Objectives and competences
• Student acquires informations about the different methods of hemodynamic monitoring in critically ill/injured patients.
• Student understands basics of ECG.
• Students acquires knowledge of the use of ultrasound (US) in hemodynamic monitoring in critically injured patients.
• Student understands deeper knowledge of hemodynamic monitoring in intensive care unit (ICU).
• Student acquires informations about sophisticated and novel technologies and their use in monitoring of hemodynamics in ICU and perioperative medicine.
Competencies:
Student is competent to:
• interpret ECG and to manage the malignant arrhythmias
• determine appropriate US scan protocol
• to perform hemodynamic monitoring with appropriate technology in ICU
• to document results of hemodynamic monitoring
Content (Syllabus outline)
The subject monitoring and maintenance of critically ill’s vital functions covers the basic, as well as extended ways to control vital functions in critically ill humans and in patients in the perioperative period, where the knowledge and use are essential for optimal monitoring of patients in intensive therapy and perioperative period.
1. Why do we need control of vital functions and how to monitor it
2. ECG - rhythm disorders
3. Hemodynamics
4. Ultrasound (US in emergency department and ICU)
5. Transport of oxygen and capnometry
6. Laboratory tests (electrolytes, hemogram, glucose, arterial blood gas analysis, coagulation disorders - ROTEM)
7. Control of wakefulness - a combination of NIRS
8. Temperature control
9. Scale for assessing patients' morbidity, pain, delirium, depth of sedation
1.
Learning and teaching methods
• Lectures (auditory and e-lectures),
• Laboratory work
• Clinical work
Intended learning outcomes - knowledge and understanding
Knowledge and understanding:
On completion of this course the student will be able to:
• to describe and basic analyze the ECG strip/rhythm
• to recognize and manage malignant arrhythmias
• to describe US findings
• to recognize basic pathological US findings
• to analyze and to estimate appropriateness of US scan protocols for hemodynamic monitoring
• to explain differences between different hemodynamic monitoring methods in ICU
• to argument the chosen hemodynamic method in ICU
• to analyze and to evaluate findings from different hemodynamic monitoring methods in ICU
• to estimate appropriateness of chosen hemodynamic monitoring method in ICU
Readings
Temeljna literatura/Basic literature:
Reich DL et al. Monitoring in Anesthesia and Perioperative Care. Cambridge University Press 2011
Wittkowski u, Spies C, Erb J, Feldheiser A, von Heymann C. Haemodynamisches Monitoring in der perioperativen Phase. Anesthesist 2009:58;764 – 786.
De Backer D, Cholley BP, Slama M, Vieillard-BAron A, Vignon P. Hemodynamic monitoring using echocardiography in the critically ill. Springer 2011. Dosegljivo na: https://link-springer-com.ezproxy.lib.ukm.si/book/10.1007/978-3-540-87956-5
Dodatna litearatura/Additional literature:
Lichtenstein DA. General ultrasound in the critically ill. Springer 2007. – e- knjiga
Lobo SM, de Oliveira NE. Clinical review: What are the best hemodynamic targets for noncardiac surgical patients?. Critical Care 2013; 17:210.
Prerequisits
Prerequisites for taking the course:
None.
Conditions for fulfilling study obligations:
Completed tutorial and clinical work are requirements for access to the exam.
