Study-Unit Description

Study-Unit Description


CODE SUR5200

 
TITLE Critical Care Management in a Surgical Setting

 
UM LEVEL 05 - Postgraduate Modular Diploma or Degree Course

 
MQF LEVEL 7

 
ECTS CREDITS 5

 
DEPARTMENT Surgery

 
DESCRIPTION This study-unit gives a systemic overview of organ pathophysiology in the acutely ill patient and goes into detailed management with pathophysiological background.

Study-unit Aims:

- Prepare the surgical trainee for clinical experience in a high-dependency setting.
- Consolidate physiology concepts with a wholistic view of multiorgan damage and its management.
- To gain confidence in clinical decision making in acutely unwell patients.

Learning Outcomes:

1. Knowledge & Understanding:

By the end of the study-unit the student will be able to:
- Explain how to systematically assess the acutely ill surgical patient;
- Describe cardiovascular complications of blood loss and cardiovascular monitoring;
- Describe perioperative respiratory complications together with airway management, ventilation and oxygen therapy;
- Explain metabolic, endocrinological, hematological, renal and hepatic disturbances in the acutely-ill patient;
- Describe the application of infection control measures in septic conditions, and the principles of prevention of sepsis in critical care;
- Discuss non-technical aspects of critical care such as withholding and withdrawing care and communicating with relatives.

2. Skills:

By the end of the study-unit the student will be able to:
- Assess organ failure in critically ill patient;
-Apply severity of illness scoring systems;
- Interpret arterial blood gases;
- Recognize different cardiac output monitoring systems;
- Improve communication skills with patient and relatives;
- Manage perioperative cardiovascular complications;
- Manage perioperative respiratory complications;
- Manage metabolic, endocrinological, hematological, renal and hepatic disturbances presenting in perioperative period;
- Identify conditions such as sepsis, polytrauma and ventilation.

Main Text/s and any supplementary readings:

Main Texts:

- Marino P L and Kenneth M S. The ICU Book; Philadelphia: Lippincott Williams & Wilkins, 2007.
- Power I and Peter K (2012) Principles of Physiology for the Anaesthetist. London: Arnold, 2001.

Supplementary Readings:

- Pinnock, Colin A, Ted Lin, and Tim Smith. Fundamentals Of Anaesthesia. London: Greenwich Medical Media, 1999.
- McConachie, I. Handbook Of ICU Therapy. London: Greenwich Medical Media, 1999.
- Venkatesh, B. Data Interpretation In Critical Care Medicine. Philadelphia: Butterworth Heinemann, 2003.
- Toy, Eugene C, Manuel S., and Terrence H Liu. Case Files. New York: McGraw-Hill Education Medical, 2013.
- Hopkins, R. Carol P. and Sanjay G. Radiology for Anaesthesia and Intensive Care. London: GMM, 2003.
- McConachie, I. Anesthesia And Perioperative Care Of The High-Risk Patient. 2014.

 
STUDY-UNIT TYPE Lecture and Independent Study

 
METHOD OF ASSESSMENT
Assessment Component/s Assessment Due Sept. Asst Session Weighting
Presentation (15 Minutes) SEM1 Yes 20%
Multiple Choice Questions Examination (2 Hours) SEM1 Yes 80%

 
LECTURER/S

 

 
The University makes every effort to ensure that the published Courses Plans, Programmes of Study and Study-Unit information are complete and up-to-date at the time of publication. The University reserves the right to make changes in case errors are detected after publication.
The availability of optional units may be subject to timetabling constraints.
Units not attracting a sufficient number of registrations may be withdrawn without notice.
It should be noted that all the information in the description above applies to study-units available during the academic year 2024/5. It may be subject to change in subsequent years.

https://www.um.edu.mt/course/studyunit