COURSE UNIT TITLE

: GENERAL ANESTHESIA AND REANIMATION

DEGREE PROGRAMMES

Description of Individual Course Units

Course Unit Code Course Unit Title Type Of Course D U L ECTS
GRA 5002 GENERAL ANESTHESIA AND REANIMATION COMPULSORY 1 0 0 2

Offered By

Dentist

Level of Course Unit

First Cycle Programmes (Bachelor's Degree)

Course Coordinator

ASSOCIATE PROFESSOR DILEK ÖMÜR ARÇA

Offered to

Dentist

Course Objective

To teach the properties, duration of action, side effects and commercial forms of anesthetic agents used for general anesthesia and sedation in dentistry. To explain the signs and symptoms of systemic emergencies that may be encountered in the intraoperative and postoperative period, the ways of prevention and their treatments. To teach postoperative pain management. To inform dentistry students about recognizing cardiopulmonary arrest due to anaphylaxis or systemic causes and basic life support and emergency intervention techniques to be applied in these situations.

Learning Outcomes of the Course Unit

1   Explains the development of general anesthesia.
2   Explains what general anesthesia means and its distinction from sedation.
3   Defines the perioperative and postoperative complications that may occur due to anesthesia.
4   Gives detailed information about anaphylaxis and allergy.
5   Explains crisis management in case of cardiopulmonary arrest.

Mode of Delivery

Face -to- Face

Prerequisites and Co-requisites

None

Recomended Optional Programme Components

None

Course Contents

Week Subject Description
1 Basic Life Support (BLS) Recognition of cardiopulmonary arrest and implementation of the basic life support algorithm.
2 Advanced Cardiac Life Support (ACLS) Emergency rhythm recognition (VF, VT, asystole, PEA) in accordance with clinical practice, oxygen therapy, provision of intravenous access and post-resuscitation management.
3 Preoperative Assessment Obtainment of the patient's medical history before dental surgery: heart diseases, allergies, bleeding disorders, medication use. ASA (American Society of Anesthesiologists) classification and assessment in terms of suitability for dental treatment. Risk stratification in patients planned for sedation or general anesthesia.
4 Intraoperative Monitoring Monitoring of vital signs (SpO , heart rate, blood pressure) during dental procedures under sedation or general anesthesia. Principles of use of pulse oximetry, ECG and capnography devices. Early detection and intervention skills for dentist-patient safety.
5 Conscious sedation applications with nitrous oxide/oxygen. Use of volatile anesthetics in dental procedures, their advantages and safety precautions. Place of inhalation sedation in anxiety management and patient selection.
6 Basic information about muscle relaxants used under general anesthesia in complex dental procedures performed in the hospital environment. Recognition of the effects of these agents by the dentistry student during the intraoperative period and coordination with the anesthesia team
7 Introduction of agents used in clinical sedation applications. Control of sedation depth, monitoring of effects and recognition of complications.
8 Local Anesthetics and Local Anesthetic Toxicity Commonly used local anesthetic agents in dentistry (articaine, lidocaine, mepivacaine, prilocaine). Maximum dose calculation, avoidance of intravascular injection, aspiration techniques. Signs of systemic toxicity (LAST) and emergency management.
9 Sedation Methods Conscious sedation, oral sedation, and intravenous sedation techniques. Patient selection, advantage-disadvantage analysis, ethical and legal responsibilities. Safe application limits with sedative agents in dentistry.
10 Postoperative Pain Control Principles of local and systemic analgesic use: NSAIDs, paracetamol, opioids. Patient education and pharmacological approach in postprocedural pain management. Methods for reducing pain after minimally invasive procedures.
11 Postoperative Complications of Dental Anesthesia Complications that may be seen after local anesthesia, causes of complications, prevention strategies and management protocols. Transfer of complication risk during the informed consent process.
12 Pediatric Anesthesia Age-specific physiological characteristics to be considered in anesthesia and sedation applications in pediatric patients. Drug dose calculations, parental communication and behavior management techniques. Empathy, trust and pain management in approaching pediatric patients in the clinical setting.
13 Airway Control Assessment of airway patency in sedated or emergency patients. Simple airway maneuvers (head back, chin up, oropharyngeal airway). Recognizing the risk of difficult airways in the dental clinic and creating a crisis plan.
14 Allergy and Anaphylaxis Recognizing allergic reactions that may develop to local anesthetics, latex or antibiotics, Anaphylaxis symptoms and emergency intervention algorithm, prior allergy questioning and prevention strategies in risky patients.

Recomended or Required Reading

1. Butterworth JF., Mackey DC, Wasnick JD ed(s). Morgan and Mikhail's Clinical Anesthesiology. Newyork Lange Medical Books / McGraw-Hill Medical Publishing. 7th Edition. 2022. ISBN-13: 978-1264842087.
2. Gropper MA, Eriksson LI, Fleisher LA, Cohen NH, Leslie K, Johnson-Akeju O, eds. Miller's Anesthesia. 10th ed. Vols. 1 3.Elsevier; 2024 ISBN: 978-0-323-93592-0.
3. Cullen BF, Stock MC, Ortega R, Sharar SR, Holt NF, Connor CW, Nathan N, eds. Barash, Cullen, and Stoelting's Clinical Anesthesia. 9th ed. Philadelphia: Wolters Kluwer; 2023.

Planned Learning Activities and Teaching Methods

Formal education

Assessment Methods

SORTING NUMBER SHORT CODE LONG CODE FORMULA
1 MTE MIDTERM EXAM
2 FIN FINAL EXAM
3 FCG FINAL COURSE GRADE roundStudent.examMTE * 0.40 + Student.examFN * 0.60,0
4 RST RESIT
5 FCGR FINAL COURSE GRADE (RESIT) roundMTE * 0.40 + RST * 0.60,0


Further Notes About Assessment Methods

SHORTING NUMBER SHORT CODE LONG CODE FORMULA
1 ARS1 MIDTERM EXAM 1
2 ARS2 MIDTERM EXAM 2
3 ARSO MIDTERM EXAM AVERAGE ARS1*0.50 + ARS2*0.50
4 YS SEMESTER FINAL EXAM
5 YBN SEMESTER FINAL COURSE GRADE ARSO * 0.40 + YS * 0.60
6 BUT Resit Exam Grade
7 BBN Resit Course Grade ARSO * 0.40 + BUT * 0.60

*** The Resit Criteria Are Not Taken Into Account In The Units Where The Resit Exam Is Not Made.

Assessment Criteria

Basic Life Support (BLS)
The student will be able to describe and apply basic life support algorithms, list the initial steps of intervention in cases of cardiopulmonary arrest, and explain the implementation process in a practical context.

Advanced Cardiac Life Support (ACLS)
The student will be able to explain advanced life support protocols, recognize cardiac rhythms, understand defibrillation procedures, pharmacologic management, and crisis control strategies.

Preoperative Assessment
The student will be able to perform a systematic pre-anesthetic evaluation and analyze preoperative risk factors relevant to anesthesia and dental interventions.

Intraoperative Monitoring
The student will be able to identify intraoperative monitoring methods and explain the relationship between the monitoring of vital signs and ensuring patient safety during dental procedures.

Inhalational (Volatile) Anesthesia
The student will be able to describe the pharmacokinetic and pharmacodynamic properties of volatile anesthetic agents, and explain their clinical indications and side effect profiles.

Neuromuscular Blockers in General Anesthesia
The student will be able to explain the mechanism of action of neuromuscular blocking agents, their indications during anesthesia, and principles of intraoperative management and reversal.

Intravenous (Non-volatile) Anesthesia
The student will be able to analyze and compare the characteristics, duration of action, and potential complications of commonly used intravenous anesthetic agents.

Local Anesthetics and Local Anesthetic Systemic Toxicity (LAST)
The student will be able to describe the mechanism of action of local anesthetics, identify the risks of systemic toxicity, and explain emergency management protocols in the event of toxicity.

Sedation Techniques
The student will be able to define sedation, differentiate it from general anesthesia, and distinguish between various levels of sedation and their clinical applications in dentistry.

Postoperative Pain Management
The student will be able to identify methods of managing postoperative pain, and list both pharmacologic and non-pharmacologic strategies to enhance patient comfort and analgesia.

Postoperative Complications of Dental Anesthesia
The student will be able to identify anesthesia-related complications specific to dental procedures and demonstrate knowledge of their prevention and management.

Pediatric Anesthesia
The student will be able to explain the physiological differences relevant to anesthesia in pediatric patients and recognize specific considerations for safe anesthetic care in children.

Airway Management
The student will be able to identify fundamental techniques used to maintain airway patency and demonstrate practical competence in managing the airway in emergency scenarios.

Allergy and Anaphylaxis
The student will be able to understand the pathophysiology of allergic reactions, recognize the clinical signs of anaphylaxis, and explain the emergency intervention protocols for such events.

Language of Instruction

Turkish

Course Policies and Rules

Attendance to 70% of the courses is compulsory.

Contact Details for the Lecturer(s)

dilek.omur@deu.edu.tr

Office Hours

Class days are 11.30-12.00

Work Placement(s)

None

Workload Calculation

Activities Number Time (hours) Total Work Load (hours)
Lectures 14 1 14
Preparation for midterm exam 1 8 8
Preparation for final exam 1 8 8
Preparations before/after weekly lectures 14 1 14
Midterm 1 1 1
Final 1 1 1
TOTAL WORKLOAD (hours) 46

Contribution of Learning Outcomes to Programme Outcomes

PO/LOPO.1PO.2PO.3PO.4PO.5PO.6PO.7PO.8PO.9PO.10
LO.154
LO.25434
LO.35434
LO.4544524
LO.5544524

CONTACT INFORMATION
Dokuz Eylül Üniversitesi Cumhuriyet Bulvarı No: 144 35210 Alsancak / İZMİR
Phone: +90(232) 412 12 12 - Fax: +90 (232) 464 81 35

Copyright 2015 DEÜ. BİD

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