B.SC in Operation Theatre and Anesthesia Technology PDF
B.SC in Operation Theatre and Anesthesia Technology PDF
B.SC in Operation Theatre and Anesthesia Technology PDF
BASIC ANATOMY
THEORY
Introduction to Anatomy
Thorax Intercostal space, pleura, bony thoracic cage, ribs sternum &
thoracic vertebrae
Heart Surface anatomy of heart, chambers of the heart, valves of the heart,
major blood vessels of heart, pericardium, coronary arteries.
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PRACTICALS
Osteology Bones identification (right and left side) and prominent features and
muscle attachment of the bone, clavicle, scapula, radius, ulna, humerous, femur, hip
bone, sacrum, tibia, fibula.
Surface Anatomy,
Radiology, X-ray Chest PA view
PHYSIOLOGY
THEORY
1) The Cell:
2) The Blood:
3) Cardio-Vascular System:
(i) Physiology of the heart
(ii) Heart sounds
(iii) Cardiac cycle, Cardiac output.
(iv) Auscultatory areas.
(v) Arterial pressures, blood pressure
(vi) Hypertension
(vii) Electro cardiogram (ECG)
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4. Respiratory system:
5. Excretory system:
6. Reproductive system:
8. Endocrine sytem:
PRACTICAL
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BIO-CHEMISTRY
Carbohydrates
Proteins:
Lipids:
Enzymes:
1 Benedicts test
PATHOLOGY
1. Cellular adaptation, Cell injury & cell death.
Introduction to pathology.
Overview: Cellular response to stress and noxious stimuli.
Cellular adaptations of growth and differentiation.
Overview of cell injury and cell death.
Causes of cell injury.
Mechanisms of cell injury.
Reversible and irreversible cell injury.
Examples of cell injury and necrosis
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2. Inflammation.
General features of inflammation
Historical highlights
Acute inflammation
Chemical mediators of inflammation
Outcomes of acute inflammation
Morphologic patterns of acute inflammation
Summary of acute inflammation
Chronic inflammation
3. Immunity disorders.
General features of the immune system
Disorders of the immune system
4. Infectious diseases.
General principles of microbial pathogenesis
Viral infections
Bacterial infections-Rheumatic heart disease.
Fungal infections
Parasitic infections
5. Neoplasia.
Definitions
Nomenclature
Biology of tumor growth benign and malignant neoplasms
Epidemiology
Carcinogenic agents and their cellular interactions
Clinical features of tumors
PRINCIPLES OF MANAGEMENT
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Organizing: Importance of organization Hierarchy Scalar chain Organization
relationship Line relationship Staff relationship - Line staff relationship
Functional relationship - Committee organization Management committees
Departmentation
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ENGLISH
Communication:-
Role of communication
Defining Communication
Classification of communication
Purpose of communication
Major difficulties in communication
Barriers to communication
Characteristics of successful communication The seven Cs
Communication at the work place
Human needs and communication Mind mapping
Information communication
Comprehension passage:-
Reading purposefully
Understanding what is read
Drawing conclusion
Finding and analysis
Explaining:-
Report writing:-
Reporting an accident
Reporting what happened at a session
Reporting what happened at a meeting
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BASICS OF COMPUTER
COURSE CONTENT:
Typing text in MS word Manipulating text Formatting the text using different
font sizes, bold, italics Bullets and numbering Pictures, file insertion Aligning the
text and justify choosing paper size adjusting margins Header and footer,
inserting page Nos in a document Printing a file with options Using spell check
and grammar Find and replace Mail merge inserting tables in a document.
Preparing new slides using MS-POWERPOINT Inserting slides slide transition and
animation Using templates Different text and font sizes slides with sounds
Inserting clip arts, pictures, tables and graphs Presentation using wizards.
Introduction to Internet Using search engine Google search Exploring the next
using Internet Explorer and Navigator Uploading and Download of files and images
E-mail ID creation Sending messages Attaching files in E-mail Introduction to
C language Different variables, declaration, usage writing small programs using
functions and sub functions.
PRACTICAL
Typing a text and aligning the text with different formats using MS-
Word
Inserting a table with proper alignment and using MS-Word
Create mail merge document using MS-word to prepare greetings for
10 friends
Preparing a slide show with transition, animation and sound effect
using MS-Powerpoint
Customizing the slide show and inserting pictures and tables in the
slides using MS-powerpoint
Creating a worksheet using MS-Excel with data and sue of functions
Using MS-Excel prepare a worksheet with text, date time and data
Preparing a chart and pie diagrams using MS-Excel
Using Internet for searching, uploading files, downloading files
creating e-mail ID
Using C language writing programs using functions
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B.Sc. Operation Theatre & Anaesthesia Technology
Course
II year syllabus
Main Syllabus
1. Applied Anatomy and Physiology
2. Clinical Pharamacology
3. Clinical microbiology
4. Medical Ethics.
5. Medicine outline
6. Principles of Anaesthesia
7. Basic Anaesthetic techniques
I. RESPIRATORY SYSTEM
B. Respiratory Physiology
Control or breathing
Respiratory muscles - diaphragm,intercostals
Lung volumes - dead space, vital capacity, FRC etc.
Pleural cavity - intrapleural pressure, pneumothorax.
Work of breathing - airway resistance, compliance
Respiratory movements under anaesthesia.
Tracheal tug - signs, hiccup
Pulmonary circulation
Pulmonary oedema,
pulmonary hypertension
Pulmonary function tests.
Transfer of gases - oxygen & Carbondioxide
Acid base status, definitions, acidosis types, Alkalosis types, buffers in
the body.
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D. Oxygen: prop0erties, storage, supply, hypoxia
ECG
Arrhythmias cardiovascular response to
Anaesthetic & surgical procedures.
2. Clinical Pharmacology
ANTISIALAGOGUES
Atropine, Glycophyrrolate
SEDATIVES I ANXIOLYTICS
Diazepam, Midazolam, Phenergan, Lorazepam, Chloropromazine,
Trichlopho
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NARCOTICS
Morphine, Pethidine, Fentanyl, Pentazozine
ANTIEMETICS
Metaoclopramide,Ondanseteron, Dexamethasone
ANTACIDS
Na citrate, Gelusil, Mucaine gel.
H2 BLOCKERS
Cimetidine, Ranitidine, Famotidine
INDUCTION AGENT
Thiopentone , Diazepam, Midazolam, Ketamine, Propofol, Etomidate.
MUSCLE RELAXANTS
Depolarising - Suxamethonium,
Non depolar:sing -Pancuronium, Vecuronium, Atracurium, rocuranium
INHALATIONAL GASES
Gases - 02, N20, Air
Agents - Ether-, Halothane, Isofllurane, Saevoflurane, Desflurane
REVERSAL AGENTS
Neostigmine, Glysopyrrolate, Atropine,
Nalorphine, Naloxone, Flumazenil (Diazepam)
LOCAL ANAESTHETICS
Xylocaine, Preparation, Local Bupivacaine - Topical,
Prilocaine-jelly, Emla - Ointment, Etidocaine. Ropivacaine
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EMERGENCY DRUGS
Adrenaline : Mode or administration, dilution, dosage,
Effects, Isoprenaline
Atropine, bicarbonate, calcium, ephedrine, xylocard,
Ionotropes : dopamine, dobutamine, amidaron
Aminophylline, hydrocortisone, antihistamlnics, potassium.
Cardlovascular drugs
Antihypertensives
Antiarhythmics
Beta - Blockers
Ca - Channel blockers.
Vasodilators - nitroglycerin & sodium nitroprusside
Obstetrics - oxoytocin,methergin
3. CLINICAL MICROBIOLOGY
Sterilization - II
o Chemical methods
o Gaseous methods
o Filtration
Wound Infection & Urinary Tract Infections
Blood stream Infections
Respiratory tract Infcetion
S.Typhi, Salmonel1a Paratyphi 'A, Salmonella Typhimurium
Catheter, IV associated Infections
Hospital acquired infections & prevention of hospital acquired infections
Hepatitis C
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4. MEDICAL ETHICS
8. Organ transplantation
5. MEDICINE OUTLINES
1. Disorder of haemoporesis - Anaemias - iron deficience anaemia,
2. Infections diseses - Sepsis and septic stock, fever of unknown origin,
infective endocarditis, infective of skin, muscle, soft tissue, infection
control in hospital, diseases caused by bacteria, viruses, myobacterm,
viruses, fungi and protozoa and helminthes, common secondary infection in
HIV.
3. Diseases of CVS - congenital RHD - Rheumatic fever, CAD, Peripheral
vascular diseases.
4. Respiratory system - asthma pneumonia
5. Kidney & Urinary tract - acute renal failure, Glomerulonephritis,
Haemodialysis, Transplant, Urinary tract infection
6. Liver and biliary tract disease - Viral hepatitis, alcoholism
7. Endocrinology and metabolism - Diabetes mellitus, Hyper - and
hypothyroidism
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6. PRINCIPLES OF ANAESTHESIA
2. ANAESTHESIA MACHINE
3. BREATHING SYSTEM
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6. MONITORING
ECG
Sp02
Temperature
IBP
CVP
PA Pressure
LA Pressure
HISTORY OF ANAESTHESIA
First successful clinical demonstration:
Pre - historic ( ether) era
Inhalational anaesthetic era
Regional anaesthetic era
Intravenous anaesthetic era
Modem anaesthetic era
Minimum standard of anaesthesia
Who should give anaesthesia?
PRE-OP PREPARATION:
Pre anaesthetic assessment~ History , past history - disease / Surgery / and
personal history - Smoking / alcohol
General physical assessment, systemic examination CVS, RS, CNS
INVESTIGATIONS
Routine - Haematological - their significance
- Urine
- E.C.G.
- Chest X - ray
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Machine - Checking the machine
02, N20, suction apparatus
Laryngoscops, et tubes, airways
- Things for IV accessibility
- Other monitoring systems
Drugs - Emergency drugs
- Anaesthetic drugs
INTRAOPERATIVE MANAGEMENT
Main Syllabus
1. Basics of surgery.
2. CSSD Procedures.
3. Regional anaesthetic techniques
4. Anaesthesia for speciality Surgeries.
5. Basic Intensive care
1. Basics of surgery
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3. Haemorrhage-signs and symptoms of internal and external; classification and
management;
4. identification of types of tourniquets reasons for use and duration of
application, dangers of use;
5. Wounds, types, process of healing, treatment and complications; inflammation;
wound infections-causes and treatment; incision and drainage of abscesses;
importance of personal cleanliness and aseptic techniques;
6. Pre-operative and post-operative care of the surgical patient; Emergency
procedures;
7. .Knowledge of surgical asepsis, skin preparation for invasive procedures
2. CSSD Procedures
1. Waste disposal collection of used items from user area, reception protective
clothing and disinfections sage gaurds,
2. use of disinfectionts sorting and classification of equipment for cleaning
purposes, sharps, blunt lighted etc. contaminated high risk baby care -
delicate instruments or hot care instruments,
3. cleaning process - use of detergents. Mechanical cleaning apparatus,
cleaning instruments, cleaning jars, receivers bowls etc. trays, basins and
similar hand ware utensils. Cleaning of catheters and tubings, cleaning glass
ware, cleaning syringes and needles.
4. Materials used for wrapping and packing assembling pack contents. Types
of packs prepared. Inclusion of trays ahd galliparts in packs. Method of
wrapping and making use of indications to show that a pack of container
has been through a sterilization process date stamping.
5. General observations principles of sterlization. Moist heat sterlization. Dry
heat sterlization. EO gas sterlization. H202 gas plasma vapo sterlization.
b. Nerve blocks
c. Spinal Anaesthesia
d.Epidural anaesthesia
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"
4. Anaesthesia for speciality Surgeries
NEURO ANAESTHESIA
Glassgow coma scale
Premedication
Special investigation - CT, Angiography and MRI
Checklist
Induction of a patient
Reinforced Endotracheal tubes
Postioning in neuro surgery
I.C.P.
Air embolism
Reversal of the patient
Transferring to I.C.U. / Ward
OBSTETRIC ANAESTHESIA
Differences between a pregnant and a normal lady
Rsiks for anaesthesia.
Precautions to be taken
Check list
Regional vs general anaestjesoa
Induction / maintenance and recovery .
Resuscitation of the new born, apgar score
Reversal and extubation
Emergencies -
manual removal of placenta
- A.P .H.
- P.P.H.
- Ruptures uterus
- Ectopic Pregnancy
PAEDIATRIC ANAESTHESIA
Theatre setting
Check list
Premedication - modes
Induction
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Intubation - Securing the EIT
Reversal & extubation Problems
Transferring / ICU management
Pain management
ENT Anaesthesia
CARDIAC ANAESTHESIA :
NYHA classification
Arrhythmias
Angina
Dyspnoea
Special investigations
o echo cardiography
o angiography
Premedication
Setting up of monitoring system
Monitoring - invasive and non - invasive
Getting ready for the case
Induction of cardiac patient, precautions to be taken
Cardiopulmonary bypass
Weaning of CPB
Transferring the patient to ICU.
Care to be taken
I.C.U management.
Chest tube management
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DAY CARE ANAESTHESIA
Special features
Set up
Advantages
Disadvantages
Complications
Future
GERIATRIC ANAESTHESIA
Physiological changes
Diseases of aging
Nervous system
Geriatric pharmacodynamics / pharmacokinetics
Postoperative nervous system dysfunction.
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THORACIC ANAESTHESIA
Pulmonary function tests
o bed side
o Vitallograph
Preoperative preparation
Premedication
Check list
Induction. Intubation
Double lumen tubes
monitoring
Pain management
Extubation
ICU management
Postoperative problems
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Vascular complications.
Trauma to teeth
Headache
Backache
Ocular complications
Auditory complications
MAJOR CATASTROPHES
o Mortality
o Causes of death
o Cerebral damage
o Prevention.
o Eye
o Bladder Skin
o Care of mechanically ventilated patient
o Tracheostomy, humidification
o Vascular lines - arterial, venous line
o Radiography
o Physiotherapy - chest physiotherapy
o Antibiotics in I.C.D.
o Oxygen therapy
o Mechanical ventilation
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5.ACID - BASE DISORDERS
6.CARDIOVASCULAR FAILURE
o Inotropic support
o Vaso dilator drugs.
8.HEAD INJURY
COURSES
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B.Sc. ALLIED HEALTH SCIENCES
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