GENERAL SURGERY AND ANESTHESIOLOGY: 2/2 LECTURES winter semester 1. Introduction to the veterinary surgery Surgical facilities design Clearing of surgical facilities Sterilization and disinfection, asepsis Preparation of operating site, and surgical team 2. Assessment and preparation of the surgical patient Surgical instruments Injections, infusions, and transfusions 3. Fluid therapy Fluid types and uses Perioperative fluid therapy 4. Basic surgical procedures Incision Excision Tissue preparation Suture materials 5. Specification of the suture materials Suture handling Suture selection for different tissue type Skin staplers 6. Healing of elective surgical wounds/ part I. Phases of wound healing Factors affecting surgical wound healing Complications of surgical wound healing Technique to avoid complications in surgical wound healing 7. Healing of elective surgical wounds/ part II. Surgical drains Axial patterns flaps, free skin grafting 8. Shock, sepsis and SIRS Overview and pathophysiology Clinical recognition of shock, sepsis and SIRS 9. Surgical wound infection and antimicrobial prophylaxis Wound infection Antimicrobial drugs Approach to antimicrobial prophylaxis Therapeutic use of antimicrobial agents in the surgical patient 10. Haemosthasis and blood component therapy Stages of haemosthasis Pathophysiology of altered haemosthasis Assessment of haemosthasis in the surgical patient Blood component therapy 11. Bandaging and bandaging materials Covering, fixating, and correcting bandages Bandages on different body regions 12. Fractures Definition Classification Symptoms Principles of treatment 13. Introduction to the veterinary oncology Diagnosis of tumor type Diagnostic staging Therapeutic modalities: chemotherapy and immunotherapy Radiation therapy Surgery PRACTICAL LESSONS WINTER SEMESTER (2 hours) 1. Sterilization and disinfection of instruments, surgical material. Care of instruments. Scrubbing, gowning and gloving. Surgical site preparation. 2. Injection i.v, i.m, s.c. (cadaver) IV Cannulation. Infusions, infusion pump. 3. Manipulation with instruments. Skin suture (maquete) 4. Hollow organs suture (maquete) 5. Vessels and tendons suture (maquete) 6. Basic surgical suture techniques (cadaver) 7. Wound treatment. Drainages (cadaver) 8. Reconstructive skin surgery (cadaver) 9. Surgical methods of securing enteral nourishment- nasogastric, esophagostomy, pharyngostomy, gastrostomy tubes. Surgical methods for securing patency of airways- temporary tracheostomy (cadaver) 10. Thorakocentesis, percutaneous drenage, cystocentesis, urinary blader catetrisation. (cadaver) 11. Bandages- covering bandages on different parts of body. 12. Bandages- flexion and fixation 13. Physiotherapy and rehabilitation LECTURES summer semester (1 hours) 1. Pre – anaesthetic assessment, postoperative care: general principles 2. The anaesthetic machine and vaporizers, breathing system and equipment, automatic ventilation 3. Patient monitoring and monitoring equipment 4. Pain management, premedication and sedation 5. Intravenous anaesthetics, inhalant anaesthetics, muscle relaxants 6. Anesthesia in horses, ruminants, swine’s, rats and rabbits 7. Anaesthesia for patients with ophthalmic and oral diseases 8. Anaesthesia for patient with cardiovascular and respiratory diseases 9. Anaesthesia for patients with gastrointestinal and urogenital diseases 10. Anaesthesia for patients with endocrine diseases, anaesthasia for cesarean section 11. Anaesthesia for patients with neurological diseases 12. Anaesthesia for pediatric and geriatric patients 13. Anaesthetic complications, accidents and emergencies PRACTICAL LESSONS SUMMER SEMESTER (2 hours) 1. Introduction to the anesthesia Pre-anesthetic assessment of patient Anesthesia equipment Intubation (cadaver) 2. Local anesthesia in dogs and cats. 3. Local anesthesia in ruminants. 4. Local anesthesia in horses. 5. – 13. General anesthesia in small animals (clinical internship) Pre-anesthetic assessment Premedication and sedation Intubation Infusion therapy Intravenous anesthesia Inhalation anesthesia Pain management Emergency and critical care Complications during anesthesia Postoperative care |