Anaesthesia and Intensive Care

Data

Official data in SubjectManager for the following academic year: 2023-2024

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 signs of the cardiac arrest and the number of life threatening conditions may require immediate medical interventions. Furthermore, the students will recive lectures and practices how 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 recive lectures and bedside on organ support (mechanical ventilation, renal replacement therapy, cardiovascular support etc.) and intensive care monitoring devices. Students will gain knowledge about acute and chronic pain management. Classes In the Medi Skills Lab's main objective is to improve the manual abilities of medics with high fidelity simulators, equipment with 3D technology, and innovative demonstration tools.

Lectures

• 1. Sepsis and multi organ failure - Dr. Sütő Balázs
• 2. Management of acute and chronic pain. - Dr. Almási Róbert Gyula
• 3. Acute respiratory failure. ARDS - Dr. Loibl Csaba
• 4. Oxygen therapy and mechanical ventilation. - Dr. Kiss Tamás
• 5. Treatment of haemodynamic unstable patient. - Dr. Csontos Csaba
• 6. Treatment of polytrauma and brain injury - Dr. Csontos Csaba
• 7. Braindeath - Dr. Mérei Ákos
• 8. Treatment of bleeding patient - Dr. Tóth Krisztina
• 9. Acute renal failure and renal and other organ replacement therapy - Dr. Nagy Bálint János
• 10. Preoperative assessment, risks and complications of anaesthesia. - Dr. Vámos Zoltán
• 11. General anesthesia - Dr. Bátai István
• 12. Fluid therapy. Enteral and parenteral nutrition. - Dr. Jáksó Krisztián
• 13. Regional anaesthetic techniques. - Dr. Szabó Péter
• 14. Pediatric anaesthesia. - Dr. Kövesi Tamás

Practices

• 1. Management of electrolyte abnormalities and acid-base disturbances.
• 2. Management of electrolyte abnormalities and acid-base disturbances.
• 3. Shock I. (Anaphylaxy, hypovolemic shock, haemorrhagic shock). Practical approaches.
• 4. Shock I. (Anaphylaxy, hypovolemic shock, haemorrhagic shock). Practical approaches.
• 5. Shock II. (Management of distributional shock, sepsis)
• 6. Shock II. (Management of distributional shock, sepsis)
• 7. Acute respiratory failure, (Pneumonia, ARDS, PTX, acute exacerbation of COPD, severe asthma).
• 8. Oxygen therapy and mechanical ventilation. Practical approaches
• 9. Fluid therapy. Enteral and parenteral nutrition
• 10. PBM, viscoelastic test.
• 11. Chest pain: pulmonary embolis, aortic dissection, PTX.
• 12. Intensive care management of acute pancreatitis. Management of severe hepatic and renal failure. MOF
• 13. Preoperative management and general anaesthesia. Monitoring and complication of anaesthesia and postoperativ period.
• 14. Preoperative management and general anaesthesia. Monitoring and complication of anaesthesia and postoperativ period.
• 15. Anaesthetic equipment. The anaesthetic machine.
• 16. Equipment of airway management. Difficult airway.
• 17. Pain management, regional anaesthesia. Practical approaches
• 18. Pain management, regional anaesthesia. Practical approaches
• 19. Neurointensive care.
• 20. Neurointensive care
• 21. Treatment of heart rhythm disorders
• 22. Treatment of heart rhythm disorders
• 23. Reanimatio
• 24. Reanimatio
• 25. Reanimatio
• 26. Reanimatio
• 27. Reanimatio
• 28. Reanimatio

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: ALS in practice

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 Pulmonary embolism (symptom, diagnosis and treatment)
4 Management of acute rhythm disturbances
5 Hemodynamic monitoring (arterial line, central line insertion, invasive hemodynamic monitoring)
6 Fluid imbalance
7 Acid-base disorders and management
8 Infection and infection control on the ICU
9 Basic management of sepsis, severe sepsis and septic shock
10 Multiple organ failure (renal/liver in here)
11 ARDS, definition and basic ventilatory management
12 Indications and basis of mechanical ventilation + acute disorders
13 Management of acute respiratory illnesses (acute exacerbation of COPD, asthma)
14 Monitoring and treatment of acute renal failure
15 Early warning signs and Periarrest period
16 Nutrition of the critically ill (types of nutrition and indications)
17 Mental disorders, drug overdosed patients (the unconscious patient and toxins)
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 anesthesia
2 .Airway maintenance, respiratory systems, anaesthetic machine
3. Principles of pediatric anesthesia
4 .Pharmacology of inhalational and intravenous anaesthetics
5 .General anaesthesia
6 .Pharmacology of muscle relaxants
7 .Peripheral and central regional anaesthetic techniques: pharmacology, indications, contraindications
8 .Patient monitoring during anaesthesia (depth of anaesthesia, peripheral muscle relaxation)
9. Patient monitoring during anaesthesia (gas exchange, circulation)
10. Analgetics and their perioperative use
11. Chronic pain treatment
12.Perioperative acut pain management
13. Complication of general anaesthesia

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

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. Kovács-Ábrahám Zoltán
• Dr. Kövesi Tamás
• Dr. Lénárd Sándor
• Dr. Loibl Csaba
• Dr. Mérei Ákos
• Dr. Molnár Tihamér Szabolcs
• Dr. Nagy Bálint János
• Dr. Nagy Judit
• Dr. Rendeki Szilárd
• Dr. Siptár Miklós
• Dr. Sütő Balázs
• Dr. Szabó Péter
• Dr. Szélig Lívia
• Dr. Tóth Ildikó
• Dr. Tóth Krisztina
• Dr. Vámos Zoltán
• Szepesné Dr. Mühl Diána Gabriella
• Závodiné Dr. Bocskai Timea