ANESTESIOLOGY AND

General Module

Course Sheet

Course code:

OD24A

Academic Year of enrolment:

2020

Year of supply:

2023/2024

Type of Course:

Characterising

Degree:

Course of Single Cycle Degree 6 years in SCHOOL OF DENTAL MEDICINE

Disciplinary Sector:

Anaesthesiology

Is part of:

MEDICAL SCIENCES

Location:

CHIETI

Credits:

Programme Year:

Professor and Collaborators:

MAGGIORE Salvatore Maurizio

Cycle:

Single Annual Cycle

Obligatory attendance:

Yes

Hours of classroom activity:

Individual study hours:

Prerequisites:

As expected from academic regulations

Objectives

The teaching of Anesthesiology is included in the Integrated Course of Medical Sciences. The student must understand the fundamental principles at the basis of Anesthesia and Resuscitation, which covers a very broad field of skills (general anesthesia, loco-regional anesthesia, pain therapy, hyperbaric therapy, intensive care, resuscitation). He will thus be able to realize what the role of the Anesthesiologist-Resuscitator Medical Specialist may be in the clinical path of a patient to undergo painful procedures in a broad sense. The student will know the basics of general and loco-regional anesthesia, the indications, the relative and absolute risks and the safety levels of the different techniques. The most commonly used analgesic protocols and the pharmacological indications applicable to dentistry will also be addressed. The main monitoring systems and the basics of respiratory and cardiocirculatory assistance at the basis of cardiopulmonary resuscitation (CPR) will be addressed. The basics of the Basic Life Support-Early Defibrillation (BLS-D) will be addressed in frontal lessons and practical training sessions.

Contents

- History of Anesthesiology, definition of the tasks and the current role of the Anesthesiologist-Critical Care Physician
- Anesthesiological approach to surgery: the perioperative risk, the choice of technique, pre-anesthesia, the planning of pain control, the choice of the path (outpatient, day surgery, ordinary hospitalization)
- The satisfaction of the patient's needs: correct information, the concept of "informed consent" and legal implications; the medical record
- Patient preparation to anesthesia: venous cannulation, monitoring of vital functions
- General anesthesia: techniques, inhalation anesthetics, intravenous anesthetics, complementary drugs of general anesthesia: analgesics, neuromuscular blocking agents
- The instrument of narcosis: anesthesia devices, ventilators, vaporizers
- The phases of general anesthesia: induction, maintenance, awakening, etc.
- Complications of general anesthesia
- Airway management: indications, techniques and instruments, advantages, disadvantages and complications
- Anatomical and physiological aspects of nerve conduction
- Paths of pain of interest for dentistry
- Pain, symptom and disease
- Treatment of pain in the outpatient patient: limits and indications
- Loco-regional anesthesia: techniques, fields of use, instruments
- Characteristics of local anesthetics and classification
- Pharmacological aspects of local anesthetics: mechanism of action, metabolism, toxicity, main local anesthetics and complementary agents
- Techniques of loco-regional anesthesia in dentistry and indications
- Complications of loco-regional anesthesia, prevention and treatment
- Outpatient anesthesia: indications and limits, techniques, drugs, conscious sedation
- Risk in the dental clinic and prevention: assessment and monitoring of subjects, anxiety and psycho-pharmacological anxiolysis
- Particular patients (pediatric, handicapped, diabetic, hypertensive patients, patients with coronary artery disease and in anticoagulant therapy, etc.)
- Outpatient emergencies: lipothymia, acute respiratory failure, anaphylactic-anaphylactoid reactions, angina, convulsions, sepsis
- Emergency drugs and equipment
- Diagnostic and therapeutic approach in craniofacial pain syndromes

Extended Syllabus

- History of Anesthesiology, definition of the tasks and the current role of the Anesthesiologist-Critical Care Physician
- Anesthesiological approach to surgery: the perioperative risk, the choice of technique, pre-anesthesia, the planning of pain control, the choice of the path (outpatient, day surgery, ordinary hospitalization)
- The satisfaction of the patient's needs: correct information, the concept of "informed consent" and legal implications; the medical record
- The preparation of the candidate for anesthesia: venous incannulation, monitoring of vital functions
- General anesthesia: techniques, inhalation anesthetics, intravenous anesthetics, complementary drugs of general anesthesia: analgesics, neuromuscular blocking agents
- Anesthesia equipment: anesthesia devices, ventilators, vaporizers
- The phases of general anesthesia: induction, maintenance, awakening, etc.
- Complications of general anesthesia
- Airway management: indications, techniques and instruments, advantages, disadvantages and complications
- Anatomical and physiological aspects of nerve conduction
- Paths of pain of dental interest
- Pain, symptom and disease
- Treatment of pain in the outpatient patient: limits and indications
- loco-regional anesthesia: techniques, fields of use, equipment for loco-regional anesthesia
- Characteristics of local anesthetics and classification
- Pharmacological aspects of local anesthetics: mechanism of action, metabolism, toxicity, main local anesthetics and complementary agents
- Techniques of loco-regional anesthesia in dentistry and indications
- Complications of loco-regional anesthesia, prevention and treatment
- Outpatient anesthesia: indications and limits, techniques, drugs, conscious sedation
- Risk in the dental clinic and prevention: assessment and monitoring of subjects, anxiety and psycho-pharmacological anxiolysis
- Particular patients (pediatric, handicapped, diabetic, hypertensive patients, patients with coronary artery disease and in anticoagulant therapy, etc.)
- Outpatient emergencies: lipothymia, acute respiratory failure, anaphylactic-anaphylactoid reactions, angina, convulsions, sepsis
- Emergency drugs and equipment
- Diagnostic and therapeutic guidelines in craniofacial pain syndromes

Recommended Bibliography

- G. Manani e Coll. "Anestesia Odontostomatologica" Il Ed. ldelson-Gnocchi 2003
- European Resuscitation Council. Guidelines for Cardiopulmonary Resuscitation 2015. Resuscitation 2015;95:1-311
- S.F. Malamed. Manuale di anestesia locale. Quinta edizione, 2006. Elsevier-Masson

Teaching Methods

Frontal lessons;
Theoretical-practical sessions;
Training in hospital

Evaluation methods

Verification of learning:

Collegial evaluation with the other teachers of the Integrated Course
The students' learning test will take place through an oral exam and the final assessment will be expressed in thirtieths. The topics covered by the exam will reflect those covered during teaching and present in the program, developed in a way that leads students to reflect on the issues of the discipline. A correct use of medical terminology and a clear and concise presentation that allow to understand the logical connections between different issues is necessary to pass the exam.

Contacts/More Information

ANESTHESIOLOGY -10 CFU (Internship 4 CFU) Teacher: Prof. Salvatore Maurizio Maggiore (Director of the Residency Program in Anesthesiology, Critical Care, Analgesia and Perioperative Care; salvatore.maggiore@unich.it)
Tutors and experts on the subject:
- Dr. Vittorio Lalli (Pain Therapy, ASL2 Chieti)
- Dr. Giovanni Iovino (Anesthesiology and Intensive Care, ASL2 Chieti)
- Dr. Sara Sabbatini (Anesthesiology and Intensive Care, ASL2 Chieti)
- Dr. Luigi Ferrante (Anesthesiology and Intensive Care, ASL2 Chieti)

Università degli Studi
"G. d'Annunzio"

Chieti - Pescara

Aree