ANAESTHESIOLOGY AND HANDLING EMERGENCIES
cod. 1002814

Academic year 2023/24
4° year of course -
Professor
Valentina BELLINI
Academic discipline
Anestesiologia (MED/41)
Field
Discipline odontoiatriche e radiologiche
Type of training activity
Characterising
60 hours
of face-to-face activities
6 credits
hub: -
course unit
in ITALIAN

Integrated course unit module: MEDICAL SCIENCES II

Learning objectives

The educational objective of the course is to provide notions related to the different drugs used in Dentistry, such as local anesthesia, analgesics and drugs for any sedation (conscious, deep). Also: anxiety medications, anti-inflammatory drugs, painkillers and non-steroidal antipyretics (NSAIDs). Other pain medications. Drugs active on the cardiovascular system.
In particular, we want to offer the opportunity to approach in a practical way, from an anesthetic point of view, to:

- evaluation of patients to be subjected to loco-regional anesthesia, sedation, analgesia or general anesthesia
- know how to distinguish the pharmacological principles of the various anesthetic behaviors
- evaluate the monitoring of vital parameters for different patients and the different types of "anesthesia"
- learn how to recognize and manage emergency situations

Finally, we want to offer tools to ensure adequate preparation for the initial management of the emergency in the hospital, giving the opportunity to address the clinical problems of the emergency, through theoretical and practical training, and acquire the methodology that allows to deal with the emergency effectively.


Prerequisites

NA

Course unit content

During the course the main anesthetic techniques will be addressed, such as loco-regional anesthesia, sedation and the main analgesia techniques. Through practical exercises each student will be able to understand the importance of the pre-procedure anesthesia evaluation of the different patients, of the anesthetic drugs and of the clinical monitoring of the patient. In addition, the main issues related to emergency management in the hospital (and outside) will be illustrated, evaluating real clinical problems, through theoretical and practical training. The appropriate methodology will be provided to enable the emergency to be dealt with effectively.

In particular, students will be presented:

• Emergencies
• Principles of pharmacokinetics
• Principles of pharmacodynamics
• Pharmacology of the Autonomous Nervous System
• Drugs of anxiety and conscious sedation. Nitrous oxide. Anti-inflammatory drugs (NSAIDs). Other pain medications. Drugs active on the cardiovascular system. Active drugs on gastric function. Drugs acting on coagulation. 
• Principles of Anesthesiology and Sedation in dentistry. Local-regional anesthesia. General anesthesia

Full programme

Cardio-pulmonary resuscitation in adults (with airway obstruction)
- Cardio-pulmonary resuscitation in children (with airway obstruction)
- The 118 system
- Cardiac arrhythmias
- Anaphylactic shock
- Syncope, lipothymia and vaso-vagal crisis
- Hypertensive crisis and acute pulmonary edema
- Acute myocardial infarction
- Asthmatic crisis + O2 therapy + invasive and non-invasive ventilation
- Neurological Emergencies: Stroke (ischemic / hemorrhagic) and convulsions
- General anesthesia and sedation.
- Local / locoregional anesthesia (toxicity of anesthesia drugs)
- Hemorrhage and anticoagulants
- Analgesia
- Antibiotic prophylaxis

PRACTISE

- BLSD
- PBLS
- operating room frequency

Bibliography

E.Romano, Anestesia- I principi e le tecniche, UTET
Manani G “Anestesia in Odontostomatologia”, IIIa Ed, Idelson-Gnocchi, 2011
Katzung BG Farmacologia generale e clinica Piccin, Padova
F. Della Corte. Manuale di Medicina d’urgenza
Chiaranda M Urgenze ed emergenze: Istituzioni, IIIa Ed, Piccin, Padova, 2011
ROSEN’S. Emergency Medicine

Teaching methods

Lectures will be held on-site in compliance with safety standards, provided that further instructions on the ongoing health emergency are not implemented. Supporting material will be available on the specific, student-reserved platform (Elly) and will include slide presentations, audio-video aids or video-recording of the lectures.

Assessment methods and criteria

Oral examination.
In case of the persistence of the health emergency, the exams will be conducted remotely, as follows:
remote oral questions, through the Teams platform (guide http://selma.unipr.it/).
Students with SLD / BSE must first contact Le Eli-che: support for students with disabilities, D.S.A., B.E.S. (https://sea.unipr.it/it/servizi/le-eli-che-supporto-studenti-con-disabilita-dsa-bes)

Other information

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