A History of ICUs.Main causes and treatments in ICUs.The critically ill patient.Organ failure in the ICU patient.Monitoring and treatment in the ICU patient.
There is no recommended specific text, the following allow you to easily extract the necessary of pathophysiology and diagnostic information:
- Cosentini R, “L’ABC della ventilazione meccanica non invasiva in urgenza” McGrawHill, 2006
- Marino P, “Terapia Intensiva, prinicipi fondamentali” Masson 2001
-Pittiruti M, “Manuale GAVeCeLT dei PICC e dei Midline”, EDRA 2016
Learning Objectives
Identification of the critically ill patient. Identification of ongoing organ failure.
Working in a team. Handover.
Communication and Ethical issues in ICUs.
Infection prevention and control.
Learning Objectives
The course is designed to provide the basic knowledge physiology, biochemistry of the respiratory, cardiovascular and neurologic system. Knowledge of central venous vascular catheter. Management of non invasive ventilation (CPAP and Bilevel). Identification and treatment of shock. (septic, hypovolemic, anaphylactic...)
Prerequisites
C2
C3
Prerequisites
None
Teaching Methods
Lessons, clinical cases discussion, videos.
Teaching Methods
Lectures and seminars
Further information
Attendance at least 80% of the total course is required.
Type of Assessment
Open questions, written.
Type of Assessment
Oral test.
Course program
Historical view.General overview of ICUs : Consent, communication, prognostic scores, outcome and end of life. Type of ICU admission. Monitoring. Transfert to and from the ICU.Sleep in ICU , Sedation, Delirium.Sedatives, Antipsicotic drugs Main organ failure in ICU: AKI and its treatment ; Acute Respiratory failure and its treatment; principles of acid-base equilibrium.The “neurological” patient . The “cardiological” patient. Shock. DO2: oxygen delivery, ScvO2, PVC. Vasoactive drugs. Sepsis ad septic shock: definition and treatment . Antimicrobial therapyFluidotherapy and electrolytes.Principles of nutrition.Pain and analgesics in the critically ill patient.
Course program
Course schedule:
1. Respiratory failure
2. Oxygen therapy
3. Non-invasive ventilation (CPAP and Bilevel)
4. Shock in General with particular reference to the septic shock
5. Invasive hemodynamic monitoring systems: PA, peak, PRAM, Swan-Ganz
6. Polytrauma: definition and treatment
7. Central and peripheral nervous system
8. Head trauma
9. Neurological examination of the paziente
10. Criteria of encephalic death
11. Chest trauma: definition, pathophysiology and main drainage systems
12. Tracheostomies: definition, explanation of the various techniques accompanied by illustrative videos
13. Burns: definition, of various grades, treatment and management of patient
14. Central and peripheral venous access classification: management of major complications
15. Videos about managing the dressing of VAD
16. Simulation laboratories of the arguments above-listed (workshop on the management of non-invasive ventilation, management of main vascular device)