39283 - Anaesthesia and Analgesia

Learning outcomes

Acquire basic elements of general and Loco-Regional Anaesthesia; Understand the components of pain. The preparation of the surgical patient to the intervention. Understand the main phases of general anesthesia, the instruments and drugs employed for the induction, intubation, the maintenance and the awakening from General Anaesthesia. Instruments and drugs employed for Loco-Regional Anaesthesia . Organization, techniques and instruments for the treatment of the post-operative pain. Pain evaluation.

Course contents

1. Introduction to Anaesthesia and the suppression of pain. The basic elements of neuro-pathophysiology and clinics of pain.

2. The premedication to the surgical intervention; the positioning of the surgical patient on the operating table; monitoring the anaesthetized patient in the operating room.

3. General Anaesthesia: Induction, intubation, the principal pharmaceutical classes used for general anesthesia, its maintenance and the awakening phase.

4. Regional Anaestesia: techniques of topical, plexic and neuro-axial analgesia. The peridural and intrathecal anaesthesia and analgesia.

5. post operative pain issues: techniques, tools, drugs (NSAIDS, Opioids and Local Anaesthetics) and pain evaluation. Acute Pain Service.

Readings/Bibliography

In addition to the provided didactic material the reading of the following is recommended :

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

2. Pain prevalence and predictors among inpatients in a major Italian teaching hospital. A baseline survey towards a pain free hospital. Melotti RM, Samolsky-Dekel BG et al. Eur J Pain. 2005 Oct;9(5).

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 students will be interrogated to verify the continuation of the didactic objects by the responsible of this particular course through a quiz of 18 questions and for 18 min.

The modality of the exams will be a Collective exam (written in presence, on the EOL platform) of all the subjects of the CI managed, in collaboration, by the verbalizer.

Test structure:
Total number of questions: 18 (3 for each CFU – general surgery only (2 CFU) 6 questions)
Multiple choice questions (4 answers of which only one is correct)
Time: 18 minutes
All the terms of the test and the results will be uploaded to Alma exams, and the students will have 24 hours to express, via email to Prof. Samolsky, the rejection of the grade.

100% correct answers are worth the vote of 30 cum laude.

The use of any paper support is not permitted during the test. In the event of this rule's violation, the assignment will be revoked, and further provisions will be evaluated.

Teaching tools

Didactic Material and the slides shown during the lessons are provided on this site.

Office hours

See the website of Boaz Gedaliahu Samolsky Dekel