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Welcome to the Department of Anaesthesia & Intensive care:

Welcome to the Department of Anaesthesia & Intensive care:. And our two week final year course in Anaesthesia. People (CUHK). Professor Tony Gin (Chairman & Head of Department) Professor Lester AH Critchley (Coarse coordinator 2005/6) Connie (Secretary – Medical Student Affairs).

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Welcome to the Department of Anaesthesia & Intensive care:

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  1. Welcome to the Department of Anaesthesia & Intensive care: And our two week final year course in Anaesthesia

  2. People (CUHK) • Professor Tony Gin • (Chairman & Head of Department) • Professor Lester AH Critchley • (Coarse coordinator 2005/6) • Connie (Secretary – Medical Student Affairs)

  3. Places (PWH): • 5/F Offices (secretaries) / Tea room, • 3/F OT reception (Operating theatre) • 2/F OT discussion room • (Lectures / Tutorials) • 2/F Simulator Room • (beside the OT discussion room) • 2/F Entrance to the changing room

  4. Objectives of the course: • To know what happens to a patient during anaesthesia. • To know how to prepare a patient for anaesthesia and surgery. • To be able to deal with simple post operative management problems.

  5. Overview of the curriculum: • Introduction to anaesthesia • Pre-operative assessment • Acute pain management • Resuscitations skills: • Airway management, • IV canulation and fluids management, • Oxygen therapy and arterial blood gas analysis • Safe use local anaesthetics & i.v. sedatives

  6. Time Table:Mon to Fri for 2 weeks • 8:00-10:15h Morning clinical attachments • (OT / EME / Pain / OBS) • 11:00-12:30h Lecture / Tutorial • (OT discussion room) • 12:30-14:00h Lunch • 14:00-17:00h Informal sessions: • See patients preoperatively (± anaesthetist) • Pre-op assessment by E-Learning (two sessions) • Prepare your case reports (two written) • MCQ examination (last Friday)

  7. Morning assignments: Week 1 Week 2 Student no. OBS = Obstetrics 0800 5th floor Common room Pain = Acute Pain Service 0800 5th floor Common room EME = Emergency theatres 0800 5th floor Common room 1,4, etc = Elective operating theatres 0815 designated theatre

  8. Practical Skills: • Focus on airway management & i.v. infusions • (a) Afternoon tutorial & workshop • (b) Skills to be practiced in OT • Airway management • I.V. equipment

  9. Practical Skills List: • (i). Airway management: • Bag & mask ventilation; • Insertion of oral airway; • Laryngoscopy & recognize anatomy and; • Intubation & check placement • (ii) Familiarity with i.v giving sets and equipment: • common I.V solutions, • I.V giving sets, • CVP manometer set

  10. Pre-operative Assessment: • 1-on-1 teaching by anaesthesia staff • Completion of 6 anaesthetic FACS • Including two tutorial sessions • Completion of two “focused” case reports • Details on website:

  11. Chronic pain teaching: • Not taught during the anaesthesia module. • Chronic pain will be covered by three Saturday morning tutorials given near the end of the year.

  12. Assessment: The Surgical Module: • 40% - Anaesthesia Case Reports (two) • 60% - 1 h MCQs • [Last Friday of the Anaesthesia Module] • [Retaken later if failed] Final Year Surgery Exam: • OSCE station(s) / written paper / MCQs

  13. Anaesthesia Case Reports: Purpose: • To help you develop a more “focused appraisal” of the patient’s anaesthetic care • To encourage you to think about how the type of operation and the patient’s medical condition influences anaesthesia and post operative care.

  14. What you have to do: • See patients on the surgical ward before and after anaesthesia. • Ideally you should observe the anaesthetist during a number of preoperative visits and discuss with them the cases that they have assessed. • Select two interesting cases: • Write a one page summary of the anaesthetic history. • Write a one page “appraisal” of the anaesthetic care, under five headings A to E.

  15. The five headings A to E: A: How did the patients operation influence the choice of anaesthetic technique? B: How did the patient’s medical condition influence the anaesthetic? C: What was the patient told about his anaesthetic? D: Did the anaesthetist prescribe any preoperative medications and if so, why? E: What post operative care did the patient receive & why?

  16. Guidance: • Details of how these cases should be written and presented are provide on the web site.

  17. Attendance: • You are expected to attend all fixed sessions, unless you have a good reason to be absent. • No attendance registrar will be kept.

  18. Time tabling difficulties: • Occasionally sessions may need to be rescheduled because a tutor is not available. • Public holidays can be problem because of loss of teaching time. • Unforeseen changes may be necessary because of the New Curriculum. • Please keep an eye on the master time table outside the Anaesthesia Office.

  19. Course material: • This has been post on: • (i) the medical faculty website and • (ii) the Department of Anaesthesia & Intensive Care website. • User & password: med5; med5

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