SCIENZE MEDICHE II

13 CFU - 1° Semester

Teaching Staff

MARINELLA ASTUTO - Module ANESTHESIOLOGY AND EMERGENCY TREATMENT - MED/41 - 8 CFU
ANTONIO GIUSEPPE BIONDI - Module CHIRURGIA GENERALE - MED/18 - 3 CFU
INES PAOLA MONTE - Module Cardiovascular diseases - MED/11 - 2 CFU

Learning Objectives

ANESTHESIOLOGY AND EMERGENCY TREATMENT
Recognise clinical emergencies, provide first aid acts in order to guarantee survival and best avalaible assistance. Knowing how to act in maxi-emergencies. Know how to intervene. To study the anesthesia practiced in the dental field and the drugs used.
CHIRURGIA GENERALE
1) Introduce and guide the student to the knowledge of the pathologies of surgical interest to the physiopathology, to the symptomatology to the main diagnostics, to the surgical therapy.

2) Knowledge of the main perioperative problems of patients operated on for the main interventions.

3) Knowledge of patient preparation for interventions and perioperative monitoring.
Cardiovascular diseases
To orientate the student to learn the fundamentals of the major and most frequent cardiovascular diseases, integrating the pathophysiological study with the clinical methodology, the diagnostic procedures, and the pharmacological treatment directly and indirectly related to the practice of dentistry, in order to understand the indications of the pharmacological therapy of systemic pathologies, the interferences with the dental therapies, and their optimal management.

Course Structure

ANESTHESIOLOGY AND EMERGENCY TREATMENT
Frontal and/or telematic lessons and simulations. Should teaching be carried out in mixed mode or remotely, it may be necessary to introduce changes with respect to previous statements, in line with the programme planned and outlined in the syllabus. Learning assessment may also be carried out on line, should the conditions require it.
CHIRURGIA GENERALE
1) Theoretical lectures with integration of methodological clinical reasoning based on the pathophysiology of diseases and clinical pictures,

2) Presentation of real, particular and common clinical cases with images of patients and iconography of diagnostic tests and intraoperative findings.

3) Films of surgical interventions to demonstrate the real findings of diagnostics and clinical cases

If the teaching is given in a mixed or remote mode, the necessary changes may be introduced with respect to what was previously stated, in order to respect the program envisaged and reported in the syllabus

Detailed Course Content

ANESTHESIOLOGY AND EMERGENCY TREATMENT
- Anesthesia in dental practice: legislative references to national and European community
- Preoperative clinical evaluation, properative exam and informed consent
- Minimum requirements for dentistry ambients
- Definition of sedation, local anesthesia (main points)
- General anesthesia (main points)
- Sedation and drugs scale
- Phases of the anesthetic proceedings
- Drugs for sedation and general anesthesia
- Local anesthetics: classification, mechanism and duration of action and association with vasoconstrictors
- Guidelines for conscious sedation, inhalation and intravenous in a dental care structure
- Anesthesia practice in dentistry on adults and kids with disabilities
- Emergencies: anaphylaxis, fainting, acute respiratory failure, state of asthma, arrhytmias. Cardiac arrest.
- Monitoring of vital signs and basic life support.
CHIRURGIA GENERALE
1) Hernias and hernias. Generaltà and treatment classification

2) Biliary pathology, calculosis, general jaundice and treatment classification

3) Surgical pathology of the esophagus and GERD reflux disease

4) Intestinal obstruction

5) Abdominal ostomies

6) Acute pancreatitis General, physiopathology.

7) Hypovolemic and septic shock - Generality, etiopathogenesis and treatment

8) Neoplastic pathology of the digestive system. Generalities and symptoms

9) Hemorrhagic syndromes of the digestive system (portal hypertension, esophageal varices, melaena, rectorhagia

10) Appendicitis, diverticulitis, cholecystitis and peritonitis

11) Diverticular disease of the colon

13) Polytrauma and abdomen trauma. Generalities, definitions of pre- and in-hospital management complications

14) Drains / SNGs / Catheters
Cardiovascular diseases
- Cardiovascular causes of chest pain, Ischemic cardiopathy, Pericarditis, Pulmonary embolism, Aortic dissection
- Hypertension and hypertensive emergency
- Hypotension. Syncope. Cardiac arrest and CRP
- Heart failure. Atrial fibrillation
- Endocarditis and prophylaxis
- Prosthetic valves and intracardiac devices. Anticoagulant therapy

Textbook Information

ANESTHESIOLOGY AND EMERGENCY TREATMENT
1) Manuale di medicina di emergenza e di pronto soccorso, Mario Giosuè Balzanelli - Antonino Gullo, CIC Edizioni Internazionali

2) Farmacologia in Odontoiatria, Matilde Amico Roxas et all, Edizioni Edra
CHIRURGIA GENERALE
1) CHIRURGIA di RENZO DIONIGI - Editore: Elsevier
Cardiovascular diseases
1. Harrison: Principi di Medicina Interna, Casa ed. Ambrosiana (last edition)
2. Manuale di Malattie Cardiovascolari www.sicardiologia.it

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