- •The thematic module 3. A general anaesthesiology is that reanimation Practical employment № 11
- •I. Actuality of theme
- •II. Purpose of employment:
- •III. Providing of initial level of knowledges-abilities
- •IV. Table of contents of teaching
- •V. Reference basis of action
- •VI. System of teaching tasks for verification of eventual level of knowledges.
- •VII. The method of conducting of employment is that organizational structure of employment
- •Technological card of employment
- •Methodical pointing to work of students on practical employment
- •The thematic module 3.
- •General anaesthesiology is that reanimation
- •Practical employment № 11
- •A general anaesthesiology is that reanimation
The thematic module 3. A general anaesthesiology is that reanimation Practical employment № 11
Theme: local anaesthesia
I. Actuality of theme
Local anaesthesia matters very much in surgical practice. By means this type of anaesthesia possible implementation of not only simple operations but also more difficult cavernous operative interferences. In this connection the capture and ability to execute the local anaesthetizing becomes essential. For students 3 courses the acquired knowledges and skills on the given theme will be needed at the study of surgery and on senior courses. Professional surgical activity impossible without the use of local anaesthesia.
II. Purpose of employment:
1. To familiarize with the value of local anaesthesia during conducting of surgical interferences and bandaging of sick (=1).
2. To know about feeling of patient during conducting of local anaesthesia (=1).
3. To know determination of local and general anaesthesia (=2).
4. To know the types of local anaesthesia (=2).
5. To know preparations which use for local anaesthesia (=2).
6. To know testimonies and protivokazaniya to local anaesthesia, and also advantages before other methods of anaesthetizing (=2).
7. To capture the technique of conducting of infiltration anaesthesia (=3).
8. To capture the method of conducting of explorer anaesthesia on Oberstu-Lukashevichu (=3).
III. Providing of initial level of knowledges-abilities
Literature:
Basic:
Metodichnі rozrobki for auditornoї that samostіynoї roboti studentіv.
Zagalna hіrurgіya / After red. S.P.Guchenko, M.D.Gelіbi, S.D.Hіmіcha – Kiїv.: Zdorov’ya, 1999.
Cherenko M.P., Vavrik G.M. Zagalna hіrurgіya z anestezіologієyu, by the bases of reanіmatologії that to doglyadu after hvorimi – Kiїv.: Zdorov’ya, 1999.
Gostishev V.K. General surgery: Studies. – M.: Medicine, 1993.
Gostishev V.K. "Guidance to practical employments on general surgery". M., "Medicine" - 1987.
Additional:
1. A.A. Simodeyko, S.S. Fіlіp, O.O. Boldigar Zagalna hіrurgіya in pitannyah і vіdpovіdyah. Uggorod, «Іva» - 2005.
2. A.A. Simodeyko, S.S. Fіlіp, O.O. Boldigar, Panto V.І. By Praktichnі naviki z zagalnoї hіrurgії z doglyadom after hvorimi. Uggorod, UgNU. – 2001.
Tests and tasks for verification of initial level of knowledges
What diseases the method of local anaesthesia on Lukashevichu-Oberstu is used at?
paranefrit
growing nogot+ in
paraproktit
pankreonekroz
panaritsiy+
asphyxia
What solutions can be used for local anaesthesia?
furagin
dikain+
ftorotan
gemodez
novokain+
poliglyukin
How does pain on a basic exchange operate?
the selection adrenalina+ is multiplied
the selection in the blood of tiroksina diminishes
the selection of gistamina diminishes
the selection of serotonin diminishes
the selection prostaglandina+ is multiplied
the selection of quinine diminishes
What solution of novocaine is used at vnutrikostnoy anaesthesia?
0,5 %+
2%
3%
1%
0,25%+
5%
Testimonies for retromammarnoy anaesthesia?
flegmonoznaya phase of mastitis
the infiltration phase mastita+
gangrenous phase of mastitis
retromammarniy abscess
the seroznaya phase mastita+
subareolyarniy abscess
What a vagosimpaticheskaya blockade is used for?
for the prophylaxis of reflex asphyxia
for the removal of paresis of intestine
for the medical treatment plevro-pulmonalnogo shoka+
for the prophylaxis of fibrillyatsii of ventricles of heart
for the prophylaxis plevro-pulmonalnogo shoka+
for poslableniya of musculature and prophylaxis of paraplegia
Anaesthesia after periduralnoy anaesthesia comes through:
5 minutes
10 minutes
15 minutes
20 minutes
25 minut+
30 minut+
What variety of local anaesthesia preliminary imposition of plait is needed at?
anaesthesia by cooling
vnutrisosudistaya anesteziya+
periduralnaya anaesthesia
vnutrikostnaya anesteziya+
the combined anaesthesia
spinal anaesthesia
For the repozitsii break of radial bone it is possible to apply in the lower third?
infiltration anaesthesia
case blockade
anaesthesia by greasing
introduction of a 2% novocaine to the haematoma of the place pereloma+
periduralnuyu anaesthesia
blockade on Kulen-Kampfu+
What complication meets at implementation of paranefralnoy novocaine blockade?
necrosis of fabrics
allergic reaction
the wound pochki+
regurgitatsiya
peredozirovanie
the wound mochetochnika+
What signs of poisoning of anestetikami at local anaesthesia?
odishka+
violation of cerebral circulation of blood
bradikardiya
anuriya
expansion of pupils
golovokrugenie+
What from the transferred methods of local anaesthesia behave to the explorers?
anaesthesia by cooling
anaesthesia by greasing
periduralnaya anesteziya+
endarterial anaesthesia
spinal anesteziya+
vnutrikostnaya anaesthesia
What complication can arise up at anaesthesia by novocaine?
peredozirovanie
anafilakticheskiy shok+
accidental introduction of preparation to the artery
kropivnitsa+
accidental introduction of preparation to the vein
the chemical irritation of fabrics is necrosis
What solutions of novocaine can be used for a paranefralnoy blockade?
1%
5%
10%
2%
0,25%+
0,5%+
What preparations are applied at medical treatment of poisoning of anestetikami?
Antibiotics
cardiac glikozidi+
proteoliticheskie enzymes
antihistaminic preparati+
anticoagulants
mishechnie relaksanti