Anaesthesia and Intensive Care

Data

Official data in SubjectManager for the following academic year: 2021-2022

Topic

The 14 lectures and 28 classes will provide information and practical skills on basic and advanced life support, general and regional anesthesia as well as the main elements of the critical care. It is of primary importance to provide skill training to identify the clinical sings of the cardiac arrest and a number of life threatening conditions may require immediate medical interventions. Furthermore, the students will receive lectures and practices how to provide analgesia for patients during and after operation and how to avoid serious complications of general and regional anesthesia. The discipline contains the diagnostic and therapeutic methods of major shock states (hemorrhagic, septic and cardiogenic). Students will receive lectures and bedside demonstrations on severe poisoning, organ support (mechanical ventilation, renal replacement therapy, cardiovascular support etc.) and intensive care monitoring devices.

Lectures

• 1. Fluid management and clinical nutrition. - Dr. Jáksó Krisztián
• 2. Invasive haemodynamic monitoring. - Dr. Csontos Csaba
• 3. Acute respiratory failure. ARDS - Dr. Kiss Tamás
• 4. Oxygen therapy and mechanical ventilation. - Dr. Kiss Tamás
• 5. Diagnosis of brain death and donor management. - Dr. Mérei Ákos
• 6. Management of acute and chronic pain. - Dr. Almási Róbert Gyula
• 7. Management of polytrauma. - Dr. Csontos Csaba
• 8. Intensive care management of acute pulmonary embolism (PE). - Dr. Kiss Tamás
• 9. Pathophysiology and management of sepsis, septic shock and multiple organ dysfunction syndrome. - Dr. Bogár Lajos
• 10. Acute renal failure and renal replacement therapy in intensive care. - Dr. Nagy Bálint János
• 11. Preoperative assessment, risks and complications of anaesthesia. - Dr. Vámos Zoltán
• 12. General anaesthesia. - Závodiné Dr. Bocskai Timea
• 13. Regional anaesthetic techniques. - Dr. Szabó Péter
• 14. Pediatric anaesthesia. - Dr. Kövesi Tamás

Practices

• 1. Recognition of the peri-arrest state. Emergency ECG analysis.
• 2. Cardiopulmonary resuscitation: Basic life support. (BLS)
• 3. Resuscitation: Advanced life support. (ALS)
• 4. Resuscitation: Advanced life support, defibrillation.
• 5. Monitoring of the critically ill.
• 6. Invasive haemodynamic monitoring. Practical approach.
• 7. Management of severe hepatic failure.
• 8. Intensive care management of acute pancreatitis.
• 9. Recognition and treatment of peri-arrest arrhythmias. Cardioversion, pacemaker therapy.
• 10. Management of heart attack and cardiogenic shock.
• 11. Management of electrolyte abnormalities and acid-base disturbances.
• 12. Fluid therapy. Intensive care management of severe hemorrhage, hypovolaemic hemorragic shock.
• 13. Acute respiratory failure, (Pneumonia, ARDS, PTX, acute exacerbation of COPD, severe asthma).
• 14. Oxygen therapy and mechanical ventilation. Practical approaches.
• 15. Management of polytrauma.
• 16. Intensive care management of seriously burn injured patients.
• 17. Differential diagnosis of consciousness disturbances. Management of the comatose patient.
• 18. Clinical toxycology.
• 19. Neurointensive care.
• 20. Neurointensive care
• 21. Management of distributional shock.
• 22. Anaphylaxis, severe sepsis, septic shock. Practical approaches.
• 23. Anaesthetic equipment. The anaesthetic machine.
• 24. Equipment of airway management. Difficult airway.
• 25. Preoperative management and general anaesthesia.
• 26. Monitoring in the operating theatre.
• 27. Pain management. Practical approaches.
• 28. Regional anaesthesia. Practical approaches.

Seminars

Reading material

Obligatory literature

Literature developed by the Department

Notes

Recommended literature

Zs. Molnár: Anaesthesiology and Intensive Therapy, Medicina Könyvkiadó, Budapest, 2013

Conditions for acceptance of the semester

Maximum 2 absences are acceptable.
Minimum requirements
In practice:
- Performing cardiopulmonary resuscitation
In theory:
- The management of upper airway obstruction, status asthmaticus
- The differential diagnostic signs of acute circulatory failure
- The early treatment of the intoxicated patient
- The management of multiple trauma care

Mid-term exams

-

Making up for missed classes

Student can join other group for the supplementation.

Exam topics/questions

Exam requirements
One question in anaesthesia and a second one in intensive care.
Exam questions in intensive care
1. Definition and emergency treatment of shock
2. Syndromes with acute chest pain (aortic dissection, acute myocardial infarction, pneumothorax)
3. The acute management of massive pulmonary embolism
4. Management of acute rhythm disturbances
5. Hemodynamic monitoring (arterial line, central line insertion, invasive hemodynamic monitoring)
6. Acute management of fluid imbalance
7. Acid-base disorders and management
8. Infection and infection control on the ICU
9. Basic management of sepsis, and septic shock
10. Multiple organ failure
11. ARDS, definition and basic ventilatory management
12. Indications and basis of mechanical ventilation
13. Management of acute respiratory illnesses (pneumonia, acute exacerbation of COPD, asthma)
14. Monitoring and treatment of acute renal failure
15. Intensive therapy of acute liver failure
16. Nutrition of the critically ill (types of nutrition and indications)
17. Mental disorders, drug overdosed patients
18. Critical care of polytrauma victims
19. Critical care after central nervous system injury, treatment elevated intracranial pressure
20. Critical care of severely burned patients
21. Cardio-pulmonary resuscitation
22. Definition and ethical aspects of brain-stem death

Examination questions in anaesthesia
1. Preoperative patient assessment and risk stratification, preparation for anaesthesia
2. Airway maintenance, respiratory systems, components of anesthetic machine
3. Pediatric anesthesia
4. Clinical pharmacology of inhalational anaesthetics
5. General anesthesia
6. Clinical pharmacology of muscle relaxants
7. Peripheral and central regional anaesthetic techniques: pharmacology, indications, contraindications
8. Patient monitoring during anesthesia: depth of anesthesia, peripheral muscle relaxation, gas exchange, circulation
9. Tratment of acute perioperative pain
10. Chronic pain treatment

Examiners

• Dr. Almási Róbert Gyula
• Dr. Bátai István
• Dr. Bogár Lajos
• Dr. Csontos Csaba
• Dr. Kiss Tamás
• Dr. Kövesi Tamás
• Dr. Márton Sándor
• Dr. Mérei Ákos
• Dr. Molnár Tihamér Szabolcs
• Dr. Nagy Bálint János
• Dr. Sütő Balázs
• Dr. Szabó Péter
• Dr. Vámos Zoltán
• Szepesné Dr. Mühl Diána Gabriella

Instructor / tutor of practices and seminars

• Dr. Almási Róbert Gyula
• Dr. Bátai István
• Dr. Bogár Lajos
• Dr. Csontos Csaba
• Dr. Jáksó Krisztián
• Dr. Kiss Tamás
• Dr. Kövesi Tamás
• Dr. Loibl Csaba
• Dr. Márton Sándor
• Dr. Mérei Ákos
• Dr. Molnár Tihamér Szabolcs
• Dr. Nagy Bálint János
• Dr. Nagy Judit
• Dr. Sütő Balázs
• Dr. Szabó Zoltán I
• Dr. Szélig Lívia
• Dr. Tóth Ildikó
• Dr. Vámos Zoltán
• Szepesné Dr. Mühl Diána Gabriella
• Závodiné Dr. Bocskai Timea