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F7ABBSPT - Equipment for Anaesthesiology and Resuscitation

Code Completion Credits Range Language
F7ABBSPT Z,ZK 4 2P+2L English
Vztahy:
The course F7ABBSPT can be graded only after the course F7ABBFCH has been successfully completed.
Garant předmětu:
Jakub Ráfl
Lecturer:
Václav Ort, Jakub Ráfl, Karel Roubík, Šimon Walzel
Tutor:
Václav Ort, Šimon Walzel
Supervisor:
Department of Biomedical Technology
Synopsis:

The main objective of the course is to introduce students to the basic equipment of intensive care units (ICU) and anesthesiology and resuscitation departments of hospitals. These are devices to support vital functions, especially lung ventilation, as well as patient monitors, anesthesia machines and their parts and other equipment. Another objective of the course is to integrate knowledge and skills of students from the fields of science (especially physics, chemistry and physiology) and engineering (modeling, circuit theory, pneumatic elements, etc.) in the analysis of clinical technology and in the design and implementation of functional technical systems.

Requirements:

Entry requirements of the course:

Students are expected to have knowledge of mathematics, physics, physical chemistry, anatomy and physiology of the first five semesters of the BMT program. Physical Chemistry is a prerequisite of the course.

Assessment requirements:

Active lab attendance including pre-lab homework. All lab exercise assignments submitted according to the instructions.

Grading in the course:

The written mid-term closed-book test is based on the content of lectures and laboratory exercises before the week of the exam (including assigned individual study and home preparation).

The written closed-book final exam is based on the content of lectures and laboratory exercises including assigned individual study and home preparation.

Grading according to the ECTS scale (100 points at most):

Lab Assignments: 5%

Mid-term test: 15%

Final exam: 80%

Syllabus of lectures:

1. The connection between ventilation, circulation, consciousness and the internal environment. Terminology for intensive care medicine.

2. Blood gas analysis. Continuous and transcutaneous blood gas measurements.

3. Description and models of flow systems. Flow resistance, compliance.

4. Conventional mechanical lung ventilation; principles and adverse effects.

5. Conventional mechanical ventilators. Conventional modes of mechanical ventilation.

6. Unconventional ventilation.

7. Extracorporeal circulation, extracorporeal oxygenation.

8. Principles of anesthesia. Anesthetic vaporizers.

9. Anesthesia machine. Anesthesia breathing circuit.

10. Anesthetic and respiratory gas analyzers. Capnometry.

Syllabus of tutorials:

1. Distribution of medical gases, pressure cylinders, reducing and proportional valves.

2. Electroacoustic analogy and its use.

3. Experimental measurement of flow resistance.

4. Experimental measurement of compliance.

5. Automated measurement of flow resistance.

6. Automated measurement of compliance.

7. Introduction to equipment for mechanical ventilation.

8. Measurement of ventilation efficiency.

9. Dynamic hyperinflation.

10. Artificial patient, the connection of ventilator and anesthetic device, monitoring of vital functions.

Study Objective:

Students understand the basic equipment of anesthesia and intensive care departments, especially in the field of mechanical ventilation and anesthesia. Students understand the principles of function and use of the equipment. Students can combine and use knowledge of physics, chemistry, physiology and modeling of systems in solving problems in the field of biomedical engineering. They understand the relationships between a model and a practical implementation of a system, including analogies between systems.

Study materials:

Required literature:

[1] West JB. Respiratory physiology: the essentials. 9th ed. Philadelphia: Lippincott Williams and Wilkins; 2012.

[2] Webster JG. Encyclopedia of medical devices and instrumentation [Internet]. 2nd ed. Hoboken (NJ): John Wiley and Sons; 2006. Available from: http://onlinelibrary.wiley.com/book/10.1002/0471732877.

Recommended literature:

[1] Davis PD, Kenny GNC. Basic physics and measurement in anaesthesia. 5th ed. Oxford: Butterworth-Heinemann; 2003.

[2] Magee P. The physics, clinical measurement, and equipment of anaesthetic practice for the FRCA. 2nd ed. Oxford: Oxford University Press; 2011.

[3] Cairo JM and Pilbeam SP. Mechanical ventilation: physiological and clinical applications. 5th ed.

St. Louis: Elsevier; 2012.

[4] Ehrenwert J, Eisenkraft JB, Berry JM. Anesthesia equipment: principles and applications. 2nd ed. Philadelphia: Saunders; 2013.

Note:
The course is a part of the following study plans:
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