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

Upon completing this course, students will be able to:

  • Evaluate anesthetic considerations for specific patient subsets such as: obstetric, neonatal, geriatric, cardiac, trauma, sepsis, renal failure, hepatic failure, neurological, and endocrine disease.
  • Describe bariatric anesthetics considerations in terms of Obstructive Sleep Apnea, airway, ventilation, and positioning.
  • Describe general patient positioning, evaluating impacts and possible risks.
  • Identify and compare neonatal drug dosages, IV volumes, congenital difficulties (airway), and ventilation considerations.
  • Identify geriatric anesthetic techniques, comparing regional and general anesthetics, and describing pharmacology and the causes of delirium.
  • Identify anesthetic considerations of cardiac disease in the surgical patient population and evaluate 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.
  • Analyze the physiology and anesthetic management of specific surgical procedures including the following: thoracic, neurological, vascular, general, cardiac, obstetrical, orthopedic, and ENT.
  • Determine an appropriate differential diagnosis for the following categories of critical events: cardiovascular, respiratory, metabolic, neurologic, equipment malfunction with reference to each of the patient groups (adult, pediatric, obstetric, neonatal, and geriatric).
  • 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: Obesity and Positioning
  • Module 2: Neonatal and Geriatric Anesthesia
  • Module 3: Cardiac Pathology and Cardiovascular Disease
  • Module 4: Endocrine Diseases
  • Module 5: Renal and Liver Diseases
  • Module 6: Anesthesia for Thoracic Surgery
  • Module 7: Neuromuscular Disease
  • Module 8: Neurosurgery
  • Module 9: Trauma and Anesthesia
  • Module 10: Crisis Management in Clinical Practice

Required text and materials

This is a companion course to ANES 4021, therefore, the Butterworth 6e textbook listed below would have been provided in ANES 4021 and is not included in this course package. If students did not take ANES 4021 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).

This 6e textbook is not included in the course package:

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

This 2e textbook is provided in your course package:

  1. Gaba, D., Fish, K., Howard, S., & Burden, A. (2015). Crisis Management in Anesthesiology (2th ed). Elsevier Saunders.
    ISBN: 9780443065378
    Type: Textbook

Assessments

To successfully complete this course, students must achieve 50% or higher in the overall course, and 50% on the mandatory final project.

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

Assignment 1: OSA Guidelines 5%
Assignment 2: Geriatric Case Study 5%
Assignment 3: Cardiac Electrical Evaluation 5%
Assignment 4: Endocrine Diseases 5%
Discussions 1-4 10%
Assignment 5: Thoracic Case Study 10%
Assignment 6: Crisis Management 5%
Assignment 7: Crisis Simulations 10%
Discussions 5-7 10%
Final Project * 35%
TOTAL 100%

*Mandatory

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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