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F7ABBSPT - Equipment for Anaesthesiology and Resuscitation

Code Completion Credits Range Language
F7ABBSPT Z,ZK 4 2P+2L English
Grading of the course requires grading of the following courses:
Physical Chemistry (F7ABBFCH)
Lecturer:
Tutor:
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.

Requirements for the assessment:

1. All laboratory reports and homework assignments must be submitted and revised according to a lecturer's instructions.

2. Active participation in laboratory exercises; duly excused and compensated absences.

Final exam and course grade:

1. Written mid-term test during the semester (20% of grade). The content of the test is based on the lectures and laboratory exercises, including the assigned individual study and homework, discussed by the end of the immediately preceding week. Participation in the mid-term test is not mandatory and its completion is not a condition for obtaining the assessment.

2. Final exam (80% of grade). The exam is in written form. The content of the exam is based on the content of lectures and laboratory exercises including assigned individual study and homework from the whole semester. It is not allowed to use literature or other help during the exam. The points from the final exam are included in the total course score if at least 50% of the maximum 40 points of the final exam is reached.

Students are expected to have knowledge of mathematics, physics, physical chemistry, anatomy and physiology of the first five semesters of the BMT program when taking the semester test and the final written exam.

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, John B. Respiratory physiology: the essentials. 9th ed. Philadelphia: Lippincott Williams & Wilkins, 2012.

ISBN 978-1-60913-640-6.

[2] WEBSTER, John G., ed. Encyclopedia of Medical Devices and Instrumentation [online]. 2nd ed. Hoboken (NJ): John

Wiley & Sons, 2006 [cit. 2016-10-25]. ISBN 9780471732877. DOI 10.1002/0471732877. Available from:

http://onlinelibrary.wiley.com/book/10.1002/0471732877

Recommended literature:

[1] DAVIS, Paul D. a Gavin N. C. KENNY. Basic physics and measurement in anaesthesia. 5th ed. Edinburgh:

Butterworth-Heinemann, 2003. ISBN 0-7506-4828-7.

[2] MAGEE, Patrick. The physics, clinical measurement and equipment of anaesthetic practice for the FRCA. 2nd ed.

Oxford: Oxford University Press, 2011. ISBN 978-0-19-959515-0.

[3] CAIRO, Jimmy M. a Susan P. PILBEAM. Mechanical ventilation: physiological and clinical applications. 5th ed.

St. Louis: Elsevier, 2012. ISBN 978-032-3072-076.

[4] MIDDLETON, Ben, Justin PHILLIPS, Rik THOMAS a Simon STACEY. Physics in anaesthesia. Banbury: Scion,

2012. ISBN 978-1-904842-98-9.

[5] Oxford handbook of anaesthesia. 3rd ed. Editor Keith ALLMAN, editor Iain WILSON, editor Aidan O'DONNELL.

Oxford: Oxford University Press, 2011. Oxford handbooks. ISBN 978-0-19-958404-8.

[6] WHITE, Gary C. Equipment theory for respiratory care. 5th ed. Stamford: Cengage Learning, c2014. ISBN 978-1-

439-05959-3.

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