathy and postpartum

haemorrhage

+ + + +

10.Anaesthesia during pregnancy

+ + + +

11.Anaesthesia related physiological

and pharmacological differences in

paediatrics

+ + + +

12.Paediatric anaesthetic techniques

13.Specific paediatric disorders 1

14.Specific paediatric disorders 2

+ + + +


Student Assessment

Methods of Assessment Essay Objective questions + +

Case OSCE/OSPE


Others


Mid-term %

End of term 100 %


Written Exam 70 %


Others %


Lecture Notes

Lectures delivered by staff members

Course Text Books

Clinical Anesthesioloigy,fifth edition,Mc

Graw-Hill Companies,UK,2008.

Clinical Anesthesia ed PG.Barash,BC.Cullen,

RK.Stoelting fifth edition Lippencott

Williams&Wilkns 2006.


Miller RD,Cucchiara RF et al 2009 ;

Anesthesia,7th ed.


Anesthiology , British Journal of Anaesthesia,

Anaesthesia Analgesia , Pediatric Anesthesia

www.sciencedirect.com

Course Instructor

Name: Prof Dr Salwa Shaaban Shaarawy Signature:

Course Co-Instructor

Name: Dr. Mohamed Elhadidi Signature:

Program Coordinator




+ ++

+ ++



Faculty: Medicine


Course Information

Course Code: 05010808 Course Name: Hepatorenal Anesthesia I

Program in which the Course is Given Master of Anaesthesia and surgical intensive care


Course Aims

- Develop the core educational knowledge and capabilities of the trainee and to develop them

professionally as an effective learner.

- Have insight into educational responsibilities as a trainee in anaesthesia, intensive care and

pain management.

- Consider the importance of patient safety in relation to clinical practice and clinical

supervision.

- Specifically understand the importance of workplace-based assessments, keeping a

reflective portofolio, the role of developmental feedback in prompting professional learning

and the need to engage effectively in multi-source feedback.



matrix) Course ILOs

A. Knowledge

and

Understanding

Graduate of this course must acquire knowledge to: A.1. Basic knowledge about pharmacology of drugs related to anesthetic practice A.2. Understanding of human anatomy and physiology related to hepatic and renal anaesthesia A.4. Clear working knowledge of the physics relevant to anaesthesia. A.6. Sufficient knowledge about

A.1. Demonstrate a clear knowledge of the physiological changes which occur in all the systems of the body during and after anaesthesia. A.2. Describe full pre-operative evaluation of the patient. A.3. Describe the anaesthetic plans for the patients. A.4. State recovery criteria

0.5 0.5

management of patient during the perioperative period and during resuscitation. A.9. Sufficient knowledge about pain management.

B. Intellectual

skills


B.3. Judge which patient is in need for further workup before admission to surgery B. 7. Arrange proper drug administration according to patient condition. B.8. Treat abnormal drug reaction B.9. Manage drug-drug interactions

B.1. Explain how to interpret clinical data and deal with artifact and error. B.2. Select proper drug according to patient condition. B.3. Solve problems due to abnormal drug reaction.

C.Professional

and Practical

Skills

Candidates should develop skills in relation to: C.1. Practice central cannulation for difficult cases. C.4. Master connecting patients to advanced monitoring devices C.6. Manage hemofilteration and ultrafilteration C.7. Practice rapid blood transfusion therapy. C.8. Perfect selection of fluid therapy.

C.1. Demonstrate roles and responsibilities as a trainee in the context of clinical governance and patient safety. C.2. Demonstrate ability to analyze and structure clinical decisions in terms of risks and benefits. C.3. Evaluate and monitor patients homeostasis.

D. General

Skills

Graduate should be competent in the following: D.1. Demonstrate ability to get recent knowledge. D.2. Use information technology to prepare lectures and research D.3. Acquire skills for preparing scientific research D.4. Demonstrate skills to present scientific talks.

D.1. Demonstrate the necessary multi-disciplinary leadership, D.2. Demonstrates effective communication skills with patients and relatives particularly when allaying anxiety in patients who recognize that their surgical/medical condition is a severe risk to life, or when things have not gone well. D.3. Demonstrate ability to get recent knowledge in the field of hepatic and renal anesthesia and intensive care D.4. Acquire skills for preparing scientific research. D.5. Explain anesthetic events to patients. D.6. Deal gently with patients and their families.



Lectures self

learning

Practical/

Clinical

Small

group

discussion

Others

Anatomy and physiology of the urinary

system

Anatomy and physiology of the genital

system

Anaesthetic pharmacology related to the

urinary system

Anaesthesia for patients with renal

disease

Renal failure and Anaesthesia

Pheochromocytoma

Renal transplantation

Liver transplantation

Applied anatomy of the liver

Applied physiology of the liver

Effect of anaesthesia on hepatic

function

Anaesthesia for patients with hepatic

diseases


Student Assessment



Case OSCE/OSPE


Others


Mid-term %

End of term 100 %


Written Exam 70 %

Practical/Clinical Exam %

Others OSCE 30 %


Lecture Notes

Course Text Books





Anesthesiology

Course Instructor

Name: Prof. Dr. Nader Elgamal Signature:

Program Coordinator

Name: Prof. Dr. Hussein Agameya Signature:





Faculty: Medicine


Course Information

Course Code: 05010809 Course Name: Orthopedics, plastic, vascular, and outpatient anesthesia for master degree.

Program in which the Course is Given: Master Degree in Anaesthesia and Surgical Intensive Care

Number of Credit Hours: 2

Theoretical 1

Clinical/ 1

Course Aims: The aim of this course is to upgrade the candidate abilities in: 1. Gain mastery in the anatomy applied to anesthesia and pain management. 2. be capable of undertaking the perioperative anaesthetic care to a wide variety of complex elective

and emergency surgeries. 3. To acquire knowledge, skills and experience treating complex clinical cases and challenging airway

situations 4. Becomes familiar with recent developments in perioperative anaesthetic care to this area of practice,

to evaluate these developments and to advise colleagues of useful changes in practice 5. Specific pain modalities. 6. Resuscitation. 7. Provide teaching to less experienced colleagues of all grades 8. Ethical and medicolegal aspect of anesthesia


Program ILO (refer to program matrix)

Course ILOs

A. Knowledge and Understanding

Graduate of this course must acquire knowledge to: A.1.Recent advances in pharmacology of drugs related to anaesethetic practice A.2.Anatomy related to anesthesia. A.4. Describe the impact of physiologic derangement on the

Graduate of this course must acquire knowledge to: A.1. Describe advanced pharmacological principles of drugs. A.2. Discuss the toxic drug effect. A.3. Revise clear working knowledge of anatomy applied in anaesthetic practice. A.4. Mention the impact of physiological derangement on the course of anesthesia A.5. Describe optimizing patient general condition prior to surgery A.6. Mention the principles underlying

course of anaesthesia A.5. Describe specific points stressed upon during taking history from the patient A.6. List steps of physical examination in medically compromised patient A.7.State specific points in relation to surgical procedure. A.9.Mention special patient’s needs during postoperative period

anaesthetic and monitoring equipement. A.7. Discuss points stressed upon during taking history from patients. A.8. Enumerate points asked in case of orthopedic and vascular surgeries. A.9. Enumerate questions asked for disabled children before anaesthesia A.10. List steps for examining patients with chest problems scheduled for major surgeries. A.11. Enumerate steps provided for airway protection A.12. Define problems related to prolonged surgery A.13. Describe proper patient positioning during surgeries. A.14. State methods of blood conservation A.15.. Enumerate anaesthetic problems common among patients A.16. State diagnostic criteria of pulmonary embolism A.17. Mention important points for postoperative care of patients undergoing major surgery A.18. Enumerate causes of delayed extubation


Graduate should be competent to: B.2. Identify potential problems from history and clinical examination. B.3. Judge which patient is in need for further workup before admission to surgery B.4. Modify anaesthetic plane according to surgery

Graduate should be competent to: B.1. Suggest points stressed upon preoperatively B.2. Detect points from history of previous anesthesia that may have impact on current situation B.3. Judge which patient not to admit to surgery B.4. Identify further workup needed for each individual patient B.5. Optimize patients with significant pathology B.6. Optimize patients with concomitant disease B.7. Predict patient response to preoperative measures intended to improve his condition B.8. Recognize when the patient is in the best possible condition B.9. Plane a strategy for managing complex vascular surgery B.10. Plane a strategy for managing orthopedic trauma and emergencies

B.6. Predict intra and postoperative events according to intervention B.7. Select suitable anaesthetic technique in common and complicated cases.

B.11. Plane a strategy for managing simple and complicated paediatric plastic surgeries. B.12. Predict excessive blood loss B.13 Predict pulmonary embolism B.14. Predict pneumothorax B.15. Predict accidental extubation B.16. predict difficult extubation B.17, Predict readmission to surgery B.18. Detect difficult airway B.19. Advice airway device suitable for such cases B. 20. Discuses the importance of managing nutrition in major surgery and how this can be optimized B.21. Assist colleagues in decisions the suitable anaesthetic technique for surgery in difficult situations

C. Professional and Practical Skills

Student should develop the appropriate skills in order to C.1. Apply perfectly advanced airway devices and techniques.to maintain patent airway C.3. Master connecting patients to advanced monitoring devices C.4. Decide connecting and weaning patients from mechanical ventilation C.6. Perfect selection of fluid therapy.

Student should develop the appropriate skills in order to C.1. Treat properly adverse events associated with difficult airway

C.2. Perform awake intubation

C.3. Intubate trachea by fiberoptic

bronchoscope

C.4. Insert blind nasotracheal tube

C.5. Perform submental intubation C.6. Diagnose pulmonary embolism C.7. Treat pulmonary embolism C.8. Monitor blood loss precisely C.9. Apply an extubation algorithm. c.10. Demonstrates the ability to use jet ventilation C.11. Perfect selection of perioperative fluid required for major surgery C. 12. Calculate precisely fluid required for paediatrics. C.13. Prescribe fluid requirement during postoperative period

D. General Skills

Graduate should be able to: D.1. Demonstrate ability to get recent knowledge. D.3. Demonstrate skills to present scientific talks. D.5. Provide leadership and instruction to junior residents, students and nurses. .

Graduate should be able to: D.1. Demonstrate ability to network search for recent advances in the field of vascular, orthopedic and plastic surgeries. D.2. Apply recent knowledge to improve practice D.3. Use information technology to prepare lectures D.4. Acquire skills for presenting lectures D.5. Prepare scientific talks D.6. Observe team working under his supervision D.7. Give advice to junior staff D.8. Conduct frequent testing to more junior team members D.9. Demonstrate the necessary multi-disciplinary leadership,



Lectures self learning

Practical/ Clinical

Small group discussion

Others

Vascular surgery part I

Vascular surgery part II

Vascular surgery part III

Vascular surgery part IV

Orthopedic surgery part I

Orthopedic surgery part II

Outpatient anesthesia part I

Outpatient anesthesia part II

Outpatient anesthesia part III

Outpatient anesthesia part IV

Plastic surgery part I

Plastic surgery part II

Anesthesia for burned patient


Student Assessment


Essay Case Assignment Others

Objective questions OSCE/OSPE Logbook fulfillment


Mid-term % End of term 100 %


Written Exam 70 % Practical/Clinical Exam 20 % Oral 10 %


Lecture Notes

Course Text Books

Miller’s Anesthesia


Oxford Textbook of Anaesthesia


Course Instructor

Name: Ass Prof. Ola Zanaty Signature:

Program Coordinator

Name: Prof Hussein Agameya Signature:


Name: Prof Nader Elgamal Signature:



Faculty: Medicine


Course Information

Course Code: 05010810 Course Name: Intensive Care For anaesthesia I

Program in which the Course is Given: master Degree in Anesthesia and Surgical Intensive Care

Number of Credit

Hours: 2

Theoretical

1.0

Clinical/

1.0


Course Aims:

The aim of this course is to upgrade the candidate abilities in :

1. Gain mastery in the safe conduct of critically ill patients attending in the ICU.

2. To be capable to assess, evaluate patients using different scoring system, diagnose the

different investigatory tools and manage therein.

3. To acquire knowledge, skills and experience in dealing with patients in need of mechanical ventilation

4. Becomes familiar with recent developments as new modes of mechanical ventilation, not

only so, but be updated in this area of practice.


Program ILOs Course ILOs

A. Knowledge

and

Understanding

Graduate of this program must acquire knowledge about: A.4. Revise clear working knowledge of anatomy applied in anaesthetic practice A.9. list steps of physical examination in medically compromised patient

A.10. Mention the principles of monitoring devices and other medical equipments A.11. Define special laboratory

A.1. Demonstrate a clear knowledge of the physiological changes which occur in all of the body systems after anaesthesia and its correlation with anticipated changes in the ICU. A.2. Mention admission and discharge criteria for intensive care unit. A.3. Discuss the main lines of management in the ICU. A.4. Describe resuscitation of life threatening conditions, and different modalities of pain management.

investigations

B. Intellectual

skills

Graduate should be competent to: B.1. Select necessary investigations according to situation B.2. Identify potential problems from history and clinical examination. B.3. Judge which patient is in need for further workup before

making a differential diagnosis. B.12. Design strategies for acute and chronic pain management

B.1.Explain how to interpret data and deal with artifacts and errors. B.2.Explain the evidence base of clinical care to patients and to other members of the clinical team. B.3. Plan the appropriate lines of management convenient for the intensive care unit patient.

C. Professional

and Practical

Skills

Student should develop the appropriate skills in order to: C.1. Practice central cannulation for difficult cases. C.2. Diagnose difficult airway C.3. Master application of advanced airway devices and techniques to maintain patent airway C.4. Master connecting patients to advanced monitoring devices C.6. Decide connecting and weaning patients from mechanical ventilation C.7. Select proper ventilation mode. C.8. Perfect selection of fluid therapy. C.9. Lead cardiopulmonary resuscitation team

Student should develop the appropriate skills in order to manage : C.3. Scoring system. C.5. Hands on mechanical ventilation. C.6. Drugs in practice in ICU. C.7. Entral and parentral feeding. C.8. Calculations,analysis of arterial blood gas disorders, together. C.9. Identification of electrolytes disturbances C.10. Apply the use of analgesics, sedatives, and muscle relaxants in ICU.

D. General and

transferable skills


in the following:

D.1. Demonstrate ability to get recent knowledge. D.2. Use information technology to prepare lectures and research D.3. Acquire skills for preparing scientific research

D.1. search for the necessary evidence based

medicine and literature,

D.2. get a hold of the retrieved evidence and ask relevant questions.

D.3. Demonstrate ability to explain to the rest of the ICU team together with the patients and

D.4. Demonstrate skills to present scientific talks.

relatives what is going on as regards sequelae and prognosis.



Lectures self

learning

Practical/

Clinical

Small

group

discussion

Others

Scoring system in ICU.

Basic concepts in oxygen therapy.

Fundamentals of mechanical ventilation.

Different modes of mechanical

ventilation.

Weaning of patients off mechanical

ventilation.

Sedation, analgesia, and muscle

relaxants in ICU.

Respiratory failure-causes and

management.

Acid base disorders in ICU.

Electrolytes disturbances in anesthetic

and ICU.

Immunodisorders.

Entral and parentral nutrition in critically ill patients.

SIRS, shock syndrome.

Sepsis, and septic shock.


Student Assessment


Essay

Case

Assignment

Others

Objective questions

OSCE/OSPE

Logbook fulfillment


End of term 100 %


Written Exam 70 %

Practical exam OSCE 20 %

Oral 10 %


Lecture Notes

Course Text Books




Current Critical care medicine textbook.


European journal of critical care

Course Instructor

Name: Prof. Dr. Mervat abdel maksoud Signature:

Program Coordinator

Name: Prof. Dr. Hussein Agameya Signature:





Faculty: Medicine


Course Information

Course Code: 05010811 Course Name: intensive care for anesthesia II


Number of Credit Hours: 2

Theoretical 0.8

Clinical/ 1.0


0.2

Course Aims: The aim of this course is to upgrade the candidate abilities in: 1. Gain mastery in the delivery of safe and effective perioperative intensive

care to patients 2. To be capable of undertaking the perioperative intensive care to a wide

variety of complex elective and emergency . 3. To acquire knowledge, skills and experience treating complex clinical cases and

challenging airway situations and mechanical ventilation .

4. Becomes familiar with recent developments in perioperative intensive care to this area of practice, to evaluate these developments and to advise colleagues of useful changes in practice .

5. Ability to manage extremely complex airway problems , organ support . 6. Provide teaching to less experienced colleagues of all grades


Program ILO (refer to program matrix)

Course ILOs

A. Knowledge and Understanding

Graduate of this program must acquire knowledge about: A.1 Describe advanced pharmacological principles of drugs. A.2. Discuss the toxic drug effect A.3 Explain mechanism of drug-drug interaction

A.1. Describe the impact of anatomical structures on the airway management A.2. Discuss the principles of pre-

operative assessment, ICU care . A.3. Describes the range of procedures

A.9. list steps of physical examination in medically compromised patient A.12. Discuss perioperative complications A.13. Mention special patient’s needs during postoperative period A.17. Explain admission and discharge criteria for intensive care unit A.18. Cite steps for management of patient during intensive care unit stay A.19. Describe resuscitation of life threatening conditions

of organ support performed on infants and neonates . A.5. Enumerate ICU problems common among patients. A.6. Mention problems related to handicaped. A.7. State diagnostic criteria of pulmonary embolism . mechanical ventilation . A.8. Describe ICU plan for patient.

A.9. Describe blind nasal and submental intubation , tracheostomy . A.10. Describe strategy for extubation of the difficult airway A.11. Mechanical ventilation .


Graduate should be competent to: B.5. Predict intra and postoperative events according to intervention B.6. Relate events to underlying clinical condition B. 7. Arrange proper drug administration according to patient condition. B.8. Treat abnormal drug reaction B.9. Manage drug-drug interactions B.11. decide to start resuscitation at proper time. B.12. Design strategies for acute and chronic pain management

B.1. Optimize patients with significant pathology B.2. Optimize patients with concomitant disease B.3. Plan a strategy for managing such complex ICU period

B.4. Detect difficult airway B.5. Advice airway device suitable for such cases B. 6. Discus the importance of managing nutrition in major head and neck surgery and how this can be optimized B.7. Discusses the pathophysiological effects of chemotherapy and radiotherapy

B.8. Assist colleagues in decisions the suitable anaesthetic technique for surgery in difficult situations

C. Professional and Practical Skills

Student should develop the appropriate skills in relation to C.1. Practice central cannulation for difficult cases. C.4. Master connecting patients to advanced monitoring devices C.6. Decide connecting and weaning patients from mechanical ventilation

C.1. Master awake intubation

C.2. Deal with adverse events associated with difficult airway C.2. Master fiberoptic intubation C.3. Master blind nasal intubation C.4. Modes of mecanical ventilation. C.5. Diagnose pulmonary embolism C.6. Treat pulmonary embolism

C.7. Apply an extubation algorithm

C.7. Select proper ventilation mode. C.8. Perfect selection of fluid therapy. C.9. Lead cardiopulmonary resuscitation team

C.8. Identifies the post operative management and complications of patients . C.9. Apply tube exchange catheter C.10. Demonstrates the ability to use jet ventilation safely and effectively .

D. General Skills

Graduate should be

competent in the

following:

D.1. Demonstrate ability to get recent knowledge. D.2. Use information technology to prepare lectures and research D.3. Acquire skills for preparing scientific research D.6. Provide leadership and instruction to junior residents, students, and nurses.

D.1. Demonstrate the necessary multi-disciplinary leadership, D.2. Demonstrates effective communication skills with patients and relatives particularly when allaying anxiety in patients who recognise that their surgical/medical condition is a severe risk to life, or when things have not gone well D.3. Provide teaching to less experienced colleagues of all grades D.4. Demonstrate ability to get recent knowledge . D.5. Use information technology to prepare lectures and research D.6. Acquire skills for preparing scientific research D.7. Design research protocols and co-operate in multidisciplinary research teams. D.8.. Explain ICU events to patients. D.9.. Deal gently with patients and their families. D.10.. Appraise the importance of patient consent for intervention during management &/or enrollment in research



Lectures self learning

Practical/ Clinical

Small group discussion

Others

Nutritional Plan √ √ √

cannulation √ √

General Considerations √

trauma, Airway management

√ √

Monitoring √ √

cross infection √ √

sepsis √ √

MOF √ √ √

ICU bleeding √ √ √

Extubation of difficult airway

√ √ √

ICU sedation √ √

Please check (√) the appropriate method.

Student Assessment


Essay Case Assignment Others

√ Objective questions OSCE/OSPE Logbook fulfillment

√

√

√ √


Mid-term 20 % End of term 80 %


Written Exam 60 % Practical/Clinical Exam 20 % Others -- %


Lecture Notes

Course Text Books




Anesthesia And Intensive Care Medicine

Course Instructor

Name: Prof Hassan Osman Signature:

Program Coordinator

Name: Prof Hussein Agameya Signature:





Faculty: Medicine


Course Information

Course Code: 05010801 Course Name: Physics and clinical measurement

I


Number of Credit

Hours: 2

Theoretical

1.4

Clinical/

0.4


0.2


Patient monitoring has been a key aspect of anesthesiology since its beginning as a medical

specially, so the purpose of this course is:

1. To provide a comprehensive description and understanding of the scientific foundation for

the design and function of our most commonly used monitors. The course will be involved

applications of some basic principles of physics, chemistry and engineering.

2. The student be able not only to understand and interpret the data from our monitor but also

to anticipate and recognize errors associated with their use, that can not accomplish this

without understanding how these device work.

3. Basic principles of anesthesia machine and its component, to know the safety features,

precautions and checking of the equipment,

4. Gain mastery in hazards that may occur in theatre and how to decrease and overcome it

(Electrical safety, fires and explosion and pollution of operating room.


Program ILO (refer to

program matrix) Course ILOs

A. Knowledge

and

Understanding



A.6. Achieve clear working

knowledge of the physics

relevant to anaesthesia

A.7. Mention the principles

underling anaesthetic machines

and monitoring equipment

A.1.Pesentation and handling of data and basic

measurement concepts.

A.2 Structure of matter

A.3 Exponential function

A.4 Gas law

Pressure- fluid flow-physical prosperities of

matter – heat - electricity – ultrasound-

nuclear physics


investigations

A.5. Basic principle in monitor used.

A.6. Hazard of electricity – pollution-

Radiation

A.7. How to make check list before daily use

and how to overcome some obstacle during

anesthesia

B. Intellectual

skills


to:

B.1. Select necessary

investigations according to

situation

B.3. Judge which patient is in

need for further workup before


B.5. Predict intra and

postoperative events according

to intervention

B.1. Master the use and choice the types of

monitoring for every system e.g (NIBP, IBP,

TEE, ECG and etc…)

B.2. Master how to solve problem using the

monitoring in O.R

B.3. Assist colleagues in decision of the

suitable anaesthetic regimen

B.4. Early detect the morbidity and how to

managed.

C. Professional

and Practical

Skills

Student should develop the

appropriate skills in relation to

C.4. Master connecting

patients to advanced

monitoring devices

Master

C.1. Use of different types of monitor

C.2. Effect of heat, humidity on patients in

O.R

C.3. Hazard of pollution and electricity and

fire and explanation

D. General Skills


in the following:


recent knowledge.



D.1. Demonstrate the necessary multi-

disciplinary leadership,

D.2. Demonstrates effective communication


when allaying anxiety in patients who recognize

that their surgical/medical condition is a severe

risk to life, or when things have not gone well D.3. Provide teaching to less experienced

colleagues of all grades D.4. Use information technology to prepare

lectures and research

D.5. Appraise the importance of patient consent

for intervention during management &/or

enrollment in research



Lectures self

learning

Practical/

Clinical

Small

group

discussion

Others

Measurement of physical quantities

Mechanics

Exponential functions

Structure and physical states of matter

Physical properties of matter

The gas laws

Heat

Temperature

Humidity and humidification

Flow of fluids

Pressure

Electric and electronic equipment

Nuclear physics

Electromagnetic waves

Light and optics

Physics of laser

Sound and ultrasound waves

Anesthesia machine

Medical gases

Pressure reducing valves (pressure

regulators)

Oxygen failure safety devices

The rotameter

Vaporizers

Anesthetic Breathing systems (Anesthetic

Circuits)

Oxygen analyzers

Anesthesia ventilators

Scavenging systems

Safety features Precautions and checking

of anesthesia equipment


Student Assessment


Essay

Case

Assignment

Others

Objective questions

OSCE/OSPE

Logbook fulfillment


Mid-term 20 %

End of term 80 %


Written Exam 60 %


Others -- %


Lecture Notes

Course Text Books

1- ParBrook 5th edition

2- Miller's anaesthesia 7th edition



British J of Anaesthesia

Anaesthesiology

Course Instructor

Name: Prof. Hesham Fouad Shaaban Signature:

Program Coordinator






Faculty: Medicine

Department:

Course Information

Course Code: 0501802 Course Name: Anaesthesia: Drugs and

techniques

Program in which the Course is Given : Master of Anaesthesia and Surgical Intensive Care


Course Aims

1. Gain mastery in the anatomy applied to anesthesia and pain management.

2. Be capable of undertaking the perioperative anaesthetic care to a wide variety of complex

elective and emergency surgeries.

3. To acquire knowledge, skills and experience treating complex clinical cases and

challenging airway situations

4. Becomes familiar with recent developments in perioperative anaesthetic care to this area of


practice

5. Specific pain modalities.

6. Resuscitation.

7. Provide teaching to less experienced colleagues of all grades

Ethical and medicolegal aspect of anesthesia



matrix) Course ILOs

A. Knowledge

and

Understanding

Graduate of this course must acquire

knowledge to:

A.1 Describe advanced

pharmacological principles of drugs.


A.3 Explain mechanism of drug-drug

interaction

Graduate of this course must acquire

knowledge to:

A.1. State mechanism of action of drugs. A.2. Discuss toxic drug effects . A.3. Describe full preoperative evaluation of patients A.4. Describe anaesthetic plans for patients. A.5. State recovery criteria

0.5 0.5

A.4. Revise clear working knowledge

of anatomy applied in anaesthetic

practice



course of anaesthesia

A.13. Mention special patient’s needs

during postoperative period

A.14. Define possible causes of

resistant acute pain

A.15 Describe the criteria of

persistent chronic pains.


discharge criteria for intensive care

unit

A.19. Describe resuscitation of life threatening conditions

A.6. Mention admission and discharge criteria to intensive care units . A.7. Describe main lines of management in intensive care unit patients. A.8. Describe resuscitation of life threatening conditions. A.9. State different modalities of pain management.

B. Intellectual

skills


B.1. Select necessary investigations

according to situation

B.2. Identify potential problems from

history and clinical examination.

B.4. Modify anaesthetic plan

according to surgery

B.5. Predict intra and postoperative

events according to intervention

B. 7. Arrange proper drug

administration according to patient

condition.

B.11. decide to start resuscitation at

proper time.

B.12. Design strategies for acute and chronic pain management

Graduate should be competent to: B.1. Explain how to interpret clinical data and deal with error . B.2. Interpret conclusion from clinical appraisal into clinical care. B.3. Explain the evidence base of clinical care to patients and to other members of the clinical team. B.4. Select proper drug according to patient condition. B.5. Solve problems according to abnormal drug reaction. B.6. Manage drug drug interaction. B.7. Plan lines of management during cardiopulmonary resuscitation. B.8. Select and apply the appropriate regimen for pain management.

C.

Professional

and Practical

Skills


appropriate skills in order to


difficult cases.


C.3. Master application of advanced

airway devices and technique to

maintain patent airway

Student should develop the appropriate skills in

order to

C.1.Demonstrate roles and responsibilities as a trainee in the context of clinical governance and patient safety. C.2. Demonstrate ability to analyze and structure clinical decision C.3. Evaluate and monitor patient homeostasis. C.4. Perform intravascular access.



C.5. Perform difficult regional blocks

guided by advanced devices

C.9. Lead cardiopulmonary

resuscitation team


management techniques

C.11. write precise patient records

C.5. Perform cardiopulmonary resuscitation. C.6. Manage airway patency. C.7. Apply different modes of ventilation. C.8. Perform regional blocks.

D. General

Skills



knowledge.

D.2. Use information technology to

prepare lectures and research


scientific research


scientific talks.


sessions.

D.6. Provide leadership and

instruction to junior residents,

students, and nurses.

D.7. Design research protocols and

co-operate in multidisciplinary

research teams.


D.1. Demonstrate ability to network search for recent advances in anaesthesia. D.2. Apply recent knowledge to improve practice D.3. Use information technology to prepare lectures D.4. Acquire skills for presenting lectures D.5. Prepare scientific talks D.6. Observe team working under his supervision D.7. Give advice to junior staff D.8. Conduct frequent testing to more junior team members D.9. Demonstrate the necessary multi-disciplinary leadership .



Lectures self

learning

Practical/

Clinical

Small

group

discussion

Others

Inhalational anaesthetic drugs

Intravenous anaesthesia

Neuromuscular blocking agents

Regional techniques

Spinal and epidural anaesthesia

Peripheral Nerve Blocks


Student Assessment



Case OSCE/OSPE


Others


Mid-term %

End of term 100 %


Written Exam 70 %


Others 10 %


Lecture Notes

Course Text Books



Oxford Textbook of Anaesthesia


Course Instructor

Name: Prof. Saleh Hamouda Signature:

Program Coordinator






Faculty: Medicine


Course Information

Course Code: 05010803 Course Name: Anesthesia: general surgery and

General Lectures

Program in which the Course is Given: Master degree in anesthesia and surgical intensive care

Number of Credit

Hours: 1

Theoretical

0.4

Clinical/

0.4


0.2


1. Gain mastery in the delivery of safe and effective perioperative anaesthetic care to patients

undergoing elective and emergency complex/major abdominal surgeries

2. To be capable of undertaking the perioperative anaesthetic care to a wide variety of

complex elective and emergency laparoscopic surgeries

3. To acquire knowledge, skills and experience treating complex clinical cases of trauma, geriatric, and endocrinal surgery

4. Becomes familiar with recent developments in perioperative anaesthetic care to this area of


practice

5. Ability to manage extremely complex outpatient surgeries

6. Provide teaching to less experienced colleagues of all grades



matrix) Course ILOs

A. Knowledge

and

Understanding




knowledge of anatomy applied

in anaesthetic practice

A.8. Describe specific points

stressed upon during taking

history from the patient.

A.9. list steps of physical

A.1. Describe the impact of anatomical

structures on abdominal surgery

A.2. Discuss the principles of pre-operative

assessment.

A.3. Describe syndromes associated with the

examination in medically

compromised patient


complications


discharge criteria for intensive

care unit

A.18. Cite steps for

management of patient during

intensive care unit stay

need of endocrinal surgery.

A.4. Enumerate anaesthetic problems common

among patients with morbid obesity

A.5. Mention problems related to handicaped

A.6. Describes the range of procedures

performed on geriatric patients.

A.7. Describe anesthesia for laparoscopy

A.8. Describe anaesthesia plane for out-patient

procedures

A.9. Describe anaesthetic management of

intestinal obstruction.

A.10. Describe management of multi-trauma

patients

B. Intellectual

skills


to:

B.1. Select necessary

investigations according to

situation

B.2. Identify potential problems

from history and clinical

examination.

B.3. Judge which patient is in

need for further workup before


B.11. decide to start resuscitation

at proper time.

B.12. Design strategies for acute

and chronic pain management

B.1. Optimize patients with significant

pathology

B.2. Optimize patients with concomitant

disease

B.3. Detect preoperative medical problems

B.4. Plan a strategy for managing such

complex surgery

B.5. Advice anaesthetic paln suitable for such

cases

B.6. Assist colleagues in decisions the suitable

anaesthetic technique for surgery in difficult

situations

B7. Discuss the pathophysiological effects of

chemotherapy and radiotherapy

C.

Professional

and Practical

Skills


appropriate skills in relation to

C.1. Practice central cannulation

for difficult cases.


C.3. Master application of

advanced airway devices and

technique to maintain patent

airway

C.4. Master connecting patients

to advanced monitoring devices

C.5. Perform difficult regional

blocks guided by advanced

devices

C.6. Decide connecting and

weaning patients from

mechanical ventilation

C.7. Select proper ventilation

mode.

C.8. Perfect selection of fluid

therapy.

C.9. Lead cardiopulmonary

resuscitation team

C.1. Deal with anaesthesia in difficult

situations

C.2. Master anaesthesia for outpatients

C.3. Master laparoscopic anaesthesia

C.4. Master perioperative fluid management

C.5. Master management of geriatrics

C.6. Master emergency management of trauma

patients

C.7. Identifies the post operative management

and complications of patients who have had

complex general surgeries

C.8. Fluid resuscitation management

C.9. Master airway management.

D.General

Skills

Graduate should be competent in

the following:


recent knowledge.


to prepare lectures and research.


scientific research.

D.7. Design research protocols

and co-operate in

multidisciplinary research teams.


knowledge in the field of anesthesia for

general surgery.

D.2. Demonstrates effective communication


when allaying anxiety in patients who

recognize that their surgical/medical condition

is a severe risk to life, or when things have not

gone well

D.3. Provide teaching to less experienced

colleagues of all grades

D.4. Explain anaethetic events to patients.

D.5. Deal gently with patients and their

families.

D.6. Appraise the importance of patient

consent for intervention during management

&/or enrollment in research

D.7. Design research protocols and co-operate

in multidisciplinary research teams.

D.8. Acquire skills for preparing scientific

research

D.9. Use information technology to prepare

lectures and research.



Lectures self

learning

Practical/

Clinical

Small

group

discussion

Others

Anaesthesia for trauma

Laparoscopic surgery

Endocrinal surgery

Anaesthesia for morbid obesity

Outpatient and radiological procedures

Anaesthesia for intestinal obstruction

Extubation of difficult airway

Postoperative management


Student Assessment


Essay

Case

Assignment

Others

Objective questions

OSCE/OSPE

Logbook fulfillment


Mid-term 20 %

End of term 80 %


Written Exam 60 %


Others -- %


Lecture Notes

Course Text Books





Course Instructor

Name: Ass. Prof Tarek Atef Tawfic Signature:

Program Coordinator




Documents

University: Alexandria Faculty: Medicine Program ... · pharmacology of drugs related to anesthetic practice - Understanding of human anatomy and physiology related to anesthesia