37354 - Anaesthesiology 1 (A-K)

Learning outcomes

1              The course is structured to provide the student with notions on the therapy of pain in oncologic patients,to apprehend the basic neuro-pathophysiology of the pain phenomenon ,to provide clinical tools for the approach and for the visit of the oncologic patient with paintheir treatment,t o apprehend the principal techniques and pharmacological tools (opioids).

Course contents

1. 1.  The course is structured to provide the student with notions on the therapy of pain as delineated by the "core curriculum" of the International association for the Study of the Pain (IASP) [" Outline curriculum on pain for medical schools - IASP to hoc Subcommittee on Medical School Courses and Curriculum"(1988) and" Core curriculum for professional education in pain - Task Force On Professional Education, Howard L. Fields, Editor - IASP" (1991)]:

2.  To apprehend the basic neuro-pathophysiology of the pain phenomenon as the rational for the understanding of acute and chronic pain manifestations and their treatment.

3.  To provide clinical tools for the approach and for the visit of the patient with pain

4.  To apprehend the pathophysiology and clinical features of common painful syndromes and their treatment.

5.  To apprehend the principal techniques and pharmacological tools for pain evaluation and treatment.

Readings/Bibliography

• Bonica's Management of Pain 3rd edition. Editor John D. Loeser. Lippincott Williams & Wilkins Eds. 2001
• RM Melotti, BG Samolsky-Dekel, et al. Pain prevalence and predictors among inpatients in a major Italian teaching hospital. A baseline survey towards a pain free hospital. European Journal of Pain Volume 9, Issue 5, October 2005, Pages 485-495

Melotti RM, Samolsky Dekel BG, et al. Categories of congruence between inpatient self-reported pain and nurses evaluation. Eur J Pain. 2009 Oct;13(9):992-1000. Epub 2008 Dec 31.

Transdermal opioids for cancer pain control in patients with renal impairment.  Melilli G, Samolsky Dekel BG, Frenquelli C, Mellone R, Pannuti F. J Opioid Manag. 2014 Mar-Apr;10(2):85-93. doi: 10.5055/jom.2014.0197.

Opioid titration with sustained-release oxycodone and immediate-release morphine for moderate/severe cancer pain: a pilot assessment of the CoDem protocol. Samolsky Dekel BG, Tomasi M, Vasarri A, Gori A, Adversi M, Castagnoli A, Di Nino G, Melotti RM. J Opioid Manag. 2014 Jan-Feb;10(1):29-38. doi: 10.5055/jom.2014.0189.

Teaching methods

Interactive frontal lessons with PC projection of the didactic material and clinical case movies.

Particular attention will be given to the application of the neurphysiopathology and clinical pharmacology notions in pain therapy.

Assessment methods

The class is part of an integrated course. The examination at the end of this class aims to appraise the attainment of the didactic objectives exposed during the lessons according to the program of this particular class. The student will be questioned for verifying the attainment of the didactic objectives by the responsible of the class using a quiz of 10 questions with multiple answer choices, at the end of the cycle of the lessons. The final score is defined, at the end of the test, and expressed out of 30s (i.e. 18/30 the least – 30/30 cum laude the maximum score). This score will be integrated with those of the other classes of the Integrated Course's scores to establish the final result.

 

Teaching tools

Interactive frontal lessons with PC projection of the didactic material and clinical case movies.

Particular attention will be given to the application of the neurphysiopathology and clinical pharmacology notions in pain therapy.

Office hours

See the website of Rita Maria Melotti