Department of Anaesthesiology & Intensive Care Medicine ...
Transcript of Department of Anaesthesiology & Intensive Care Medicine ...
Department of
Anaesthesiology & Intensive Care Medicine
Šafárik University Faculty of Medicine, Košice
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1 surgeon
several anaesthesiologists
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June 5th 1824
Era when laughing gas
was used for night show
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Desai SP et al: A Tale of Two Paintings.
Depictions of the First Public Demonstration of Ether Anesthesia. Anesthesiology 2007; 106:1046–50
William Morton October 16th 1846
First ether anaesthesia
„Day of Anaesthesia“
Patient: Gilbert Abbott
Anaesthesiologist: William T.G. Morton
Surgeon: John Warren
1842 Jan. W. Clarke tooth extraction.
1842 Mar. C. Long excision of cyst.
1846 Sept 9th W. Morton tooth extraction
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James Young
Simpson, in Edinburgh
1847 as first used
chloroform during
delivery 18
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DIFFERENTIAL MEDICAL CARE (IN SLOVAK REPUBLIC)
1. Intensive (Critical) Care (ICU, CCU,
ITU, ARO, OAIM)
2. Intermediary care unit
3. Standard – ordinary care
4. Long duration and rehabilitation care
5. Nursing care
6. Hospices
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COMPONENT PARTS OF
ANAESTHESIOLOGY &
INTENSIVE CARE MEDICINE
1. Anaesthesiology
2. Intensive (Critical) Care Medicine
3. (Pre-hospital) emergency care,
acute medicine, life-treating
situations
4. Algaesiology
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AVAILABILITY OF
ANAESTHESIA
• Diagnostic
procedures
• Therapeutic
(surgical)
procedures
TYPES OF
ANAESTHESIA
• General
• Regional
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CONE OF LEARNING
Edgar Dale: http://www.foundationcoalition.org/home/keycomponents/collaborative_learningsec.html
Croley WC, Rothenberg DM: Education of trainees in the intensive care unit. Crit Care Med 2007; 35[Suppl.]:S117–S121
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Konrad C et al: Learning Manual Skills in Anesthesiology: Is There a Recommended
Number of Cases for Anesthetic Procedures? Anesth Analg 1998;86:635-9
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Success Rate and
Recommended Case Load
Konrad C et al: Learning Manual Skills in Anesthesiology: Is There a Recommended
Number of Cases for Anesthetic Procedures? Anesth Analg 1998;86:635-9
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THESIS OF LECTURES 1/2
1. Introduction to A+IM. History. Organisation
2. Cardio-pulmo-cerebral resuscitation.
3. General patient preparation to anaesthesia.
Patients’ preparation for anaesthesia with
the most frequent co-existing diseases.
4. General anaesthesia. Regional anaesthesia.
5. Monitoring in anaesthesiology & ICU
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THESIS OF LECTURES 2/2
6. Acute poisoning.
7. Infusion therapy. Artificial nutrition
8. Respiratory failure. Unconsciousness.
9. Shock. Multi-organ failure.
10.Basal algorithms in emergency
medicine.
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STUDY LITERATURE FOR
ANAESTHESIOLOGY &
INTENSIVE CARE
• Adams A. P., Cashman J. N. :
Anaesthesia, Analgesia and Intensive care (1991)
• Campbell D., Spence A. A. :
Anaesthetics, Resuscitation and Intensive Care (1997)
• King M. H. :
Primary Anaesthesia (1994)
• Rushman G. B., Davies N. J. H., Cashman J. N.: Lee‘s Synopsis of Anaesthesia (1999)
• Skinner D., Vincent R. :
Cardiopulmonary resuscitation
(1993)
• Aitkenhead A. R., Smith G. :
Textbook of Anaesthesia (1996)
• Oh T. E. :
Intensive Care Manual (1997)
• Hinds C. J., Watson:
Intensive Care (1997)