ANES 4031: Clinical Anesthesia and Special Considerations

Students explore the application of anesthesia in specific practice areas and contexts. General, regional, and specialty areas of anesthesia are considered with specific reference to obesity, neonatal and geriatric anesthesia, cardiac pathology, cardiovascular disease, endocrine diseases, thoracic surgery, neuromuscular disease, neurosurgery, trauma, and crisis management. Students analyze cases, develop anesthetic plans and evaluate considerations for specific patient subsets.

Objectives

  • Develop an anesthesia plan and predict the benefits associated with a thorough preoperative assessment.
  • Describe Bariatric anesthetics considerations in terms of Obstructive Sleep Apnea, airway, ventilation, positioning
  • Describe general patient positioning, evaluating impacts and possible risks.
  • Identify geriatric anesthetic techniques, comparing regional and general, and describing pharmacology and causes of delirium
  • Identify and compare neonatal drug dosages, IV volumes, congenital difficulties (airway), and ventilation considerations.
  • Develop and describe anesthesia plans for the obstetric and pediatric patient.
  • Identify anesthetic considerations of Cardiac disease in the surgical patient population and the implications of anti-coagulation
  • Analyze anesthetic considerations for Endocrine disease.
  • Determine anesthetic management for patients with Renal dysfunction in terms of pharmacology, fluid management, laboratory data and electrolytes
  • Analyze anesthetic considerations for neurological and neuromuscular diseases in terms of pharmacology, positioning, and ventilation
  • Evaluate anesthetic considerations for trauma patients.
  • Compare spinal, epidural and peripheral nerve blocks (PNB) and describe regional methods
  • Analyze indications and contraindications for procedural sedation, including: airway access, airway assessment, appropriate dosing, and comorbidities.
  • Respond to various types of crisis (equipment, delivery of anesthetics, hypoxemia, bradycardia, tachycardia, hypovolemia, movement, fire, etc.) and assess efficacy of interventions.

Course outline

  • Module 1: Intro to Clinical Anesthesia
  • Module 2: Obesity and Positioning
  • Module 3: Pediatric & Geriatric Anesthesia
  • Module 4: Neonatal and Obstetric Anesthesia
  • Module 5: Cardiac and Peripheral Vascular Anesthesia
  • Module 6: Endocrine Diseases
  • Module 7: Renal and Hepatic Diseases
  • Module 8: Anesthesia for Thoracic Surgery
  • Module 9: Neuromuscular Diseases
  • Module 10: Neurosurgery and Orthopedic Surgery
  • Module 11: Trauma
  • Module 12: Regional & Neuraxial Anesthesia
  • Module 13: Postoperative Recovery
  • Module 14: Conscious Sedation
  • Module 15: Crisis Management in Clinical Practice

Required text and materials

This is a companion course to ANES 4011, therefore, the Butterworth 6e textbook listed below would have been provided in ANES 4011 and is not included in this course package. If students did not take ANES 4011 and do not already own this textbook, please be aware that students will need to purchase it. To do so, contact student@tru.ca or phone 1.800.663.9711 (toll free in Canada) or 250.852.7000 (local & international).

  1. Butterworth, J., Mackey, D., & Wasnick, J. (2018). Morgan & Mikhail’s Clinical Anesthesiology (6th ed). McGraw-Hill, Lange.
    Type: Textbook. ISBN: 978-1-259-83442-4

Students will receive the following:

  1. Gaba, D., Fish, K., Howard, S., & Burden, A. (2015). Crisis Management in Anesthesiology (2nd ed). Elsevier Saunders.
    Type: Textbook ISBN: 9780443065378
  1. Butterworth, J., Mackey, D., & Wasnick, J. (2020). Morgan & Mikhail’s Clinical Anesthesiology Cases. McGraw-Hill, Lange.

Assessments

Students applying this course towards any TRU Health Care program may be required to obtain a minimum grade of 60 per cent on the course overall to meet program requirements.

Students who do not submit an assignment will be assigned a mark of zero (0) for that assignment. It is recommended that students complete all assignments in order to achieve the learning outcomes of the course.

Assignment 1: Geriatric Case Study 10%
Assignment 2: Obstetric Anesthetic Plan 10%
Assignment 3: Cardiac Electrical Evaluation 10%
Assignment 4: Endocrine Diseases 5%
Assignment 5: Thoracic Case Study 10%
Assignment 6: Peripheral Nerve Block Case Study 10%
Assignment 7: Crisis Simulations 10%
Discussions (Reflection on AA roles & ASA Classification, Positioning of obese patients, Anesthetic considerations in neonates, Thoracic case studies, Anesthetic considerations for trauma patients 10%
Final Project (mandatory) 25%
TOTAL 100%

Open Learning Faculty Member

An Open Learning Faculty Member is available to assist students. Primary communication is through the Learning Environment's "Mail" tool or by phone. Students will receive the necessary contact information at start of course.

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