AIIMS Anesthesiology Syllabus
The purpose of anesthesia training for medical students is not to make anesthesiologists out of all medical students, but to give students knowledge of basic concepts used in anesthesia and to teach them skills of airway management and vascular access that may be useful to them in other areas of medical practice.
The physician should have a good knowledge of what the anesthetic will do to the patient, even though the physician does not administer it him or herself.
The student, therefore, should observe and study the physiological changes which take place in the anesthetized patient. When these changes are of sufficient magnitude, they become complications or toxic effects. The student should learn what these are, how they are caused, and how they may present and be treated. Emphasis should be laid on good preoperative preparation. Students should learn basic techniques of maintaining a clear airway and giving assisted or artificial ventilation. They should also learn how to position the patents head, how to hold the chin and how to insert an airway. Medical students should learn enough about an anesthetic machine.
In addition to these technical accomplishments, the student may have the opportunity to administer either general or spinal anesthesia under the direct and constant supervision of a member of the staff.
The students, at the end of their posting should be able to:
- Introduce principles of acute medicine as it is practiced in managing the anesthetized patient in the operating room and in managing the patient in the recovery unit.
- Discuss and demonstrate principles of applied physiology and applied pharmacology. Simulation on Human patient Simulator (HPS) Is ideal to teach many aspects of applied physiology and pharmacology.
- Review principles of and teach skills in resuscitation (cardiopulmonary, cerebral, fluid and others).
- Teach care of the unconscious patient, including airway and ventilation management.
- Teach management of blood ,fluid, electrolyte balance , and metabolic disturbances in the surgical patient, with specific emphasis on those derangements which are encountered in the anesthetized patient.
- Review management of acute and chronic pain problems.
- Introduce concepts of drug interactions, especially as they apply to patients receiving anesthesia.
- Demonstrate the evaluation of patients relative to surgical and anesthetic risk. Teach appropriate preoperative preparation of patients subjected to surgery and anesthesia.
- Introduce the various techniques of anesthesiology.
- Pharmacology of muscle relaxant, application and monitoring
- Pharmacology : Basic / Applied of local anaesthetics : Various types of blocks advantages / Problems with each. Descriptive for same main blocks. Local inflitration , Brachial Plexus, Caudal etc.
Maintenance of Clear airway Bag Mask Ventilation Starting A Venous Access CPR — Basic and advanced
Giving a simple infiltration block, Some nerve block Performing A lumbar puncture
TEACHING LEARNING METHODOLOGY
Teaching and learning in anesthesiology should be guided through a series of posting in which the emphasis is laid on practical hands -on experience.
Human patient simulator (HPS) be purchased for better skill development and to reduce the danger to the patients during the learning curve of student. To allow repeat practice according to ability of the student to reach the level of competence needed.
Two Weeks in 7th semester
To achieve the objectives The students will be posted to Preanesthetic Clinic : 1
1 Preoperative evaluation & optimization.
2 Operating theatre: Anaesthetic Machine /monitoring, Anaesthetic Techniques
3 Recovery Room: Recovery criteria : Management of complications.
4 Intensive Care Unit : Management of respiratory failure Various types of ventilatory Assistance devices Monitoring Devices and application.Management of patient in Coma.
5 Pain Clinic : Evaluation of patient / non invasive / invasive management.
Emergency On Call
The Intern will be posted to same areas as above and Will be asked to follow a case from preoperative preparation to full recovery to get an idea of comprehensive Care.
A log book will need to be completed by the student under the supervision of the faculty member
I/V Cannulation 5
Oropharyngeal/Nasopharyngeal Airway insertion 10
Bag Mask Ventilation first on Mannekin 5
Mask Ventilation in unconscious patient 5 Attaching pulse oximeter,BP cuff and ECG
electrodes and setting up a monitor 5
Lumbar puncture 2
Infiltration block 2 Demonstration of epidural/nerve block 2 each
LMA insertion demo 5
Intubation demo 5
CPR on mannekin 5
TEXT BOOK RECOMMENDED
- “The book of Anaesthesia” edited by Alan R. Aitkenhead, David J. Rowbotham, Graham Smith published by Churchill Livingstone.
- “Fundamentals of Anaesthesia” edited by Colin Pinnock, Ted Lin, Tim Smith Published by Greenwich Medical Media Ltd.
- Fundamental Principles and practice of Anaesthesia, Ed. Petter Hurtton, Cooper Butterworth, Published by Martin Dunitz, 2002.
- Principles and Practice of Anaesthesiology Edited David E. Longnecker Published by Mosby St. Louis.