General surgery and anesthesiology

Study programme: general veterinary medicine full-time form of study
Teaching language:   english
Subject code: K-MZ/GVM-GeSAn 2/16    Short: GVM-GeSAn 2
  •  Credits: 4
  •  Completion method: Credit and Examination
  •   Lectures: 1 / Practice: 2
  •   Semester: summer semester
Form, course-load and method od study:
Form of study: Lecture / Practical
Course-load: Per week: 1 / 2   -   Per study period: 13 / 26 (recommended, in hours)
Method of study: prezenčná
 
Prerequisites a following
Following:  
 
Teachers
Lecturer:
Instructor:
Guarantor:
Brief outline of the course
In the summer semester subject involves basic surgical performans, wound management, emergency treatment in surgical patients, bandaging techniques.
Course syllabus
Winter semester.
Lectures (2 hrs)
1/ Introduction to veterinary surgery.
Animal restrain.
Antisepsis asepsis (desinfection, sterilization)
- Fundamentals of surgical facilities and equipment
- Preparation of surgical hall, instruments, operating team
2/ Examination of surgical patient before surgical procedure. Injections, i.v. cannulation
and infusion.
3/ Introduction to anaestesiology – basic conceptions.
Local anesethics and technics (superficial, infiltration, regional, vegetal blocades).
Local anaesthesia in dogs and cats – superficial, infiltration, regional.
4/ Local anaesthesia in horses, cattle, small ruminants and swine – regional
peripheral /central, superficial - intraarticular.
5/ Preanesthetic medicaments and anesthetics used in small animals.
6/ General injection anaesthesia and prepatations. Injection anesthetics – their classification
and properties.
General injection anaesthesia recommended combinations – horses, cattle, sheep, swine.
7/ General injection anaesthesia.
Recommended combinations for small mammals, birds, reptiles, ZOO animals, fishes,
Antidots.
Criterias for general anaesthesia in pediatric and geriatric pacients.
8/ Inhalation anaesthesia:
General principles
- Inhalation machines
- Types of inhalation machines
Inhalation anesthetics
9/ Characteristics of anaesthesia in the animals with diseased respiratory,
cardiovascular, renal and hepatal systems.
10/Anaesthetic toxicity, oxygen toxicity and drug interaction. Forced lung ventilation.
Ventilation of patient during anaesthesia and devices for assisted breathing.
11/ Monitoring of patients during anaesthesia. Acid-base equilibrium and blood gasses
during general anaesthesia.
12/ Solving critical stages of respiratory and cardiovascular
systems during general anaesthesia. Euthanasia.
13/ Fluid, electrolyt and acid-base therapy in surgical patients. Monitoring
of surgical patient. Nutritional support in inpatients.
Lessons: (2 hours)
1/ Farm animal restrain (horse, cattle, swine, sheep)
2/ Antisepsis, asepsis
- instrument and material sterilization,
- preparation of surgical field
- preparation of operating team
Small animal restraint.
3/ Injections and infusions (intramuscular, intravenous, intraartikulr, intraperitoneal,
intrapleural, subconjunctival, epidural) biopsy
4/ Local anaesthesia superficial, infiltration, regional in small animalls
(Bier bloc, intraarticular, plexus brachialis, intercostal, intrapleural, circular blok,
maxilar, mandibular, auriculopalpebral, epidural)
5/ Head and limb regional anaesthesia in horses (infraorbital, frontal, auriculopalpebral,
mental, mandibular, epidural, diagnostic regional aanesthesia), intraarticular. Intraarticular anaesthesia in large animals (cofin, podotrochlear, pastern, fetlock, digital flexor tendon sheath, radiocarpal intercarpal, cunea
bursa, tarsometatarsal, intertarsal, tibiotarsal).
6/ Regional head and limb anaesthesia in cattle and small ruminants –
( cornual branch. of zygomatic n., epidural, paravertebral, L – block, regional limb
anaesthesia - coronet, fetlock level)
7-9/ Injection general anaesthesia in dogs and cats (common combinations of i.m. and i.v.
anaesthesiai) Manipulation with monitors, injection pumps. Sedation, shortly acting anaesthetics, guidance and patient monitoring,
solving of possible complications, recovery – clinic intership.
10-13/ Inhalation anaesthesia in small animals, patient monitoring, evaluation, solving of possible complications, recovery – clinic intership. Manipulation with inhalation machines.
Summer semester.
Lectures (1 hour)
1/ Basic surgical procedures:
- incison, excision, tissue preparation
- suture materials
2/ Enteral nurishment. Tracheotomy, brachycephalic syndrom.
3/ Traumatology.
- Wounds. Definition, clasification, symptoms.
- Biology of wound process healing, complications.
Wound treatment: surgical methods
medical methods
biological methods
drenage, lavage
Bleeding, haemosthasis. Blood transfusion.
4/ Bandaging – bandaging materials
- Covering, fixating, correcting bandages . Bandages in different body regions.
5/ Closed trauma: concussion, contusion, distorsion, subluxation and luxation, rupture,
hematoma, foreign bodies.
6/ Fractures – definition, clasification, symptoms, principles of
treatment.
7/ Initial examination and assesment of traumatized patient. Shock.
First aid in head trauma and some acute states of thorax and abdomen diseases.
8 / Surgical infection
- aerobe
- anaeróbna
- putrid
- specific
9 / Fistul, ulcer, cyst
- Sepsis, pyemia
Necrotic process – necrosis, gangren, decubitus, fistul, combustions, frostbites.
10/ Antibiotics in surgery.
Steroid and nonsteroidal antiflogistcs – attenuation of pain.
Pain attenuation in critically ill patients.
11/ Hernias – definition, etiology, classification, symptoms, therapy. Prolaps.
12/ Tumors – definition, etiology, clinical signs, diagnosis, staging, treatment.
13/ Diseases of skin, muscles and tendons.
Diseases of synovial organs.
Diseases of nerves.
Physical therapy, endoscopy.
Practical lessons – summer semester. (2 hours)
1/ Basic surgical procedures:
incsion, excision, tissue preparation, grips and manipulation with basic surgical
instruments. Skin suture. (maquete)
2/ Hollow organ sutures – maquette
3/ Vesel and tendon sutures. (maquete)
4/ Surgical wound treatment, drenage – carcases
5/ Surgical methods in securing enteral nurishment - nasogastric, pharyngostomy,
gastrostomy tubes. Surgical methods for securing patency of airways – temporary
tracheostomy.
6/ Basics of plastic and reconstructive surgery (rotating skin flaps in the treatment of
wounds heald by secondary intention.) – carcases.
7/ Thorakocentesis, percutaneous drenage, cystocentesis, urinary blader catetrisation.
8/ Covering bandages small and large animals
9/ Flexion bandages (carpal, Ehmer, Velpeau, hobble system)
10/ Casts, R-J, pressure bandages.
11/ Methods of use of skin grafts in wounds healed by secondary intention.
12/ Examination of surgical patients.
13/ Principles of physical therapy in the treatment of surgical patients. Principles of
endoscopy.
Recommended literature
Slater, D.:Textbook of Small Animal Surgery, Saunders, 3rd ed .2003
Capík I.: Veterinary anesthesia, UVMPH, ed. 2020, 128 pp
Conditions for completion of course
Continuous assessment:
On the practice lessons.
Final assessment:
Exam.
LANGUAGE, WHICH KNOWLEDGE IS NEEDED TO PASS THE COURSE
  english   
 
Evaluation of the course
Total number of evaluated students: 228
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7.4625.8830.714.9120.180.88
 
Date of last modification: 24.11.2022
Approved by: Tutot Dr. h. c. Prof. MVDr. Jana Mojžišová, PhD.
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