rezidenturis (diplomisSemdgomi samedicino ganaTlebis ... · ⇒ 2. zogadi anesTezia Tanmxlebi daavadebebis droszogadi anesTezia Tanmxlebi daavadebebis dros - zogadi anesTeziis Taviseburebani

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rezidenturis (diplomisSemdgomi samedicino ganaTlebis programa rezidenturis (diplomisSemdgomi samedicino ganaTlebis programa rezidenturis (diplomisSemdgomi samedicino ganaTlebis programa rezidenturis (diplomisSemdgomi samedicino ganaTlebis programa ““““anesTeziologia da reanimatologiaanesTeziologia da reanimatologiaanesTeziologia da reanimatologiaanesTeziologia da reanimatologia““““

(xangrZlivoba - 3 w.)

Tavi I. zogadi debulebebiTavi I. zogadi debulebebiTavi I. zogadi debulebebiTavi I. zogadi debulebebi

muxli 1. zogadi gansazRvrebebimuxli 1. zogadi gansazRvrebebimuxli 1. zogadi gansazRvrebebimuxli 1. zogadi gansazRvrebebi

ànesTeziologia da reanimatologia~ aris klinikuri medicinis dargi, romelic icavs pacients qirurgiuli stresisgan, mwvave da qronikuli tkivilis sindromisgan, uzrunvelyofs organizmis sasicocxlo funqciaTa proTezirebas da marTvas operaciis da postoperaciul periodSi. moicavs kritikul mdgomareobaSi myofi pacientebis mkurnalobas poliorganuli ukmarobis sawyis fazaSi.

eqimi anesTeziolog – reanimatologi aris specialisti, romelmac unda ganaxorcielos sruli anesTezilogiuri uzrunvelyofa da postoperaciuli periodis marTva sxvadasxva asakobriv jgufebSi sxvadasxva paTologiaTa SemTxvevebSi, amavdroulad flobs kritikul mdgomareobaSi myofi avadmyofebis diagnostikis da mkurnalobis unar – Cvevebs da axorcielebs sawyisi periodis ganmavlobaSi, pasientis saTanado klinikaSi gadayvanamde.

sarezidento programa efuZneba saqarTveloSi ukve aprobirebul tradicias, aseve aSS da wamyvani evropuli qveynebis gamocdilebas

sarezidento (samaZieblo) programa moicavs momavali specialistebis momzadebis kompleqsur gegmas. gaTvaliswinebulia swavlebis Teoriuli da praqtikuli aspeqtebi.

Teoriuli nawili warmodgenilia leqcia – seminarTa, diskusiaTa da prezentaciaTa saxiT. dagegmilia winaswar SerCeul sakiTxebze referatebis momzadeba saTanado oponenciiT. aucilebeli momentia sxvadasxva saxis da donis konferenciebSi da skola – seminarebSi monawileoba.

praqtikuli swavleba gulisxmobs sxvadasxva tipis mulaJebze ZiriTadi manipulaciebis aTvisebas. aTvisebuli manipulaciebis teqnikis daxvewa moxdeba uSualod pacientebTan muSaobis procesSi. praqtikuli swavlebis nawils warmoadgens Tanamedrove sanarkozo – sasunTq da monitoringis aparatebTan muSaobis Cvevebis da usafrTxoebis teqnikis aTviseba.

saTanado unar – Cvevebis gamosamuSaveblad dagegmilia rezidentTa (maZiebelTa) stabiluri grafikebiT morigeoba anesTeziologiisa da reanimatologiis ganyofilebebSi. unar – CvevaTa dasaxvewad gaTvaliswinebulia rezidentTa (maZiebelTa) damoukidebeli muSaoba (swavlebis mesame wels) direqtiratis wevrTa da pedagogiuri gamocdilebis mqone wamyvan specialistTa meTvalyureobiT.

eqimi “anesTeziolog-reanimatologis” momzadeba (gamomdinare profesiis sirTulisa da moculobidan) gulisxmobs saTanado maRali donis inteleqtualuri da materialur – teqnikuri resursebis mozidvas. pedagogTa inteleqtualur dones didi mniSvneloba eniWeba, ris gamoc swavlebis procesSi monawileoben sruli profesorebi da dargis aRiarebuli specialistebi (rogorc mowveuli pedagogebi). maTi monacemebi warmodgenilia saTanado danarTSi.

Tanamedrove anesTeziologia da reanimatologia Txoulobs maRalteqnologiur aRWurvilobas, romlis koncentrirebac romelime erTi klinikis bazaze jerjerobiT SeuZlebelia. aqedan gamomdinare rezidentebi imuSaveben winaswar SerCeul bazebze, romelTa donec akmayofilebs wayenebul moTxovnebs. (klinikuri bazebis da maTi aRWurvilobis Sesaxeb informacia mocemulia Sesabamis danarTSi).

muxli 2. muxli 2. muxli 2. muxli 2. mizani da amocanebimizani da amocanebimizani da amocanebimizani da amocanebi

sarezidento programa gankuTvnilia rezidentebisa da “anesTeziologia-reanimatologiis” specialobis maZieblebisTvis.

momijnave specialobis eqimTaTvis da sxva licenzirebuli specialistebisTvis - saWiro iqneba rezidenturis Semoklebuli programa.

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programis mizania rezidents (maZiebels) aaTvisebinos

kritikul mdgomareobaTa paTfiziologia, zogadi qirurgiuli agresologia

anesTeziologia – reanimatologiaSi gamoyenebul samkurnalwamlo saSualebaTa farmakologia

sxvadasxva qirurgiuli profilis operaciuli Carevebis anesTeziologiuri uzrunvelyofis Teoriuli safuZvlebi da praqtikuli unar-Cvevebi;

postoperaciuli periodis marTva ZiriTad sasicocxlo funqciaTa da nivTierebaTa cvlis monitoringiT;

mwvave da qronikuli tkivilis sindromis kupireba araqirurgiuli profilis pacientebSi;

sxvadasxva genezis kritikul mdgomareobaTa drouli diagnostika da kupirebis safuZvlebi sxvadasxva asakobriv jgufebSi;

mZime pacientTa intensiuri Terapia kritikuli mdgomareobis (poliorganuli ukmarobis) formirebamde da uaxloes 48-72 sT-is ganmavlobaSi, pacientis kritikuli medicinis ganyofilebaSi moTavsebamde.

sarezidneto programis dasrulebisas eqim-specialistis kompetenciebi;

- avadmyofTa winasaopreacio gamokvleva, operaciis da anesTeziis riskis gansazRvra, gautkivarebis meTodis SerCeva;

- pacientTa dacva qirurgiuli agresiisgan operaciis periodSi;

- anesTeziologiuri uzrunvelyofa operaciis da postoperaciul periodSi sxvadasxva asakobrivi jgufis pacientebSi;

- mwvave da qronikuli tkivilis kupireba da marTva araqirurgiul pacientebSi;

- mZime pacientTa mkurnaloba;

- poliorganuli paTologiiT pacientTa mkurnaloba Sesabamis ganyofilebaSi moTavsebamde;

- sasicocxlo funqciaTa da nivTierebaTa cvlis monitoringi da marTva sxvadasxva profilisa da asakobrivi jgufis pacientebSi;

eqimma “anesTeziolog-reanimatologma” unda icodes deontologiis sakiTxebi anesTeziologiasa da intensiur TerapiaSi; anesTeziologiisa da intensiuri Terapiis samsaxuris organizacia; klinikuri farmakologia anesTeziologTaTvis; klinikuri fiziologia anesTeziologTaTvis; zogadi da klinikuri anesTeziologia; kerZo anesTeziologia; zogadi anesTezia Tanmxlebi daavadebebis dros; gadaudebeli anesTeziologia; Secdomebi da garTulebebi anesTeziologiur praqtikaSi; intensiuri Terapia, gul-filtvis da cerebruli reanimaciis ZiriTadi principebi; eqimma “anesTeziolog-reanimatologma” unda SeZlos nebismieri saxis qirurgiuli operaciis anesTeziologiuri uzrunvelyofa; postoperaciuli periodis marTva; mwvave da qronikuli tkivilis sindromis kupireba da marTva araqirurgiul avadmyofebSi; gul-filtvis da cerebruli reanimacia, postreanimaciuli paTologiis mkurnaloba; kritikuli mdgomareobis diagnostika da mkurnaloba; mZime pacientTa intensiuri Terapia poliorganuli ukmarobis formirebis momentamde da uaxloesi 72sT-is ganmavlobaSi.

eqim-specialistTa samuSao sfero;

- ambulatoriuli samedicino dawesebulebebi;

- invaziuri diagnostikis centrebi;

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- saswrafo samedicino daxmarebis centrebi;

- katastrofis medicinis samsaxuri;

- samxedro medicina;

- qirirgiuli profilis klinikebi da ganyofilebebi;

- araqirurgiuli intensiuri Terapiis ganyofilebebi;

Tavi II. ”Tavi II. ”Tavi II. ”Tavi II. ”anesTeziologia da reanimatologiaanesTeziologia da reanimatologiaanesTeziologia da reanimatologiaanesTeziologia da reanimatologia” specialobis ” specialobis ” specialobis ” specialobis aRweriloba/specifikaciaaRweriloba/specifikaciaaRweriloba/specifikaciaaRweriloba/specifikacia

muxli 1. muxli 1. muxli 1. muxli 1. specialobisa da specialistis gansazRvreba (definicia); specialobisa da specialistis gansazRvreba (definicia); specialobisa da specialistis gansazRvreba (definicia); specialobisa da specialistis gansazRvreba (definicia);

“anesTeziologia da reanimatologia” aris klinikuri medicinis dargi, romelic icavs pacients qirurgiuli stresisgan, mwvave da qronikuli tkivilis sindromisgan, uzrunvelyofs organizmis sasicocxlo funqciaTa proTezirebas da marTvas operaciis da postoperaciul periodSi. moicavs kritikul mdgomareobaSi myofi pacientebis mkurnalobas poliorganuli ukmarobis sawyis fazaSi

eqimi ànesTeziolog-reanimatologi~ aris specialisti, romelmac unda ganaxorcielos sruli anesTezilogiuri uzrunvelyofa da postoperaciuli periodis marTva sxvadasxva asakobriv jgufebSi sxvadasxva paTologiaTa SemTxvevebSi, aseve flobs kritikul mdgomareobaSi myofi pacientebis diagnostikis da mkurnalobis unar – Cvevebs da axorcielebs mas.

specialistis roli da mniSvneloba janmrTelobis dacvis sistemaSi;

eqim eqim “anesTeziolog - reanimatologs” jandacvis sistemaSi eniWeba mniSvnelovani roli sami mimarTulebiT:

uzrunvelyos sxvadasxva asakobrivi jgufis pacientTa dacva qirurgiuli agresiisgan sxvadasxva saxis operaciuli mkurnalobis procesSi. (warmoudgenelia iyos qveyanaSi maRali donis qirurgiuli samsaxuri Sesabamis donis anesTeziologiuri samsaxuris gareSe).

uzrunvelyos sxvadasxva asakobrivi jgufis mZime pacientTa intensiuri Terapia Tanamedrove moTxovnaTa Sesabamisad, aseve aRmouCinos samedicino daxmareba kritikul mdgomareobaSi myof pacientebs poliorganuli ukmarobis sawyis periodSi.

moaxdinos mwvave da qronikuli tkivilis sindromis marTva araqirurgiuli profilis pacientebSi.

muxli 2. muxli 2. muxli 2. muxli 2. specialistis profesiuspecialistis profesiuspecialistis profesiuspecialistis profesiuli zogadi codnali zogadi codnali zogadi codnali zogadi codna eqimeqimeqimeqimi anesTeziologi anesTeziologi anesTeziologi anesTeziolog----reanimatologireanimatologireanimatologireanimatologi unda flobdes codnas Semdegi kanonebis unda flobdes codnas Semdegi kanonebis unda flobdes codnas Semdegi kanonebis unda flobdes codnas Semdegi kanonebis SesabamisadSesabamisadSesabamisadSesabamisad: : : :

⇒ saqarTvelos kanoni “janmrTelobis dacvis Sesaxeb” ⇒ saqarTvelos kanoni “saeqimo saqmianobis Sesaxab” ⇒ saqarTvelos kanoni “pacientis uflebebis Sesaxeb” ⇒ eqimisa da pacientis urTierTobebis safuZvlebi ⇒ bioeTikis Tanamedrove principebi ⇒ deontologiis sakiTxebi anesTeziologiasa da intensiur TerapiaSi. ⇒ anesTeziologiisa da intensiuri Terapiis samsaxuris organizacia.

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eqimma anesTeziologeqimma anesTeziologeqimma anesTeziologeqimma anesTeziolog----reanimatologma unda reanimatologma unda reanimatologma unda reanimatologma unda iiiicodes: codes: codes: codes:

⇒ klinikuri farmakologia anesTeziologklinikuri farmakologia anesTeziologklinikuri farmakologia anesTeziologklinikuri farmakologia anesTeziolog---- reanimatologTaTvis: reanimatologTaTvis: reanimatologTaTvis: reanimatologTaTvis: ⇒ 1. zogadi sakiTxebi

2. samkurnalwamlo nivTierebebis farmakologia

⇒ kkkklinikuri fiziologia anesTeziologlinikuri fiziologia anesTeziologlinikuri fiziologia anesTeziologlinikuri fiziologia anesTeziolog---- reanimatologTaTvis reanimatologTaTvis reanimatologTaTvis reanimatologTaTvis 1. klinikuri fiziologia anesTeziologTaTvis

2. kritikuli mdgomareobis sindromebis paTfiziologia

3. agresiis Semdgomi reaqciebi

⇒ topografiuli anatomia da operaciuli qirurgia anesTeziologtopografiuli anatomia da operaciuli qirurgia anesTeziologtopografiuli anatomia da operaciuli qirurgia anesTeziologtopografiuli anatomia da operaciuli qirurgia anesTeziolog ---- reanimatologTaTvis reanimatologTaTvis reanimatologTaTvis reanimatologTaTvis - aseptikis da antiseptikis sakiTxebi - traqeis intubaciis teqnika - manipulaciebis teqnika gulmkerdis Rrus organoebze - arteriebisa da venebis kaTeterizaciis teqnika - manipulaciebi xerxemalsa da zurgis tvinze

⇒ zogadi da kzogadi da kzogadi da kzogadi da klinikuri anesTeziologialinikuri anesTeziologialinikuri anesTeziologialinikuri anesTeziologia - zogadi anesTeziis Teoriebi da meqanizmebi - zogadi anesTeziis koncefciebi - zogadi anesTeziis teqnologiebi - regionuli da gamtareblobiTi anesTeziis principebi - kombinirebuli da balansirebuli zogadi anesTeziis meTodologia - Serwymuli: zogadi da gamtareblobiTi /adgilobrivi/ anesTeziis meTodika - pacientis winasaoperacio Sefaseba, anesTeziologiuri uzrunvelyofis meTodis SerCeva da usafrTxoebis uzrunvelyofa qirurugiuli mkurnalobis ZiriTad etapebze. - kritikuli mdgomareobebis etiopaTogenezi da menejmenti - ZiriTad sasicocxlo funqciebis protezireba da marTva - gul – filtvis da cerebruli reanimacia - fors-maJorul situaciebSi muSaobis wesebi - saTanado samedicino dokumentacia anesTeziologiasa da reanimatologiaSi - adreuli operaciis Semdgomi periodis paTfiziologia da marTva

⇒ kerZo anesTeziologia kerZo anesTeziologia kerZo anesTeziologia kerZo anesTeziologia 1. anesTezia gegmiuri operaciebis dros (paTofiziologiuri cvlilebebi ZiriTadi daavadebis dros; momzadebis Taviseburebani zogadi anesTeziisa da operaciisaTvis; zogadi anesTeziis meTodis SerCeva; transfuziul-infuziuri Terapiis meTodika da teqnika; uSualo da uaxloesi operaciis Semdgomi periodis warmarTvis ZiriTadi principebi)

- anesTeziologiuri uzrunvelyofa saylapavze da muclis Rrus organoebze operaciis dros - anesTeziologiuri uzrunvelyofa Zval-saxsrovan da plastikur qirurgiaSi - anesTeziologiuri uzrunvelyofa Sard-sasqeso organoebze operaciis dros - anesTeziologiuri uzrunvelyofa gulze operaciebis dros - anesTeziologiuri uzrunvelyofa magistralur sisxlZarRvebze operaciebis dros - anesTeziologiuri uzrunvelyofa filtvisa da Suasayris qirurgiaSi

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- anesTeziologiuri uzrunvelyofa yba-saxis qirurgiaSi, da oto-rino-laringologiaSi - anesTeziologiuri uzrunvelyofa neiro-qirurgiul avadmyofebSi - anesTeziologiuri uzrunvelyofa gerontologiaSi - anesTeziologiuri uzrunvelyofa mean-ginekologiaSi - anesTeziologiuri uzrunvelyofa pediatriaSi - anesTeziologiuri uzrunvelyofa ambulatoriul qirurgiaSi

⇒ 2. zogadi anesTezia zogadi anesTezia zogadi anesTezia zogadi anesTezia Tanmxlebi daavadebebis drosTanmxlebi daavadebebis drosTanmxlebi daavadebebis drosTanmxlebi daavadebebis dros - zogadi anesTeziis Taviseburebani avadmyofebSi

gulsisxlZarRvTa sistemis Tanmxlebi daavadebebis dros - zogadi anesTeziis Taviseburebani avadmyofebSi sunTqvis organoebis paTologiis dros - zogadi anesTeziis Taviseburebani Tanmxlebi hematologiuri daavadebebis dros - zogadi anesTeziis Taviseburebani alergiul anamnezian avadmyofebSi - zogadi anesTeziis Taviseburebani endokrinuli darRvevis dros - zogadi anesTeziis Taviseburebani nervuli sistemis paTologiis dros - zogadi anesTeziis Taviseburebani muclis Rrus organoTa paTologiis dros

⇒ 3. gadaudebeli anesTeziologiagadaudebeli anesTeziologiagadaudebeli anesTeziologiagadaudebeli anesTeziologia 1. anesTeziologiuri daxmarebis urgentuli meTodebi 2. anesTeziologiuri mxardaWera (avadmyofis mdgomareobis klinikuri Sefaseba da organizmis paTfiziologiuri cvlilebani, operaciis wina momzadebis meTodebi, anesTeziologiuri daxmarebis meTodebis SerCeva, avadmyofis gamoyvana zogadi anesTeziidan, transfuziul-infuziuri Terapiis taqtika, uSualo da uaxloesi operaciis Semdgomi periodis kriteriumebi da warmarTva)

- travmul da hemoragiul Sokis dros - nawlavTa mwvave gauvalobis da muclis Rrus da peritoniumis sxva mwvave /infeqciuri/ paTologiis dros - hepatobiliaruli sistemis mZime dazianebis dros - mZime mwvave pankreatitis da pankreatonekrozis dros - mZime profuzuli sisxldeniT garTulebuli kuWis da 12-goja nawlavis wylulis dros - gadaudebeli anesTezia meanobaSi - mZime alkoholuri intoqsikaciis dros - toqsomaniis da narkomaniis dros - gamoxatuli endo- da egzotoqsemiis dros - SokiT garTulebuli meqanikuri travmis dros - mZime Termuli travmis dros - Tanmxlebi alergoanamnezis dros - mZime septiuri Sokis dros

⇒ Secdomebi da gSecdomebi da gSecdomebi da gSecdomebi da garTulebebi arTulebebi arTulebebi arTulebebi anesTeziologiur praqtikaSianesTeziologiur praqtikaSianesTeziologiur praqtikaSianesTeziologiur praqtikaSi o sasunTqi gzebis obstruqcia da mZime intubaciis mizezebi o laringialuri garTulebebi zogadi anesTeziis dros o kuWis SigTavsis aspiracia /mendelsonis sindromi/ o pnevmoToraqsi o garTulebebi sasulis intubaciis dros o hipoqsia da hiperkapnia zogadi anesTeziis msvlelobis da mis

Semdeg

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o gulis ritmis darRveva zogadi anesTeziis dros o periferiuli sisxlis mimoqcevis darRveva o gulis gaCereba da reanimaciuli RonisZiebani zogadi

anesTeziis dros o miokardiumis infarqti saoperacio magidaze o haerovani embolia o normaluri homeostazis moSla o gauTvaliswinebeli hipoTermia o avTvisebiani hiperTermia o qalasSiga wnevis momateba o tvinis hipoqsia hiperventilaciis dros o Tavis tvinis nervebis dazianeba zogierTi inhalaciuri

anesTetikebis gamoyenebis Semdeg /triqloreTileni/ o operaciis Semdgomi fsiqoemociuri reaqciebi o zogadi anesTeziis mdgomareobidan avadmyofis xangrZlivi

gamosvla da cnobierebis dayovnebuli aRdgena o wylisa da eleqtrolitebis disbalansi zogadi anesTeziis da operaciis mimdinareobis dros o oliguria o anuria o poliuria o Sardis Sekaveba o imunitetis daTrgunva zogadi anesTeziis da operaciis

Semdgom periodSi o SeZenili methemoglobinemia da sulfihemoglobinemia o porfiriis gamwvaveba o teratogenezi anesTeziologiur praqtikaSi o qveda Rru venis da aortis zewolis sindromi o saSvilosnos atonia o nayofze anesTetikebis damrTgunveli moqmedeba o hipoventilacia da apnoe axalSobilebSi o garTulebebi miorelaqsantebis gamoyenebis dros o garTulebebi hiperbaruli oqsigenoTerapiis dros o garTulebebi xelovnuri sisxlis mimoqcevis dros o garTulebebi marTviTi hipotenziis dros o fiziologiuri darRvevebi marTviTi hipoTermiis dros o daavadeba virusuli hepatitiT o inhalaciuri anesTetikebis narCeni koncentraciis problema

da personalis janmrTeloba

⇒ intensiuri Terapia, gulintensiuri Terapia, gulintensiuri Terapia, gulintensiuri Terapia, gul----filtvis da cerebruli reanimaciis ZiriTadi filtvis da cerebruli reanimaciis ZiriTadi filtvis da cerebruli reanimaciis ZiriTadi filtvis da cerebruli reanimaciis ZiriTadi principebi principebi principebi principebi

1. terminaluri mdgomareobis paTfiziologia 2. poliorganuli ukmarobis sindromologia 3. gul-sisxlZarRvTa da cerebraluri reanimacia 4. ZiriTadi sasicocxlo funqciebis protezireba da marTva polioranuli ukmarobisas 5. postreanimaciuli daavadebis intensiuri Terapiis meTodebi

muxli 3muxli 3muxli 3muxli 3. . . . eqimeqimeqimeqim----specialistis zogadi unarspecialistis zogadi unarspecialistis zogadi unarspecialistis zogadi unar----CvevebiCvevebiCvevebiCvevebi eqim anesTeziolog eqim anesTeziolog eqim anesTeziolog eqim anesTeziolog ---- reanimatologsreanimatologsreanimatologsreanimatologs unda SeeZlosunda SeeZlosunda SeeZlosunda SeeZlos

⇒ manipulaciebi romelsac unda flobdes anesTeziologmanipulaciebi romelsac unda flobdes anesTeziologmanipulaciebi romelsac unda flobdes anesTeziologmanipulaciebi romelsac unda flobdes anesTeziolog----reanimatologi reanimatologi reanimatologi reanimatologi o traqeis orotraqeuli intubacia.

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o nazotraqeuli intubacia o traqeis retrograduli intubacia o filtvebis gancalkevebuli intubacia o traqeis punqcia da kaTeterizacia o konikotomiis teqnika o traqeostomiis teqnika o laringeuli niRbis gamoyenebis teqnika o gulis daxuruli masaJis teqnika o plevris Rrus punqciis teqnika o gulis Rrus punqciis teqnika o ekg-sa eleqtrodebis ganlageba o defibrilaciis teqnika o periferiuli venebis punqcia da kaTeterizacia, venaseqcia o laviwqveSa venis kaTeterizacia. o Sida da gare sauRle venebis kaTeterizacia o sxivisa da barZayis arteriebis punqcia da kaTeterizacia o zurgis tvinis arxis /subaraqnoidaluri sivrcis/ punqcia o epiduraluri sivrcis punqcia da kaTeterizacia o mxris wnulis blokadis teqnika o sajdomi nervis blokadis teqnika o neknTaSua nervebis blokadis teqnika. o kanis provokaciuli (alergologiuri) sinjebi. o bronqoskopia da sanaciuri bronqoskopia

⇒ gautkivarebis meTodebi romelTac unda flobdes anesTeziologgautkivarebis meTodebi romelTac unda flobdes anesTeziologgautkivarebis meTodebi romelTac unda flobdes anesTeziologgautkivarebis meTodebi romelTac unda flobdes anesTeziolog----reanimatologi reanimatologi reanimatologi reanimatologi

o inhalaciuri zogadi anesTezia o totaluri intravenuri anesTezia o balansirebuli zogadi anesTezia o regionuli da gamtareblobiTi anesTezia o Serwymuli anesTezia o qronikuli da mwvave araqirurgiuli tkivilis sindromis mkurnaloba

⇒ operaciis wina periodSi anesTeziolog operaciis wina periodSi anesTeziolog operaciis wina periodSi anesTeziolog operaciis wina periodSi anesTeziolog –––– reanimatologma unda SeZlos reanimatologma unda SeZlos reanimatologma unda SeZlos reanimatologma unda SeZlos o avadmyofis organizmis funqciuri sistemebis Sefaseba o gulsisxlZarRvTa sistemis funqciuri Sefaseba da koreqcia o garegani sunTqvisa da gazTa cvlis funqciis Sefaseba da

koreqcia o neiro-endokrinuli funqciis Sefaseba da koreqcia o wylisa da eleqtrolitebis, cilebis balansis Sefaseba da

koreqcia o hepato-renaluri sistemebis funqciis Sefaseba da koreqcia o anesTeziologiuri riskis gansazRvra da pacientis operaciisa

da anesTeziisTvis momzadeba.

⇒ anesTeziologanesTeziologanesTeziologanesTeziolog----reanimatologs unda SeeZlos:reanimatologs unda SeeZlos:reanimatologs unda SeeZlos:reanimatologs unda SeeZlos: o hemodinamikis marTva o garegani sunTqvis funqciis da gazTa cvlis marTva o sisxlis Jangbadis transportirebis da volemiis aRdgena da SenarCuneba o Termoregulaciis da metabolizmis regulireba o antibaqterialuri mkurnaloba

muxli 4. muxli 4. muxli 4. muxli 4. specialoba moicavs qvemoCamoTvlili daavadebebis, paTologiuri specialoba moicavs qvemoCamoTvlili daavadebebis, paTologiuri specialoba moicavs qvemoCamoTvlili daavadebebis, paTologiuri specialoba moicavs qvemoCamoTvlili daavadebebis, paTologiuri mdgomareobebis klinikas, diagnostikas, mkurnalobasa da profilaqtikas: mdgomareobebis klinikas, diagnostikas, mkurnalobasa da profilaqtikas: mdgomareobebis klinikas, diagnostikas, mkurnalobasa da profilaqtikas: mdgomareobebis klinikas, diagnostikas, mkurnalobasa da profilaqtikas: 1. sxvadasxva asakobriv jgufebSi sxvadasxva paTologiis gamo nawarmoebi

operaciebis anesTeziologiuri uzrunvelyofa sruli moculobiT

8

2. sxvadasxva asakobriv jgufebSi sxvadasxva paTologiis gamo aRmocenebuli mwvave, sicocxlisTvis saSiSi mdgomareobebis diagnostika da mkurnaloba (maT Soris anesTeziologiuri uzrunvelyofa) sruli moculobiT

3. sxvadasxva genezis kritikuli mdgomareobis diagnostika da mkurnaloba sruli moculobiT sawyis etapze 48 saaTis ganmavlobaSi

4. mwvave da qronikuli tkivilis sindromis marTva

muxli muxli muxli muxli 5555. im laboratoriul. im laboratoriul. im laboratoriul. im laboratoriul----instrumentuli gamokvlevebis instrumentuli gamokvlevebis instrumentuli gamokvlevebis instrumentuli gamokvlevebis CamonaTvali, romelTa CamonaTvali, romelTa CamonaTvali, romelTa CamonaTvali, romelTa Sedegebis interpretacia da Sedegebis interpretacia da Sedegebis interpretacia da Sedegebis interpretacia da klinikuri Sefasebaklinikuri Sefasebaklinikuri Sefasebaklinikuri Sefaseba unda SeeZ;os eqim unda SeeZ;os eqim unda SeeZ;os eqim unda SeeZ;os eqim –––– specialists;specialists;specialists;specialists;

⇒ sisxlis saerTo analizi ⇒ sisxlis bioqimiuri analizi ⇒ sisxlis koagulaciur – liTiuri parametrebis analizi ⇒ Sardis serTo analizi ⇒ serologiuri gamokvlevebi ⇒ cilis fraqciebi da imunologiuri kleva ⇒ mJava – tutovani balansis kvleva ⇒ sisxlis airTa kvleva ⇒ eleqtrolitTa kvleva ⇒ eleqtrokardiograma ⇒ eqokardioskopia (trasezofaguri kardiografia) ⇒ eleqtroencefalograma ⇒ ultrabgeriTi gamokvleva ⇒ rendgenoskopia da rendgenografia ⇒ maspeqtrometria ⇒ kompiuteruli tomografia ⇒ birTvul-magnituri rezonansuli kvleva ⇒ biologiur siTxeTa baqteriologiuri kvleva ⇒ biologiur siTxeTa citologiuri da bioqimiuri kvleva

muxli muxli muxli muxli 6666. . . . eqimeqimeqimeqim----specialistis aucilebeli praqtikuli unarspecialistis aucilebeli praqtikuli unarspecialistis aucilebeli praqtikuli unarspecialistis aucilebeli praqtikuli unar----Cvevebi Cvevebi Cvevebi Cvevebi ((((diagnostikurdiagnostikurdiagnostikurdiagnostikuri da i da i da i da samkurnalo manipulaciebi);samkurnalo manipulaciebi);samkurnalo manipulaciebi);samkurnalo manipulaciebi);

• avadmyofis mdgomareoobis Sefaseba winasaoperacio periodSi

• operaciis da anesTeziis riskis gansazRvra

• gautkivarebis meTodis SerCeva da programis Sedgena

• sasicocxlo funqciaTa arainvaziuri da invaziuri monitoringi

• kompentenciis farglebSi pacientis mierTeba sicocxlis SemanarCunebel aparaturasTan

• moaxdinos kritikuli mdgomareobis drouli diagnostika

• gazTa cvlis da garegani sunTqvis funqciis protezireba

• sisxlis mimoqcevis funqciis SenarCuneba

• gul-filtvis da cerebraluri reanimaciis efeqturobis Sefaseba

muxli muxli muxli muxli 7777. im daavadebebis da. im daavadebebis da. im daavadebebis da. im daavadebebis da paTologiuri paTologiuri paTologiuri paTologiuri mdgomareobebis Camomdgomareobebis Camomdgomareobebis Camomdgomareobebis CamonaTvali, romelTa naTvali, romelTa naTvali, romelTa naTvali, romelTa profilaqtika, diagnostika, pirveladi daxmareba da mkurnaloba unda SeeZlos eqimprofilaqtika, diagnostika, pirveladi daxmareba da mkurnaloba unda SeeZlos eqimprofilaqtika, diagnostika, pirveladi daxmareba da mkurnaloba unda SeeZlos eqimprofilaqtika, diagnostika, pirveladi daxmareba da mkurnaloba unda SeeZlos eqim----specialists.specialists.specialists.specialists.

⇒ cerebraluri ukmaroba ⇒ gul-sisxlZarRvTa ukmarisoba ⇒ garegani sunTqvis mwvave ukmarisoba

9

⇒ sisxlis Jangbadis transportis funqciis moSla da hipovolemia ⇒ RviZl – Tirkmlis ukmaroba ⇒ Termoregulaciis da metabolizmis darRvevebi ⇒ mwvave mowamvla

Tavi III. swavlebis/Sefasebis meTodebi. Tavi III. swavlebis/Sefasebis meTodebi. Tavi III. swavlebis/Sefasebis meTodebi. Tavi III. swavlebis/Sefasebis meTodebi.

muxli 1. swavlebis/Sefasebis principebimuxli 1. swavlebis/Sefasebis principebimuxli 1. swavlebis/Sefasebis principebimuxli 1. swavlebis/Sefasebis principebi

programis ganxorcielebis procesSi gamoyenebuli iqneba swavlebis Semdegi formebi:

1. leqcia – seminari

leqciaTa Catarebis tradiciul formebs emateba audio – video masalis miwodeba:

o `pover-point” prezentaciiT;

o videofilmebiT;

seminarebis procesSi rezidentebi gaakeTeben moxsenebebs winaswari gegmis mixedviT, rasac mohyveba diskusia Sesabamis sakiTxebze.

2. praqtikuli mecadineobani:

praqtikuli mecadineoba iTvaliswinebs

o Semovlas intensiuri Terapiis palataSi

o konkretul pacientebTan muSaobas saoperacioSi (direqtoratis wevris meTvalyureobiT);

o morigeobebs anesTeziologiis, intensiuri Terapiis, kritikuli medicinis da ”emerjensis” ganyofilebebSi

o damoukidebel muSaobas (literaturuli wyaroebidan da internet-saitebis saSualebiT) referatuli naSromebis momzadebisTvis

3. treningebi

rezidentebi monawileobas miiReben sxvadasxva uwyebaTa da asociaciaTa mier Catarebul yvela donis treningSi mocemuli da momijnave specialobebSi

muxli 2. Sefasebis meTodebimuxli 2. Sefasebis meTodebimuxli 2. Sefasebis meTodebimuxli 2. Sefasebis meTodebi

Teoriuli codnis da praqtikuli unar Cvevebis Sefaseba moxdeba periodulad, modulis vadis damTavrebisas. Teoriuli codna SefSefSefSefasdeba asdeba asdeba asdeba testirebiT,testirebiT,testirebiT,testirebiT, xolo praqtikul unar-Cvevebs Seafasebs komisia klinikis gamocdil specialistTa SemadgenlobiT.

muxli 3. Sesafasebeli kompetenciebimuxli 3. Sesafasebeli kompetenciebimuxli 3. Sesafasebeli kompetenciebimuxli 3. Sesafasebeli kompetenciebi

� Teoriuli mzadeba

� praqtikuli saqmianoba

� monacemTa Segrovevebisa da fiqsirebis saSualebebi

� Sesasrulebeli manipulaciebis/operaciebis CamonaTvali (sasurvelia cxrilebis gamoyeneba)

� profesiuli mzadebis sxva formebi (konferenciebi, simpoziumebi, samecniero kvlevebi da sxv.)

10

Tavi IV. Tavi IV. Tavi IV. Tavi IV. programis xangrZlivoba.programis xangrZlivoba.programis xangrZlivoba.programis xangrZlivoba.

sarezidento programa samwliani vadiT aresbobs ukve 9 welia. momzadebulia rezidentTa garkveuli raodenoba, romlebic warmatebiT arTmeven Tavs profesiul movaleobas. swavlebis sawyisi etapi saerToa saqarTveloSi akreditebuli yvela sarezidento programisTvis. sabaziso Teoriuli sakiTxebis Seswavlas savsebiT yofnis gamoyofili dro. programa praqtikuli unar-Cvevebis asaTviseblad iTvaliswinebs praqtikul mecadineobebs, treningebs (momijnave specialobebSi Catarebul treningebSi monawileobis miRebiT), stabilur morigeobebs anesTeziologiisa da reanimaciis ganyofilebebSi, praqtikul samedicino saqmianobas programis direqtoratis da pedagogiuri gamocdilebis mqone kolegebis meTvalyureobiT. yovelive aRniSnulidan gamomdinare migvaCnia, rom 3 weli optimaluri vadaa specialobis asaTviseblad.

rezidenturis pirveli weli iTvaliswinebs saqarTvelos jandacvis kanonmdeblobis, ZiriTadi normatiuli aqtebis, samedicino eTikis, deontologiis, sazogadoebrivi jandacvis sakiTxTa Seswavlas. amave wels igegmeba anesTeziologia – reanimatologiis ZiriTadi sabaziso Teoriuli aspeqtebis Seswavla. aseve am periodSi unda moxdes ZiriTad manipulaciaTa aTviseba.

rezidenturis meore weli eZRvneba intensiuri Terapiis da kritikuli medicinis sakiTxTa Seswavlas da Sesabamisi unarCvevebis gamomuSavebas. gaTvaliswinebulia ara marto qirurgiuli, aramed ZiriTadi Terapiuli nozologiebis paTfiziologiis, klinikis da menejmentis sakiTxTa aTviseba. gansakuTrebuli yuradReba eTmoba kritikuli mdgomareobebis formirebis meqanizmTa da mkurnalobis sakiTxTa Seswavlas. amave wlisTvis igegmeba rezidentTa (maZiebelTa) damoukidebeli muSaoba pacientebTan.

rezidenturis mesame wels rezidenti (maZiebeli) aiTvisebs kerZo anesTeziologiis sakiTxebs, qirurgiis sxvadasxva dargebSi anesTeziologiuri uzrunvelyofis Taviseburebebs, Tanamedrove anesTeziologiaSi arsebul uaxles meTodologiur da teqnologiur sakiTxebs. daxvewavs topografiuli anatomiis da operaciuli qirurgiis codnas da srulyofs saTanado manipulaciebis teqnikas.

� specialobis specifikidan gamomdinare dasaSvebad migvaCnia sawyis etapze paralelurad moxdes kritikuli mdgomareobebisa da intensiuri Terapiis sakiTxebis Seswavla.

Tavi V. Tavi V. Tavi V. Tavi V. rezidenturaSi profesiuli mzadebis meToduri uzrunvelyofisa da rezidenturaSi profesiuli mzadebis meToduri uzrunvelyofisa da rezidenturaSi profesiuli mzadebis meToduri uzrunvelyofisa da rezidenturaSi profesiuli mzadebis meToduri uzrunvelyofisa da organizaciis wesi.organizaciis wesi.organizaciis wesi.organizaciis wesi.

muxli 1.muxli 1.muxli 1.muxli 1. rezidenturaSi profesiuli mzadeba warimarTeba saqarTvelos kanonebis - `saeqimo saqmianobis Sesaxeb~, “janmrTelobis dacvis Sesaxeb” -Sesabamisad.

muxli 2. muxli 2. muxli 2. muxli 2. rezidenturaSi profesiuli mzadeba xorcieldeba diplomis Semdgomi ganaTlebisa (profesiuli mzadebis) da uwyveti profesiuli ganviTarebis sabWos mier akreditebuli rezidenturis programebiT saeqimo specialobaTa nusxis Sesabamisad.

muxli 3.muxli 3.muxli 3.muxli 3. rezidenturaSi profesiuli mzadebas srulad afinansebs saxelmwifo (stomatologiur specialobebSi dasaSvebia kerZo dafinanseba), saministros specialuri saxelmwifo programis _ `diplomisSemdgomi samedicino ganaTlebis saxelmwifo programis~ farglebSi. amave dros, arsebobs rezidenturis alternatiuli diplomisSemdgomi ganaTleba (profesiuli mzadeba), romelic gulisxmobs sarezidento programis yvela modulis gavlas calkeuli modulisa

11

da mTlianad programis xangrZlivobis zustad gansazRvris gareSe da finansdeba kerZo piris mier moZiebuli saxsrebiT (“rezidenturi alternatiul diplomisSemdgom ganaTlebaSi (profesiul mzadebaSi) monawileobis, misi warmarTvisa da Sefasebis wesisa da im samedicino dawesebulebebis akreditaciis kriteriumebis da wesis damtkicebis Sesaxeb, romlebSic SesaZlebelia diplomisSemdgomi ganaTlebis (profesiuli mzadebis) kursis gavla” saqarTvelos Sromis, janmrTelobisa da socialuri dacvis ministris 2007 wlis 18 aprilis #135/n brZanebis Sesabamisad).

muxli 4. muxli 4. muxli 4. muxli 4. rezidenturaSi Caricxvis wesi ganisazRvreba saqarTvelos Sromis, janmrTelobis da socialuri dacvis ministris brZanebiT: èrTiani diplomisSemdgomi sakvalifikacio gamocdis Catarebis wesisa da rezidenturaSi Caricxvis wesis damtkicebis Sesaxeb~ (# 295/n; 3.11.2006), xolo rezidenturis alternatiuli diplomisSemdgomi mzadebis wesi: “rezidenturis alternatiuli diplomisSemdgom ganaTlebaSi (profesiuli mzadebaSi) monawileobis, misi warmarTvisa da Sefasebis wesisa da im samedicino dawesebulebebis akreditaciis kriteriumebis da wesis damtkicebis Sesaxeb, romlebSic SesaZlebelia diplomisSemdgomi ganaTlebis (profesiuli mzadebis) kursis gavla” (#135/n; 18.04.2007).

muxli 5. muxli 5. muxli 5. muxli 5. rezidenturis programis ganxorcieleba mimdinareobs sauniversiteto klinikebsa da im samedicino dawesebulebebSi, romelTac miRebuli aqvT akreditacia kanonmdeblobiT dadgenili wesiT (`rezidenturis alternatiul diplomisSemdgom ganaTlebaSi (profesiul mzadebaSi) monawileobis, misi warmarTvisa da Sefasebis wesisa da im samedicino dawesebulebebis akreditaciis kriteriumebis da wesis damtkicebis Sesaxeb, romlebSic SesaZlebelia diplomisSemdgomi ganaTlebis (profesiuli mzadebis) kursis gavla~ saqarTvelos Sromis, janmrTelobis da socialuri dacvis ministris 2007 wlis 18 aprilis #135/n brZanebis Sesabamisad).

muxli 6. muxli 6. muxli 6. muxli 6. rezidenturis kursis dasrulebis Semdeg gaicema saxelmwifo mowmoba.

muxli 7. muxli 7. muxli 7. muxli 7. rezidenturis programis xarisxis uzrunvelyofaze pasuxismgebelni arian - rezidenturis programis direqtori, programis direqtorati, lokaluri xelmZRvanelebi, rezidentebi, saministros saxelmwifo kontrols daqvemdebarebuli sajaro samarTlis iuridiuli piri.

muxli 8. muxli 8. muxli 8. muxli 8. programis direqtoris movaleobebi:

1. misaRebi gamocdis programis Sedgena da rezidenturaSi miRebis procesSi monawileoba;

2. specialobis aRwerilobis safuZvelze Sedgenil diplomis Semdgomi profesiuli mzadebis (rezidenturis) akreditebuli programis ganxorcielebas;

3. samedicino dawesebulebis da lokaluri xelmZRvanelis miTiTebiT rezidentis individualuri gegma-grafikis Sedgena da gansazRvra Tu ramden rezidents SeiZleba zedamxedvelobdes erTi lokaluri xelmZRvaneli.

4. winaswar dadgenili individualuri grafikis mixedviT rezidentis mier Sesasrulebeli samuSaos moculobasa da Casatarebeli manipulaciebis raodenobaze kontroli.

5. direqtoratis wevrebTan erTad dadgenili wesis mixedviT yovelwliurad rezidentis muSaobis Sefaseba da saministros saxelmwifo kontrols daqvemdebarebul sajaro samarTlis iuridiuli pirisaTvisangariSis Cabareba.

12

6. yovelwliuri Sefasebis Sedegebis gaTvaliswinebiT rezidentisaTvis rekomendacias micema programis gagrZelebis Sesaxeb.

7. rezidentis saqmianobis aradamakmoyofilebli wliuri Sefasebisas, saministros saxelmwifo kontrols daqvemdebarebul sajaro samarTlis iuridiuli pirisaTvis dasabuTebuli moxsenebiT baraTis wardgena garicxvis Sesaxeb.

8. rezidenturis kursis warmatebuli dasrulebis Semdeg rezidentis Semajamebeli atestaciis Catareba da diplomisSemdgomi ganaTlebis (profesiuli mzadebis) da uwyveti profesiuli ganviTarebis sabWos kursis gavlis damadasturebeli saxelmwifo mowmobis gacemis Sesaxeb rekomendaciis micema.

9. lokaluri xelmZRvanelebis saqmianobis zedamxedveloba da Sefaseba.

muxli 9. muxli 9. muxli 9. muxli 9. programis direqtoratis wevrebis movaleobebi:

1. rezidentebis SerCevis procesSi monawileoba; 2. program direqtorTan erTad yovelwliurad rezidentebis muSaobis dadgenili

wesis mixedviT Sefaseba; 3. program direqtorTan erTad SeimuSaveben rezidentis atestaciis formatis

SemuSaveba; 4. rezidentis Semajamebeli atestaciis procesSi monawileoba; 5. saWiroebis SemTxvevaSi, programis direqtorisaTvis rezidenturis

programasTan dakavSirebul nebismier sakiTxebze konsultaciis gaweva.

muxli 10. muxli 10. muxli 10. muxli 10. lokaluri xelmZRvanelis movaleobebi:

1. samedicino dawesebulebaSi rezidentis muSaobis warmarTva; 2. rezidentebTan pedagogiur muSaobisaTvis Tavisi saqmianobis gansazRvruli

drois daTmoba. 3. TiToeuli modulis dasrulebis Semdeg dadgenili wesis mixedviT, program

direqtorisaTvis rezidentis mier gaweuli samuSaos Sesaxeb angariSis wardgena;

4. rezidentis dRiurSi rezidentis mier Sesrulebuli samuSaos xelmoweriT dadastureba.

muxli 11. muxli 11. muxli 11. muxli 11. rezidentis ufleba/movaleobebi:

1. rezidenti SeiZleba garicxuli iqnas rezidenturidan erTi Tvis ganmavlobaSi gamoucxadeblobis an programis ver daZlevis SemTxvevaSi. gadawyvetilebas rezidentis garicxvis Sesaxeb iRebs programis direqtori saministros saxelmwifo kontrols daqvemdebarebuli sajaro samarTlis iuridiuli pirTan SeTanxmebiT;

2. rezidents ufleba aqvs programis kurikulumis darRvevis an Seferxebis Sesaxeb werilobiT acnobos saministros saxelmwifo kontrols daqvemdebarebul sajaro samarTlis iuridiuli pirs;

3. rezidents ufleba aqvs programis daubrkolebeli daZlevisaTvis moiTxovos Sesabamisi samuSao pirobebiT uzrunvelyofa (kvalificiuri xelmZRvaneli, Tanamedrove tipis klinikuri da sainformacio/sakomunikacio teqnologiebi, samuSao oTaxi);

4. rezidenti valdebulia Seasrulos rezidenturis programiT gansazRvruli kurikulumi;

5. rezidenti valdebulia programiT gansazRvruli da Sesrulebuli saqmianoba daafiqsiros personalur dRiurSi;

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6. rezidenti valdebulia yoveli wlis bolos warudginos programis direqtors gaweuli muSaobis angariSi da gaiaros etapobrivi da damasrulebeli atestacia dadgenili wesiT;

7. rezidenti valdebulia daicvas samedicino dawesebulebis Sinaganawesi da Seasrulos dawesebulebis ganrigiT gansazRvruli saqmianoba.

Tavi VI.Tavi VI.Tavi VI.Tavi VI. programis etapobrivi ganxorcielebis aRweriloba (wlebis mixedviT)programis etapobrivi ganxorcielebis aRweriloba (wlebis mixedviT)programis etapobrivi ganxorcielebis aRweriloba (wlebis mixedviT)programis etapobrivi ganxorcielebis aRweriloba (wlebis mixedviT)

muxli 1. muxli 1. muxli 1. muxli 1. mzadebis pirveli wlis modulebis raodenobamzadebis pirveli wlis modulebis raodenobamzadebis pirveli wlis modulebis raodenobamzadebis pirveli wlis modulebis raodenoba ---- 9999

moduli 1.1. - eqimisa da pacientis urTierTobis samarTlebrivi da eTikuri safuZvlebi; moduli 1.2. - fundamenturi medicinis Tanamedrove aspeqtebi moduli 1.3. - Tanamedrove anesTeziologiuri uzrunvelyofis koncefciebi, farmakokinetika, farmakodinamika da farmakogenetika moduli 1.4. - topografiuli anatomia da qirurgiuli midgomebi anesTeziologiasa da reanimatologiaSi moduli 1.5. - avadmyofis winasaoperacio gamokvleva, zogadi anesTeziisa da operaciis riskis Sefaseba moduli 1.6. - axali teqnologiebi anesTeziologiur praqtikaSi, avadmyofis usafrTxoebis Tanamedrove principebi moduli 1.7. - infuzur-transfuzuri Terapiisa da parenteraluri kvebis ZiriTadi principebi moduli 1.8. - regionuli gautkivarebis Tanamedrove koncepciebi da meTodebi moduli 1.9. - zogadi gautkivarebis Taviseburebani qirurgiis sxvadasxva dargebSi, ambulatoriuli gautkivareba

muxli 2. profesiuli mzadebis I wlis mizanimuxli 2. profesiuli mzadebis I wlis mizanimuxli 2. profesiuli mzadebis I wlis mizanimuxli 2. profesiuli mzadebis I wlis mizaniaaaa::::

rezidenti (maZiebeli) daeuflos anesTeziologia – reanimatologiis ZiriTad sabaziso Teoriuli aspeqtebs, aiTvisos ZiriTad manipulaciaTa teqnika.

muxli 3. mzadebis meore wlis modulebis raodenoba muxli 3. mzadebis meore wlis modulebis raodenoba muxli 3. mzadebis meore wlis modulebis raodenoba muxli 3. mzadebis meore wlis modulebis raodenoba __ 3__ 3__ 3__ 3 moduli 2.1. - sazogadoebrivi jandacva da epidemiologia moduli 2.2. - mtkicebiTi medicinisa da samedicino statistikis safuZvlebi moduli 2.3. - reanimatologia (kritikuli medicinis safuZvlebi)

muxli 4. profesiuli mzadebis II wlis mizani: muxli 4. profesiuli mzadebis II wlis mizani: muxli 4. profesiuli mzadebis II wlis mizani: muxli 4. profesiuli mzadebis II wlis mizani:

meore wlis mizania rezidentma (maZiebelma) aiTvisos reanimatologiis Teoriuli da praqtikuli sakiTxebi.

muxli 5. mzadebis mesame wlis modulebis raodenobamuxli 5. mzadebis mesame wlis modulebis raodenobamuxli 5. mzadebis mesame wlis modulebis raodenobamuxli 5. mzadebis mesame wlis modulebis raodenoba __ 10 __ 10 __ 10 __ 10 moduli 3.1. - zogadi anesTezia abdominalur qirurgiaSi moduli 3.2. - anesTeziologiuri uzrunvelyofisa da intensiuri Terapiis ZiriTadi principebi gulsisxlZarRvTa da Torakalur qirurgiaSi moduli 3.3. - anesTeziologiuri uzrunvelyofisa da intensiuri

14

Terapiis ZiriTadi principebi neiroqirurgiasa da nevrologiaSi moduli 3.4. - zogadi anesTeziis Taviseburebebi geriatriaSi moduli 3.5. - anesTeziologiuri uzrunvelyofisa da intensiuri Terapiis ZiriTadi principebi pediatriaSi moduli 3.6. - zogadi anesTezia endokrinuli paTologiebis dros moduli 3.7. - zogadi anesTeziis principebi urgentuli operaciebis dros moduli 3.8. - anesTeziologiuri uzrunvelyofisa da intensiuri Terapiis ZiriTadi principebi katastrofebis dros moduli 3.9. - poliorganuli ukmaroba anesTeziologiuri uzrunvelyofa moduli 3.10. - Secdomebi da sirTuleebi anesTeziologiur praqtikaSi

muxli 6. profesiuli mzadebis III wlis mizani: muxli 6. profesiuli mzadebis III wlis mizani: muxli 6. profesiuli mzadebis III wlis mizani: muxli 6. profesiuli mzadebis III wlis mizani:

rezidenturis mesame wels rezidenti (maZiebeli) aiTvisebs kerZo anesTeziologiis sakiTxebs, qirurgiis sxvadasxva dargebSi anesTeziologiuri uzrunvelyofis Taviseburebebs, Tanamedrove anesTeziologiaSi arsebul uaxles meTodologiur da teqnologiur sakiTxebs. daxvewavs topografiuli anatomiis da operaciuli qirurgiis codnas da srulyofs saTanado manipulaciebis teqnikas.

Tavi VII. profesiuli mzadebis I wlis modulebiTavi VII. profesiuli mzadebis I wlis modulebiTavi VII. profesiuli mzadebis I wlis modulebiTavi VII. profesiuli mzadebis I wlis modulebi

muxli 1. moduli 1.1muxli 1. moduli 1.1muxli 1. moduli 1.1muxli 1. moduli 1.1.... eqimisa da pacientis urTierTobis eqimisa da pacientis urTierTobis eqimisa da pacientis urTierTobis eqimisa da pacientis urTierTobis samarTlebrivi da eTikuri safuZvlebi.samarTlebrivi da eTikuri safuZvlebi.samarTlebrivi da eTikuri safuZvlebi.samarTlebrivi da eTikuri safuZvlebi.

1. modulis xangrZlivobaa:modulis xangrZlivobaa:modulis xangrZlivobaa:modulis xangrZlivobaa: 2 kv. (72 sT.) 2. modulis mizania:modulis mizania:modulis mizania:modulis mizania: saeqimo saqmanobisTan dakavSirebuli saqarTvelos moqmedi

sakanonmdeblo normebis da Tanamedrove bioeTikis principebis Sesabamisi codnis SeZena da misi gamoyenebis unaris gamomuSaveba rezidentis/specialobis maZieblisaTvis

3. modulis amocanebimodulis amocanebimodulis amocanebimodulis amocanebia:a:a:a: 1) saeqimo saqmianobasTan dakavSirebuli sakanonmdeblo normebi arsebuli kanonmdeblobis Sesabamisad, pacientis uflebebis dacvis samarTlebrivi sakiTxebi 2) janmrTelobis dacvis sferoSi biosamedicino eTikis sayovelTaod aRiarebuli normebi da profesiuli saqmianobis Tanamedrove samedicino eTikis principebi, 3) damoukidebeli saeqimo saqmianobis subieqtsa da saxelmwifo xelisuflebis organoebis, fizikur da iuridiul pirebs Soris urTierTobis samarTlebrivi sakiTxebi, 4) adamianze Catarebuli samedicino-biologiuri kvlevebis samarTlebrivi da eTikuri sakiTxebi,saerTaSoriso normebisa da saqarTvelos arsebuli kanonmdeblobebis Sesabamisad.

4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba mocemulia cxrili # mocemulia cxrili # mocemulia cxrili # mocemulia cxrili # 1111----is saxiT:is saxiT:is saxiT:is saxiT:

cxrili # cxrili # cxrili # cxrili # 1111 Teoriuli kursi davaleba

kanonisa kanonisa kanonisa kanonisa da eTikis roli samedicino momsaxureobis gawevisasda eTikis roli samedicino momsaxureobis gawevisasda eTikis roli samedicino momsaxureobis gawevisasda eTikis roli samedicino momsaxureobis gawevisas -bioeTikis Seswavlis sagani, samedicno eTika,istoriuli aspeqtebi,”hipokrates fici ”, samedicino saqmianobis regulirebis istotiuli aspeqtebi

bioeTikis ZiriTadi principebibioeTikis ZiriTadi principebibioeTikis ZiriTadi principebibioeTikis ZiriTadi principebi

15

“ar avno”, “Hhqmeni sikeTe”, “avtonomia” ,samarTlianoba, konfidencialuroba; eqimisa da pacientis urTierTobis modelebieqimisa da pacientis urTierTobis modelebieqimisa da pacientis urTierTobis modelebieqimisa da pacientis urTierTobis modelebi prezentaciebis

analizi saeqimo saqmianobiis samarTlebrivi regulirebis istoriuli saeqimo saqmianobiis samarTlebrivi regulirebis istoriuli saeqimo saqmianobiis samarTlebrivi regulirebis istoriuli saeqimo saqmianobiis samarTlebrivi regulirebis istoriuli magaliTebimagaliTebimagaliTebimagaliTebi, -saqarTvelos kanonmdebloba janmrTelobis dacvis sferoSi ; -kanoni pacientis uflebebis Sesaxeb, saqarTvelos janmrTelobis dacvis kanoni, kanoni saeqimo saqmianobis Sesaxeb

socialuri pasuxismgeblobasocialuri pasuxismgeblobasocialuri pasuxismgeblobasocialuri pasuxismgebloba da janmrTelobada janmrTelobada janmrTelobada janmrTeloba -janmrTeloba da avadmyofoba, -eqimi, pacienti, sazogadoeba;;;;

pacientis individualuri uflebebi,pacientis individualuri uflebebi,pacientis individualuri uflebebi,pacientis individualuri uflebebi, -saqarTvelos kanonmdebloba pacientis individualuri uflebebis Sesaxeb, -informaciis miRebis ufleba, samedicino personalis da samedicino dawesebulebis arCevis ufleba, informaciis konfidencialuroba;

informaciuli Tanxmobainformaciuli Tanxmobainformaciuli Tanxmobainformaciuli Tanxmoba –samedicino momsaxureobis ganxorcielebis safuZveli -informaciuli Tanxmobis elementebi da aucilebeli pirobebi -informaciuli Tanxmobis ganxorcielebis meTodebi;.

pacientis qmedunarianobapacientis qmedunarianobapacientis qmedunarianobapacientis qmedunarianoba -mis mier gacnobierebuli gadawyvetilebis miRebis unari. -araqmedunariani pacienti

testireba

sicocxle da sikvdilisicocxle da sikvdilisicocxle da sikvdilisicocxle da sikvdili-------- bioebioebioebioeTikuri kategoriebiTikuri kategoriebiTikuri kategoriebiTikuri kategoriebi -biologiuri sikvdili,Tavis tvinis sikvdili, -gardacvaleba-definacia da eTikuri aspeqtebi

prezentaciebis analizi

tkivilis marTvatkivilis marTvatkivilis marTvatkivilis marTva, -ukurnebeli seniT daavadebuli pacienti, paliatiuri mkurnaloba,hospisi;

evTanazia,evTanazia,evTanazia,evTanazia, istoriuli,religiuri,eTikuri aspeqtebi -evTanaziis samarTlebrivi da eTikuri problemebi; -evTanaziis formebi; sikvdili eqimis daxmarebiT;

suicidisuicidisuicidisuicidi , masTan dakavSirebuli eTikuri aspeqtebi, masTan dakavSirebuli eTikuri aspeqtebi, masTan dakavSirebuli eTikuri aspeqtebi, masTan dakavSirebuli eTikuri aspeqtebi -eqimis daxmareba TviTmkvlelobaSi, -mkurnalobaze uaris Tqmis samarTlebrivi da eTikuri sakiTxebi,

samedicino mecnierebis progresi samedicino mecnierebis progresi samedicino mecnierebis progresi samedicino mecnierebis progresi ----axali teqnologiebiaxali teqnologiebiaxali teqnologiebiaxali teqnologiebi -transplantacia, adamianis organoebis gadanergvis samarTlebrivi da eTikuri sakiTxebi, donoris Tanxmobis sakanonmdeblo modelebi

reproduqtolougiis samarTlebis da eTikuri sakiTxebireproduqtolougiis samarTlebis da eTikuri sakiTxebireproduqtolougiis samarTlebis da eTikuri sakiTxebireproduqtolougiis samarTlebis da eTikuri sakiTxebi ; -xelovnuri ganayofiereba, in-vitro - xelovnuri ganayofierebis eTikuri aspeqtebi,surogatuli dedoba, -adamianis reproduqciuli klonireba;.

socialurad saSiSi infeqciebi socialurad saSiSi infeqciebi socialurad saSiSi infeqciebi socialurad saSiSi infeqciebi -Sidsi, narkomania ,infeqciuri hepatitebi. maTTan dakavSirebuli samarTlebrivi da eTikuri sakiTxebi

adamianze Catarebuli kvlevebiadamianze Catarebuli kvlevebiadamianze Catarebuli kvlevebiadamianze Catarebuli kvlevebi saerTaSoriso dokumentebi janmrTelobis dacvis sferoSi adamianis saerTaSoriso dokumentebi janmrTelobis dacvis sferoSi adamianis saerTaSoriso dokumentebi janmrTelobis dacvis sferoSi adamianis saerTaSoriso dokumentebi janmrTelobis dacvis sferoSi adamianis uflebebze uflebebze uflebebze uflebebze -bioeTikis da adamianis uflebebis sayovelTao deklaracia, -msoflio samedicino asociaciis eTikis kodeqsi, -konvencia adamianis uflebebisa da biomedicinis Sesaxeb,da sxva

16

5. modulis Sefasebis meTodebi modulis Sefasebis meTodebi modulis Sefasebis meTodebi modulis Sefasebis meTodebi (kriteriumebi, perioduloba) _

1. profesiuli saqmianobisas konkretuli SemTxvevis samarTlebrivi da eTikuri mxareebis warmoCenis unaris gamomuSaveba rezidentis mier

2. profesiuli saqmianobisas Tanamedrove samedicino eTikis principebisa da arsebuli kanonmdeblobis Sesabamisad warmarTvis unari;

3. eTikuri dilemebis gadawyvetis unaris gamomuSaveba; 4. adamianze Catarebuli samedicino-biologiuri kvlevebis samarTlebrivi da

eTikuri sakiTxebis warmoCenis, analizis da biosamedicino eTikisa da arsebuli kanonmdeblobis Sesabamisad moqmedebis unaris gamomuSaveba rezidentisTvis.

5. aucilebeli da rekomendebuli literaturis nusxa: aucilebeli da rekomendebuli literaturis nusxa: aucilebeli da rekomendebuli literaturis nusxa: aucilebeli da rekomendebuli literaturis nusxa:

1. bioeTikis da adamianis uflebebis sayovelTao deklaraciabioeTikis da adamianis uflebebis sayovelTao deklaraciabioeTikis da adamianis uflebebis sayovelTao deklaraciabioeTikis da adamianis uflebebis sayovelTao deklaracia----iunesko,2005 iunesko,2005 iunesko,2005 iunesko,2005 qarTuli versiaqarTuli versiaqarTuli versiaqarTuli versia – e.giorgaZe, j.mamalaZe,l.gurgeniZe, l.korZaia – samedicino gazeTi, 2007 w.

2. samedicino eTika (bioeTika) samedicino eTika (bioeTika) samedicino eTika (bioeTika) samedicino eTika (bioeTika) – leqciebi, m.i.iarovinski. moskovi – “medicina”, 2000 3. biosamedicino eTika biosamedicino eTika biosamedicino eTika biosamedicino eTika – b.i.pokrovski. moskovi – “medicina”, 1997 w. 4. bioeTikis Sesavali bioeTikis Sesavali bioeTikis Sesavali bioeTikis Sesavali – i.ivanuSkini da sx., moskovi, progresi-tradicia, 1998 w. 5. bioeTikabioeTikabioeTikabioeTika: principebi, wesebi problemebi – b.g.iudini, moskovi, 1998 w. 6. saqarTvelos kanonmdebloba adamianis uflebebis Sesaxeb biomedicinis sferoSi saqarTvelos kanonmdebloba adamianis uflebebis Sesaxeb biomedicinis sferoSi saqarTvelos kanonmdebloba adamianis uflebebis Sesaxeb biomedicinis sferoSi saqarTvelos kanonmdebloba adamianis uflebebis Sesaxeb biomedicinis sferoSi

– g.javaSvili, g.kiknaZe, a.barkalaia. Tbilisi, 2001 w. 7. axalaZe v. bioeTika aTaswleulis mijnaze,- jurnali religia , Tb, 2002 w., #

7,8,9, gv, 82-91 8. axalaZe v.bioeTika, rogorc msoflgageba da mecniereba,biomedicines sferoSi

kacobriobis sulier-zneobrivi orientaciis Sesaxeb (jurnali rwmena da codna 2002 1 ,9, gv.82-91

9. Tanamedrove medicinis zogierTi samarTlebrivi sakiTxi , m.kvaWaZe,Tbilisi, 1995 w.

10. eqimis profesiuli saqmianobis samarTlebrivi safuZvlebi –guram kiknaZe,givi javaSvili,Tbilisi, 2002 w.

11. deontologia qirurgiaSi, n.doliZe, d. mSvenieraZe, mecniereba,1990,Tbilisi 12. adamianis uflebebi da samedicino personalis movaleobebi saerTaSoriso

dokumentebSi - Tbilisi, 1999 13. saeqimo saidumlo, saeqimo Secdoma,b.v.Sevrigini,moskovi,2000 14. saeqimo deontologia,i.i.makSanovi,1998,minski 15. Власов Василий Викторович- Невидимые проблемы медицинской этики: Медицина и

,общество-Медицинское право и этика 2002.- №1.- С. 18-28 16. Власов Василий Викторович Медицина в условиях дефицита ресурсов-Триумф, Москва, 2000 17. И.В.Силуянова. Нравственная культура врача как основание врачебного профессионализма./ ж-л

«Экономика здравоохранения»№ 1/ 42, 2000, с.5-8. 18. И.В.Силуянова Биомедицинская этика в системе медико-биологических знаний.//Медицинское

право и этика. №2, 2000 19. .И.В.Силуянова. О сущности “этического” этических проблем современной медицины. //

Медицинское право и этика,№4,2000.с. 50 20. И.В.Силуянова. В помощь преподавателю биоэтики. Программа по биоэтике. Тематические

планы лекций и семинаров.// Медицинское право и этика.№4,2001.с.84- 96. 21. И.В.Силуянова. Этическая культура как основание медицинского профессионализма или зачем

будущему врачу изучать гуманитарные науки?// Медицинское право и этика.№4, 2001, с.81-84. 22. И.В.Силуянова. Понимание этики в медицине как социальная проблема. (Этические проблемы

медицины глазами медиков).// Этика и медицина проблема взаимодействия. Медицинское право и этика.2002,№4, с.33-41

23. .И.В.Силуянова, Сабурова В.И. ,Сушко Н.А.,Першин М.С Семинарские занятия по курсу “Биомедицинская этика” для студентов лечебного, педиатрического, медико-биологического факультетов. Учебно-методич. Пособие. М. 2003.

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24. И.В.Силуянова, Ляуш Л. Б., В. А. Антипенков опросы тестового контроля по биомедицинской этике. //«Медицинское право и этика», № 4, 2000, с. 79-80.

25. -http://www.bioethics.ru/rus/ - bioeTikis forumi 26. Медицина, этика, религия и право : Материалы конф. 25-26 нояб. 1999 г.. - М., 2000. - 45-56 с. 27. Биоэтика. Вопросы и ответы // Прогресс-Традиция А. Я. Иванюшкин, Л.Ф. Курило, Ю.М.

Лопухин, Н.Н. Седова, П.Д. Тищенко, Б.Г. Юдин (unesco)2005 28. http://depts.washington.edu/bioethx/topics/physpt.html#ques6 -kazusebi da pauxebi 29. -meoce saukunis qarTuli filosofiis anTologia- pirveli tomi pirveli

nakveTi 1998 weli 30. cnobili ucxoeli da qarTveli eqimebi,biografia,moRvaweoba medicinaSi da mis

farglebs gareT- z.kaxiani,s.kaxiani, 1993, gamomcemloba ganaTleba 31. bioeTikosTa bioeTikosTa bioeTikosTa bioeTikosTa saerTaSoriso asociiaciidan miRebuli masalebisaerTaSoriso asociiaciidan miRebuli masalebisaerTaSoriso asociiaciidan miRebuli masalebisaerTaSoriso asociiaciidan miRebuli masalebi,

http://bioethicsinternational.org 32. msoflio samedicino asociaciidan miRebuli masalebimsoflio samedicino asociaciidan miRebuli masalebimsoflio samedicino asociaciidan miRebuli masalebimsoflio samedicino asociaciidan miRebuli masalebi,

http://www.wma.net/e/ethicsunit/index.htm 33. The Center for Bioethics and Human Dignity http://www.cbhd.org/ 34. Feminist Approaches to Bioethics -http://www.pdcnet.org/member-fab. 35. BioethicsWeb - http://bioethicsweb.ac.uk/ 36. http://www.unesco.org/ibc/ www.unesco.org/shs/bioethics 37. msoflios janmrTelobis organizaciis veb gvmsoflios janmrTelobis organizaciis veb gvmsoflios janmrTelobis organizaciis veb gvmsoflios janmrTelobis organizaciis veb gverdze ganTavsebuli masalebierdze ganTavsebuli masalebierdze ganTavsebuli masalebierdze ganTavsebuli masalebi----

www.who.int/ethics/topics/en/ 38. amerikis bioeTikis da humanizmis asociacia - http://www.asbh.org/ (Georgetown

University , BIOETHICS CURRICULUM UNITS FROM THE KENNEDY INSTITUTE OF ETHICS http://www.georgetown.edu/research/nrcbl

muxli muxli muxli muxli 2222. . . . moduli 1moduli 1moduli 1moduli 1.2. .2. .2. .2. fundamenturi medicinis Tanamedrove fundamenturi medicinis Tanamedrove fundamenturi medicinis Tanamedrove fundamenturi medicinis Tanamedrove aspeqtebi.aspeqtebi.aspeqtebi.aspeqtebi.

1. modulis xangrZlivobaamodulis xangrZlivobaamodulis xangrZlivobaamodulis xangrZlivobaa ---- 2 kv. (72 sT.) 2. modulis mizaniamodulis mizaniamodulis mizaniamodulis mizania - rezidentis/specialobis maZieblisaTvis medicinis

fundamenturi da klinikuri kvlevis Tanamedrove principebis Sesaxeb saWiro codnis SeZena da misi gamoyenebis unaris gamomuSaveba. programa kompleqsuria, Sedgeba oTxi - imunologiis, klinikuri farmakologiis, fiziologiis da paTfiziologiis - qvemodulisagan, Sesabamisi amocanebis Tanmimdevruli ganxorcielebiT.

3. modulis amocanebia:modulis amocanebia:modulis amocanebia:modulis amocanebia: fiziologiis qvemoduli:

1. adaminis organizmis funqciuri sistemebis organizaciisa da centralur nervul sistemaSi mimdinare neirobiologiuri procesebis bioqimiuri safuZvlebi integraciis sxvadasxva doneze;

2. calkeuli neiromediatoruli sistemis funqcionirebis (sinafsuri mediaciis) natifi molekuluri meqanizmebi; sinafsuri gadacemis sxvadasxva safexurze qimiuri preparetebis zemoqmedebis efeqturi gamovlinebebi da daavadebaTa koreqciis zogadi principebi;

3. tkivilisa da gautkivarebis funqciuri sistemis neirobiologiuri safuZvlebi; nocicepciis periferiuli da centraluri meqanizmebis neiroqimiuri safuZvlebi; endogenuri opioiduri da sxva peptidebis receptoruli sistemis roli analgeziis ganviTarebaSi;

4. motivacia da emocia. limburi sistema (hipokampi, sartylebri xveuli, nuSisebri kompleqsi), striopaliduri sistema da integraciis Talamuri done adamianis qcevis organizaciaSi. hipoTalamusis roli integraciul moqmedebaSi da ZiriTad biologiur motivaciebis formirebaSi.

5. fiziologiaSi, molekulur biologiaSi da Teoriul medicinaSi ukanasknel wlebSi (2000-2005) ganxorcielebuli mniSvnelovani kvlevis Sedegebis mimoxilva da analizi;

18

paTfiziologiis qvemoduli:

1. adaptaciis procesi. organizmis zogadi reaqcia endogenuri da egzogenuri faqtoris zemoqmedebaze. organizmis Seguebadoba Secvlil saarsebo garemosTan.

2. organizmis saregulacio sistemebis roli adaptaciis ganxorcielebaSi fiziologiur da eqstremalur situaciebSi. parakrinuli regulaciis molekuluri meqanizmebi. mexsierebis roli adaptaciuri qcevis realizaciaSi.

3. adapturi stres-reaqcia. stresuli da antistresuli meqanizmebi. eqstremaluri faqtoris zemoqmedebiT ganviTarebuli paTogenuri stresi. Sokuri mdgomareobis zogadi paTogenezi. organoebisa da organoTa sistemebis funqciobis da integraciis moSlis meqanizmebi Sokis dros.

klinikuri farmakologiis qvemoduli:

1. kerZo klinikuri farmakologiis ZiriTadi sakiTxebi fundamenturi da klinikuri medicinis bolo miRwevebis Sesabamisad. farmakoTerapia mtkicebiTi medicinis poziciebidan.

2. samkurnalod praqtikaSi gamoyenebuli samkurnalo preparatebis ZiriTadi jgufebis farmakokinetikis da farmakodinamikis Seswavla. sxvadasxva samkurnalo preparatebis urTierTdamokidebulebis da arasasurveli gverdiTi efeqtebis Seswavla. agreTve, gamoyenebuli farmakologiuri preparatebis randomizebuli kontrolirebadi kvleva.

imunologiis qvemoduli:

1. fundamenturi da klinikuri imunologiis - imunuri sistemis organoebisa da ujredebis, imunoglobulinebis, antigenis gamomcnobi da warmdgeni molekulebis struqturisa da funqciis- Tanamedrove Teoriuli da praqtikuli aspeqtebi;

2. daavadebaTa ganviTarebaSi imunuri meqanizmebis rolis, rogorc axali sadiagnozo da Terapiuli strategiis safuZvlebi;

4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba

mocemulia cxrili #mocemulia cxrili #mocemulia cxrili #mocemulia cxrili # 2222----is saxiT:is saxiT:is saxiT:is saxiT: cxrilcxrilcxrilcxrili #i #i #i # 2222

Teoriuli kursi davaleba organizmis funqciebis regulacia da fiziologiuri integraciaorganizmis funqciebis regulacia da fiziologiuri integraciaorganizmis funqciebis regulacia da fiziologiuri integraciaorganizmis funqciebis regulacia da fiziologiuri integracia

neironis morfologiuri specializacia da neironTaSorisi komunikaciis safuZvlebi cns-is integraciuli moqmedebis ganxorcielebaSi. neirosekrecia, rogorc ZiriTadi biologiuri kanonzomiereba da cns-is subujreduli regulaciis elementi.

neironTaSorisi komunikaciis safuZvlebineironTaSorisi komunikaciis safuZvlebineironTaSorisi komunikaciis safuZvlebineironTaSorisi komunikaciis safuZvlebi

neiroregulatorebis klasifikacia da maTi gansazRvris kriteriumebi. neiroregulatorebis mimarT mgrZnobiare receptorebis klasifikacia da maTi moqmedebis kanonzomierebani. “retrograduli mesenjeri”. sinafsis plastikuroba. neironuli integracia. calkeuli neiroregulatorebi (biogenuri aminebi, aminomJavebi, arapeptiduri kandidatebi, neiropeptidebi).


tkivilis fiziologiatkivilis fiziologiatkivilis fiziologiatkivilis fiziologia

problemis zogadi mimoxilva. nocicepturi sistema da tkivilis sensitiuri aRmavali gzebi. endogenuri opioiduri da sxva peptidebis roli. antinocicefciuri sistema, gautkivarebis biologiuri mniSvneloba. tkivilis saxeebi. tkivilis neirobiologiuri safuZvlebi. tkivilis centraluri da


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periferiuli meqanizmebi. endogenuri opiatebi (opioidebi). opioidebiT gamowveuli analgeziis neirofiziologiuri meqanizmebi. substancia P da misi roli tkivilis SegrZnebaSi.

motivacia da emociamotivacia da emociamotivacia da emociamotivacia da emocia

limburi sistemis anatomiis da funqciis zogadi mimoxilva. adamianis qcevis organizacia. “motivaciis” da “emociis” mniSvneloba qcevis organizaciaSi. “fsiqoanalizis” Teoria. hipoTalamusis roli integraciul moqmedebaSi da ZiriTad biologiur motivaciebis formirebaSi. limburi sistema (hipokampi, sartylebri xveuli, nuSisebri kompleqsi) striopaliduri sistema da integraciis Talamuri done.

testireba

fiziologiaSi, molekulur biologiaSi da Teoriul medicinaSi ukanasknel wlebSi (2004-2006) ganxorcielebuli mniSvnelovani kvlevis Sedegebis mniSvnelovani kvlevis Sedegebis mniSvnelovani kvlevis Sedegebis mniSvnelovani kvlevis Sedegebis mimoxilva da analizi;mimoxilva da analizi;mimoxilva da analizi;mimoxilva da analizi;

orgaorgaorgaorganizmis sxvadasxva funqciurnizmis sxvadasxva funqciurnizmis sxvadasxva funqciurnizmis sxvadasxva funqciur----struqturul doneze ganviTarebuli struqturul doneze ganviTarebuli struqturul doneze ganviTarebuli struqturul doneze ganviTarebuli paTologiuri procesebis urTierTobisa da integraciis kanonzomierebani.paTologiuri procesebis urTierTobisa da integraciis kanonzomierebani.paTologiuri procesebis urTierTobisa da integraciis kanonzomierebani.paTologiuri procesebis urTierTobisa da integraciis kanonzomierebani. organizmis da garemos fiziko-qimiuri da informaciuli urTierToba. reaqtiulobis roli Secvlil saarsebo garemosTan adaptaciis ganviTarebaSi.

saregulacio sistemebis roli adaptaciuri procesebis ganviTarebaSisaregulacio sistemebis roli adaptaciuri procesebis ganviTarebaSisaregulacio sistemebis roli adaptaciuri procesebis ganviTarebaSisaregulacio sistemebis roli adaptaciuri procesebis ganviTarebaSi. parakrinul-autokrinuli regulacia. citokinebi ujredSorisi urTierTobebis peptiduri regulatorebi. azotis oqsidi da misi moqmedebis molekuluri meqanizmebi.


mexsierebis roli adaptaciuri qcevis ganxorcielebaSi. sxvadasxva tipis mexsierebis neirobiologiuri meqanizmebi. mexsierebis darRveva.


specifiuri adaptaciis meqanizmebispecifiuri adaptaciis meqanizmebispecifiuri adaptaciis meqanizmebispecifiuri adaptaciis meqanizmebi. stresstresstresstres----reaqcia. zogadi adaptaciuri reaqcia. zogadi adaptaciuri reaqcia. zogadi adaptaciuri reaqcia. zogadi adaptaciuri sindromi. sindromi. sindromi. sindromi. stresuli hormonebi. centraluri da periferiuli antistresuli meqanizmebi, stresuli cilebi.


eqstremaluri mdgomareobis zogadi paTogenezi. Soki, Sokis eqstremaluri mdgomareobis zogadi paTogenezi. Soki, Sokis eqstremaluri mdgomareobis zogadi paTogenezi. Soki, Sokis eqstremaluri mdgomareobis zogadi paTogenezi. Soki, Sokis stadiebi. neiroendokrinuli regulaciisa da organoTa sistemebis integraciis moSlis meqanizmebi. Sokuri Tirkmlis, Sokuri RviZlis, Sokuri filtvis ganviTarebis meqanizmebi. mozrdilTa mwvave respiraciuli distres-sindromi.

testireba

imunuri sistemis zogadi daxasiaTeba. imunuri sistemis zogadi daxasiaTeba. imunuri sistemis zogadi daxasiaTeba. imunuri sistemis zogadi daxasiaTeba. sakuTarisa da ucxos garCeva. Tandayolili da SeZenili imunuri pasuxi. imunuri sistemis ujredebi. imunuri pasuxis mediatorebi. ujredSida da ujredgareTa paTogenis sawinaaRmdego dacva. vaqcinacia. imunopaTologia da atopia.

imunuri pasuxis regulaciaimunuri pasuxis regulaciaimunuri pasuxis regulaciaimunuri pasuxis regulacia

antigeniT imunuri pasuxis regulacia. antigenwarmdgeni ujredebi. antisxeulebiT regulacia. limfocitebiT regulacia. idiotipuri modulacia. neiroendokrinuli modulacia. imunuri pasuxis genetikuri kontroli.

tolerantobis induqcia eqsperimentSi. sakuTari antigenebisadmi centraluri Timusuri tolerantoba. sakuTari antigenebisadmi periferiuli – postTimusuri tolerantoba. sakuTari antigenebisadmi B-ujreduli tolerantoba. in vitro da in vivo xelovnurad inducirebuli tolerantoba. tolerantobis gamoyeneba TerapiaSi.


simsivnis imunologiasimsivnis imunologiasimsivnis imunologiasimsivnis imunologia

simsivne rogorc qsovilovani transplantanti. imunuri zedamxedveloba.


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simsivnesTan asocirebuli antigenebi. simsivnis sawinaaRmdego imunuri pasuxi. simsivnis mier imunuri pasuxis Tavidan acileba. imunodiagnostika. imunoTerapia.

autoimuniteti da autoimunuri daavadebebiautoimuniteti da autoimunuri daavadebebiautoimuniteti da autoimunuri daavadebebiautoimuniteti da autoimunuri daavadebebi

autoimunitetis kavSiri daavadebebTan. organospecifiuri da araorganospecifiuri autoimunuri daavadebebi. genetikuri faqtorebi. paTogenezi. autoimunur daavadebaTa modelebi: inducirebuli da spontanuri autoimuniteti. daavadebebi, ganpirobebuli paTogenuri autoantisxeulebiT: Tireotoqsikozi, avTvisebiani miasTenia, I tipis diabeti, mamakacis uSviloba, perniciozuli anemia, gudpasCeris sindromi, sisxlis daavadebebi. daavadebebi, ganpirobebuli paTogenuri imunuri kompleqsebiT: sistemuri wiTeli mglura, revmatoiduli poliarTriti, skleroderma, antifosfolipiduri sindromi.


imunuri sistemis klinikuri da laboratoriuli Sefasebaimunuri sistemis klinikuri da laboratoriuli Sefasebaimunuri sistemis klinikuri da laboratoriuli Sefasebaimunuri sistemis klinikuri da laboratoriuli Sefaseba

humoruli imunuri pasuxis Sefaseba. ujreduli imunuri pasuxis Sefaseba.

limfocitTa raodenobisa da funqciis Sefaseba: imunofenotipireba gamWoli citofluorometriiT, in vitro limfocitebis proliferacia, citokin-maproducirebeli ujredebis gansazRvra (ELISPOT meTodi), citotoqsiurobis testi. komplementis sistemis gamokvleva. fagocitebis funqciis gamokvleva.

antigenis/antisxeulis aRmosaCeni reaqciebi: precipitaciis reaqcia, hemaglutinaciis reaqcia, komplementis SeboWvis reaqcia, pirdapiri da arapirdapiri imunofluorescenciis reaqcia, imunofermentuli reaqcia, imunoblotingi da imunoprecipitacia. antisxeulTa izolacia. monoklonuri antisxeulebis produqcia.

testireba

klinikuri farmaklinikuri farmaklinikuri farmaklinikuri farmakokinetikisa da klinikuri farmakodinamikis ZiriTadi kokinetikisa da klinikuri farmakodinamikis ZiriTadi kokinetikisa da klinikuri farmakodinamikis ZiriTadi kokinetikisa da klinikuri farmakodinamikis ZiriTadi principebi, racionaluri farmakoTerapia.principebi, racionaluri farmakoTerapia.principebi, racionaluri farmakoTerapia.principebi, racionaluri farmakoTerapia.

arasasurveli wamlismieri reaqciebi. klinikuri farmakoekonomika, arasasurveli wamlismieri reaqciebi. klinikuri farmakoekonomika, arasasurveli wamlismieri reaqciebi. klinikuri farmakoekonomika, arasasurveli wamlismieri reaqciebi. klinikuri farmakoekonomika, farmakoepidemiologia.farmakoepidemiologia.farmakoepidemiologia.farmakoepidemiologia. samkurnalo dozebis gaTvla Tirkmlis qr. ukmarisobiT daavadebul pacientebSi. medikamentozuli saSualebebis metabolizmi, biotransformacia.


farmakoTerapia da mtkicebiTi medicina.farmakoTerapia da mtkicebiTi medicina.farmakoTerapia da mtkicebiTi medicina.farmakoTerapia da mtkicebiTi medicina. medikamentebis Sewovisa da organizmSi ganawilebis meqanizmebi


farmakoTerapiis saxeebifarmakoTerapiis saxeebifarmakoTerapiis saxeebifarmakoTerapiis saxeebi----etiotropuli, paTogenezuretiotropuli, paTogenezuretiotropuli, paTogenezuretiotropuli, paTogenezuriiii

farmakoTerapiis saxeebi farmakoTerapiis saxeebi farmakoTerapiis saxeebi farmakoTerapiis saxeebi ---- simptomaturi, profilaqtikuri.simptomaturi, profilaqtikuri.simptomaturi, profilaqtikuri.simptomaturi, profilaqtikuri. racionaluri antibiotikoTerapiis sakiTxebi. medikamentozuri monitoringi (Cvenebebi, klinikuri mniSvneloba da Sedegebis interpretacia).


gadaudebel mdgomareobaTa klinikaSi gamgadaudebel mdgomareobaTa klinikaSi gamgadaudebel mdgomareobaTa klinikaSi gamgadaudebel mdgomareobaTa klinikaSi gamoyenebul medikamentTa oyenebul medikamentTa oyenebul medikamentTa oyenebul medikamentTa farmakokinetikuri da farmakodinamikuri daxasiaTebafarmakokinetikuri da farmakodinamikuri daxasiaTebafarmakokinetikuri da farmakodinamikuri daxasiaTebafarmakokinetikuri da farmakodinamikuri daxasiaTeba. arasasurveli medikamentozuri efeqtebi, maTi karcenogenoba.

testireba

5. modulis Sefasebis meTodebi modulis Sefasebis meTodebi modulis Sefasebis meTodebi modulis Sefasebis meTodebi

modulis dasrulebis Semdeg rezidents/specialobis maZiebelma unda icodes/SeeZlos:

1. integraciis sxvadasxva doneze organizmis cxovelmoqmedebis zogadi kanonzomierebebis (molekuluridan-organizmulamde) da principebis Sefaseba;

2. daavadebul organizmSi mimdinare adaptaciuri procesebis, avadmyofobis aRmocenebis, mimdinareobisa da gamosavlis zogadi meqanizmebis, paTogenezuri profilaqtikis, Terapiis principebis da meTodebis Sefaseba;

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3. imunopaTologiuri mdgomareobebis diagnostikuri da Terapiuli strategiis safuZvlebis Sefaseba; alergiuli daavadebebis profilaqtikisa da mkurnalobis Sesaxeb codnas;

4. farmakokinetikuri da farmakodinamikuri monacemebis Sesabamisad samkurnalo saSualebebis SerCeva. individualuri mgrZnobelobidan gamomdinare, preparatis arasasurveli efeqtebis gaTvaliswineba; datvirTvisa da SemanarCunebeli dozebis SerCeva; zogierT kategoriis avadmyofTaTvis (RviZlis funqciis darRveva, Tirkmlis qr. ukmarisoba, xandazmuli da xanSisesuli pirebi, bavSvebi) samkurnalo dozis gaTvla; arasasurveli wamlismieri reaqciis profilaqtika, diagnostika da mkurnaloba; samkurnalo preparatebis zedozirebis diagnostika da mkurnaloba.


1. T.naneiSvili ”sinafsi. molekulidan qcevamde” Tbilisi,2002w.

2. T.naneiSvili “”qcevis fsiqofiziologia” , Tbilisi.2003w.

3. Р,Орлов. А,Ноздрачев «Нормальная физиология». ГЕОТАР-Медия 2005 г,

4. Acta Neurobiol Exp 2004, 64; - [email protected]

5. Диффузная внесинаптическая нейропередача посредством глутамата и ГАМК .

6. http://www.biomednet.ru/content/view/47

7. http://www.brain.ru/

8. http://phynist3d.narod.ru/

9. http://www.ecclescorner.org/RUS/

10. http://www.stoppain.org/pain_medicine/content/chronicpain/

11. http://www.pbs.org/wnet/brain/3d/index.html

12. http://www.uclan.ac.uk/ldu/resources/multimedia/visualization/directions.html - brain

13. http://www.bayareapainmedical.com/nervanim.html - spinothalamic-retikulothalamic

14. http://www.painresearch.utah.edu/cancerpain/neurax.html

15. http://www.stoppain.org/pain_medicine/content/medication/opioids.asp#top

16. http://www.spine-health.com/dir/dir01.html

17. http://library.med.utah.edu/WebPath/HISTHTML/NEURANAT/NEURANCA.html#2

18. http://webschoolsolutions.com/patts/systems/nervous.htm#somatosensory

19. http://www.innerbody.com/image/nervov.html

20. П,Литвицкий. «Патофизиология». Москва. 2002 г,

21. О,Молотков. С,Ефремов. В,Решедько. «Патофизиология в вопросах и в ответах». Смоленск. 1999 г,

22. Р,Орлов. А,Ноздрачев «Нормальная физиология». ГЕОТАР-Медия 2005 г,

23. Р,Сепиащвили «Основы физиологии имунной системы». Москва. 2003 г,

24. Кукес В.Г. Клиническая фармакология. Учебник для медицинских ВУЗов.-М.ГЭОТАР-МЕД, 2004.

25. Основы клинической фармакологии и рационалъной фармакотерапии. Под общей ред. Белоусова Ю.Б., Леоновой М.В.-М., Бионика, 2002.

26. Верткин А.Л. Скорая медицинская помощъ.-М., ГЭОТАР-МЕД, 2003.

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27. Михаилов И.Б. . Клиническая фармакология. С-Пт., Фолиант, 2002. 28. Лоуренс Д.Р.,Бенитт П.Н. . Клиническая фармакология. Москва

«Медицина», 1993. 29. Интенсивная Терапия, реанимация, первая помощъ». Под. ред. Малышева

В.Д. Москва «Медицина», 2000. 30. n.foraqiSvili. struqturuli imunologia. gamzadebulia dasabeWdad. 31. T Ciqovani. imunologia. amonabeWdis saxiT. mzaddeba dasabeWdad. 32. g.burkaZe. imunomorfologia. norma, paTologia (I da II nawili) 33. Борисов Л.Б. Медицинская микробиология, вирусология, иммунология. Москва.

2001 34. Roitt, I., Brostoff, J. and Male, D. Immunology (7th edn.) Mosby. 2003. 35. C.A.Janeway, P.Travers, M. Walport, M.Shlomchik. Immunobiology. 6th edition., 2005 36. Supplement to The J. of Allergy and Clinical Immunology, 2003, vol.111, No.2

www.mosby.com/jaci 37. www.tsmu.edu/immuno

muxli 3muxli 3muxli 3muxli 3. . . . moduli 1. 3. moduli 1. 3. moduli 1. 3. moduli 1. 3. Tanamedrove anesTeziologiuri uzrunvelyofis Tanamedrove anesTeziologiuri uzrunvelyofis Tanamedrove anesTeziologiuri uzrunvelyofis Tanamedrove anesTeziologiuri uzrunvelyofis koncefciebi, farmakokinetikkoncefciebi, farmakokinetikkoncefciebi, farmakokinetikkoncefciebi, farmakokinetika, farmakodinamika da a, farmakodinamika da a, farmakodinamika da a, farmakodinamika da farmakogenetikafarmakogenetikafarmakogenetikafarmakogenetika 1. 1. 1. 1. modulis xangrZlivobamodulis xangrZlivobamodulis xangrZlivobamodulis xangrZlivobaaaaa 1 Tve ( 144 saaTi) 2. 2. 2. 2. modulis mizanimodulis mizanimodulis mizanimodulis mizania a a a anesTetikebis, analgetikebis, hipnotikebis, relaqsantebis da anesTeziologiur praqtikaSi gamoyenebadi sxva samkurnalwamlo saSualebebis farakologiuri Tvisebebis Seswavla. anesTeziologiuri uzrunvelyofis Tanamedrove koncefciaTa analizuri Seswavla. 3. 3. 3. 3. modulis amocanebimodulis amocanebimodulis amocanebimodulis amocanebi (miznis miRwevis/daZlevis saSualebebi):

Tanamedrove anesTeziologiur praqtikaSi arsebuli koncefciebis, meTodologiis, gamoyenebadi preparatebis farmakokinetikis, farmakodinamikis da farmakogrnrtikis principebis da Taviseburebebis Seswavla.

4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba mocemulia cxrili # 3mocemulia cxrili # 3mocemulia cxrili # 3mocemulia cxrili # 3----is saxiT:is saxiT:is saxiT:is saxiT:

cxrili # 3cxrili # 3cxrili # 3cxrili # 3

Teoriuli kursi davaleba preparatebis moqmedebis meqanizmebi seminari, diskusia,

prezentacia mgrZnobeloba preparatebis mimarT seminari, diskusia,

prezentacia individualuri variaciebi da farmakokinetika; preparatebis urTierTqmedeba

seminari, diskusia, prezentacia

preparatebis toqsikuroba; karcenogenezi seminari, diskusia, prezentacia

samkurnalwamlo saSualebebi orsulobisa da laqtaciis periodSi


ganwyoba toqsemiis mimarT seminari, diskusia, prezentacia

preparatebi romlebic moqmedeben seminari, diskusia,

23

centralur nervul sistemaze: depresantebi, trankvilizatorebi, antidepresantebi, centraluri nervuli sistemis stimulatorebi da anoreqsantebi. antikonvulsantebi

prezentacia

preparatebi romlebic moqmedeben simpaTikur da parasimpaTikur sistemaze:parasimpaTomimetikebi, parasimpaTolitikebi, simpaTomimetikebi, ganglioblokatorebi, periferiuli vazodilatatorebi.


narkotikuli analgetikebi; aranarkotikuli analgetikebi


inhalaciuri anesTetikebi; arainhalaciuri anesTetikebi


adgilobrivi anesTetikebi;


miorelaqsantebi seminari, diskusia, prezentacia

antiperitikebi da anTebis sawinaaRmdego arasteroiduli preparatebi


gluko da mineralokortikoidebi seminari, diskusia, prezentacia

antihistaminuri preparatebi: H1 blokatorebi; H2 blokatorebi


diuretikebi seminari, diskusia, prezentacia

preparatebi romlebic moqmedeben sasunTq sistemaze:mukolitikebi, xvelis refleqsis damaqveiTebeli prepatatebi


antimikrobuli preparatebi: antiseptikebi; baqterioseptikebi;


antibiotikebi seminari, diskusia, prezentacia


Sefaseba moxdeba test-kiTxvarebiT modulis dasrulebis Semdgom.

modulis dasrulebis Semdeg rezidents (specialobis maZiebels) unda icodes/SeeZlos:

- anesTeziologiis Tanamedrove koncefciaTa analizi - konkretuli SemTxvevebisTvis anesTeziologiuri programis Sedgena SerCeul

medikamentTa farmakokinetikis, farmakodinamikis da farmakogenetikis gaTvaliswinebiT

- intensiuri Terapiis procesSi medikamentTa kombinirebuli SerCeva da Seyvanis gzebis da meTodebis gansazRvra

6. aucilebeli da rekomendebuli literaturis nusxa:aucilebeli da rekomendebuli literaturis nusxa:aucilebeli da rekomendebuli literaturis nusxa:aucilebeli da rekomendebuli literaturis nusxa:

1. klinikuri anesTeziologiisa da zogadi intensiuri Terapiis safuZvlebi kiTxvebsa da pasuxebSi. n. lebaniZe. Tbilisi, 2001.

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2. anesTeziologia da reanimatologia kiTxvebsa da pasuxebSi. n.lebaniZe,

s.qajaia. Tbilisi 2008.

3. Клиническая Анестезиология. Дж. Эдвард Морган-мл., Мегид С. Михаил. книга I

, II. Изд-во «БИНОМ – Невский Диалект», 1998

4. Руководство по анестезиологии. под ред. А. Р. Эйткенхеда, Г. Смита, том I , II. Москва, «Медицина», 1999 5. Практическое руководство по анестезиологии. под ред. акад. А. А. Бунятяна, Москва, «Медицина», 1997 6. Детская анестезиология и реаниматология, В. А. Михельсон, Москва, «Медицина», 1985 7. Актуальные проблемы анестезиологии и реаниматологии. Освежающий курс лекций. под ред. Э.

В. Недашковского, Архангельск, 2004 N 3. 4. 8. Актуальные проблемы анестезиологии и реаниматологии. Освежающий курс лекций. под ред.

проф. Э. В. Недашковского, Архангельск-Тромсё, 1997 9. Анестезиология и реаниматология на рубеже 21-ого века, Днепропетровск, 1998 10. Интенсивная терапия. Паул Л. Марино. под ред. А.И. Мартынов. Москва, «Медицина», 1998 11. Сердечно-лёгочная и церебральная реанимация. Петер Сафар. Москва, «Медицина», 1984 12. Сердечно-лёгочная реанимация. К. Гроер, Д. Кавалларо. Москва, «Практика», 1996 13. Медицина критических состоянии. А. П. Зильбер. Петрозаводск.1995 14. Респираторная поддержка. В. Л. Кассиль, Г. С. Лескин, М. А. Выжигина. Москва, «Медицина»,

1997 15. Интенсивная терапия при кровопотере. Л. В. Усенко, Г. А. Шифрин. Киев, «Здоровье» 1995 16. Инфузионная терапия и парентеральное питание, под ред. проф. Г. Н. Хлябича, 1992 17. Патофизиология почки. Джеймс А. Шейман. Изд-во «БИНОМ – Невский Диалект», 1999 18. Патофизиология лёгких. Маикл А. Гриппи. Изд-во «БИНОМ – Невский Диалект», 2000 19. Патофизиология крови. Фред Дж. Шиффман. Изд-во «БИНОМ – Невский Диалект», 2000 20. Терапия. Ален Р. Майер. под ред. А. Г. Чучалина. «ГЭОТАР Медицина», Москва, 1998 21. ANESTHESIA. edited by Ronald D. Miller, M.D. 6th edition «Churchill Livingstone», Copyrught 2005.

Eisvier Inc. 22. Principles of Anesthesiology, general and regional anesthesia. Vincent J. Collins. Vol. I, II, «Lea &

Febiger», 1993 23. Opioids in Anesthesia edited by Fazwy G. Estafonous, M.D. Vol. I, II, «Butterwoth-Heinemann», 1991 24. Annual Refresher Course Lectures. American Society of Anesthesiologists. San Francisco 1994 25. Breathing and Mechanical Support. Wolfgang Oczenski, Alois Werba, Harald Andel. «Blackwell

Science», 1997 26. Respiratory and Critical Care Medicine. Vol.#157, 158. 1998 27. Regional-anästhesie. Gustav Fischer Verlag. 1989

33. American Heart Association in collaboration with International Liaison Committee on Resuscitation. Guidelines 2005 for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care: International Concensus on Science, Part 11, 7: Neonatal Resuscitation. Circulation 2005;112:91-9.

34. Davis P, Tan A, OТDonnell C, Schulze A. Resuscitation of newborn infants with 100% oxygen or air: a systematic review and meta-analysis. Lancet 2004;364:1329-33. 35. Oca M, Nelson M, Donn S. Randomized trial of normal saline versus 5% albumin for the treatment of neonatal hypotension. J Perinatol 2003;23:473-6.

36. Perondi MB, Reis AG, Paiva EF, Nadkarni VM. A comparison of high-dose and standard- dose epinephrine in children with cardiac arrest. N Engl J Med 2004;350:1722-30. 37. Respiratory Manajment in Critical Care. Edited by M JD Griffiths and T W Evans. BMJ Publishing Group 2004. London Wich 9JR. 38. ICU Book, the 3rd Edition. Marino Paul L. Coyiright 2007 Lippincott Williams & Wilkins.

ISBN: 0-7817. 39. Clinical Anesthesiology. 4th edition. G. Edward Morgan, Jr; Maged S. Mikhail; Michael J. Murray. 2006

25

muxli 4muxli 4muxli 4muxli 4. . . . moduli 1.4. moduli 1.4. moduli 1.4. moduli 1.4. topografiuli anatomia da qirurgiuli topografiuli anatomia da qirurgiuli topografiuli anatomia da qirurgiuli topografiuli anatomia da qirurgiuli midgomebi midgomebi midgomebi midgomebi anesTeziologiasa da reanimatologiaSianesTeziologiasa da reanimatologiaSianesTeziologiasa da reanimatologiaSianesTeziologiasa da reanimatologiaSi 1. modulis xangrZlivobaa1. modulis xangrZlivobaa1. modulis xangrZlivobaa1. modulis xangrZlivobaa 1 Tve ( 144 saaTi)

2. modulis mizania2. modulis mizania2. modulis mizania2. modulis mizania

rezidentma uda aiTvisos topografiuli anatomiis ZiriTadi sakiTxebi da im qirurgiul manipulaciaTa teqnika, romelic aucilebelia anesTeziologiuri uzrunvelyofis procesebSi sxvadasxva asakobriv jgufebSi aRmocenebuli qirurgiuli paTologiis operaciuli mkurnalobisa da sxvadasxva genezis kritikuli mdgomareobis mkurnalobis procesSi.

3.modulis amocanebia:3.modulis amocanebia:3.modulis amocanebia:3.modulis amocanebia: (miznis miRwevis/daZlevis saSualebebi): amocanas warmoadgens – rezidentma (maZiebelma) a). Seiswavlos: - saWmlis momnelebeli sistemis topografiuli anatomia

- sasunTqi sistemis topografiuli anatomia - sisxlis mimoqcevis da limfuri sistemebis topografiuli anatomia - nervuli sistemis topografiuli anatomia - Zval-saxsrovani aparatis topografiuli anatomia - saSarde sistemis topografiuli anatomia - aseptikis da antiseptikis sakiTxebi - ZiriTadi qirurgiuli instrumentebi b). daxvewos - traqeis intubaciis teqnika - momnelebeli sistemis intubaciis teqnika - manipulaciebis teqnika gulmkerdis Rrus organoebze - arteriebisa da venebis punqciis da kaTeterizaciis teqnika

- manipulaciebi xerxemalsa da zurgis tvinze 4.Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba 4.Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba 4.Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba 4.Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba mocemulia cxrili # 4mocemulia cxrili # 4mocemulia cxrili # 4mocemulia cxrili # 4----is saxiT:is saxiT:is saxiT:is saxiT:

cxrili # 4cxrili # 4cxrili # 4cxrili # 4

Teoriuli kursi profesiuli unar-Cvevebi (raodenobis

miTiTebiT)

davaleba

zurgis tvinis arxis /subaraqnoiduli sivrcis/ punqcia

10 manipulacia

epiduruli sivrcis punqcia da kaTeterizacia welis malebis doneze

10 manipulacia

saWmlis momnelebeli sistemis topografiuli anatomia

seminari

mxris wnulis blokadis teqnika

2 manipulacia

sajdomi nervis blokadis teqnika

2 manipulacia

neknTaSua nervebis blokadis teqnika. 2 manipulacia

26

paranefraluri blokadis teqnika

2 manipulacia

spirometriuli gamokvleva 10 manipulacia kanis provokaciuli sinjebi.

10 manipulacia

bronqoskopia

2 manipulacia

bronqo-alveoluri lavaJi

2 manipulacia

sasunTqi sistemis topografiuli anatomia

seminari

sisxlis mimoqcevis da limfuri sistemebis topografiuli anatomia

seminari

nervuli sistemis topografiuli anatomia seminari traqeis orotraqeuli intubacia.

20 manipulacia

nazotraqeuli intubacia

10 manipulacia

traqeis retrograduli intubacia

5 manipulacia

filtvebis gancalkevebuli intubacia

5 manipulacia

traqeis punqcia da kaTeterizacia

2 manipulacia

konikotomiis teqnika

prezentacia

traqeostomiisa da traqeotomiis teqnika

2 manipulacia

gulis daxuruli masaJis teqnika

2 manipulacia treningi mulaJze

plevris Rrus punqciis teqnika

5 manipulacia

gulis Rrus punqciis teqnika

2 manipulacia

laviwqveSa venis kaTeterizacia 10 manipulacia defibrilaciis teqnika 2 manipulacia Sida da gare sauRle venis kaTeterizacia

5 manipulacia

barZayis venis kaTeterizacia

2 manipulacia

zeda kidurebis arteriebis kaTeterizacia 5 manipulacia

5.modulis Sefasebis meTodebi 5.modulis Sefasebis meTodebi 5.modulis Sefasebis meTodebi 5.modulis Sefasebis meTodebi (kriteriumebi, perioduloba) _


modulis dasrulebis Semdeg rezidents /specialobis maZiebels/ unda icodes/SeeZlos:

- traqeis intubacia sxvadasxvagvari variantebiT - momnelebeli sistemis intubacia - manipulaciebi gulmkerdis Rrus organoebze - arteriebisa da venebis drenireba da kaTeterizacia

27

- manipulaciebi xerxemalsa da zurgis tvinze

6.6.6.6.aucilebeli da rekomendebuli literataucilebeli da rekomendebuli literataucilebeli da rekomendebuli literataucilebeli da rekomendebuli literaturis nusxa:uris nusxa:uris nusxa:uris nusxa:

1. klinikuri anesTeziologiisa da zogadi intensiuri Terapiis safuZvlebi kiTxvebsa da pasuxebSi. n. lebaniZe. Tbilisi, 2001. 2. anesTeziologia da reanimatologia kiTxvebsa da pasuxebSi. n.lebaniZe, s.qajaia. Tbilisi 2008.

3. Клиническая Анестезиология. Дж. Эдвард Морган-мл., Мегид С. Михаил. книга I,

II. Изд-во «БИНОМ – Невский Диалект», 1998

4. Руководство по анестезиологии. под ред. А. Р. Эйткенхеда, Г. Смита, том I , II. Москва, «Медицина», 1999 5. Практическое руководство по анестезиологии. под ред. акад. А. А. Бунятяна, Москва, «Медицина», 1997 6. Детская анестезиология и реаниматология, В. А. Михельсон, Москва, «Медицина», 1985 7. Патофизиология почки. Джеймс А. Шейман. Изд-во «БИНОМ – Невский Диалект», 1999 8. Патофизиология лёгких. Маикл А. Гриппи. Изд-во «БИНОМ – Невский Диалект», 2000 9. ANESTHESIA. edited by Ronald D. Miller, M.D. 6th edition «Churchill Livingstone», Copyrught 2005.

Eisvier Inc. 10. Principles of Anesthesiology, general and regional anesthesia. Vincent J. Collins. Vol. I, II, «Lea &

Febiger», 1993 11. Annual Refresher Course Lectures. American Society of Anesthesiologists. San Francisco 1994 12. Breathing and Mechanical Support. Wolfgang Oczenski, Alois Werba, Harald Andel. «Blackwell

Science», 1997 13. Regional-anästhesie. Gustav Fischer Verlag. 1989

14.. American Heart Association in collaboration with International Liaison Committee on Resuscitation. Guidelines 2005 for Resuscitation and Emergency Cardiovascular Care: International

Concensus on Science, Part 11, 7: Circulation 2005;112:91-9. muxli 5muxli 5muxli 5muxli 5. . . . moduli 1.5. moduli 1.5. moduli 1.5. moduli 1.5. avadmyofis winasaoperacio gamokvleva, zogadi avadmyofis winasaoperacio gamokvleva, zogadi avadmyofis winasaoperacio gamokvleva, zogadi avadmyofis winasaoperacio gamokvleva, zogadi anesTeziisa da operaciis riskis SefasebaanesTeziisa da operaciis riskis SefasebaanesTeziisa da operaciis riskis SefasebaanesTeziisa da operaciis riskis Sefaseba 1.1.1.1.modulis xangrZlivobaamodulis xangrZlivobaamodulis xangrZlivobaamodulis xangrZlivobaa 1 Tve ( 144 saaTi) 2. modulis mizanmodulis mizanmodulis mizanmodulis mizaniaiaiaia

anesTeziisa da operaciuli riskis Sefasebis kriteriumebis aTvisebas. aseve gautkivarebis programebis Sedgenas anesTeziologiuri riskis minimizaciis mimarTulebiT

3. modulis amocanebia:modulis amocanebia:modulis amocanebia:modulis amocanebia: (miznis miRwevis/daZlevis saSualebebi): - sasicocxlo mniSvnelobis mqone sistemebis funqciuri mdgomareobisa da adaptaciur-kompensatoruli SesaZleblobebis gansazRvra. - SesaZlo garTulebebis prognozireba operaciis, anesTeziisa da uaxloes postoperaciul periodSi. - programis gavlis Semdeg anesTeziologma unda SeZlos anamnezis srulyofili Segroveba, gamokvlevebis Catareba da Tanamedrove doneze anesTeziologiuri uzrunvelyofa

28

4.4.4.4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba

mocemulia cxrili # mocemulia cxrili # mocemulia cxrili # mocemulia cxrili # 5555----is saxiT:is saxiT:is saxiT:is saxiT: cxrili # cxrili # cxrili # cxrili # 5555

Teoriuli kursi praqtikuli unar-Cvevebi (raodenobis CvenebiT)

davaleba

1. pacientisgan anamnezis Sekrebis wesi

20 pacienti

saTanado formebis Sevseba

2. obieqturi monacemebis Segroveba, savaldebulo standarti

20 pacienti

standartis gansazRvra

3. anesTeziologis winasaoperacio Canaweri

20 pacienti

Canawerebi istoriaSi

4. operaciis moculobis Sefaseba da qirurgiuli riskis gansazRvra

20 pacienti

praqtikuli Sesruleba

5. anesTeziis riskis faqtorebi, maTi xarisxis Sefasebis kriteriumebi

20 pacienti

seminari da diskusia

6. anesTeziis riskis gansazRvra

20 pacienti

1.praqtikuli Sesruleba

2. diskusia seminarze

7. anesTeziologiuri uzrunvelyofis taqtika da meTodis SerCeva sxadasxva saxis da riskis operaciebis dros

20 pacienti


8. mosalodneli garTulebebis prognozireba da profilaqtika

20 pacienti


5.5.5.5. modulis Sefasebis meTodebi modulis Sefasebis meTodebi modulis Sefasebis meTodebi modulis Sefasebis meTodebi (kriteriumebi, perioduloba) _

Sefaseba moxdeba testtesttesttest----kiTxvarebiTkiTxvarebiTkiTxvarebiTkiTxvarebiT modulis dasrulebis Semdgom.


- gamoikvlios avadmyofi winasaoperacio periodSi - sworad da srulyofilad Sekribos anamnezi - Seafasos ZiriTad sasicocxlo funqciaTa mdgomareoba da kompensatoruli

rezervi - gansazRvros operaciisa da anesTeziis riski - gaTvalos mosalodneli garTulebebis xasiaTi

6.6.6.6. aucilebeli da rekomendebuli literaturis nusxa:aucilebeli da rekomendebuli literaturis nusxa:aucilebeli da rekomendebuli literaturis nusxa:aucilebeli da rekomendebuli literaturis nusxa:

1. Крафт Т.М., Антон П.М. Ключевые вопросы и темы в анестезиологии, Москва «Медицина», 1997г. 2. Морган-мл Дж.Э., Мэгид С. М. Клиническая Анестезиология, изд. «БИНОМ» Москва, «Невский Диалект» Санкт-Петербург, 1998г., том I. 3. Эйткенхед А.Р., Смит Г. Руководство по анестезиологии, «Медицина», 1999г. том I.

29

4. Miller R.D., M.D. Anesthesia, Churchill Livingstone, New York, 1986, vol. III. 5. Интенсивная терапия-Paul L. Marino 6. Руководство по анестезиологии. под ред. А. Р. Эйткенхеда, Г. Смита, том I , II. Москва, «Медицина», 1999 7. Практическое руководство по анестезиологии. под ред. акад. А. А. Бунятяна, Москва, «Медицина», 1997 8. Детская анестезиология и реаниматология, В. А. Михельсон, Москва, «Медицина», 1985 9. Актуальные проблемы анестезиологии и реаниматологии. Освежающий курс лекций. под ред. Э. В. Недашковского, Архангельск, 2004 N 3. 4. 10.Актуальные проблемы анестезиологии и реаниматологии. Освежающий курс лекций. под ред. проф. Э. В. Недашковского, Архангельск-Тромсё, 1997 11.Анестезиология и реаниматология на рубеже 21-ого века, Днепропетровск, 1998 12.ANESTHESIA. edited by Ronald D. Miller, M.D. 6th edition «Churchill Livingstone», Copyrught 2005. Eisvier Inc. 14. Principles of Anesthesiology, general and regional anesthesia. Vincent J. Collins. Vol. I, II, «Lea &

Febiger», 1993 15. Opioids in Anesthesia edited by Fazwy G. Estafonous, M.D. Vol. I, II, «Butterwoth-Heinemann», 1991 16. Annual Refresher Course Lectures. American Society of Anesthesiologists. San Francisco 1994 17. Breathing and Mechanical Support. Wolfgang Oczenski, Alois Werba, Harald Andel. «Blackwell

Science», 1997 18. Regional-anästhesie. Gustav Fischer Verlag. 1989

19. American Heart Association in collaboration with International Liaison Committee on Resuscitation. Guidelines 2005 for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care: International Concensus on Science, Part 11, 7: Neonatal Resuscitation. Circulation 2005;112:91-9.

20. Clinical Anesthesiology. 4th edition. G. Edward Morgan, Jr; Maged S. Mikhail; Michael J. Murray. 2006

muxli 6muxli 6muxli 6muxli 6. . . . moduli 1.moduli 1.moduli 1.moduli 1.6. 6. 6. 6. axali teqnologiebi anesTeziologiur praqtikaSi, axali teqnologiebi anesTeziologiur praqtikaSi, axali teqnologiebi anesTeziologiur praqtikaSi, axali teqnologiebi anesTeziologiur praqtikaSi, avadmyofis usafrTxoebis Tanamedrove principebi zogadi avadmyofis usafrTxoebis Tanamedrove principebi zogadi avadmyofis usafrTxoebis Tanamedrove principebi zogadi avadmyofis usafrTxoebis Tanamedrove principebi zogadi anesTeanesTeanesTeanesTeziis drosziis drosziis drosziis dros

1. modulis xangrZlivobaamodulis xangrZlivobaamodulis xangrZlivobaamodulis xangrZlivobaa 1 Tve (144 sT) 2. modulis mizaniamodulis mizaniamodulis mizaniamodulis mizania airTa mcire da minimaluri nakaduri anesTeziis

teqnologiaTa aTvisebas da gamoyenebas zogadi anesTeziis procesSi maRalxarisxiani monitoringis pirobebSi.

3. momomomodulis amocanebia:dulis amocanebia:dulis amocanebia:dulis amocanebia: (miznis miRwevis/daZlevis saSualebebi): kursis gavlis Semdeg,

rezidentma (maZiebelma) SeZlos gazTa mcire da minimaluri nakadis pirobebSi zogadi anesTeziis

warmarTva

4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba mocemulia cxrili # mocemulia cxrili # mocemulia cxrili # mocemulia cxrili # 6666----is saxiT:is saxiT:is saxiT:is saxiT:

cxrili # 6

Teoriuli kursi profesiuli unar- Cvevebi

(raodenobis miTiTebiT)

davaleba

anesTeziis - airTa narevis dabali nakadi pirobebSi – ganviTarebis istoria.

seminari

30

sunTqviTi konturebis klasifikacia da airTa narevis dabali nakadis pirobebSi anesTeziis arsi.

seminari prezentacia

airTa narevis dabali nakadis pirobebSi momuSave respiratorTa SedarebiTi daxasiaTeba

seminari

sunTqviTi konturis hermetuloba, rogorc airTa narevis dabali nakadis pirobebSi anesTeziis uzrunvelyofis ZiriTadi kriteriumi.

seminari

amaorTqleblebi, maTi gamtarunarianoba airTa narevis dabali nakadis pirobebSi anesTeziis dros axali gazTa narevis dabali wneviT miwodebisas.

seminari diskusia

adsorbentebi, maTdami wayenebuli moTxovnebi seminari diskusia

Jangbadis da naxSirorJangis farmakokinetikis Taviseburebani sunTqviT konturSi airTa narevis dabali nakadis pirobebSi anesTeziis dros

seminari

gazTa deficiti sasunTq konturSi, jangbadis da azotis qveJangis nakadTa koregireba airTa narevis dabali nakadis pirobebSi anesTeziis dros.


monitoringis aucilebeli minimaluri done airTa narevis dabali nakadis pirobebSi anesTeziis dros.

seminari

inhalaciuri anesTeziis Catarebis modeli airTa narevis dabali nakadis pirobebSi

seminari diskusia prezentacia

airTa narevis dabali nakadis pirobebSi anesTeziis praqtika

50 anesTezia dabali nakadis pirobebSi damouklideblad supervaizeris meTvalyureobiT

prezentacia seminari diskusia

saSiSroebani, sirTuleebi da problemebi airTa narevis dabali nakadis pirobebSi anesTeziisas.

seminari diskusia

airTa narevis dabali nakadis pirobebSi anesTeziis perspeqtivebi.

seminari diskusia



modulis dasrulebis Semdeg rezidents /specialobis maZiebels/ unda icodes/SeeZlos: Caataros da srulyofilad marTos sunTqvis daxuruli konturiT balansirebuli kombinirebuli endotraqeuli inhalaciuri narkozi airTa dabali nakadis pirobebSi

6. aucilebeli da rekomendebuli literaturis nusxaucilebeli da rekomendebuli literaturis nusxaucilebeli da rekomendebuli literaturis nusxaucilebeli da rekomendebuli literaturis nusxa:a:a:a:

31

1. Крафт Т.М., Антон П.М. Ключевые вопросы и темы в анестезиологии, Москва «Медицина», 1997г. 2. Морган-мл Дж.Э., Мэгид С. М. Клиническая Анестезиология, изд. «БИНОМ» Москва, «Невский

Диалект» Санкт-Петербург, 1998г., том I. 3. Эйткенхед А.Р., Смит Г. Руководство по анестезиологии, «Медицина», 1999г. том I. 4. Miller R.D., M.D. Anesthesia, Churchill Livingstone, New York, 1986, vol. III. 5. Интенсивная терапия-Paul L. Marino

muxli 7muxli 7muxli 7muxli 7. . . . moduli 1.7. moduli 1.7. moduli 1.7. moduli 1.7. infuzurinfuzurinfuzurinfuzur----transfuzuri Terapiisa da transfuzuri Terapiisa da transfuzuri Terapiisa da transfuzuri Terapiisa da parenteraluri kvparenteraluri kvparenteraluri kvparenteraluri kvebis ZiriTadi principebiebis ZiriTadi principebiebis ZiriTadi principebiebis ZiriTadi principebi

1. 1. 1. 1. modulis xangrZlivobaamodulis xangrZlivobaamodulis xangrZlivobaamodulis xangrZlivobaa 2 Tve (288 sT) 2 2 2 2 modulis mizaniamodulis mizaniamodulis mizaniamodulis mizania – rezidentisagan (maZieblisgan) infuzur-transfuzuli Terapiisa da parenteraluri kvebis principebis da meTodologiuri sakiTxebis aTviseba. 3. modulis amocanebia:modulis amocanebia:modulis amocanebia:modulis amocanebia: (miznis miRwevis/daZlevis saSualebebi):

rezidentma (maZiebelma) unda Seiswavlos: - wyal – eleqrtolituri balansis fiziologia da paTfiziologia; - hemodinamikis da mikrocirkulaciis fiziologia da paTfiziologia - organizmis energetikuli balansi da disbalansis paTfiziologia - metabolizmis struqturuli darRvevebis paTfiziologia - Termoregulacia, misi moSlis paTfiziologia da Tanmxlebi metaboluri

darRvevebi 4.4.4.4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba

mocemulia cxrili # mocemulia cxrili # mocemulia cxrili # mocemulia cxrili # 7777----is saxiT:is saxiT:is saxiT:is saxiT: cxrili #cxrili #cxrili #cxrili # 7777

Teoriuli kursi profesiuli unar-Cvevebi (raodenobis miTiTebiT)

davaleba

wyal – eleqrtolituri balansis fiziologia da paTfiziologia

diskusia prezentacia

hemodinamikis da mikrocirkulaciis fiziologia da paTfiziologia


organizmis energetikuli balansi da disbalansis paTfiziologia


metabolizmis struqturuli darRvevebis paTfiziologia


Termoregulacia, misi moSlis paTfiziologia da Tanmxlebi metaboluri darRvevebi


volemiis donis Sefaseba 20 avadmyofi diskusia prezentacia

metabolizmis struqturuli darRvevebis analizi

20 avadmyofi diskusia prezentacia

32

racionaluri infuzur – transfuzuri Terapiis receptis SemuSaveba


racionaluri parenteraluri kvebis receptTa SemuSaveba


infuzur – transfuzuri Terapiisa da parenteraluri kvebis efeqturobis Sefaseba da koregireba


laviwqveSa venis kaTeterizeba 5 manipulacia sauRle venebis kaTeterizeba 5 manipulacia barZayis venis kaTeterizeba 5 manipulacia postoperaciul periodSi avadmyofTa kuracia

5 avadmyofi

Sokis pirobebSi myofi avadmyofis kuracia

3 avadmyofi

metaboluri darRvevebiT avadmyofTa kuracia

3 avadmyofi




- volemiis donis Sefaseba - metabolizmis struqturuli darRvevebis analizi - racionaluri infuzur – transfuzuli Terapiis receptis SemuSaveba - racionaluri parenteraluri kvebis receptis SemuSaveba - infuzur – transfuzuri Terapiisa da parenteraluri kvebis efeqturobis Sefaseba

da koregireba

6. 6. 6. 6. aucilebeli da rekomendebuli literaturis nusxa:aucilebeli da rekomendebuli literaturis nusxa:aucilebeli da rekomendebuli literaturis nusxa:aucilebeli da rekomendebuli literaturis nusxa:

1.Kruskall MS, Bergen JJ, Klein HG, et al. Transfusion therapy in emergency medicine. Ann Emerg Med 1988; 27:327-335.

2.Hogman CF, Bagge L, Thoren L. The use of blood components in surgical transfusion therapy. World JSurg 1987; 11:2-13.

3.Nusbacher J. Transfusion of Red Cell Products. In: Peltz LD, Swisher SN eds. Clinical practice of blood transfusion. New York: Churchill Livingstone, 1981; 289.

4.Sheldon GF, Watkins GM, Glover JL, et al. Panel: Present use of blood and blood products. J Trauma 1981, 23:1005-1012.

5.Fresh frozen plasma. Report of consensus development conference on fresh frozen plasma. JAMA 1985:253:551-553.

6.Perioperafive red blood cell transfusion. Report of consensus development conference on perioperative red cell transfusion. JAMA 1988; 2,60:2700-2703.

33

7.Dula DJ, Muller A, Donovan SW. Flow rate of commonly used IV infusion techniques. J Trauma 1981; 21:480-482.

8.Mateer JR, Thompson BM, Aprahamian C, et al. Rapid fluid resuscifation with central venous catheters. Ann Emerg Med 1983; 12:149-152.

9.Aeder MI, Crowe JP, Rhodes RS, et al. Technical limitations in the rapid infusion of intravenous fluids. Ann Emerg Med 1985; 14:307-310.

10.Gianino N. Equipment used for transfusion. In: Rutman RC, Miller WV eds. Transfusion Therapy. Rockville: Aspen Publishers, 1981; 131-150.

11.Reiner A, Kickler TS, Bell W. How to administer massive transfusions effectively. J Crit Illness 1987; 2:15-24.

12.Phillips ТЕ, Soulier G, Wilson RE. Outcome of massive transfusion exceeding two blood volumes in trauma and emergency surgery. J Trauma 1987; 27:903-909.

13.Seyfried H, Walewska 1. Immune hemolytic transfusion reactions. World J Surg 1987; ! 1:25-29.

14.Cans ROB, Duurkens VAM, van Zundert AA, et al. Transfusion-related acute lung injury. Intensive Care Med 1988; 14:654-657.

15.Petz LD, Swisher SN eds. Clinical practice of transfusion medicine, 2nd ed. New York: Churchill Livingstone, 1989; 213-222.

16.Gervin AS, Fischer RP. Resuscitation of trauma patients with type-specific uncross-matched blood. J Trauma 1984; 24:327-331.

17.Messmer KFW. Acceptable hematocrit levels in surgical patients. World J Surg 1987; 11:41-46.

18.Duke M, Abelmann WH. The hemodynamic response to chronic anemia. Circulation, 1969; 39:503-515.

19.Takaori M, Safar P. Treatment of massive hemorrhage with colloid and crystalloid solutions. JAMA 1967; 199:297-302.

20.Henling СЕ, Carmichael MJ, Keats AS, et al. Cardiac operation for congenital heart disease in children of Jehovah's witnesses. J Thorac Cardiovasc Surg 1985; 89:914-921.

21.Laks H, Pilon RN, Klovekorn WP, et al. Acute hemodilution: Its effect of hemodynamics and oxygen transport in anesthetized man. Ann Surg 1974; 280:103-109.

22.Martin E, Hansen E, Peter К. Acute limited normovolemic hemodilution: A method for avoiding homologous transfusion. World J Surg 1987; 11:53-59.

23.Blumberg N, Heal J, Chuang C, et al. Further evidence supporting a cause and effect relationship between blood transfusion and early cancer recurrence. Ann Surg 1988; 207:410-415.

24.Stephan RN, Kisala JM, Dean RE, et al. Effect of blood transfusion on antigen presentation function and on interleukin-2 generation. Arch Surg 1988; 223:235-240.

34

muxli 8muxli 8muxli 8muxli 8. . . . modulimodulimodulimoduli 1.81.81.81.8. . . . regionuli gautkivarebis Tanamedrove regionuli gautkivarebis Tanamedrove regionuli gautkivarebis Tanamedrove regionuli gautkivarebis Tanamedrove meTodebimeTodebimeTodebimeTodebi 1. modulis xangrZlivobaa1. modulis xangrZlivobaa1. modulis xangrZlivobaa1. modulis xangrZlivobaa 2 Tve (288 sT)

2. modulis mizania2. modulis mizania2. modulis mizania2. modulis mizania – eqimi-anesTeziologi srulyofilad daeuflos regionuli gautkivarebis

Tanamedrove meTodebs, daeuflos teqnikasa da SeeZlos misi marTva, safuZvlianad Seiswavlos regionuli

anesTeziis anatomiur-fiziologiuri safuZvlebi, Tanamedrove saanesTezio saSualebebis farmakokinetika da

farmakodinamika. srulyofilad Seiswavlos regionuli anesTeziis Cvenebebi, ukuCvenebebi, garTulebebi da maTi

prevencia. 3.3.3.3. modulis amocanebia:modulis amocanebia:modulis amocanebia:modulis amocanebia: (miznis miRwevis/daZlevis saSualebebi):

rezidentma (maZiebelma) unda Seiswavlos da aiTvisos: - regionuli gautkivarebis anatomiur-fiziologiuri safuZvlebi - regionuli gautkivarebis iuridiuli aspeqtebi - Tanamedrove saanesTezio saSualebebis farmakokinetika da farmakodinamika - centraluri da periferiuli blokadebis teqnika - regionuli gautkivarebis marTva - regionuli gautkivarebis garTulebebi, maTi SesaZlo prevencia, mkurnalobis meTodebi - regionuli anesTeziis Cvenebebi, SedarebiTi da absoluturi ukuCvenebebi - kombinirebuli regionuli anesTezia da misi marTvis Taviseburebebi - algologiis safuZvlebi da regionuli blokadebis roli - regionuli anesTeziis gamoyeneba qirurgiis sxvadasxva dargSi

4.4.4.4. Sesasrulebeli samuSaos moculoba da CasataSesasrulebeli samuSaos moculoba da CasataSesasrulebeli samuSaos moculoba da CasataSesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba rebeli manipulaciebis raodenoba rebeli manipulaciebis raodenoba rebeli manipulaciebis raodenoba mocemulia cxrili # mocemulia cxrili # mocemulia cxrili # mocemulia cxrili # 9999----is saxiT:is saxiT:is saxiT:is saxiT:

cxrili #9 Teoriuli kursi profesiuli unar-

Cvevebi (raodenobis miTiTebiT)

davaleba

regionuli anesTeziis rolis zrda anesTeziologiur

praqtikaSi. diskusia

seminari

avadmyofis Tanxmoba anesTeziaze, iuridiuli aspeqtebi diskusia seminari

manipulaciebi regionul anesTeziaSi, romelic unda

Seasrulos damwyebma anesTeziologma TiToeuli manipulacia 10 raodenobiT

regionuli anesTeziis Cvenebebi da ukuCvenebebi diskusia seminari

garTulebebi da maTi prevenciis gzebi diskusia seminari

garTulebebis mkurnaloba diskusia seminari

Tanmxlebi daavadebebi da regionuli anesTezia diskusia seminari

nervostimulatorisa da ultrasonografis roli regionul

anesTeziaSi diskusia

seminari

araadeqvaruri anesTezia, misi prevenciis gzebi diskusia seminari

kombinirebuli regionuli anesTezia, dadebiTi da uaryofiTi

mxareebi diskusia

seminari

zogadi da regionuli gautkivareba, dadebiTi da uaryofiTi

mxareebi diskusia

seminari

35

regionuli blokadebi algologiaSi TiToeuli manipulacia 10 raodenobiT

diskusia seminari




- regionuli gautkivarebis anatomiur-fiziologiuri safuZvlebi - Tanamedrove regionuli saanesTezio saSualebebis farmakokinetika da farmakodinamikaTanamedrove regionuli saanesTezio saSualebebis farmakokinetika da farmakodinamikaTanamedrove regionuli saanesTezio saSualebebis farmakokinetika da farmakodinamikaTanamedrove regionuli saanesTezio saSualebebis farmakokinetika da farmakodinamika

- centraluri da periferiuli blokadebis teqnikacentraluri da periferiuli blokadebis teqnikacentraluri da periferiuli blokadebis teqnikacentraluri da periferiuli blokadebis teqnika

- regionuli gautkivarebis marTvaregionuli gautkivarebis marTvaregionuli gautkivarebis marTvaregionuli gautkivarebis marTva

- regionuli gautkivarebis garTulebebi, maTi SesaZlregionuli gautkivarebis garTulebebi, maTi SesaZlregionuli gautkivarebis garTulebebi, maTi SesaZlregionuli gautkivarebis garTulebebi, maTi SesaZlo prevencia, mkurnalobis meTodebio prevencia, mkurnalobis meTodebio prevencia, mkurnalobis meTodebio prevencia, mkurnalobis meTodebi

- regionuli anesTeziis Cvenebebi, SedarebiTi da absoluturi ukuCvenebebiregionuli anesTeziis Cvenebebi, SedarebiTi da absoluturi ukuCvenebebiregionuli anesTeziis Cvenebebi, SedarebiTi da absoluturi ukuCvenebebiregionuli anesTeziis Cvenebebi, SedarebiTi da absoluturi ukuCvenebebi

- kombinirebuli regionuli anesTezia da misi marTvis Taviseburebebikombinirebuli regionuli anesTezia da misi marTvis Taviseburebebikombinirebuli regionuli anesTezia da misi marTvis Taviseburebebikombinirebuli regionuli anesTezia da misi marTvis Taviseburebebi

- algologiis safuZvlebi da regionuli blokadebis roli - regionuli anesTeziis gamoyeneba qirurgiis sxvadasxva dargSi

6. 6. 6. 6. aucilebeli da rekomendebuli literaturis nusxa:aucilebeli da rekomendebuli literaturis nusxa:aucilebeli da rekomendebuli literaturis nusxa:aucilebeli da rekomendebuli literaturis nusxa:

1. Осипова Н. А. Оценка эффекта наркотических, анальгетических и психотропных средств в клинической анестезиологии. -Л. :Медицина, 1988.

2. Coderre T.Ї, Katz Ї, Vaccarіno A.L, Melzack R. Contrіbutіon of central neuroplastіsіty to pathologіcal paіn: revіew of clіnіcal and experіmental evіdence.// Paіn. - 1993.

3. - Woolf C.Ї., Chong M.S. Preemptіve analgesіa - Treatіng postoperatіve paіn by preventіng the establіshment of central sensіtіzatіon. / / Anesth.Analg- 1993 –

4. . Abram S.E., Olson E.E. Systemіc opіoіds do not supress spіnal sensіtіzatіon after subcutaneous formalіn іn rats. // Anesthesіology.-1994.

5. Равал н., Периферические нервные блокады в лечении боли. Оребро, Швеция.- Освежающие лекции по анестезиологии, Арxангельск, 1998.

6. Опит использования перидуральной анестезии в ЛОКБ за10 лет – www. Rambler.ru. 2003. 7. Гуля. М.Б. Леснои.И.И. Радчук.И.Л. Фесенко.В.С.- Опыт использования спинально-

епидуралной анестезии в Житомирском областном онкологическом диспансере. www. Rusanesth.ru 2004

8. Medical Risks Peridural Anaesthesia During Birth Rate.- Lewis Mehl-Madrona M.D. the doctor of philosophy <http//www. Healing-arts. Org/meht-madrona>

9. Проведение эпидуральной анестезии. Brett B. Gutshe, M.D. Профессор анестезиологии, профессор акушерства и гинекологии. The University of Pennsylvania Medical Center, Филадельфия, штат Пенсильвания. www. Rusanesth.ru 2004

10. Корячкин В. А. Страшнов В. Н. ,,Перидуральная и спинальная анестезия” Санкт-Петербург 2000г

11. G. Edward Morgan, Jr.,MD Maged S. Mikhail Clinikal Anesthesiologi. , MD Prentice-Hall International inc 1998, p. 310-314.

12. Lokalanästhesie, Regionalanästhesie,Regionale Schmerztherapie. Herausgegeben von Hans Christoph Niesel und Hugo Van Aken. Georg Thieme Verlag, Stuttgart-New York

13. Regional-anästhesie Gustav Fischer Verlag. Stuttgart-New York

36

muxli 9muxli 9muxli 9muxli 9. . . . moduli 1.moduli 1.moduli 1.moduli 1.9999.... zogadi gautkivarebis Taviseburebani zogadi gautkivarebis Taviseburebani zogadi gautkivarebis Taviseburebani zogadi gautkivarebis Taviseburebani qirurgiis sxvadasxva qirurgiis sxvadasxva qirurgiis sxvadasxva qirurgiis sxvadasxva dargSi, ambulatoriuli gautkivarebadargSi, ambulatoriuli gautkivarebadargSi, ambulatoriuli gautkivarebadargSi, ambulatoriuli gautkivareba

1. 1. 1. 1. modulis xangrZlivobaamodulis xangrZlivobaamodulis xangrZlivobaamodulis xangrZlivobaa 2 Tve (288 sT) 2.2.2.2. modulis mizaniamodulis mizaniamodulis mizaniamodulis mizania – rezidentma (maZiebelma) aiTvisos gautkivarebis procesTa teqnologiuri Taviseburebani qirurgiis sxvadasxva dargebSi da “ambulatoriuli anesTeziologia”

3.3.3.3. modulis amocanebia:modulis amocanebia:modulis amocanebia:modulis amocanebia: (miznis miRwevis/daZlevis saSualebebi): rezidentma unda Seiswavlos:

- gautkivareba oftalmologiaSi - gautkivareba otorinolaringologiaSi - gautkivareba sameano praqtikaSi - gautkivareba xanmokle qirurgiuli operaciebisas - diagnostikuri qirurgiuli manipulaciebis gautkivareba - gautkivarebis Taviseburebani e.w. “dRis stacionarSi” - qronikuli da mwvave araqirurgiuli tkivilis menejmenti 4.4.4.4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba mocemulia cxrili # mocemulia cxrili # mocemulia cxrili # mocemulia cxrili # 10101010----is saxiT:is saxiT:is saxiT:is saxiT:

cxrili # 10 Teoriuli kursi profesiuli unar-Cvevebi

(raodenobis miTiTebiT) davaleba

gautkivareba ofTalmologiaSi seminari diskusia prezentacia

gautkivareba otorinolaringologiaSi


gautkivareba sameano praqtikaSi seminari diskusia prezentacia

gautkivareba xanmokle qirurgiuli operaciebisas


kombinirebuli intravenuri narkozi spontanuri sunTqvis SenarCunebiT


diagnostikuri qirurgiuli manipulaciebis gautkivareba gautkivarebis Taviseburebani e.w. “dRis stacionarSi”


laparaskopuli operaciebis gautkivareba


praqtikuli samuSao 5-5 narkozi ofTalmologiaSi, otorinolaringologiaSi, laparaskopuli operaciebisas, meanoba ginekologiaSi

tkivilis sindromis kupireba da tkivilis menejmenti

seminaridiskusia prezentacia

37




- uzrunvelyos gautkivareba otorinolarongologiaSi, oftalmologiaSi, meanoba – ginekologiaSi, mcire Cirqovan qirurgiaSi.

- uzrunvelyos sxvadasxvagvari xanmokle qirurgiuli Carevebis anesTeziologiuri uzrunvelyofa

- uzrunvelyos ambulatoriulad Catarebuli qirurgiuli manipulaciebis adeqvaturi anesTeziologiuri uzrunvelyofa

- marTos tkovilis sindromi arastacionarul (sayofacxovrebo) pirobebSi


1. Glass PS, Shafer SL, Jacobs JR, Reves JG: Intravenous drug delivery systems. In: Miller RD (ed), 4th ed. Anaesth. 1994, 389-416. NY: Churchill, Livingstone.

2. Glass PS, Dyar 0: TIVA with propofol versus combinations of propofol and fentanyl. Focus on infusion. Ed. Prys-Roberts С Current Medical Literature Ltd, London 1991, 84-86

3. Lilburn JK, Dundee JW: Ketamine sequelae. Anaesth 1978 33:307-311

4. Monk TG, Yifeng D: Total intravenous anesthesia: Effects of opioid versus hypnotic supplementation on autonomic responses and recovery. Anaesth Analg 1992, 75:798-804

5. Restall J, Tully AM: TIVA for military surgery. A technique using ketamine, midazolam and vecuronium. Anaesth 1988, 43:46-49

6. Shafer SL, Varvel JR: Pharmacokinetics, pharmacodynamics and racional opioid selection. Anaesth 1991,74:53-63

7. Short TG, Plummer JL: Hypnotic and anesthetic interactions between midasolam, propofol and alfentanyl. BrJ Anaesth 1992 69:162-167

8. Smith С, McEwan Al: Reduction of propofol Cp50 by fentanyl. Anesth 1994 (in press)

9. White PF, Way WL: Ketamine - its pharmacology and therapeutic uses. Anesthesiology 198256:119-136

10.White PF, Dworsky WA: Comparison of continious infusion of fentanyl or ketamine versus thiopentone-determining the mean effective serum concentrations for outpatient surgery. Anesthesiology 1983 59:564-569

Tavi VIII. profesiuli mzadebis II wlis modulebiTavi VIII. profesiuli mzadebis II wlis modulebiTavi VIII. profesiuli mzadebis II wlis modulebiTavi VIII. profesiuli mzadebis II wlis modulebi

muxli 1. moduli 2.1. muxli 1. moduli 2.1. muxli 1. moduli 2.1. muxli 1. moduli 2.1. sazogadoebrivi jandacva da epidemiologiasazogadoebrivi jandacva da epidemiologiasazogadoebrivi jandacva da epidemiologiasazogadoebrivi jandacva da epidemiologia

1. modulis xangrmodulis xangrmodulis xangrmodulis xangrZlivobaaZlivobaaZlivobaaZlivobaa - 2 kv. (72 sT.)2 kv. (72 sT.)2 kv. (72 sT.)2 kv. (72 sT.)

38

2. modulis mizaniamodulis mizaniamodulis mizaniamodulis mizania - modulis mizania rezidentis/specialobis maZieblisaTvis programis mizania msmenelTa Soris sazogadoebrivi jandacvis safuZvlebis codnis amaRleba da aRniSnuli disciplinis principebisa da meTodebis praqtikul saqmianobaSi gamoyenebis SesaZleblobis xelSewyoba

3. modulis amocanebia:modulis amocanebia:modulis amocanebia:modulis amocanebia: 1) sazogadoebrivi jandacvis politika; 2) sazogadoebrivi jandacvis programebi da maTi prioritetebi; 3) sazogadoebrivi jandacvis programaTa dagegmva da marTva; 4) mosaxleobis janmrTelobis mdgomareobis damaxasiaTebeli ZiriTadi

maCveneblebi (daavadebis gavrceleba da sixSire, letaloba); 5) vitaluri statistikis ZiriTadi maCveneblebi (sikvdiloba, bavSvTa

sikvdiloba, dedaTa sikvdiloba, Sobadoba, sicocxlis xangrZlivoba); 6) jandacvis marTis sainformacio sistemebi 7) Tanamedrove epidemiologia, epidemiologiuri kvlevebis tipebi-

observaciuli da eqsperimentuli kvlevebi 8) infeqciur daavadebaTa epidemiologia, epidemia da endemia, transmisia, 9) epidemiologiuri kvlevebis tipebi-onservaciuli da eqsperimentuli

kvlevebi 10) epidemiologiuri kvlevebis potenciuri DSecdomebi 11) epidemiologiuri kvlevebis validurobis Sefaseba 12) mizezi da mizez-Sedegobrioba epidemiologiaSi, mizez-Sedegobriobis

kriteriumebi 13) infeqciur daavadebaTa epidemiologia,epidemia da endemia, transmisia,

bazisuri reproduqciuli ricxvi, maspinZeli da garemo pirobebi 14) epidemilogia da prevencia,prevenciis sagani da mniSvneloba. midgomabi

prevenciasa da kontrolSi.

4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba mocemulia cxrili # 1mocemulia cxrili # 1mocemulia cxrili # 1mocemulia cxrili # 10000----is saxiT:is saxiT:is saxiT:is saxiT:

cxrili # 10cxrili # 10cxrili # 10cxrili # 10 Teoriuli kursi davaleba

mosaxleobis janmrTelobis mdgomareobis maxasiaTeblebi. daavadebis gavrceleba, daavadebis sixSire, kumulaciuri sixSire da riski, letaloba

vitaluri statistika, sikvdiloba, bavSvTa sikvdiloba, dedaTa sikvdiloba, Sobadoba, sicocxlis xangrZliba, monacemTa standartizacia.

prezentaciebis ganxilva

statistikur monacemebi (tipebi, Sefardeba, proporcia, procenti, monacemebis grafikuli gamosaxva, normaluri distribucia, saSualo, moda, mediana)


statistikuri analizis principebi (jgufebis Sedareba) testireba

hipoTezis testireba da Sefaseba (sarwmonoobis intervali, statistikuri sarwmunooba)

saz. jandacvis koncefcia (gansazRvreba, fokusi, saz. Jandacvis determinantebi, saz. jandacvis ZiriTadi funqciebi)

saz. jandacvis praqtika (RonisZiebebi, prevenciis programebi, saz. janfacvis reforma saqarTveloSi)


Tanamedrove epidemiologia (istoriuli konteqsti, sagani, janmrTelobisa da avadmyofobis gazomva)

epidemiologiuri kvlebi. dakvirvebadi da eqsperimentuli kvlevebi

qronikul daavadebaTa epidemiologia da kontroli, gulsisxlZarRvTa

39

daavadebebi, kibo, Saqriani diabeti

Tambaqo da alkoholi (saz. jandacvis programebi, maTi dizaini da implementacia

epidemiologia da prevencia, prevenciis doneebi, miodgomrbi prevenciasa da kontrolSi.

epidemiologiri kvlevebis potenciuri Secdomebi

mizezi da mizez Sedegobrioba epidemiologiaSi infeqciuri daavadebebis epidemiologia

epidemia da endemia, bazisuri reproduqciuli ricxvi


- sazogadoebrivi jandacvis politikis formireba; - sazogadoebrivi jandacvis programebisaTvis prioritetebis gansazRvra; - sazogadoebrivi jandacvis programaTa dagegmva da marTva; - mosaxleobis janmrTelobis mdgomareobis daxasiaTeba ZiriTadi

maCveneblebis mixedviT (daavadebis gavrceleba da sixSire, letaloba); - vitaluri statistikis ZiriTadi maCveneblebis gamoyeneba da interpretacia

(sikvdiloba, bavSvTa sikvdiloba, dedaTa sikvdiloba, Sobadoba, sicocxlis xangrZlivoba);

- epidemiologiuri kvlevebis validurobis Sefaseba - infeqciur daavadebaTa epidemiologiis safuZvlebis praqtikaSi gamoyeneba - infeqciur daavadebaTa epidemiis gamokvlevis, zedamxedvelobis da

kontrolis bazisuri principebis praqtikaSi gamoyeneba - prevenciis potencialisa da efeqturobis Sefaseba .


1. Health information systems for low income countries: An overview, Canadian Society for International Health

2. Elizabeth A. McGlynn (Editor), et al. Health Information Systems : Design Issues and Analytic Applications (Directions in Health Services Research and Policy), 2001

3. Beaglehole R, Bonita R, Kjellstrom T. Basic Epidemiology, World Health Organization, Geneva, 1993

4. Puri BK. Statistics for the Health Sciences, Sunders, 1996 5. Training manual - Reporting and recording documentation for monitoring immunization work in

Georgia: Level 1 - providers of immunization services. PHRplus/ CIF 6. Training manual - Reporting and recording documentation for monitoring immunization work in

Georgia: Level 2 – immunization managers, public health managers, and polyclinic managers. PHRplus/ CIF

7. Guidelines for health care providers for integrated surveillance and control of vaccine preventable diseases in Georgia. PHRplus/ CIF

8. MOH decree # 101/n, Georgi 9. 9 Rothman KJ, Greenland S. Modern Epidemiology, Lippincott Williams & Wilkins, 1998 10. 10 Rothman KJ. Epidemiology: An Introduction. Oxford University Press, 2002 11. 11 Beaglehole R, Bonita R, Kjellstrom T. Basic Epidemiology, World Health Organization,

Geneva, 1993 12. 12 Breaslow NE, Day NE. Statistical Methods in Cancer Research. Volume 1, The Analysis of

Case-Control Studies, IARC Scientific Publications No. 32, 1980 13. Breaslow NE, Day NE. Statistical Methods in Cancer Research. Volume II, The Design and

Analysis of Cohort Studies, IARC Scientific Publications No. 82, 1987 14. James J. Schlesselman. Case Control Studies : Design, Conduct, Analysis , 1999

40

15. Elizabeth A. McGlynn (Editor), et al. Health Information Systems : Design Issues and Analytic Applications (Directions in Health Services Research and Policy) , 2001

16. Roger Webber. Communicable Disease Epidemiology and Control, 2000 17. Last JM. A Dictionary of Epidemiology, Fourth Edition, Oxford University Press, 2001 18. Rothman KJ, Greenland S. Modern Epidemiology, Lippincott Williams & Wilkins, 1998 19. Rothman KJ. Epidemiology: An Introduction. Oxford University Press, 2002 20. Beaglehole R, Bonita R, Kjellstrom T. Basic Epidemiology, World Health Organization,

Geneva, 1993 21. Breaslow NE, Day NE. Statistical Methods in Cancer Research. Volume 1, The Analysis of

Case-Control Studies, IARC Scientific Publications No. 32, 1980 22. Breaslow NE, Day NE. Statistical Methods in Cancer Research. Volume II, The Design and

Analysis of Cohort Studies, IARC Scientific Publications No. 82, 1987 23. James J. Schlesselman. Case Control Studies : Design, Conduct, Analysis , 1999 24. Elizabeth A. McGlynn (Editor), et al. Health Information Systems : Design Issues and Analytic

Applications (Directions in Health Services Research and Policy) , 2001 25. Roger Webber. Communicable Disease Epidemiology and Control, 2000 26. Last JM. A Dictionary of Epidemiology, Fourth Edition, Oxford University Press, 2001

muxli 2. moduli 2.2muxli 2. moduli 2.2muxli 2. moduli 2.2muxli 2. moduli 2.2. . . . mtkicebiTi medicinis da smtkicebiTi medicinis da smtkicebiTi medicinis da smtkicebiTi medicinis da samedicino amedicino amedicino amedicino statistikis safuZvlebistatistikis safuZvlebistatistikis safuZvlebistatistikis safuZvlebi

1. modulis xangrZlivobaamodulis xangrZlivobaamodulis xangrZlivobaamodulis xangrZlivobaa ---- 2 kv. (72 sT.) 2 kv. (72 sT.) 2 kv. (72 sT.) 2 kv. (72 sT.) 2. modulis mizaniamodulis mizaniamodulis mizaniamodulis mizania - rezidentis/specialobis maZieblisaTvis mtkicebiTi

medicinis da samedicino statistikis codnis amaRleba da maT praqtikul saqmianobaSi aRniSnuli disciplinebis principebisa da meTodebis danergvis xelis Sewyoba.

3. modulis amocanebia:modulis amocanebia:modulis amocanebia:modulis amocanebia: 1) klinikur praqtikaSi gamoyenebuli mtkicebiTi medicinis ZiriTadi

principebi 2) randomizirebuli klinikuri gamocdis Sedegebi, maTi validuroba,

mniSvneloba da praqtikuli Rirebuleba 3) meta analizi meta-analizis Sedegebi, maTi validuroba, mniSvneloba da

praqtikuli Rirebuleba 4) klinikuri gaidlainis validuroba da praqtikuli Rirebuleba 5) diagnostikuri testis Sesaxeb arsebuli mtkicebulebis validuroba da

praqtikuli Rirebuleba 6) prognozis Sesaxeb arsebuli mtkicebulebis validuroba da praqtikuli

Rirebuleba 7) dadasturebuli efeqturobis mqone intervenciebis moZieba da maTi

konkretul klinikur situaciebTan misadageba 8) koxranis biblioTeka 9) internetis eleqtronuli bazebi, romlebic iZlevian informacias efeqturi

intervenciebisa da gaidlainebis Sesaxeb 10) samedicno literaturis kritikulad aRqma 11) jandacvasa da medicinaSi statistikis roli da mniSvneloba, is ZiriTadi

sferoebi, sadac gamoiyeneba statistikis meTodebi. 12) monacemTa tipebi, maTi grafikuli gamosaxva; normaluri distribuciis

daxasiaTeba, variaciis gazomva. monacemTa standartizacia 13) albaTobis principebi da kanonebi maTi misadageba populaciis

parametrebisa da sinjis distribuciis maxasiaTeblebisadmi. 14) statistikuri analizis bazisuri principebi (Sefaseba, hipoTezis testireba,

statistikuri modelireba). 15) jgufebis Sedareba. 16) or uwyvet cvlads Soris damokidebuleba, korelacia da wrfivi regresia.

41

17) ramdenime cvlads Soris damokidebuleba, mravlobiTi regresiis analizis. 18) kompiuteris gamoyeneba monacemTa analizisaTvis, statistikuri programebis

tipebis garCeva, kompiuteruli analizis strategia, monacemTa bazis formireba.


mocemulia cxrili # mocemulia cxrili # mocemulia cxrili # mocemulia cxrili # 11111111----is saxiT:is saxiT:is saxiT:is saxiT: cxrili # cxrili # cxrili # cxrili # 11111111

Teoriuli kursi davaleba mtkicebiTi medicinis arsi, ZiriTadi principebi da strategia, mtkicebiTi samedicino praqtika da misi komponentebi, koxranis kolaboracia.


randomizirebuli klinikuri gamocda, klinikuri gamocdis dizaini da tipebi, klinikuri gamocdis Sedegebis validuroba, mniSvneloba, da praqtikuli Rirebuleba


meta-analizis meTodi, meta-analizis Sedegebis validuroba, mniSvneloba, da praqtikaSi gamoyenebiToba, koxranis kolaboraciis sistemuri mimoxilvis jgufebi


diagnozi da skriningi, diagnostikuri testis diagnostikuri Rirebuleba, diagnostikuri testis Sesaxeb arsebuli mtkicebulebis validuroba da praqtikuli Rirebuleba

testireba

daavadebis naturaluri istoria da prognozi, prognozis Sesaxeb arsebuli mtkicebulebis validuroba da praqtikuli Rirebuleba, klinikuri gaidlaini, misi validuroba da praqtikuli Rirebuleba

monacemTa tipebi (daTvla da gazomva), Sefardeba, proporcia, procenti, daTvladi da gazomvadi monacemebis grafikuli gamosaxva, normaluri distribucia, saSualo, moda, mediana, monacemTa variabeluroba, variaciis gazomva, populacia da sinji, populaciis parametris distribucia, sinjis saSualos distribucia, ori sinjis saSualos sxvaobis distribuci

albaToba, albaTobis kanonebi, normaluri mrudis standartizacia, normaluri standartuli mrudi, Z da misi mniSvneloba.

statistikuri analizis principebi, Sefaseba (95% sarwmunoobis intervali), hipoTezis testireba (nulovani hipoTeza, alternatiuli hipoTeza, I da II tipis Secdoma), Sefaseba Tu hipoTezis testireba

jgufebis Sedareba - uwyveti monacemebi, analizis Sesabamisi meTodis amorCeva, t distribucia, ori sinjis saSualos sxvaoba, t testi,

jgufebis Sedareba – kategoriuli monacemebi, proporcia, ori damoukidebeli jgufis proporcia, 2 x 2 cxrili – ori jgufis proporciis Sedareba, ramdenime jgufis proporciis Sedareba, riskebis Sedareba (SedarebiTi riski, Sansebis Sefardeba)

or uwyvet cvlads Soris damokidebuleba, korelacia da misi testireba, korelaciis gamoyeneba, interpretacia, martivi wrfivi regresia

ramdenime cvlads Soris damokidebuleba, mravlobiTi wrfivi regresia

monacemTa standartizacia


42

modulis dasrulebis Semdeg rezidentma/specialobis maZiebelma unda icodes/SeeZlos:

- klinikur praqtikaSi mtkicebiTi medicinis principebis gamoyeneba

- randomizirebuli klinikuri gamocdis Sedegebis interpretireba, maTi validurobis, mniSvnelobis da praqtikuli Rirebulebis dadgena

- meta-analizis Sedegebis interpretireba, maTi validurobis, mniSvnelobis da praqtikuli Rirebulebis dadgena

- klinikuri gaidlainis validurobisa da praqtikuli Rirebulebis dadgena

- diagnostikuri testis Sesaxeb arsebuli mtkicebulebis validurobisa da praqtikuli Rirebulebis dadgena

- prognozis Sesaxeb arsebuli mtkicebulebis validurobisa da praqtikuli Rirebulebis dadgena

- dadasturebuli efeqturobis mqone intervenciebis moZieba da maTi konkretul klinikur situaciebTan misadageba

- koxranis biblioTekiT sargebloba

- internetis eleqtronuli bazebiT sargebloba, romlebic iZlevian informacias efeqturi intervenciebisa da gaidlainebis Sesaxeb

- samedicno literaturis kritikulad aRqma

- jandacvasa da medicinaSi statistikis rolisa da mniSvnelobis axsna, im ZiriTadi sferoebis dasaxeleba, sadac gamoiyeneba statistikis meTodebi.

- monacemTa tipebis garCeva, maTi grafikuli gamosaxva; normaluri distribuciis daxasiaTeba, variaciis gazomva.

- albaTobis principebisa da kanonebis misadageba populaciis parametrebisa da sinjis distribuciis maxasiaTeblebisadmi.

- statistikuri analizis bazisuri principebis gamoyeneba (Sefaseba, hipoTezis testireba, statistikuri modelireba).

- jgufebis Sedareba rogorc uwyveti ise kategoriuli monacemebisaTvis; aRniSnuli analizis Sedegebis interpretacia.

- or uwyvet cvlads Soris damokidebulebis axsna korelaciisa da wrfivi regresiis saSualebiT, maTi Sedegebis interpretacia.

- ramdenime cvlads Soris damokidebulebis axsna mravlobiTi regresiis analizis saSualebiT, Sedegebis interpretacia.

- kompiuteris gamoyeneba monacemTa analizisaTvis, statistikuri programebis tipebis garCeva, kompiuteruli analizis strategia, monacemTa bazis formireba.


1. Sackett DL, Straus SE, Scott Richardson W, Rosenberg W, Brian Haynes R. Evidence Based Medicine: How to Practice and Teach EBM. Churchill Livingstone, 2000.

2. letcher RH, Fletcher SW, Wagner EH. Clinical Epidemiology: the Essentials, Williams & Wilkins, 1996.

3. Rothman KJ. Epidemiology: An Introduction. Oxford University Press, 2002.

4. Rothman KJ, Greenland S. Modern Epidemiology, Lippincott Williams & Wilkins, 1998.

5. eaglehole R, Bonita R, Kjellstrom T. Basic Epidemiology, World Health Organization, Geneva, 1993.

6. Jadad AR. Randomized Clinical Trials: A User Guide, BMJ Publishing Group, 1999.

7. ltman DG. Practical Statistics For Medical Research, Chapman & Hall/CRC, 2005.

8. Last JM. A Dictionary of Epidemiology, Fourth Edition, Oxford University Press, 2006.

9. Altman DG. Practical Statistics For Medical Research, Chapman & Hall/CRC, 1999

43

10. Puri BK. Statistics for the Health Sciences, Sunders, 1996.

11. Castle WM, North PM. Statistics in Small Doses, Churchill Livingstone, 1995.

12. Clayton D, Hills M. Statistical Models in Epidemiology, Oxford University Press, 1998.

13. Breaslow NE, Day NE. Statistical Methods in Cancer Research. Volume 1, The Analysis of Case-Control.

14. Studies, IARC Scientific Publications No. 32, 1980.

15. Breaslow NE, Day NE. Statistical Methods in Cancer Research. Volume II, The Design and Analysis of Cohort Studies, IARC Scientific Publications No. 82, 1987.

16. Rothman KJ, Greenland S. Modern Epidemiology, Lippincott Williams & Wilkins, 1998.

17. Beaglehole R, Bonita R, Kjellstrom T. Basic Epidemiology, World Health Organization, Geneva, 1993.

muxli 3muxli 3muxli 3muxli 3. . . . moduli 2moduli 2moduli 2moduli 2....3. reanimatologia3. reanimatologia3. reanimatologia3. reanimatologia ((((kritikuli medicinis safuZvlebi). 1. 1. 1. 1. modulis xangrZlivobaamodulis xangrZlivobaamodulis xangrZlivobaamodulis xangrZlivobaa 10 Tve (1440 sT) 2.2.2.2.modulis mizaniamodulis mizaniamodulis mizaniamodulis mizania – rezidentma/maZiebelma SeiZinos reanimatologiis, Teoriuli sakiTxebis codna da gamoimuSaos am codnis praqtikuli realizebisaTvis saWiro unar-Cvevebi.

3. 3. 3. 3. modulis amocanebia:modulis amocanebia:modulis amocanebia:modulis amocanebia: (miznis miRwevis/daZlevis saSualebebi):

rezidentma/maZiebelma unda Seiswavlos da aiTvisos: 1. kritikuli medicinis arsi, samsaxuris organizaciis Taviseburebebi,

sakanonmdeblo baza, kadrebis momzadebis sistema. 2. kritikuli mdgomareobis cneba, stadiebi 3. organizmis funqciaTa moSlis Taviseburebani kritikul mdgoma-reobaTa dros. 4. travmebiT gamowveuli kritikuli mdgomareobebi. 5. garemos faqtorebiT gamowveuli kritikuli mdgomareobebi. 6. mwvave mowamvlebiT gamowveuli kritikuli mdgomareobebi. 7. infeqciebTan asocirebuli kritikuli mdgomareobebi. 4. 4. 4. 4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba mocemulia cxrili #mocemulia cxrili #mocemulia cxrili #mocemulia cxrili # 11112222----is saxiT:is saxiT:is saxiT:is saxiT:

cxrili #cxrili #cxrili #cxrili #11112222

# Teoriuli kursi davaleba

1 kritikuli medicinis arsi (terminologia, ganviTarebis istoria, sakanonmdeblo baza, organizaciis Taviseburebani, safinanso sistema, teqnologiis Taviseburebani, kadrebis momza-debis sistema, moralur-eTikuri da filoso-fiuri problemebi)

referati

2 kritikuli mdgomareobebis arsi (terminologia, monoorganuli ukmarisobis stadia, poliorga-nuli ukmarisobis stadia, terminaluri mdgoma-reoba-agonia, klinikuri sikvdili. adreuli postreanimaciuli periodi)

referati

44

3 qronikuli vegetatiuri daavadeba postreanimaciuli daavadeba Tavis tvinis sikvdili

referati

4 ZiriTadi funqciebis (sisxlimimoqcevis, sunT-qvis, nervuli, gadamuSavebuli, gamoyofis, endo-krinuli, imunuri) mwvave darRvevaTa zogadi kanonzomierebani.

referati

5 homeostazis (hemostazis, gazebisa da mJava-tutovani wonasworobis, wylisa da el. lituri balansis, cilebis, cximebis, naxSirwylebis cvlis, fermentebis, mikroelementebis cvlis) mwvave darRvevebi.

referati

6 travmebiT gamowveuli kritikuli mdgomareobebi (politravma, travmuli Soki, xangrZlivi zewolis sindromi, poziciuri zewolis sindromi, qala-tvinis mZime travma, zurgis tvinis mZime travma gul-mkerdis travma, neknebis motexiloba, pnevmoToraqsi, filtvebis daJeJiloba, gulis daJeJiloba, muclis Rrus organoebis travma, Tirkmlebis travmuli dazianeba Zvlebis motexilibebi.

referati

7 garemos faqtorebiT gamowveuli kritikuli mdgomareobebi (Termuli dazianeba, damwvrobiTi Soki, eleqtro deniT dazianeba siTbos dakvra – gadaxureba, mzis gamosxivebis gavlena, dabali temperaturis moqmedeba, wyalSi daxrCoba, mwvave sxivuri daavadeba).

referati

8 mwvave mowamvlebTan asocirebuli mdgomareobebi (egzotoqsiuri Soki, fsiqoqimiuri moqmedebis iaraRiT mowamvla, aramdgradi naerTebiT mxuTavi airebiT mowamvla, aalebadi SxamebiT mowamvla, gamaRizianebeli moqmedebis SxamebiT mowamvla, mcenareuli SxamebiT mowamvla, cxoveluri SxamebiT mowamvla, qimiuri damwvrobis mqone SxamebiT mowamvla, mavne airebiT mowamvla, alkoholiT da misi surogatebiT mowamvla, mZime metalebiT mowamvla).

referati

9 infeqciebTan asocirebuli kritikuli mdgoma-reobebi (tetanusi, difteria, meningokokuri infeqcia, legionelozi, botulizmi, cofi, poliomieliti, virusuli meningitebi, hepatitebi, gripi, frinvelis gripi, hemoragiuli cxeleba, sokoebi, gamowveuli mwvave infeqciebi, eqinokoki)

referati

5. 5. 5. 5. modulis Sefasebis meTodebi modulis Sefasebis meTodebi modulis Sefasebis meTodebi modulis Sefasebis meTodebi (kriteriumebi, perioduloba) _

modulis damTavrebis Semdgom moxdeba Sefaseba testirebiT.Sefaseba testirebiT.Sefaseba testirebiT.Sefaseba testirebiT.

modulis damTavrebis Semdeg rezidents/maZiebels unda icodes: 1. kritikuli medicinis organizaciis Taviseburebani da sakanonmdeblo moTxovnebi

2. travmebiT gamowveul kritikul mdgomareobaTa mkurnalobis procesis marTva. 3. garemos faqtorebiT gamowveul kritikul mdgomareobaTa mkurnalobis procesis marTva

4. mwvave mowamvlebiT gamowveul kritikul mdgomareobaTa mkurnalobis procesis marTva.

5. infeqciebTan asocirebuli kritikul mdgomareobaTa mkurnalobis procesis marTva.

M modulis damTavrebis Semdeg rezidents/maZiebels unda

45

gamomuSavebuli hqondes Semdegi praqtikuli unar-Cvevebi: 1. xelovnuri sunTqva. 2. gulis masaJi. 3. gulis el. Defibrilacia. 4. bronquli xis brma lavaJi. 5. oqsigenoTerapia. 6. peroferiuli sisxlmilTa punqcia da kaTeterizeba. 7. magistralur sisxlmilTa punqcia da kaTeterizeba. 8. infuziuri Terapiis teqnika. 9. kritikul avadmyofTa movlis teqnika.

10.parenteraluri kveba. 11.kritikul avadmyofTa movlis teqnika. M modulis damTavrebis Semdeg rezidents/maZiebels unda SeeZlos Semdegi paraklinikuri gamokvlevebis interpretacia.

1. rentegenologiuri gamokvlevebis, maT Soris kompiuteruli tomografiis 2. eqoskopiis monacemebis 3. bioqimiuri parametrebis 4. baqteriologiuri kvlevebis. 5. ekg 6. hematologiuri maCveneblebis 7. sisxlSi gazebisa da mJava-tutovani wonasworobis maCveneblebis 8. liqvoris maCveneblebis 9. Sardis maCveneblebis 10. kardiomonitoringis 11. garegani sunTqvis parametrebis

6.6.6.6. aucilebelaucilebelaucilebelaucilebeli da rekomendebuli literaturis nusxa:i da rekomendebuli literaturis nusxa:i da rekomendebuli literaturis nusxa:i da rekomendebuli literaturis nusxa:

1.z. xelaZe _ saserTifikacio moTxovnebi specialobaSi ,,kritikul mdgomareobaTa medicina, Sromis, jamrtelobis da socialuri dacvis saministro. Tbilisi, 2000w _ 279gv. wigni pirveli _ 650gv. 2.z.xelaZe - ,,kritikulTa medicina” ,,kritikuli medicinis instituti,” Tbilisi, 2007w. wigni meore – 650gv. 3.Z. Kheladze - ,,New Steps in Critical – Care Medicine”. ,,Critical Care Medicine Institute.” Tbilisi, 1998-215pp.. Kheladze - ,,New Steps in Critical – Care Medicine”. ,,Critical Care Medicine Institute.” Tbilisi, 1998-215pp. 4..,,Critical Care” J. M.Ciieetta, R.W. Taylor, R.R. Kirby, J.B. Lippincott Company. Ph. Ladelphia, USA, 2002 – 1998pp,

Tavi IX. profesiuli mzadebis III wlis modulebiTavi IX. profesiuli mzadebis III wlis modulebiTavi IX. profesiuli mzadebis III wlis modulebiTavi IX. profesiuli mzadebis III wlis modulebi

muxlimuxlimuxlimuxli1111.... moduli moduli moduli moduli 3.1.3.1.3.1.3.1. zogadi anesTezia abdominalur qirurgiaSi zogadi anesTezia abdominalur qirurgiaSi zogadi anesTezia abdominalur qirurgiaSi zogadi anesTezia abdominalur qirurgiaSi 1. modulis xangrZlivobaamodulis xangrZlivobaamodulis xangrZlivobaamodulis xangrZlivobaa 1 Tve (144 sT) 2. modulis mizaniamodulis mizaniamodulis mizaniamodulis mizania rezidentma (maZiebelma) aiTvisos abdominalur qirurgiaSi

saswrafo da gegmuri operaciebis anesTeziologiuri uzrunvelyofis Teoriuli da praqtikuli sakiTxebi

3. modulmodulmodulmodulis amocanebiis amocanebiis amocanebiis amocanebi:::: (miznis miRwevis/daZlevis saSualebebi):

46

iTvaliswinebs rezidentisgan Semdegi sakiTxebis Seswavlas:

- saylapavis da muclis Rrus organoebis ZiriTad qirurgiul paTologiaTa etiopaTogenezi, klinika, mkurnaloba

- saylapavze, kuWze, wvril da msxvil nawlavebze, RviZlsa da sanaRvle gzebze operaciuli Carevebis taqtika da masStabebi

- abdominalur qirurgiaSi anesTeziologiuri uzrunvelyofis Taviseburebani

- avadmyofis mkurnaloba postoperaciul periodSi

muclis Rrus organoebis invaziuri kvlevis gautkivareba

4.4.4.4.Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba: Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba: Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba: Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba: mocemulia cxrili # 13mocemulia cxrili # 13mocemulia cxrili # 13mocemulia cxrili # 13----is saxiT:is saxiT:is saxiT:is saxiT:

cxrili #13cxrili #13cxrili #13cxrili #13

Teoriuli kursi profesiuli unar-Cvevebi (raodenobis miTiTebiT)

davaleba

saylapavis da muclis Rrus organoebis ZiriTad qirurgiul paTologiaTa etiopaTogenezi, klinika, mkurnaloba


saylapavze, kuWze, wvril da msxvil nawlavebze, RviZlsa da sanaRvle gzebze operaciuli Carevebis taqtika da masStabebi


operaciis taqtikisa da masStabis Sesabamisad anesTeziologiuri taqtikis SemuSaveba


abdominalur qirurgiaSi anesTeziologiuri uzrunvelyofis Taviseburebani


gastroduodenuri sisxldenebis araqirurgiuli mkurnalobis taqtika


avadmyofis mdgomareobis Sefaseba da winasaoperacio momzadeba

20 pacienti diskusia prezentacia

momneleneli sistemis intubacia 20 manipulacia infuzuri Terapia abdominalur qirurgiaSi


abdominaluri pacientis premedikaciis, Sesavali narkozis, bazis narkozis da narkozidan gamosvlis marTva

10 narkozi

avadmyofis mkurnaloba postoperaciul periodSi

10 pacienti

gautkivarebis Taviseburebani endoskopur abdominalur qirurgiaSi


muclis Rrus organoebis invaziuri kvlevis gautkivareba


5. 5. 5. 5. modulis Sefasebis meTodebi modulis Sefasebis meTodebi modulis Sefasebis meTodebi modulis Sefasebis meTodebi (kriteriumebi, perioduloba) _


47


- momnelebeli sistemis intubacia - saylapavis da muclis Rrus organoebis ZiriTad qirurgiul paTologiaTa

etiopaTogenezi, klinika, mkurnaloba - operaciis taqtikisa da masStabis Sesabamisad anesTeziologiuri taqtikis

SemuSaveba - abdominaluri pacientis premedikaciis, Sesavali narkozis, bazis narkozis da

narkozidan gamosvlis marTva - avadmyofis mkurnaloba postoperaciul periodSi

6.6.6.6.aucilebeli da rekomendebuli literaturis nusxa:aucilebeli da rekomendebuli literaturis nusxa:aucilebeli da rekomendebuli literaturis nusxa:aucilebeli da rekomendebuli literaturis nusxa:

1. Textbook of Pain 3rd Edition. Editors: Patrick D. Wall and Ronald Melzack, Churchill Livingstone, Edinburgh, 1994; 1524 pages

2. Pharmacological Approaches to the Treatment of Chronic Pain: New Concepts and Critical Issues. Progress in Pain Research and Management Volume 1. Editors:

Howard L. Fields and John C. Liebeskind, IASP Press, Seattle, 1994; 312 pages

3. Postoperative Pain Control, J.I.Alexander and R.G. Hill, Blackwell Scientific Publications, Oxford, 1987, 272 pages

4. Prescribers' Journal; Volume 33, number 6, 1993; 48 pages

5. Pain Reviews; Volume 1, number 1, 1994:76 pages

6. Besson J-M and Vickers MD (eds) Tramadol analgesia: Synergy in research and therapy. Drugs, 1994; 47 (SuppI 1): 1 - 46

7. Boughton-Smith NK, Pathological and therapeutic implications for nitric oxide in inflammatory bowel disease. J. Roy Soc Med. 1994; 87 (б): 312-3

8. Butterworth JF, Strichartz GR. Molecular mechanisms of local anaesthesia: a review. Anesthesiology 1990; 72: 711-34

9. Gouarderes С, Jhamandas К, Cridland R, Gros J, Quirion R, Zajac JM. Opioid and substance P receptor .adaptations in the rat spinal cord following sub-chronic intrathecal treatment with morphine and naloxone. Neuroscience 1993; 54:799-80710.Кат РСА and Govender G. Nitric oxide: basic science and clinical applications. Anaesthesia 1994; 49: 515-21.

muxli 2. moduli muxli 2. moduli muxli 2. moduli muxli 2. moduli 3.2. 3.2. 3.2. 3.2. anesTeziologiuri uzrunvelyofis da anesTeziologiuri uzrunvelyofis da anesTeziologiuri uzrunvelyofis da anesTeziologiuri uzrunvelyofis da intensiuri Terapiis ZiriTadi principebi intensiuri Terapiis ZiriTadi principebi intensiuri Terapiis ZiriTadi principebi intensiuri Terapiis ZiriTadi principebi gulsisxlZarRvTa da Torakalur qirurgiaSigulsisxlZarRvTa da Torakalur qirurgiaSigulsisxlZarRvTa da Torakalur qirurgiaSigulsisxlZarRvTa da Torakalur qirurgiaSi

1.modulis xangrZlivobaa1.modulis xangrZlivobaa1.modulis xangrZlivobaa1.modulis xangrZlivobaa 1 Tve (144 sT) 2.modulis mizania2.modulis mizania2.modulis mizania2.modulis mizania – anesTeziologiuri uzrunvelyofis meTodTa da intensiuri Terapiis Taviseburebebis Seswavlas Torakaluri da gulsisxlZarRvTa operaciebis dros

48

3.modulis amocanebia:3.modulis amocanebia:3.modulis amocanebia:3.modulis amocanebia: (miznis miRwevis/daZlevis saSualebebi): rezidentma (maZiebelma) unda Seiswavlos: - sasunTqi da gulsisxlZarRvTa sistemebis anatomia – fiziologia da ZiriTad

daavadebaTa paTfiziologia - gulsisxlZarRvTa sistemaze moqmedi medikamentebis farmakodinamika da farmakokinetika - gulis iSemiuri daavadeba – miokadriumis infarqti - gulis Tandayolili da SeZenili mankebi - aortis anevrizma da sxva ZiriTadi sisxlZarRvovani paTologiebi - filtvebis moculobiTi procesebi - HhemoToraqsi, pnevmoToraqsi - sisxlis xelovnuri mimoqceva, hipoTermia, aortis balonuri kontrpulsacia - filtvis arteriis kaTeterizacia - intraoperaciuli transezofaguri eqokardiografia

4.Sesasrulebeli samuSaos moculoba da Casatarebeli ma4.Sesasrulebeli samuSaos moculoba da Casatarebeli ma4.Sesasrulebeli samuSaos moculoba da Casatarebeli ma4.Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba nipulaciebis raodenoba nipulaciebis raodenoba nipulaciebis raodenoba mocemulia cxrili # mocemulia cxrili # mocemulia cxrili # mocemulia cxrili # 11114444----is saxiT:is saxiT:is saxiT:is saxiT:

cxrili # cxrili # cxrili # cxrili # 11114444 Teoriuli kursi profesiuli

unar-Cvevebi (raodenobis miTiTebiT)

davaleba

operaciuli Carevis riskis gansazRvra (euroscore) gulsisxlZarRvTa da Torakalur qirurgiaSi


endobronquli intubacia da cali filtvis ventilacia

5 manipulacia

sisxlis mimoqcevis sruli gaCereba da Tavis tvinis perfuzia aortis aRmavali anevrizmebis qirurgiuli mkurnalobis dros


gulis kunTis kumSvadobis da plastikuri operaciebis adeqvaturobis Sefaseba transezofaguri eqokardiografiiT


gulis dabali kumSvadobis mkurnaloba postoperaciul periodSi


intraoperaciuli transezofaguri eqokardiografia

5 manipulacia diskusia prezentacia

pulmoneqtomiis da filtvis rezeqciis Semdgomi filtvebis xelovnuri ventilaciis meTodebi


5.modulis Sefasebis meTodebi 5.modulis Sefasebis meTodebi 5.modulis Sefasebis meTodebi 5.modulis Sefasebis meTodebi (kriteriumebi, perioduloba) _ Sefaseba moxdeba test-kiTxvarebiT modulis dasrulebis Semdgom.


- sasunTqi da gulsisxlZarRvTa sistemebis anatomia – fiziologia da ZiriTad daavadebaTa paTfiziologia

- gulsisxlZarRvTa sistemaze moqmedi medikamentebis farmakodinamika da farmakokinetika - gulis iSemiuri daavadeba – miokadriumis infarqti - gulis Tandayolili da SeZenili mankebi - aortis anevrizma da sxva ZiriTadi sisxlZarRvovani paTologiebi

49

- filtvebis moculobiTi procesebi - hemoToraqsi, pnevmoToraqsi - sisxlis xelovnuri mimoqceva, hipoTermia, aortis balonuri kontrpulsacia - filtvis arteriis kaTeterizacia - intraoperaciuli transezofaguri eqokardiografia - marTos balansirebuli kombinirebuli endotraqeuli narkozi damZimebuli

kardiologiuri anamneziT pacientebSi.


1. Lake C.L. – Clinical Monitoring – 1990, W.B. Saunders Company 2. Hensley F.A., Martin D.E.- The practice of Cardiac Anesthesia, 1990, Little, Brown and Company 3. Levine R.L., Fromm R.E.- Critical Care Monitoring, 1995, Mosby 4. Lemmer J.N., Richenbacher W.E., Vlachakes G.J.- Handbook of Patient Care in Cardiac Surgery, 2003, Lippincott Williams&Wilkins 5. Hensley F.A., Martin D.E., Gravlee G.P.- A Practical Approach to Cardiac Anesthesia, 2003, Lippincott Williams&Wilkins 6. Mackay J.H., Arrowsmith J.E.- Core Topics in Cardiac Anaesthesia, 2006, Cambridge University Press 7. Sidebotham D., Faris J., Merry A.- Practical Perioperative Transoesophageal Echocardiography, 2003. muxli 3muxli 3muxli 3muxli 3. . . . moduli 3moduli 3moduli 3moduli 3....3.3.3.3. anesTeziologiuri uzrunvelyofisa daanesTeziologiuri uzrunvelyofisa daanesTeziologiuri uzrunvelyofisa daanesTeziologiuri uzrunvelyofisa da intensiurintensiurintensiurintensiuri Terapias ZiriTadi principebii Terapias ZiriTadi principebii Terapias ZiriTadi principebii Terapias ZiriTadi principebi neiroqirurgiasa da nevrologiaSineiroqirurgiasa da nevrologiaSineiroqirurgiasa da nevrologiaSineiroqirurgiasa da nevrologiaSi

1.1.1.1.modulis xangrZlivobaamodulis xangrZlivobaamodulis xangrZlivobaamodulis xangrZlivobaa 1 Tve (144 sT)

2.2.2.2.modulis mizaniamodulis mizaniamodulis mizaniamodulis mizania – neirofiziologiis principebis aTvisebas anesTeziologiuri praqtikisTvis. anesTetikTa da sxva damxmare medikamentebis moqmedebis Seswavlas Tavis tvinze. intra- da eqstracerebruli

paTofiziologiuri procesebis Seswavlas da marTvas cenrtaluri nervuli sistemis dazianebis pirobebSi 3.3.3.3.modulis amocanebia:modulis amocanebia:modulis amocanebia:modulis amocanebia: (miznis miRwevis/daZlevis saSualebebi): rezidentma (maZiebelma) Seiswavlos da SeZlos neiroqirurgiuli da nevrologiuri avadmyofebis wina saoperacio Sefaseba, riskebis

gansazRvra, swori da racionaluri anesTeziologiuri taqtikis arCeva, adeqvaturi monitoringis warmoeba,

postoperaciuli periodis marTva. aseve neirodiagnostikuri kvlevisas uzrunvelyos adeqvaturi

anesTeziologiuri daxmarebis gaweva. aiTvisos qalasSida moculobebis marTvis da samkurnalo-dacviTi

narkozis teqnologiebi. 4.4.4.4.Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba mocemulia cxrili #mocemulia cxrili #mocemulia cxrili #mocemulia cxrili # 16161616----is saxiT:is saxiT:is saxiT:is saxiT:

cxrili # 16 Teoriuli kursi profesiuli unar-

Cvevebi (raodenobis miTiTebiT

davaleba

cerebruli perfuziuli wneva – Tavis tvinis sisxlmomaragebis mniSvnelovani parametri

diskusia seminari

endo- da egzogenuri faqtorebis gavlena Tavis tvinis sisxlmomaragebasa da oqsigenaciaze

diskusia seminari prezentacia

iugularuli oqsimetria, infrawiTeli speqtrometria – c.n.s.-Si cirkulaciis da oqsigenaciis monitoringis Tanamedrove meTodebi


qala – tvinis travma. pre- da adreuli hospitaluri etapis menejmenti

diskusia seminari

glikemia da c.n.s. dazianeba diskusia

50

seminari pituitaruli moSlilobebi da misi marTva diskusia


infuzuri Terapiis ZiriTadi principebi c.n.s. paTologiaTa dros

5 pacienti diskusia seminari

f.x.v. meTodTa SerCeva c.n.s. paTologiebis dros, sedacia.

5 pacienti diskusia seminari

Tavis tvinis dislokaciuri sindromebi, qalasSida moculobebis marTvis da samkurnalo – dacviTi narkozis teqnologia


intrakraniuli hipertenzia – ganviTarebis meqanizmi, monitoringi, mkurnaloba

diskusia seminari

anesTezia stereoteqsiuli operaciebis dros 5 pacienti diskusia seminari prezentacia

koma – etiologia, paTogenezi, menejmenti diskusia seminari

tvinis sikvdili – diagnostikuri kriteriumebi. mediko – socialuri sakiTxebi

diskusia seminari

5.5.5.5.modulis Sefasebis meTodebi modulis Sefasebis meTodebi modulis Sefasebis meTodebi modulis Sefasebis meTodebi (kriteriumebi, perioduloba) _



- neiroqirurgiuli da nevrologiuri avadmyofebis wina saoperacio Sefaseba, - operaciul-anesTeziologiuri riskis gansazRvra, - swori da racionaluri anesTeziologiuri taqtikis arCeva, - adeqvaturi monitoringis warmoeba, - postoperaciuli periodis marTva. - nevrologiuri avadmyofebis intensiuri Terapiis warmarTva - neirodiagnostikuri kvlevisas uzrunvelyos adeqvaturi anesTeziologiuri daxmarebis gaweva.


1. Cottrell J.E. , Smith D. S anesthesia and neurosurgery

2. Cucchiara R.F., michenfelder J. D.m,, Clinical neuroanesthezia

3. Walters F.J.M Ingram G.S. Jenkinson J.L Anesthesia and intensive Care for the Neurosurgical Patient

4. G. Edward Morgan Jr., Maged S. Mikhail Clinikal anesthesiologi

5. A. R. Aitkenhead G Smith Textbooke of anaesthesia

6. Frost E.A.M clinical anesthesia in neurosurgery

7. Sperry R. J.,Stirt J.A. Stone D. J. Manual of neuroanesthesia

8. Stoelting R.S. Dierdosf S. F. anesthesia and coexisting disease

muxmuxmuxmuxli 4. li 4. li 4. li 4. moduli 3.4. moduli 3.4. moduli 3.4. moduli 3.4. zogadi anesTeziis Taviseburebebi geriatriaSizogadi anesTeziis Taviseburebebi geriatriaSizogadi anesTeziis Taviseburebebi geriatriaSizogadi anesTeziis Taviseburebebi geriatriaSi

51

1. modulis xangrZlivobaa1. modulis xangrZlivobaa1. modulis xangrZlivobaa1. modulis xangrZlivobaa 1 Tve (144 sT)

2. modulis mizania2. modulis mizania2. modulis mizania2. modulis mizania – rezidentma aiTvisos xandazmuli asakis pacientTa anesTeziologiuri uzrunvelyofis meTodologiur – teqnologiuri safuZvlebi

3. 3. 3. 3. modulis amocanebia:modulis amocanebia:modulis amocanebia:modulis amocanebia: (miznis miRwevis/daZlevis saSualebebi): rezidentma (maZiebelma) unda Seiswavlos - xandazmulTa da moxucebulTa organizmis anatomiur – fiziologiuri da

paTfiziologiuri Taviseburebani - medikamentTa farmakokinetikis da farmakodinamikis Taviseburebani xandazmul da

moxucebul organizmebSi - monitoringis specifika xandazmul da moxucebul asakSi - operaciul – anesTeziologiuri riskis gansazRvra xandazmul da moxucebul

asakSi - narkozis marTva xandazmul da moxucebul asakSi - mosalodneli garTulebebis prognozireba da profilaqtika

4.Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba 4.Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba 4.Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba 4.Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba mocemulia cxrili # 17mocemulia cxrili # 17mocemulia cxrili # 17mocemulia cxrili # 17----is saxiT:is saxiT:is saxiT:is saxiT:

cxrili # 17cxrili # 17cxrili # 17cxrili # 17 Teoriuli kursi profesiuli unar-


davaleba

xandazmulTa da moxucebulTa organizmis anatomiur – fiziologiuri da paTfiziologiuri Taviseburebani


medikamentTa farmakokinetikis da farmakodinamikis Taviseburebani xandazmul da moxucebul organizmebSi


monitoringis specifika xandazmul da moxucebul asakSi operaciul – anesTeziologiuri riskis gansazRvra xandazmul da moxucebul asakSi

10 pacienti 10 pacienti


narkozis marTva xandazmul da moxucebul asakSi


mosalodneli garTulebebis prognozireba da profilaqtika


postoperaciuli periodis marTva xandazmul da moxucebul asakSi


regionuli gautkivareba xandazmul da moxucebul asakSi


balansirebuli mravalkomponentiani endotraqeuli narkozi xandazmul da moxucebul asakSi





52

- operaciul – anesTeziologiuri riskis gansazRvra xandazmul da moxucebul asakSi

- narkozis marTva xandazmul da moxucebul asakSi - mosalodneli garTulebebis prognozireba da profilaqtika - postoperaciuli periodis marTva xandazmul da moxucebul asakSi


1.Leighton GE, Hill RG, Hughes J. Intrathecal injection of a k- opioid agonist produces hyperalgesia in the guinea pig. Eur J Pharmacol 1988; 157: 241-2

2.Levine J and Taiwo Y. Inflammatory pain. In Textbook of Pain 3rd Edition. Editors:

3.Patrick D. Wall and Ronald Melzack, Churchill Livingstone, Edinburgh, 1994 14-MacDonald RL, Carbamazepine. Mechanisms of action in Antiepileptic Drugs. Third

4.edition, eds R. Levy, R. Mattson, B. Meldrum, J.K. Pendry and F.E. Dreifuss. Raven

5.Press, New York, 1989 1 S.Max MB., Antidepressants as analgesics, in Progress in Pain Research and

6.Management Vol 1, eds. H.L. Fields and John C. Liebeskind. IASP Press, Seattle1994. pp229-Z46 16.0wen H., Kluger MT, and Plummer JL. Variables of patient-controlled analgesia. 4: the relevance of bolus size to supplement a background a background infusion. Anaesthesia 1990: 45:619-22

7.Ren К. and Ruda MA. Nitric oxide: a role in neurotransmission or neuronal toxicity. IASP Newsletter March/April 1992 pp 2-4

8.Tal M, and Bennett GJ. Dextrophan relieves neuropathic heat-evoked hyperalgesia in the rat. Neurosci. Lett., 1993, 151: 107-10 19.Stein С. Peripheral mechanisms of opioid analgesia. Anesth Analg, 1993; 76: 182-191

muxli 5. muxli 5. muxli 5. muxli 5. moduli 3.5. moduli 3.5. moduli 3.5. moduli 3.5. anesTeziologiuri uzrunvelyofisa da intensiurianesTeziologiuri uzrunvelyofisa da intensiurianesTeziologiuri uzrunvelyofisa da intensiurianesTeziologiuri uzrunvelyofisa da intensiuri Terapiis ZiriTadi principebi pediatriaSiTerapiis ZiriTadi principebi pediatriaSiTerapiis ZiriTadi principebi pediatriaSiTerapiis ZiriTadi principebi pediatriaSi

1. modulis xangrZlivobaa1. modulis xangrZlivobaa1. modulis xangrZlivobaa1. modulis xangrZlivobaa - 2 Tve (288 sT) 2. modulis mizania2. modulis mizania2. modulis mizania2. modulis mizania – anesTeziologiuri uzrunvelyofis Taviseburebebisa da asaxli meTodebis Seswavla pediatriul anesTeziologiasa da intensiur TerapiaSi 3.modulis amocanebia:3.modulis amocanebia:3.modulis amocanebia:3.modulis amocanebia: (miznis miRwevis/daZlevis saSualebebi): rezidentma (maZiebelma) unda Seiswavlos:

• bavSvTa asakis daavadebaTa paTfiziologia da fiziologia

• preparatebis dozirebis principebi pediatriul praqtikaSi

• pacientis momzadeba asakobrivi jgufidan gamomdinare anesTeziisa da operaciisaTvis

• anesTeziologiuri uzrunvelyofis meTodis SerCeva, zogadi anesTeziis teqnologia

• avadmyofis saoperaciodan reanimaciis ganyofilebaSi gadayvanis kriteriumebi da postoperaciuli periodis Terapiis ZiriTadi principebi

53


mocemulia cxrili # mocemulia cxrili # mocemulia cxrili # mocemulia cxrili # 18181818----is saxiT:is saxiT:is saxiT:is saxiT: cxrili # 18

Teoriuli kursi profesiuli unar-Cvevebi (raodenobis

miTiTebiT)

davaleba

anatomiur-fiziologiuri Taviseburebani pediatriaSi


zemo sasunTqi gzebis Taviseburebani axalSobilebsa da Cvil bavSvebSi


traqeis intubaciis Taviseburebani axalSobilebsa da Cvil bavSvebSi

10 manipulacia

gulsisxlZarRvTa sistema 1.gulis wuTmoculoba da masze momqmedi faqtorebi 2.gulis wuTmoculobis Sefasebis kriteriumebi


gulis dabali wuTmoculobis Sefaseba da marTvis strategiebi


inhalaciuri da arainhalaciuri anesTetikebis dozireba bavSvTa asakSi


inhalaciuri da arainhalaciuri anesTeziis SedarebiTi daxasiaTeba, upiratesobebi da marTvis strategia sxvadasxva nozologiis dros


winasaoperacio viziti. 1. pacientis Sefaseba 2. intubaciis sirTulis Sefaseba pediatriaSi 3. pacientis anesTeziisa da operaciisaTvis momzadebis procesSi prioritetis gansazRvra


induqciis taqtika da midgomebi pediatriaSi diskusia prezentacia

infuzia-transfuziis strategia bavSvTa kardioqirurgiaSi


organizmis vitaluri sistemebis monitoringis done anesTeziisa da operaciis dros


pacientis intensiuri Terapiis palataSi gadayvanis kriteriumebi da postoperaciuli periodis marTva





- bavSvTa asakis anatomiur-fiziologiuri Taviseburebani - bavSvTa organizmis vitaluri funqciebis monitoringi narkozis msvlelobasa da

intensiuri Terapiis palataSi - inhalaciuri da arainhalaciuri anesTetikebis dozireba bavSvTa asakSi - unda SeeZlos marTos kombinirebuli balansirebuli narkozi bavSvTa kontingentSi - marTos postoperaciuli periodi bavSvebSi

54

- bavSvTa kontingentSi moaxdinos kritikuli mdgomareobis drouli diagnostika da sworad warmarTos menejmenti.


1.Miller"s Anesthesia sixth edition 2005 editor by Ronald d Miller MD 2.Pediatric cardiac anesthesia fourths edition 2005 editor by Carol L.lake , MD , MBA , MPH 3.Pediatric Intensive Care Third Edition edited by Mark C. Rogers Mark A.Helfaer

muxli 6. muxli 6. muxli 6. muxli 6. moduli 3.6. moduli 3.6. moduli 3.6. moduli 3.6. zogadi anesTezia endzogadi anesTezia endzogadi anesTezia endzogadi anesTezia endokrinuli paTologiebis okrinuli paTologiebis okrinuli paTologiebis okrinuli paTologiebis drosdrosdrosdros

1. 1. 1. 1. modulis xangrZlivobaamodulis xangrZlivobaamodulis xangrZlivobaamodulis xangrZlivobaa 1 Tve (144 sT)

2.2.2.2.modulis mizaniamodulis mizaniamodulis mizaniamodulis mizania – rezidentma (maZiebelma) SeZlos Caataros srulyofili anesTeziologiuri uzrunvelyofa qirurgiuli operaciebis da diagnostikuri manipulaciebisas endokrinul jirkvlebsa da Tanmxlebi endokrinuli paTologiis pirobebSi

3.3.3.3.modulis amocanebia:modulis amocanebia:modulis amocanebia:modulis amocanebia: (miznis miRwevis/daZlevis saSualebebi): rezidentma Seiswavlos: - hipofizis hipo- da hiperfunqciebiT gamowveuli daavadebebis etiopaTogenezi da

mkurnaloba - farisebri da farisebraxlo jirkvlebis hipo- da hiperfunqciiT gamowveuli

daavadebebis etiopaTogenezi, klinika da mkurnaloba - pankreasis jirkvlis daavadebebis etiopaTogenezi, klinika da mkurnaloba - Tirkmelzeda jirkvlebis daavadebebis etiopaTogenezi, klinika da mkurnaloba - invaziuri manipulaciebis gautkivareba endokrinuli sistemis kvlevis procesSi - qirurgiuli operaciebis anesTeziologiuri uznrunvelyofa endokrinul

jirkvlebze operaciebisas - qirurgiuli operaciebis anesTeziologiuri uznrunvelyofa Tanmxlebi

endokrinuli paTologiis pirobebSi - hormonuli da fermentuli preparatebis farmakodinamika da farmakokinetika - premedikaciis Taviseburebebis, narkozis da postoperaciuli periodis marTva

endokrinul sistemaze operaciebis da Tanmxlebi endokrinuli paTologiebis pirobebSi

4.4.4.4.SesasrulebelSesasrulebelSesasrulebelSesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba i samuSaos moculoba da Casatarebeli manipulaciebis raodenoba i samuSaos moculoba da Casatarebeli manipulaciebis raodenoba i samuSaos moculoba da Casatarebeli manipulaciebis raodenoba mocemulia cxrili # mocemulia cxrili # mocemulia cxrili # mocemulia cxrili # 19191919----is saxiT:is saxiT:is saxiT:is saxiT:

cxrili # 19 Teoriuli kursi profesiuli unar-


davaleba

hipofizis hipo- da hiperfunqciebiT gamowveuli daavadebebis etiopaTogenezi da mkurnaloba

seminari prezentacia diskusia

farisebri da farisebraxlo jirkvlebis hipo- da hiperfunqciiT gamowveuli daavadebebis etiopaTogenezi, klinika da mkurnaloba

3 pacienti seminari prezentacia diskusia

pankreasis jirkvlis daavadebebis etiopaTogenezi, klinika da mkurnaloba


Tirkmelzeda jirkvlebis daavadebebis 3 pacienti seminari

55

etiopaTogenezi, klinika da mkurnaloba prezentacia diskusia

invaziuri manipulaciebis gautkivareba endokrinuli sistemis kvlevis procesSi


qirurgiuli operaciebis anesTeziologiuri uznrunvelyofa endokrinul jirkvlebze operaciebisas


hormonuli da fermentuli preparatebis farmakodinamika da farmakokinetika


qirurgiuli operaciebis anesTeziologiuri uznrunvelyofa Tanmxlebi endokrinuli paTologiis pirobebSi


premedikaciis Taviseburebebis, narkozis da postoperaciuli periodis marTva endokrinul sistemaze operaciebis da Tanmxlebi endokrinuli paTologiebis pirobebSi


mosalodneli garTulebebis prognozireba da prevencia


5. 5. 5. 5. modulis Sefasebis meTodebi modulis Sefasebis meTodebi modulis Sefasebis meTodebi modulis Sefasebis meTodebi (kriteriumebi, perioduloba) Sefaseba moxdeba test-kiTxvarebiT modulis dasrulebis Semdgom.


- qirurgiuli operaciebis anesTeziologiuri uzrunvelyofa endokrinul jirkvlebze operaciebisas

- invaziuri manipulaciebis gautkivareba endokrinuli sistemis kvlevis procesSi - qirurgiuli operaciebis anesTeziologiuri uzrunvelyofa Tanmxlebi

endokrinuli paTologiis pirobebSi


1. Клиническая Анестезиология. Дж. Эдвард Морган-мл., Мегид С. Михаил. книга I , II. Изд-во «БИНОМ – Невский Диалект», 1998

2. Руководство по анестезиологии. под ред. А. Р. Эйткенхеда, Г. Смита, том I , II. Москва, «Медицина», 1999

3. Практическое руководство по анестезиологии. под ред. акад. А. А. Бунятяна, Москва, «Медицина», 1997

4. Ключевые вопросы и темы в анестезиологии. Т. М. Крафт, П. М. Аптон, Москва, «Медицина», 1997

5. Осложнения при анестезии, под ред. Ф. К. Оркина, Л. Х. Купермана, том I , II. Москва, «Медицина», 1985

6. Критические ситуации в анестезиологии. Дэвид М. Габа, Кевин Дж. Фиш, Стивен К. Хауард, Москва, «Медицина», 2000

7. Клинические случаи в анестезиологии. А. П. Рид, Дж. А. Каплан, Москва, «Медицина», 1999

8. Детская анестезиология и реаниматология, В. А. Михельсон, Москва, «Медицина», 1985

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9. Актуальные проблемы анестезиологии и реаниматологии. Освежающий курс лекций. под ред. Э. В. Недашковского, Архангельск, 2003

10. Интенсивная терапия. Паул Л. Марино. под ред. А.И. Мартынов. Москва, «Медицина», 1998 11. Медицина критических состоянии. А. П. Зильбер. Петрозаводск.1995

12. Терапия. Ален Р. Майер. под ред. А. Г. Чучалина. «ГЭОТАР Медицина», Москва 2003

13. ANESTHESIA. edited by Ronald D. Miller, M.D. Vol. I, II, III, «Churchill Livingstone», 2005

14. Principles of Anesthesiology, general and regional anesthesia. Vincent J. Collins. Vol. I, II, «Lea & Febiger», 1993

15. Breathing and Mechanical Support. Wolfgang Oczenski, Alois Werba, Harald Andel. «Blackwell Science», 2005

16. Крафт Т.М., Антон П.М. Ключевые вопросы и темы в анестезиологии, Москва «Медицина», 1997г. 17. Морган-мл Дж.Э., Мэгид С. М. Клиническая Анестезиология, изд. «БИНОМ» Москва, «Невский

Диалект» Санкт-Петербург, 1998г., том I. 18. Эйткенхед А.Р., Смит Г. Руководство по анестезиологии, «Медицина», 1999г. том I. 19. Miller R.D., M.D. Anesthesia, Churchill Livingstone, New York, 1986, vol. III. 20. Интенсивная терапия-Paul L. Marino

muxli 7. muxli 7. muxli 7. muxli 7. moduli 3.7. moduli 3.7. moduli 3.7. moduli 3.7. zogadi anesTeziis principebi urgentuli zogadi anesTeziis principebi urgentuli zogadi anesTeziis principebi urgentuli zogadi anesTeziis principebi urgentuli operaciebis drosoperaciebis drosoperaciebis drosoperaciebis dros

1.1.1.1.modulis xangrZlivobaamodulis xangrZlivobaamodulis xangrZlivobaamodulis xangrZlivobaa 1 Tve (144 sT) 2.2.2.2.modulis mimodulis mimodulis mimodulis mizaniazaniazaniazania – rezidentma (maZiebelma) icodes sasicocxlo CvenebiT da saswrafo operaciebis anesTeziologiuri uzrunvelyofis menejmenti 3.3.3.3.modulis amocanebia:modulis amocanebia:modulis amocanebia:modulis amocanebia: (miznis miRwevis/daZlevis saSualebebi):

rezidentma (maZiebelma) unda Seiswavlos: - operacia sasicocxlo CvenebiT da saswrafo operaciebi - gadaudebeli da saswrafo operaciebis taqtika da moculoba - operaciul – anesTeziologiuri riskis gansazRvra urgentuli situaciis

formirebisas - pacientTa momzadebis Taviseburebani urgentul situaciebSi - ZiriTad sasicocxlo funqciaTa Sefaseba, SenarCuneba da koregireba - balansirebuli kombinirebuli anesTezia sxvadasxva profilis urgentuli

operaciebis dros - balansirebuli kombinirebuli anesTezia sxvadasxva profilis urgentuli

operaciebis dros Tanmxlebi paTologiis arsebobisas - infuzur-transfuzuri da makoregirebeli Terapia anesTeziis da operaciis

msvlelobisas - postoperaciuli periodis marTva

4.4.4.4.Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba mocemulia cxrili # mocemulia cxrili # mocemulia cxrili # mocemulia cxrili # 19191919----is saxiT:is saxiT:is saxiT:is saxiT:

cxrili #cxrili #cxrili #cxrili #19191919 Teoriuli kursi profesiuli unar-


davaleba

operacia sasicocxlo CvenebiT da saswrafo operaciebi

diskusia prezentacia seminari

gadaudebeli da saswrafo operaciebis diskusia

57

taqtika da moculoba prezentacia operaciul – anesTeziologiuri riskis gansazRvra urgentuli situaciis formirebisas


pacientTa momzadebis Taviseburebani urgentul situaciebSi


ZiriTad sasicocxlo funqciaTa Sefaseba, SenarCuneba da koregireba


balansirebuli kombinirebuli anesTezia sxvadasxva profilis urgentuli operaciebis dros


balansirebuli kombinirebuli anesTezia sxvadasxva profilis urgentuli operaciebis dros Tanmxlebi paTologiis arsebobisas

5 pacienti diskusia prezentacia seminari

infuzur-transfuzuri da makoregirebeli Terapia anesTeziis da operaciis msvlelobisas


postoperaciuli periodis marTva 5 pacienti diskusia prezentacia seninari




- urgentul SemTxvevebSi miiRos pacienti, operciuli CarevisTvis moamzados, gansazRvros operaciul – anesTeziologiuri riski, SearCios gautkivarebis taqtika, marTos kombinirebuli narkozi da postoperaciuli periodi.


1Клиническая Анестезиология. Дж. Эдвард Морган-мл., Мегид С. Михаил. книга I , II. Изд-во «БИНОМ – Невский Диалект», 1998 2Руководство по анестезиологии. под ред. А. Р. Эйткенхеда, Г. Смита, том I , II. Москва, «Медицина», 1999 3Практическое руководство по анестезиологии. под ред. акад. А. А. Бунятяна, Москва, «Медицина», 1997 4Ключевые вопросы и темы в анестезиологии. Т. М. Крафт, П. М. Аптон, Москва, «Медицина», 1997 5Осложнения при анестезии, под ред. Ф. К. Оркина, Л. Х. Купермана, том I , II. Москва, «Медицина», 1985 6Критические ситуации в анестезиологии. Дэвид М. Габа, Кевин Дж. Фиш, Стивен К. Хауард, Москва, «Медицина», 2000 7Клинические случаи в анестезиологии. А. П. Рид, Дж. А. Каплан, Москва, «Медицина», 1999

21. Детская анестезиология и реаниматология, В. А. Михельсон, Москва, «Медицина», 1985 8Актуальные проблемы анестезиологии и реаниматологии. Освежающий курс лекций. под ред. Э. В. Недашковского, Архангельск, 2003 9Интенсивная терапия. Паул Л. Марино. под ред. А.И. Мартынов. Москва, «Медицина», 1998 10Медицина критических состоянии. А. П. Зильбер. Петрозаводск.1995 11Терапия. Ален Р. Майер. под ред. А. Г. Чучалина. «ГЭОТАР Медицина», Москва 2003 12ANESTHESIA. edited by Ronald D. Miller, M.D. Vol. I, II, III, «Churchill Livingstone», 2005

58

13Principles of Anesthesiology, general and regional anesthesia. Vincent J. Collins. Vol. I, II, «Lea & Febiger», 1993 14Breathing and Mechanical Support. Wolfgang Oczenski, Alois Werba, Harald Andel. «Blackwell Science», 2005 15Крафт Т.М., Антон П.М. Ключевые вопросы и темы в анестезиологии, Москва «Медицина», 1997г. 16Морган-мл Дж.Э., Мэгид С. М. Клиническая Анестезиология, изд. «БИНОМ» Москва, «Невский Диалект» Санкт-Петербург, 1998г., том I. 17Эйткенхед А.Р., Смит Г. Руководство по анестезиологии, «Медицина», 1999г. том I. 18Miller R.D., M.D. Anesthesia, Churchill Livingstone, New York, 1986, vol. III. 19Интенсивная терапия-Paul L. Marino

muxli 8. muxli 8. muxli 8. muxli 8. moduli 3.8. moduli 3.8. moduli 3.8. moduli 3.8. anesTeziologiuri uzrunvelyofisa da intensiuri anesTeziologiuri uzrunvelyofisa da intensiuri anesTeziologiuri uzrunvelyofisa da intensiuri anesTeziologiuri uzrunvelyofisa da intensiuri Terapiis ZiriTadi principebi katastroTerapiis ZiriTadi principebi katastroTerapiis ZiriTadi principebi katastroTerapiis ZiriTadi principebi katastrofebis drosfebis drosfebis drosfebis dros

1.modulis xangrZlivobaa1.modulis xangrZlivobaa1.modulis xangrZlivobaa1.modulis xangrZlivobaa 1 Tve (144 sT)

2.modulis mizania2.modulis mizania2.modulis mizania2.modulis mizania – rezidentma (maZiebelma) SeZlos daWrilTa da dazianebulTa samedicino daxarisxeba, kvalificiuri da specializebuli samedicino daxmarebis drouli da xarisxiani aRmoCena katastrofaTa keraSi da samedicino evakuaciis etapebze.

3.modulis amocanebia:3.modulis amocanebia:3.modulis amocanebia:3.modulis amocanebia: (miznis miRwevis/daZlevis saSualebebi): rezidentma aiTvisos katastrofaTa tipebis mixedviT damazianebeli faqtorebis moqmedebis paTfiziologia. aiTvisos daWrilTa da dazianebulTa mcire droSi masobrivi warmoSobis pirobebSi samedicino uzrunvelyofis principebi, evakuaciis Taviseburebani. daeuflos savele anesTeziologiisa da reanimatologiis meTodologiur Taviseburebebs.

4.Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba 4.Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba 4.Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba 4.Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba mocemulimocemulimocemulimocemulia cxrili # 20a cxrili # 20a cxrili # 20a cxrili # 20----is saxiT:is saxiT:is saxiT:is saxiT:

cxrili #20 Teoriuli kursi profesiuli


davaleba

katastrofaTa arsi, samedicino aspeqtebi diskusia prezentacia

bunebrivi da teqnilogiuri katastrofebi


omi da teroristuli aqti, rogorc kombinirebuli katastrofis gansakuTrebuli saxeebi


bunebrivi da teqnologiuri katastrofebis damazianebeli faqtorebi


kombinirebuli katastrofebi – rogorc rTuli politravmebis etiologiuri agentebi


saomari travmatizmi, katastrofuli fsiqozi


samedicino triaJis (daxarisxebis) safuZvlebi


59

savele anesTeziologiis ZiriTadi mimarTulebebi


kombinirebuli balansirebuli intravenuri narkozi spontanuri sunTqvis SenarCunebiT


daWrilTa da dazianebulTa anesTeziologiuri uzrunvelyofis moculoba katastrofis kerasa da evakuaciis etapebze


daWrilTa da dazianebulTa reanimatologiuri uzrunvelyofis moculoba katastrofis kerasa da evakuaciis etapebze


gautkivareba araprofesionalTa monawileobiT


anesTeziologiuri uzrunvelyofis Taviseburebani resursTa deficitis pirobebSi


5.modulis Sefa5.modulis Sefa5.modulis Sefa5.modulis Sefasebis meTodebi sebis meTodebi sebis meTodebi sebis meTodebi (kriteriumebi, perioduloba) _



- daWrilTa da dazianebulTa adeqvaturi anesTeziologiuri da reanimatologiuri uzrunvelyofa masobrivi travmatizmis pirobebSi, samedicino daxarisxebis mixedviT, resursTa deficitis garemoSi.


1.Клиническая Анестезиология. Дж. Эдвард Морган-мл., Мегид С. Михаил. книга I , II. Изд-во «БИНОМ – Невский Диалект», 1998 2.Руководство по анестезиологии. под ред. А. Р. Эйткенхеда, Г. Смита, том I , II. Москва, «Медицина», 1999 3.Практическое руководство по анестезиологии. под ред. акад. А. А. Бунятяна, Москва, «Медицина», 1997 4.Ключевые вопросы и темы в анестезиологии. Т. М. Крафт, П. М. Аптон, Москва, «Медицина», 1997] 5. s. qajaia – “anesTeziologiuri uzrunvelyofa prehospitalur periodSi” Tb. meToduri rekomendacia 2008. 6. n.lebaniZe,s.qajaia - ànesTeziologia da reanimatologia kiTxvebsa da pasuxebSi~ Tb. 2008

muxli 9. muxli 9. muxli 9. muxli 9. moduli 3.9. moduli 3.9. moduli 3.9. moduli 3.9. poliorganuli ukmaroba poliorganuli ukmaroba poliorganuli ukmaroba poliorganuli ukmaroba anesTeziologiuri anesTeziologiuri anesTeziologiuri anesTeziologiuri uzrunvelyofa uzrunvelyofa uzrunvelyofa uzrunvelyofa

1.1.1.1.modulis xangrZlivobaamodulis xangrZlivobaamodulis xangrZlivobaamodulis xangrZlivobaa 1 Tve (144 sT)

60

2.2.2.2.mmmmodulis mizaniaodulis mizaniaodulis mizaniaodulis mizania – rezidents (maZiebels) Camouyalibdes poliorganuli ukmarobis drouli diagnostirebis, gamomwvev mizezTa likvidirebis da mkurnalobis unar-Cvevebi. sworad Seafasos anesTeziis

riski, SearCios gautkivarebis meTodi da uzrunvelyos misi Catareba sasicocxlo funqciaTa monitoringis da

koregirebis pirobebSi. 3.3.3.3.modulis amocanebia:modulis amocanebia:modulis amocanebia:modulis amocanebia: (miznis miRwevis/daZlevis saSualebebi):

rezidentma (maZiebelma) unda Seiswavlos:

- mcneba poliorganuli ukmarobis Sesaxeb, etiologia, paTogenezi;

- klinikuri situaciebis gaazreba da Sefaseba , sindromuli midgoma avadmyofis mkurnalobisadmi,

prioritetebis gansazRvra sindromokompleqsTa TerapiaSi.

- pacientis momzadeba anesTeziisa da operaciisaTvis

- anesTeziologiuri uzrunvelyofis meTodis SerCeva, zogadi anesTeziis teqnologia - avadmyofis saoperaciodan reanimaciis ganyofilebaSi gadayvanis kriteriumebi da postoperaciuli periodis Terapiis ZiriTadi principebi


cxrili # cxrili # cxrili # cxrili # 21212121 Teoriuli kursi profesiuli


davaleba

poliorganuli ukmaroba, rogorc organizmis araspecifiuri stres-reaqcia romelsac Tan axlavs organizmis erTi an ramdenime sistemis ukmaroba


poliorganuli ukmarobis saxeebi: 1. iatrogenuli, 2. poliorganuli ukmaroba, romelic moiTxovs organizmis sasicocxlo mniSvnelobis mqone erTi an ramodenime sistemis xelovnur Canacvlebas an protezirebas


poliorganuli ukmarobis fazebi1. induqciuri 2. kaskaduri, 3. meoradi autoagresiis faza


poliorganuli ukmarobis mediatorebi: citokininebi, hormonaluri aminebi, mediatoruli aminebi, kininebi da proteazebi, endogenuri opioidebi da sxva


sistemuri anTebiTi reaqciis sindromis sumaruli efeqti da stadia


mcneba «kuW-nawlavis traqti, rogorc aradrenirebuli abscesi» poliorganuli ukmarobis dros. kuW-nawlavis traqtis dekontaminacia, rogorc poliorganuli ukmarobis profilaqtikisa da mkurnalobis erT-erTi etapi


pacientis anesTeziisa da operaciisaTvis momzadebis procesSi prioritetis gansazRvra

10 pacientTan muSaoba


sunTqvis, gulsisxlZarRvTa da centraluri 10 pacientTan diskusia

61

nervuli sistemebis FfunqciaTa darRvevebi da mxardaWera poliorganuli ukmarobis pirobebSi

muSaoba prezentacia

pacientis zogadi somaturi mdgomareobidan gamomdinare inhalaciuri da arainhalaciuri anesTetikebis SedarebiTi daxasiaTeba


anesTeziis meTodis SerCeva poliorganuli ukmarobis pirobebSi



organizmis vitaluri sistemebis monitoringis done anesTeziisa da operaciis dros.



hemodinamikis, volemiisa da airTa cvlis mxardaWeris ZiriTadi kriteriumebi anesTeziisa da operaciis dros


pacientis intensiuri Terapiis palataSi gadayvanis kriteriumebi



postoperaciuli periodis marTva da pacientis kritikuli medicinis ganyofilebaSi gadayvanis menejmenti






- gamoikvlios pacienti, Seafasos anesTeziis riski da mosalodneli garTulebebi poliorganuli ukmarobis pirobebSi

- moamzados poliorganuli ukmarobiT pacienti operaciuli CarevisTvis - uzrunvelyos pacientis saTanado monitoringi da dacva operaciis da anesTeziis

pirobebSi - marTos postoperaciuli periodi pacientis kritikuli medicinis ganyofilebaSi

gadayvanamde.


1. Физиология дыхания. Основы. Дж. Уест. Москва, «Мир», 1988 2. Физиология Человека. под ред. Шмидта. Москва 1998 3. Клиническая Анестезиология. Дж. Эдвард Морган-мл., Мегид С. Михаил. книга I , II. Изд-во

«БИНОМ – Невский Диалект», 1998







10. Детская анестезиология и реаниматология, В. А. Михельсон, Москва, «Медицина», 1985 11. Актуальные проблемы анестезиологии и реаниматологии. Освежающий курс лекций. под ред. Э. В.

Недашковского, Архангельск, 2003

12. Интенсивная терапия. Паул Л. Марино. под ред. А.И. Мартынов. Москва, «Медицина», 1998

62

13. Сердечно-лёгочная реанимация. К. Гроер, Д. Кавалларо. Москва, «Практика», 1996 14. Медицина критических состоянии. А. П. Зильбер. Петрозаводск.1995

15. Респираторная поддержка. В. Л. Кассиль, Г. С. Лескин, М. А. Выжигина. Москва, «Медицина», 1997

16. Интенсивная терапия при кровопотере. Л. В. Усенко, Г. А. Шифрин. Киев, «Здоровье» 2000 17. Инфузионная терапия и парентеральное питание, под ред. проф. Г. Н. Хлябича, 2001

18. Патофизиология лёгких. Маикл А. Гриппи. Изд-во «БИНОМ – Невский Диалект», 2000

19. Патофизиология крови. Фред Дж. Шиффман. Изд-во «БИНОМ – Невский Диалект», 2000




23. Opioids in Anesthesia edited by Fazwy G. Estafonous, M.D. Vol. I, II, «Butterwoth-Heinemann», 1999 24. Annual Refresher Course Lectures. American Society of Anesthesiologists. San Francisco 2004


26. Respiratory and Critical Care Medicine. Vol.#157, 158. 2006 27. Regional-anästhesie. Gustav Fischer Verlag. 2006

muxli 10. muxli 10. muxli 10. muxli 10. moduli 3.10. moduli 3.10. moduli 3.10. moduli 3.10. Secdomebi da sirTuleebi anesTeziologiur Secdomebi da sirTuleebi anesTeziologiur Secdomebi da sirTuleebi anesTeziologiur Secdomebi da sirTuleebi anesTeziologiur praqtikaSipraqtikaSipraqtikaSipraqtikaSi

1. 1. 1. 1. modulis xangrZlivobaamodulis xangrZlivobaamodulis xangrZlivobaamodulis xangrZlivobaa 1 Tve (144 sT) 2. 2. 2. 2. modulis mizaniamodulis mizaniamodulis mizaniamodulis mizania – rezidentma (maZiebelma) icodes, Tu ra ZiriTadi Secdomebi da garTulebebi fiqsirdeba da meordeba, rac mas saSualebas miscems Tavidan aicilos piradi Secdomebi da garTulebebi. 3. 3. 3. 3. modulis amocanebia:modulis amocanebia:modulis amocanebia:modulis amocanebia: (miznis miRwevis/daZlevis saSualebebi):

rezidentma unda Seiswavlos da gaaanalizos Tu ra ZiriTadi Secdomebi da garTulebebi fiqsirdeba da meordeba Cveni qveyanisa da sxva qveynebis anesTeziologiur samsaxurebSi: - avadmyofis simZimis Seufasebloba; - anesTeziologiuri teqnikis gaumarTaoba; - anesTeziologiuri manipulaciebis sirTule - profesiuli da genetikuri faqtorebis gauTvaliswinebloba - samedicino personalis dabali kvalifikaciis mniSvneloba.


cxrili #22 Teoriuli kursi profesiuli unar-


davaleba

avadmyofis simZimis Seufasebloba diskusia prezentacia

anesTeziologiuri teqnikis gaumarTaoba vizitebi samedicino aparaturis saremonto firmaSi


anesTeziologiuri manipulaciebis sirTule


profesiuli da genetikuri faqtorebis diskusia

63

gauTvaliswinebloba

prezentacia

samedicino personalis dabali kvalifikaciis mniSvneloba


anatomiurad rTuli da anomaliaTa mqone pacientTa intubaciis teqnika. SeuZlebeli intubacia


bronqoskopuli intubacia da regurgitaciiis bronqoskopuli mkurnaloba

5 pacientis kuracia diskusia prezentacia




- avadmyofis simZimis Seufaseblobis da zerele Sefasebis ar daSveba; - anesTeziologiuri teqnikis gaumarTaobis drouli aRmoCena; - anesTeziologiuri manipulaciebis sirTuleebis gaTvaliswineba - profesiuli da genetikuri faqtorebis gaTvaliswineba - samedicino personalis dabali kvalifikaciis mniSvnelobis Sesabamisad

organizaciuli RonisZiebebis Catareba;


1.Клиническая Анестезиология. Дж. Эдвард Морган-мл., Мегид С. Михаил. книга I , II. Изд-во «БИНОМ – Невский Диалект», 1998 2.Руководство по анестезиологии. под ред. А. Р. Эйткенхеда, Г. Смита, том I , II. Москва, «Медицина», 1999 3.Практическое руководство по анестезиологии. под ред. акад. А. А. Бунятяна, Москва, «Медицина», 1997 4.Ключевые вопросы и темы в анестезиологии. Т. М. Крафт, П. М. Аптон, Москва, «Медицина», 1997 5.Осложнения при анестезии, под ред. Ф. К. Оркина, Л. Х. Купермана, том I , II. Москва, «Медицина», 1985 6.Критические ситуации в анестезиологии. Дэвид М. Габа, Кевин Дж. Фиш, Стивен К. Хауард, Москва, «Медицина», 2000 7.Клинические случаи в анестезиологии. А. П. Рид, Дж. А. Каплан, Москва, «Медицина», 1999 8.Детская анестезиология и реаниматология, В. А. Михельсон, Москва, «Медицина», 1985 9.Актуальные проблемы анестезиологии и реаниматологии. Освежающий курс лекций. под ред. Э. В. Недашковского, Архангельск, 2003 10.Интенсивная терапия. Паул Л. Марино. под ред. А.И. Мартынов. Москва, «Медицина», 1998 11.Медицина критических состоянии. А. П. Зильбер. Петрозаводск.1995 12.Крафт Т.М., Антон П.М. Ключевые вопросы и темы в анестезиологии, Москва «Медицина», 1997г. 13.Морган-мл Дж.Э., Мэгид С. М. Клиническая Анестезиология, изд. «БИНОМ» Москва, «Невский Диалект» Санкт-Петербург, 1998г., том I. 14.Эйткенхед А.Р., Смит Г. Руководство по анестезиологии, «Медицина», 1999г. том I. 15.Miller R.D., M.D. Anesthesia, Churchill Livingstone, New York, 1986, vol. III.

Tavi Tavi Tavi Tavi X. damatebiTi sakiTxebi X. damatebiTi sakiTxebi X. damatebiTi sakiTxebi X. damatebiTi sakiTxebi

muxli 1. saswavlo gegmamuxli 1. saswavlo gegmamuxli 1. saswavlo gegmamuxli 1. saswavlo gegma mocemulia cxrili # mocemulia cxrili # mocemulia cxrili # mocemulia cxrili # 23232323 saxiT:saxiT:saxiT:saxiT:

64

cxrili # cxrili # cxrili # cxrili # 23232323

rezidenturis programa rezidenturis programa rezidenturis programa rezidenturis programa “anesTeziologia/reanimatologia”“anesTeziologia/reanimatologia”“anesTeziologia/reanimatologia”“anesTeziologia/reanimatologia” _ 33 Tve_ 33 Tve_ 33 Tve_ 33 Tve

profesiuli mzadebis I weliwadiprofesiuli mzadebis I weliwadiprofesiuli mzadebis I weliwadiprofesiuli mzadebis I weliwadi moduli ##

modulis dasaxeleba xangrlivoba

1.11.11.11.1 eqimisa da pacientis urTierTobis samarTlebrivi da eTikuri eqimisa da pacientis urTierTobis samarTlebrivi da eTikuri eqimisa da pacientis urTierTobis samarTlebrivi da eTikuri eqimisa da pacientis urTierTobis samarTlebrivi da eTikuri safuZvlebisafuZvlebisafuZvlebisafuZvlebi

2222 kvirakvirakvirakvira

1.21.21.21.2 fundamenturi medicinis Tanamedrove aspeqtebifundamenturi medicinis Tanamedrove aspeqtebifundamenturi medicinis Tanamedrove aspeqtebifundamenturi medicinis Tanamedrove aspeqtebi 2 kvira2 kvira2 kvira2 kvira

1.31.31.31.3 Tanamedrove anesTeziologiuri uzrunvelyofis koncefcia, Tanamedrove anesTeziologiuri uzrunvelyofis koncefcia, Tanamedrove anesTeziologiuri uzrunvelyofis koncefcia, Tanamedrove anesTeziologiuri uzrunvelyofis koncefcia, farmakokinetika, dinamika da genetika farmakokinetika, dinamika da genetika farmakokinetika, dinamika da genetika farmakokinetika, dinamika da genetika

1 Tve1 Tve1 Tve1 Tve

1.41.41.41.4 topografiuli anatomia da qirurgiuli midgomebi topografiuli anatomia da qirurgiuli midgomebi topografiuli anatomia da qirurgiuli midgomebi topografiuli anatomia da qirurgiuli midgomebi anesTeziologiasa da reanimatologiaSanesTeziologiasa da reanimatologiaSanesTeziologiasa da reanimatologiaSanesTeziologiasa da reanimatologiaSiiii


1.51.51.51.5 avadmyofis winasaoperacio gamokvleva, zogadi anesTeziisa da avadmyofis winasaoperacio gamokvleva, zogadi anesTeziisa da avadmyofis winasaoperacio gamokvleva, zogadi anesTeziisa da avadmyofis winasaoperacio gamokvleva, zogadi anesTeziisa da operaciis riskis Sefasebaoperaciis riskis Sefasebaoperaciis riskis Sefasebaoperaciis riskis Sefaseba


1.61.61.61.6 axali teqnologiebi anesTeziologiur praqtikaSi, avadmyofis axali teqnologiebi anesTeziologiur praqtikaSi, avadmyofis axali teqnologiebi anesTeziologiur praqtikaSi, avadmyofis axali teqnologiebi anesTeziologiur praqtikaSi, avadmyofis usafrTxoebis Tanamedrove principebiusafrTxoebis Tanamedrove principebiusafrTxoebis Tanamedrove principebiusafrTxoebis Tanamedrove principebi


1.71.71.71.7 infuzurinfuzurinfuzurinfuzur----transfuzuri Terapiisa da parenttransfuzuri Terapiisa da parenttransfuzuri Terapiisa da parenttransfuzuri Terapiisa da parenteraluri kvebis eraluri kvebis eraluri kvebis eraluri kvebis ZiriTadi principebiZiriTadi principebiZiriTadi principebiZiriTadi principebi


1.81.81.81.8 regionuli gautkivarebis Tanamedrove meTodebiregionuli gautkivarebis Tanamedrove meTodebiregionuli gautkivarebis Tanamedrove meTodebiregionuli gautkivarebis Tanamedrove meTodebi 2 Tve2 Tve2 Tve2 Tve

1.91.91.91.9 zogadi gautkivarebis Taviseburebani qirurgiis sxvadasxva zogadi gautkivarebis Taviseburebani qirurgiis sxvadasxva zogadi gautkivarebis Taviseburebani qirurgiis sxvadasxva zogadi gautkivarebis Taviseburebani qirurgiis sxvadasxva dargSi, ambulatoriuli gautkivarebadargSi, ambulatoriuli gautkivarebadargSi, ambulatoriuli gautkivarebadargSi, ambulatoriuli gautkivareba 2 Tve2 Tve2 Tve2 Tve

profesiuli mzadebis II weliwadiprofesiuli mzadebis II weliwadiprofesiuli mzadebis II weliwadiprofesiuli mzadebis II weliwadi

moduli ##


2.12.12.12.1 jandacvis organizacia da epidemiologiajandacvis organizacia da epidemiologiajandacvis organizacia da epidemiologiajandacvis organizacia da epidemiologia 2 kvira2 kvira2 kvira2 kvira

2.2.2.2.2.2.2.2. mtkicebiTi medicina da samedicino statistika mtkicebiTi medicina da samedicino statistika mtkicebiTi medicina da samedicino statistika mtkicebiTi medicina da samedicino statistika 2 kvira2 kvira2 kvira2 kvira 2.3.2.3.2.3.2.3. reanimatologiareanimatologiareanimatologiareanimatologia 10 Tve10 Tve10 Tve10 Tve

profesiuli mzadebis III weliwadiprofesiuli mzadebis III weliwadiprofesiuli mzadebis III weliwadiprofesiuli mzadebis III weliwadi

moduli ##


3.13.13.13.1 zogadi aneszogadi aneszogadi aneszogadi anesTezia abdominalur qirurgiaSiTezia abdominalur qirurgiaSiTezia abdominalur qirurgiaSiTezia abdominalur qirurgiaSi 1 Tve1 Tve1 Tve1 Tve

3.2.3.2.3.2.3.2. anesTeziologiuri uzrunvelyofaa da intensiuri Terapia gulanesTeziologiuri uzrunvelyofaa da intensiuri Terapia gulanesTeziologiuri uzrunvelyofaa da intensiuri Terapia gulanesTeziologiuri uzrunvelyofaa da intensiuri Terapia gul----sisxlZarRvTa da Torakalur qirurgiaSisisxlZarRvTa da Torakalur qirurgiaSisisxlZarRvTa da Torakalur qirurgiaSisisxlZarRvTa da Torakalur qirurgiaSi


3.3.3.3.3.3.3.3. anesTeziologiuri uzrunvelyofa da intensiuri Terapia anesTeziologiuri uzrunvelyofa da intensiuri Terapia anesTeziologiuri uzrunvelyofa da intensiuri Terapia anesTeziologiuri uzrunvelyofa da intensiuri Terapia neiroqirurgiasa da nevrologiaSi neiroqirurgiasa da nevrologiaSi neiroqirurgiasa da nevrologiaSi neiroqirurgiasa da nevrologiaSi


3.4.3.4.3.4.3.4. zogadi anesTzogadi anesTzogadi anesTzogadi anesTeziis Taviseburebebi geriatriaSi eziis Taviseburebebi geriatriaSi eziis Taviseburebebi geriatriaSi eziis Taviseburebebi geriatriaSi 1 Tve1 Tve1 Tve1 Tve

3.5.3.5.3.5.3.5. anesTeziologiuri uzrunvelyofa da intensiuri Terapia anesTeziologiuri uzrunvelyofa da intensiuri Terapia anesTeziologiuri uzrunvelyofa da intensiuri Terapia anesTeziologiuri uzrunvelyofa da intensiuri Terapia pediatriaSipediatriaSipediatriaSipediatriaSi

2Tve2Tve2Tve2Tve

3.6.3.6.3.6.3.6. zogadi anesTezia endokrinuli paTologiebis droszogadi anesTezia endokrinuli paTologiebis droszogadi anesTezia endokrinuli paTologiebis droszogadi anesTezia endokrinuli paTologiebis dros 1 Tve1 Tve1 Tve1 Tve 3.7.3.7.3.7.3.7. zogadi anesTezia urgentuli operaciebis droszogadi anesTezia urgentuli operaciebis droszogadi anesTezia urgentuli operaciebis droszogadi anesTezia urgentuli operaciebis dros 1 Tve1 Tve1 Tve1 Tve

3.8.3.8.3.8.3.8. aaaanesTeziologiuri uzrunvelyofisa da intensiuri Terapiis nesTeziologiuri uzrunvelyofisa da intensiuri Terapiis nesTeziologiuri uzrunvelyofisa da intensiuri Terapiis nesTeziologiuri uzrunvelyofisa da intensiuri Terapiis ZiriTadi principebi katastrofebis dros ZiriTadi principebi katastrofebis dros ZiriTadi principebi katastrofebis dros ZiriTadi principebi katastrofebis dros


3.9.3.9.3.9.3.9. poliorganuli ukmarisoba anesTeziologiuri uzrunvelyofa poliorganuli ukmarisoba anesTeziologiuri uzrunvelyofa poliorganuli ukmarisoba anesTeziologiuri uzrunvelyofa poliorganuli ukmarisoba anesTeziologiuri uzrunvelyofa 1 Tve1 Tve1 Tve1 Tve 3.10.3.10.3.10.3.10. Secdomebi da sirTuleebi anesTeziologiur praqtikaSi Secdomebi da sirTuleebi anesTeziologiur praqtikaSi Secdomebi da sirTuleebi anesTeziologiur praqtikaSi Secdomebi da sirTuleebi anesTeziologiur praqtikaSi 1 Tve1 Tve1 Tve1 Tve

muxli 2.muxli 2.muxli 2.muxli 2. aucilebeli da rekomendebuli literaturis nusxa.aucilebeli da rekomendebuli literaturis nusxa.aucilebeli da rekomendebuli literaturis nusxa.aucilebeli da rekomendebuli literaturis nusxa.

1. Физиология дыхания. Основы. Дж. Уест. Москва, «Мир», 1988

65

2. Физиология Человека. под ред. Шмидта. Москва 1998 3. Клиническая Анестезиология. Дж. Эдвард Морган-мл., Мегид С. Михаил. книга I , II. Изд-во

«БИНОМ – Невский Диалект», 1998







10. Детская анестезиология и реаниматология, В. А. Михельсон, Москва, «Медицина», 1985 11. Актуальные проблемы анестезиологии и реаниматологии. Освежающий курс лекций. под ред. Э. В.

Недашковского, Архангельск, 2003

12. Интенсивная терапия. Паул Л. Марино. под ред. А.И. Мартынов. Москва, «Медицина», 1998

13. Сердечно-лёгочная реанимация. К. Гроер, Д. Кавалларо. Москва, «Практика», 1996 14. Медицина критических состоянии. А. П. Зильбер. Петрозаводск.1995

15. Респираторная поддержка. В. Л. Кассиль, Г. С. Лескин, М. А. Выжигина. Москва, «Медицина», 1997

16. Интенсивная терапия при кровопотере. Л. В. Усенко, Г. А. Шифрин. Киев, «Здоровье» 2000 17. Инфузионная терапия и парентеральное питание, под ред. проф. Г. Н. Хлябича, 2001

18. Патофизиология лёгких. Маикл А. Гриппи. Изд-во «БИНОМ – Невский Диалект», 2000

19. Патофизиология крови. Фред Дж. Шиффман. Изд-во «БИНОМ – Невский Диалект», 2000




23. Opioids in Anesthesia edited by Fazwy G. Estafonous, M.D. Vol. I, II, «Butterwoth-Heinemann», 1999 24. Annual Refresher Course Lectures. American Society of Anesthesiologists. San Francisco 2004


26. Respiratory and Critical Care Medicine. Vol.#157, 158. 2006 27. Regional-anästhesie. Gustav Fischer Verlag. 2006 28. Крафт Т.М., Антон П.М. Ключевые вопросы и темы в анестезиологии, Москва «Медицина», 1997г. 29. Морган-мл Дж.Э., Мэгид С. М. Клиническая Анестезиология, изд. «БИНОМ» Москва, «Невский

Диалект» Санкт-Петербург, 1998г., том I. 30. Эйткенхед А.Р., Смит Г. Руководство по анестезиологии, «Медицина», 1999г. том I. 31. Miller R.D., M.D. Anesthesia, Churchill Livingstone, New York, 1986, vol. III. 32. Интенсивная терапия-Paul L. Marino 33. Gal T.J. – Respiratory Physiology in Anesthetic Practice, 1991, Williams&Wilkins 34. Luce J.M., Tyler M.L., Pierson D.J. – Intensive Respiratory Care, 1984, W.B. Saunders Company 35. Wolff G. – Die kunstliche Beatmung auf Intensivstationen, 1983, Springer-Verlag 36. Oczenski W, Werba A, Andel H. – Breathing and Mechanical Support, 1997, Blackwell Science 37. Baum J.A. – Low Flow Anaesthesia, 2001, Butterworth&Heinemann 38. Kuhlen R., Guttmann J., Rossaint R. – New forms of assisted spontaneous breathing, 2003, Urban&Fischer Verlag . Lake C.L. – Clinical Monitoring – 1990, W.B. Saunders Company 39. Hensley F.A., Martin D.E.- The practice of Cardiac Anesthesia, 1990, Little, Brown and Company

66

40. Levine R.L., Fromm R.E.- Critical Care Monitoring, 1995, Mosby 41. Lemmer J.N., Richenbacher W.E., Vlachakes G.J.- Handbook of Patient Care in Cardiac Surgery, 2003, Lippincott Williams&Wilkins 42. Hensley F.A., Martin D.E., Gravlee G.P.- A Practical Approach to Cardiac Anesthesia, 2003, Lippincott Williams&Wilkins 43. Mackay J.H., Arrowsmith J.E.- Core Topics in Cardiac Anaesthesia, 2006, Cambridge University Press 44. Sidebotham D., Faris J., Merry A.- Practical Perioperative Transoesophageal Echocardiography, 2003. 45. Cottrell J.E, Smith D. S anesthesia and neurosurgery 46. Cucchiara R.F., michenfelder J. D.m,, Clinical neuroanesthezia 47. Walters F.J.M Ingram G.S. Jenkinson J.L Anesthesia and intensive Care for the Neurosurgical Patient 48.. G. Edward Morgan Jr., Maged S. Mikhail Clinikal anesthesiology 495. A. R. Aitkenhead G Smith Textbooke of anaesthesia

50. Frost E.A.M clinical anesthesia in neurosurgery 51..Sperry R. J.,Stirt J.A. Stone D. J. Manual of neuroanesthesia 52. .Stoelting R.S. Dierdosf S. F. anesthesia and coexisting diseas 53. Осипова Н. А. Оценка эффекта наркотических, анальгетических и психотропных средств в клинической анестезиологии. -Л. :Медицина, 1988. 54. Coderre T.Ї, Katz Ї, Vaccarіno A.L, Melzack R. Contrіbutіon of central neuroplastіsіty to pathologіcal paіn: revіew of clіnіcal and experіmental evіdence.// Paіn. - 1993. 55 - Woolf C.Ї., Chong M.S. Preemptіve analgesіa - Treatіng postoperatіve paіn by preventіng the establіshment of central sensіtіzatіon. / / Anesth.Analg- 1993 56.. Abram S.E., Olson E.E. Systemіc opіoіds do not supress spіnal sensіtіzatіon after subcutaneous formalіn іn rats. // Anesthesіology.-1994. 57. Равал н., Периферические нервные блокады в лечении боли. Оребро, Швеция.- Освежающие лекции по анестезиологии, Арxангельск, 1998. 58. Опит использования перидуральной анестезии в ЛОКБ за10 лет – www. Rambler.ru. 2003. 59. Гуля. М.Б. Леснои.И.И. Радчук.И.Л. Фесенко.В.С.- Опыт использования спинально- епидуралной анестезии в Житомирском областном онкологическом диспансере. www. Rusanesth.ru 2004 -New York 60. Medical Risks Peridural Anaesthesia During Birth Rate.- Lewis Mehl-Madrona M.D. the doctor of philosophy <http//www. Healing-arts. Org/meht-madrona> 61. Проведение эпидуральной анестезии. Brett B. Gutshe, M.D. Профессор анестезиологии, профессор акушерства и гинекологии. The University of Pennsylvania Medical Center, Филадельфия, штат Пенсильвания. www. Rusanesth.ru 2004 62. Корячкин В. А. Страшнов В. Н. ,,Перидуральная и спинальная анестезия” Санкт-Петербург 2000г 63. G. Edward Morgan, Jr.,MD Maged S. Mikhail Clinikal Anesthesiologi. , MD Prentice-Hall International inc 1998, p. 310-314. 64. Lokalanästhesie, Regionalanästhesie,Regionale Schmerztherapie. Herausgegeben von Hans Christoph Niesel und Hugo Van Aken. Georg Thieme Verlag, Stuttgart-New York 65. Regional-anästhesie Gustav Fischer Verlag. Stuttgart 66. Miller"s Anesthesia sixth edition 2005 editor by Ronald d Miller MD

67. Pediatric cardiac anesthesia fourths edition 2005 editor by Carol L.lake , MD , MBA , MPH

68. Pediatric Intensive Care Third Edition edited by Mark C. Rogers Mark A.Helfaer 69. z. xelaZe _ saserTifikacio moTxovnebi specialobaSi ,,kritikul mdgomareobaTa medicina, Sromis, jamrtelobis da socialuri dacvis saministro. Tbilisi, 2000w _ 279gv. wigni pirveli _ 650gv. 70. z.xelaZe - ,,kritikulTa medicina” ,,kritikuli medicinis instituti,” Tbilisi, 2007w. wigni meore – 650gv. 71. Z. Kheladze - ,,New Steps in Critical – Care Medicine”. ,,Critical Care Medicine Institute.” Tbilisi, 1998-215pp.. Kheladze - ,,New Steps in Critical – Care Medicine”. ,,Critical Care Medicine Institute.” Tbilisi, 1998-215pp. 72.,,Critical Care” J. M.Ciieetta, R.W. Taylor, R.R. Kirby, J.B. Lippincott Company. Ph. Ladelphia, USA, 2002 -1998pp, 73. Yeager MP , Glass DD., Neff RK , Bnnck-Johnsen T Epidural anesthesia and analgesia in high-risk surgical patients. Anesthesiology, 1987, 66: 729-735

67

74. Baron JF., Bertrand M., Barre E., Godet G , Mundler 0 , Conat P., Viars P Combined epidural and general anesthesia versus general anesthesia for abdominal aortic surgery Anesthesiology, 1991, 75- 611-618 75. Bursztein S, Elwyn DH, Askanazi et al. The theoretical framework of mderect calorimetry and energy balance. In: Energy Metabolism, Inderect Calorimetry and Energy Balance. The Williams and Wilkins Co, Baltimore, 1989. 76. Gamble JL. Physiological information gained from studies on the life raft ration. Harvey Lect 1947:42:247-273. 77. Cannon PR, Wissler RW, Woolridge RL et al. The relationship of protein deficiency to surgical infection. Ann Surg 1944:120:514-521. 78. Studley HQ. Percentage of weight loss: a basic indicator of surgical risk in patients with chronic peptic ulcer. JAMA 1936:106:458-462. 79. Cahil GF Jr. Starvation in man. N EngI J Med 1970:282:668-675. 80. Elwyn DH, Kinney JM, Jeevanandam M et al. Influence of increasing carbohydrate intake on glucose kinetics in injured patients. Ann Surg 1979:190:117-127. 81. Kinney JM, Elwyn DH. Protein metabolism and injury. Ann Rev Nutr 1983:3:433-466. 82. Wilmore DW, Aulick LH. Metabolic changes in burned patients. Surg Clin iV Ami 978:58:1173-1187. 83. Kinney JM, Duke JH Jr, Long CL et al. Tissue fuel and weight loss after injury. J ClinPathol 1970;23(Suppl 4):65-72. 10-Acheson KJ, Schutz Y, Bessard T, Ravussen E, Jerquier E. Nutritional influences on lipogenesis and thermogenesis after a carbohydrate meal. Am J Physiol 1984:246: E62- E67. 84.Leighton GE, Hill RG, Hughes J. Intrathecal injection of a k- opioid agonist produces hyperalgesia in the guinea pig. Eur J Pharmacol 1988; 157: 241-2 85.Levine J and Taiwo Y. Inflammatory pain. In Textbook of Pain 3rd Edition. Editors: 86.Patrick D. Wall and Ronald Melzack, Churchill Livingstone, Edinburgh, 1994 14-MacDonald RL, Carbamazepine. Mechanisms of action in Antiepileptic Drugs. Third 87.edition, eds R. Levy, R. Mattson, B. Meldrum, J.K. Pendry and F.E. Dreifuss. Raven 88Press, New York, 1989 1 S.Max MB., Antidepressants as analgesics, in Progress in Pain Research and 89.Management Vol 1, eds. H.L. Fields and John C. Liebeskind. IASP Press, Seattle1994. pp229-Z46 16.0wen H., Kluger MT, and Plummer JL. Variables of patient-controlled analgesia. 4: the relevance of bolus size to supplement a background a background infusion. Anaesthesia 1990: 45:619-22 90.Ren К. and Ruda MA. Nitric oxide: a role in neurotransmission or neuronal toxicity. IASP Newsletter March/April 1992 pp 2-4 91.Tal M, and Bennett GJ. Dextrophan relieves neuropathic heat-evoked hyperalgesia in the rat. Neurosci. Lett., 1993, 151: 107-10 19.Stein С. Peripheral mechanisms of opioid analgesia. Anesth Analg, 1993; 76: 182-191

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rezidenturis (diplomisSemdgomi samedicino ganaTlebis ... · ⇒ 2. zogadi anesTezia Tanmxlebi daavadebebis droszogadi anesTezia Tanmxlebi daavadebebis dros - zogadi anesTeziis Taviseburebani