06-07 Aprile 2017 - scarica la brochure
The objective of the course is to enhance the knowledge of the principles, the theoretical assumptions, but mainly the practical aspects of the modern balanced anesthesia, with a particular focus of the use of desflurane in the combination of the intravenous drugs, especially opioids.
The therapeutic class of the halogenated agents used in anesthesia includes halothane and enflurane, largely substituted by the newer agents such as isoflurane, desflurane and sevoflurane, that are less soluble in the tissues and better tolerated by the cardiovascular system.
Among all, the desflurane is characterized by a much more rapid kinetics. The clinical advantages that arise from it are rapid induction and awakening and a better handling.
All halogenated agents, no matter their cost, remain however much more affordable choices (especially if used with priority in a closed circuit and with a flow of fresh gas reduced to a minimum) in comparison with the intravenous agents, allowing a faster or equally rapid awakening.
In any case, the combined use of the inhalational and the intravenous drugs in the balanced anesthesia shows great advantages in the management of general anesthesia in terms of comfort and security for the patient, as well as in economic terms.
The course is composed by a theoretical part that will take place in the auditorium and in two practical parts:
– macrosimulation with advanced electronic simulators. A series of scenarios will be realized using the mannequin HPS (Human Patient Simulator by METI), a simulator of 1:1 scale equipped with a highly sophisticated and versatile software that reproduces in a realistic manner the responses of the human body to the therapeutic interventions that are applied to it. The use of the advanced simulation allows a direct and realistic confrontation of serious clinical situations involving the management of intra and perioperative problems, such as those occurring in the operatory ward or during the transfer of the patient to the surgical ward.
– practical activity in the operating room, that will allow the interaction of the participants with a group of educational experts and instructors of various surgical specialties (General Surgery, Thoracic Surgery, Vascular Surgery, Neurology, Gynecology). The assessment of the anesthetic techniques will also be performed by using non-invasive hemodynamic monitoring (Picco, Vigileo, PRAM).
A final session of collective debriefing will allow the participants to discuss the practical activities carried out during the course.
COURSE TARGET GROUP
Graduates in medicine and surgery and specialists in anesthesia and intensive care and general practitioners (GPs).
The course will be conducted with the support of slide presentations that will explore the topics in question and also using the description of clinical cases as a further incentive to engage learners. After each presentation, time will be allocated for active discussion between participants which will be guided by tutors / experts. The practical part includes both exercises on mannequins (HPS METI, Simman Laerdal) and observation of clinical cases in the operating room.
At the end of the course each participant will receive a CD containing the papers presented during the course and / or the videos taken during simulation exercises on the mannequin performed by the participant, together with the indications of the instructor received during the course by the trainer.