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Anesthesia
Anesthesia
Anesthesia
Amended up to 2018
14AHSS02D
Regulations and Curriculum – B.Sc (A & OTT)
VISION
MISSION
To develop
Nitte (Deemed to be University)
As a centre of excellence imparting quality education,
generatingcompetent, skilled manpower to face the scientific and social
challenges with a high degree of credibility, integrity,
ethical standards and social concern
Regulations and Curriculum – B.Sc (A & OTT)
CONTENTS
Notification ii
Regulations 01 - 14
Programme Outcomes 15
Human Anatomy 16 - 20
Physiology 21 - 26
Biochemistry 27 - 30
Operation Theatre Management 31 - 40
Communicative English 41 - 43
Constitution of India 44 - 46
Kannada 47 - 48
Pathology 49 - 53
Microbiology 54 - 57
Pharmacology 58 - 61
Basics of Anaesthesia 62 - 68
Medicine 69 - 72
Surgery - Basics 73 - 77
Human Rights, Gender Equity and Environmental Studies 78 - 80
Applied Anaesthesia 81 - 87
Applied Surgery 88 - 97
Emergency Medicine and Critical Care 98 - 103
Speciality Anaesthesia 104 - 110
Biostatistics 111 - 113
i
Nitte University
(Deemed University under Section 3 of UGC Act, 1956)
(Placed under Category ‘A’ by MHRD, Govt. of India, Accredited with ‘A’ Grade by NAAC)
University Enclave, Deralakatte, Mangalore – 575 018
Tel: +91-824-2204300/01/02/03 Fax: +91-824-2204305
Website: www.nitte.edu.in E-mail: info@nitte.edu.in
NOTIFICATION
In exercise of the powers conferred under Rule No. R. 9 of the MoA, the Academic Council
in its 22ndmeeting held on 24-07-2014 under the agenda item No. AC/10-22/14 has been
pleased to approve the regulations and course curriculum for Annual Scheme pertaining to
B.Sc (Anaesthesia & Operation Theatre Technology) Course in K.S. Hegde Medical
Academy.
The Regulations, scheme and syllabus shall come into force from the academic year 2013-14.
By order,
REGISTRAR
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Regulations and Curriculum –B.Sc (A & OTT)
1. Introduction:
1.1 These regulations shall be called Nitte (Deemed to be University) Regulations for
B.Sc.(Anaesthesia & Operation Theatre Technology) course (annual scheme) and
govern the policies and procedures including selection, admission, imparting of
instructions, conduct of examinations, evaluation and certification of candidate's
performance and all amendments there to, leading to the award of B.Sc.
(Anaesthesia& Operation Theatre Technology) degree. The regulations shall come
into effect from the academic year 2018-19.
1.2 This set of regulations shall be binding on all the candidates undergoing the said
degree programme.
1.3 These regulations may be modified from time to time as mandated by the statutes of
the University.
1.4 This set of regulations may evolve and get refined or updated or amended or modified
or changed through appropriate approvals from the Academic Council or the Board
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Regulations and Curriculum –B.Sc (A & OTT)
of Management from time to time and shall be binding on all parties concerned
including the Candidates, Faculty, Staff, Departments, and College Authorities.
1.5 All disputes arising from this set of regulations shall be addressed to the Board of
Management. The decision of the Board of Management is final and binding on all
parties concerned. Further, any legal disputes arising out of this set of regulations
shall be limited to jurisdiction of Courts of Mangalore only.
2. Definitions:
Unless the context otherwise requires,
• BOM means Board of Management of Nitte (Deemed to be University);
• BOS means Board of Studies (UG and PG) in Health Sciences Technology.
• College means K. S. Hegde Medical academy.
• He includes both genders He and She; similarly his and / or him, himself includes her,
as well in all cases.
• Head of the Institution means the Dean/Principal of the college (K. S. Hegde Medical
academy).
• Institution/college means K. S. Hegde Medical academy.
• Regulations means this set of academic regulations.
• Regulatory authority- Authority appointed/ constituted by the central / state
government/s to regulate Health Science Education.
• Teaching hospital means Justice K. S. Hegde Charitable Hospital or any other hospital
owned by, or under the management of, the university.
• University means Nitte (Deemed to be University).
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Regulations and Curriculum –B.Sc (A & OTT)
1. He has completed the age of 17 years on or before the 31st December of the year of
admission and
2. He passed the qualifying examination as under:
a. Two year Pre University examination of the government of Karnataka or an
examination recognized as equivalent by Nitte (Deemed to be University) with
Physics, Chemistry, and Biology as principal subjects of study and English as
one of the language (Course) with 40% of average marks in the aggregate of
these subjects.
OR
b. Vocational higher secondary education course conducted by Vocational Higher
Secondary Education, Government of Kerala with five subjects including
Physics, Chemistry, Biology and English in addition to vocational subjects
conducted, is considered equivalent to PUC (10+2) examinations of Government
of Karnataka Pre University Course.
Note:
i. The candidate shall have passed individually in each of the principal subjects.
ii. Candidates who have completed Diploma or Vocational course through
correspondence shall not be eligible for admission.
A Candidate with a pass in two/ three years full time Diploma in Operation Theatre Technology
or Anaesthesia and Operation Theatre Technology issued by a Government Board is eligible for
lateral entry to the second year.
Note:
• Candidates with two years full-time diploma in Operation Theatre Technology or
Anaesthesia and Operation Theatre Technology from a recognized Government Board
shall have passed PUC/’plus-two’ [10+2] with Physics, Biology and Chemistry as
principal subjects OR Candidates with three years full-time diploma from a recognized
Government Board in Operation Theatre Technology/Anaesthesia and Operation Theatre
Technology should have studied Physics, Biology and Chemistry as principal subjects
during the tenure of the course.
Foreign nationals and candidates who have qualified from a foreign university/Board
should obtain permission from Nitte (Deemed to be University) prior to the admission
for equivalence of the qualification.
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Regulations and Curriculum –B.Sc (A & OTT)
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Regulations and Curriculum –B.Sc (A & OTT)
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Regulations and Curriculum –B.Sc (A & OTT)
11. Convocation:
Degrees will be awarded in person for the candidates who have graduated during the
preceding academic year. Degrees will be awarded in absentia to such candidates who
are unable to attend the convocation. Candidates are required to apply for the convocation
along with prescribed fee within the specified date, after having satisfactorily completed
all the requirements of the course.
Provisional pass certificate will be issued by the university provided the candidate fulfils
requirements mentioned in clause (10) above. The provisional certificate will be issued
on submission of an application through the college and will be valid until the
convocation.
Note:
• The Chairman may co-opt and/or invite more members.
• Depending on the prevailing circumstances, the senior most member in the Board shall act as
Chairman instead of Chair person.
• The quorum of each meeting shall be minimum of four.
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Regulations and Curriculum –B.Sc (A & OTT)
Second year:
Total Hours of Instruction
Practical
Sl. No Subject Total
Theory Clinical
Demonstration
Posting
1 Pathology 40 20 ---- 60
2 Microbiology 64 32 ---- 96
3 Pharmacology 64 ---- ---- 64
4 Basics of Anaesthesia 96 30 268 394
5 Medicine 50 ---- ---- 50
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Regulations and Curriculum –B.Sc (A & OTT)
Third year:
Total Hours of Instruction
Practical
Sl. No Subject Total
Theory Clinical
Demonstration
Posting
1. Applied Anaesthesia 96 30 138 264
2. Applied Surgery 96 30 138 264
Emergency medicine and
3. 96 30 139 265
critical care
4. Speciality Anaesthesia 96 30 139 265
i. Biostatistics 30 ---- ---- 30
Total 414 120 554 1088
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Regulations and Curriculum –B.Sc (A & OTT)
5. Orthopaedics OT 15 Days
6. Urology OT 15 Days
7. Neuro surgery OT 15 Days
8. Paediatric/ Plastic surgery 15 Days
9. Cardiothoracic surgery OT 15 Days
10. ICU 15 Days
11. Emergency OT 15 Days
13.1.6 Assessment of Internship:
The intern shall maintain a record book which is to be verified and certified by
the faculty under whom he works. Apart from scrutiny of the record work,
assessment and evaluation of training shall be undertaken by an objective
approach using situation tests in knowledge, skills and attitude during and at the
end of training. Based on the record of work and date of evaluation, the Head
of the Institution will issue a certificate of satisfactory completion of training,
following which the university will award the B.Sc. (A&OTT) degree or declare
him eligible for it.
13.1.7 Satisfactory completion shall be determined on the basis of the following:
Sl. No Parameter Score
Note: A score less than 3 in any of above items will represent unsatisfactory completion of internship
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Regulations and Curriculum –B.Sc (A & OTT)
14. Attendance
14.1 A Candidate pursuing B. Sc. (A & OTT) course shall study in the concerned
departments of the Institute for the entire period as a full time candidate. No
candidate is permitted to run a clinic / laboratory work in any laboratory /
college/hospital / pharmacy, etc., during the period of study (including internship).
No candidate should join any other course of study or appear for any other degree
examination conducted by this university or any other universities in India or
abroad during the period of registration (including internship).
14.1.2. Each year shall be taken as a unit for the purpose of calculating attendance
in every subject.
14.1.3. 75% attendance separately in theory and in practical / clinical, in each
subject, including subsidiary subjects, for appearing in the examination is
compulsory, excluding attendance in non- lecture teaching i.e. Seminars,
group discussions, tutorials, demonstrations, hospital (Tertiary, Secondary
and Primary) postings etc. A candidate who does not fulfil the attendance
requirements shall repeat the year.
15 Examination:
There shall be a University examination at the end of each academic year, in addition to
periodical tests conducted by the college for internal assessment.
15.1 Scheme of Examination:
Evaluation is based on formative evaluation (internal assessment) and summative
evaluation (University examination).
15.1.1 Internal Assessment:
Internal Assessment marks will be calculated on the basis of sessional tests
conducted by the college, seminars and assignments. There shall be at least
three sessional tests. The marks of the best two sessional tests along with
marks obtained in seminars and assignments will be considered, to
calculate the Internal Assessment mark. A candidate must appear for all
sessional tests conducted in order to get the benefit of ‘Average of best
two‘. In case of failure to attempt all three sessional tests, final marks in
internal assessment shall be calculated taking average of three attempts.
15.1.2 University Examination:
A candidate who satisfies the requirements of attendance, progress and
conduct shall be eligible to appear for the university examinations. There
shall be a University Examination at the end of each academic year.
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Regulations and Curriculum –B.Sc (A & OTT)
First Year:
Theory Practical
Grand
Sl. No Subject
Univ. Univ. Total
IA Total IA Total
Exam Exam
1. Human Anatomy 80 20 100 --- ---- --- 100
2. Physiology 80 20 100 --- --- --- 100
3. Biochemistry 40 10 50 --- --- --- 50
Operation theatre
80 20 100 --- --- --- 100
4. Management
Total 350
Communicative
i 100 - 100 --- --- --- 100
English*
Constitution of
ii 100 - 100 --- --- --- 100
India*
iii Kannada* 100 100 --- --- ---- 100
Second year:
Theory Practical
Univ. Univ. Grand
Sl. No Subject Exam IA Total Exam IA Total Total
1. Pathology 40 10 50 --- --- --- 50
2. Microbiology 40 10 50 --- --- --- 50
3. Pharmacology 40 10 50 --- --- --- 50
Basics of
4. 80 20 100 40 10 50 150
Anaesthesia
5. Medicine 40 10 50 --- --- --- 50
6. Surgery -Basics 80 20 100 --- --- --- 100
Total 450
Human Rights,
Gender Equity and
i 100 - 100 --- --- --- 100
Environmental
studies*
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Regulations and Curriculum –B.Sc (A & OTT)
Third year:
Theory Practical
Univ. Univ. Grand
Sl. No Subject Exam IA Total Exam IA Total Total
1. Applied
anaesthesia 80 20 100 40 10 50 150
2. Applied Surgery 80 20 100 40 10 50 150
3. Emergency
Medicine and
Critical care 80 20 100 --- --- --- 100
4. Speciality
Anaesthesia 80 20 100 --- --- --- 100
Total 500
i Biostatistics* 100 --- --- --- --- --- 100
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Regulations and Curriculum –B.Sc (A & OTT)
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Regulations and Curriculum –B.Sc (A & OTT)
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Regulations and Curriculum –B.Sc (A & OTT)
Programme Outcomes:
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Regulations and Curriculum –B.Sc (A & OTT)
Theory hours 90
Practical/ Demonstration hours 30
Lecture 2 Hours per week
Practical/ Demonstration 1 Hour per week
Method of Assessment Written examination
COURSE OUTCOMES
Objectives:
Students at the end of the course should have knowledge about the following aspects of Human
Anatomy:
1. Comprehend the normal disposition, clinically relevant interrelationship and functional
anatomy of various structures in the body.
2. Identify the microscopic structure and correlate ultra-structure of various tissues and
organs with the functions.
3. Demonstrate knowledge of principles and sequential development of the organs and
systems. He/she should be able to explain the developmental basis of major abnormalities.
4. Point out the features of various appearance of normal human body in the skiagrams and
other radiological investigations and understand basis of some common clinical
procedures.
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Regulations and Curriculum –B.Sc (A & OTT)
5. Understand different types of biomedical waste, their potential risks and their
management.
Unit- I 19 hours
Introduction: Human Body As A Whole
• Definition of anatomy and its subdivisions
• Terms of location, positions and planes
• Cell and its organelles
• Epithelium – definition, classification, describe with examples, functions
• Glands – classification, describe serous and mucous glands with examples
• Basic tissues – classification with example
Locomotion And Support
• Cartilage – types, examples and histology
• Bone – classification, examples and histology. Parts of long bone, names of all bones,
vertebral column and intervertebral disc. Fontanel’s of fetal skull.
• Joints – classification of joints with examples, typical synovial joint (in detail).
• Muscular system – classification of muscular tissue and histology
• Important muscles of the body- Sternocleidomastoid, Trapezius, Muscles of tongue,
Deltoid, Biceps brachii, Intercostal muscles, Thoracic diaphragm, Rectus abdominis,
External oblique, Internal oblique, Transversusabdominis, Pelvic diaphragm, Gluteus
maximus, Gluteus medius, Gluteus Minimus, Quadriceps femoris, Soleus.
Unit - II 20 hours
Cardiovascular System
• Heart – size, location, chambers, exterior and interior
• Blood supply of heart
• Pericardium
• Systemic and pulmonary circulation
• Branches of aorta - common carotid artery, subclavian artery,
• Axillary artery, brachial artery, radial artery, superficial palmar arch, femoral artery,
popletial artery, dorsalispedis artery.
• Peripheral pulse.
• Inferior venacava, portal vein, Porto systemic anastomosis.
• Great saphenous vein, median cubital vein.
• Dural venous sinuses
• Lymphatic system – cisterna chyli and thoracic duct
• Lymphatic tissues and its histology.
• Regional lymph nodes – cervical, axillary and inguinal lymph nodes.
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Regulations and Curriculum –B.Sc (A & OTT)
Respiratory System
• Parts of RS – nose, nasal cavity, paranasal air sinuses, larynx, trachea, lungs, pleura and
Broncho pulmonary segments.
• Histology of trachea and lungs.
Unit- IV 15 hours
Urinary System
• Kidney, ureter, urinary bladder, male and female urethra.
• Histology of kidney, ureter and urinary bladder.
Reproductive System
• Parts of male reproductive system- testis, vas deferens, epididymis, prostate.
• Parts of female reproductive system- uterus, fallopian tubes, ovary, mammary gland.
• Histology of testis, vas deferens, epididymis, prostate, uterus, fallopian tube and ovary.
Endocrine Glands
• Names of all endocrine glands, describe in detail on pituitary gland, thyroid
gland and parathyroid gland, suprarenal gland.
• Histology of pituitary, thyroid, parathyroid, suprarenal gland.
Unit -V 22 hours
Nervous System
• Neuron
• Classification of nervous system
• Cerebrum, cerebellum, brain stem, spinal cord & spinal nerve
• Meninges, ventricles and cerebrospinal fluid
• Blood supply of the brain
• Cranial nerves(in brief)
• Nerve plexus (Brachial & lumbar)
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Regulations and Curriculum –B.Sc (A & OTT)
Sensory Organs
• Skin and its appendages.
• Eye – parts of eye ball and lacrimal apparatus.
• Extra-ocular muscles.
• Histology of cornea and retina
• Ear – parts of ear- external, middle and inner ear and contents
Embryology
• Spermatogenesis and oogenesis
• Ovulation, fertilization
• Placenta
No practical examination
Recommended books
1. Shobha Rawlani and ShivlalRawlani, Text Book of General Anatomy, 2nd edition, 2013,
Jaypee brothers.
2. SampathMadhyastha, Manipal Manual of Anatomy, 2nd edition, 2012, CBS publishers &
distributors Pvt.Ltd.
Reference books:
1. B.D. Chaurasia’s- Human Anatomy, Vol.1, 2&3 , 5th edition, 2010, CBS publishers &
distributors Pvt.Ltd.
2. ESTER. M. Grishcimer- Physiology & Anatomy with Practical Considerations, J. P.
Lippincott. Philadelphia
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Regulations and Curriculum –B.Sc (A & OTT)
3. T.W Sadler, Langman’s Medical Embryology, 11th edition, 2009, Wolters Kluwer.
4. Inderbir Singh, G.P. Pal, Human Embryology, 9th edition, 2012, Macmillan India Ltd.
5. Latha V Prabhu, Arunachalam Kumar, Mangala M. Pai, T.B. of Histology, 2 nd edition,
2011, EMMESS Medical Publishers.
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Regulations and Curriculum –B.Sc (A & OTT)
Theory hours 80
Practical/ Demonstration hours 20
Lecture 2 Hours per week
Practical/ Demonstration 1 Hour per week
Method of Assessment Written examination
COURSE OUTCOMES
Learning objectives:
• To recognize the basic physiological principles behind different body functions.
• To understand the relative contribution of each organ system to the maintenance of milieu
interior.
• Have an intuitive understanding of the role of physiology, especially in life processes and
diseases.
• To know the physiological principles underlying pathogenesis and management of
diseases
Unit-1 23Hrs.
1. General physiology 4Hrs.
1. Introduction to Physiology, Concept of Homeostasis.
2. Cell – Morphology – Functions of organelles and Cell membrane.
3. Transport mechanisms,
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Regulations and Curriculum –B.Sc (A & OTT)
3. Blood 15 Hrs.
1. Composition, properties, functions. Plasma proteins: Concentrations and functions.
2. RBC: Morphology, functions, count, physiological variations and life span
Erythropoiesis – stages, essential factors, regulation of Erythropoiesis.
3. Hemoglobin: Functions, concentration, physiological variations. Fate of Hemoglobin
– Jaundice, types.
4. Color index, MCH, MCV, MCHC, PCV – normal values.
5. WBC: Morphology, functions of all types including T & B lymphocytes, total and
differential counts, physiological variations.
6. Platelets: Morphology, count, functions, thrombocytopenia & bleeding time.
7. Blood groups: Basis of blood grouping. Landsteiner’s laws, ABO system,
determination of blood groups, blood transfusion, complications of incompatible
blood transfusion, Rh group, erythroblastosis foetalis, prevention and treatment,
Blood bank.
8. Haemostasis: Mechanisms. Clotting mechanism: factors, intrinsic and extrinsic
pathways, Disorders of clotting – hemophilia, vitamin K deficiency. Anticoagulants –
mechanism of action and their uses.
9. Anemia: Classification – Morphological and Etiological.
10. Blood volume: normal values.
Unit- 2 18 Hrs.
4. Cardiovascular system 10 Hrs.
1. Organization of cardiovascular system, greater and lesser circulation.
2. Physiological anatomy of the heart, nerve supply.
3. Junctional tissues of heart (pacemaker).
4. Cardiac cycle: Mechanical events.
5. Heart sounds, causes, characteristics and significance.
6. Normal ECG, clinical significance of ECG.
7. Heart rate – Physiological variations.
8. Cardiac output: Definitions, normal values, physiological variations.
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Regulations and Curriculum –B.Sc (A & OTT)
Unit- 3 21 Hrs.
6. Excretory system 06 Hrs.
1. Functions of kidneys. Nephrons – Juxta glomerular apparatus – functions.
2. Steps in Urine formation – Ultra filtration, Tubular Reabsorption, Tubular Secretion
3. GFR – Definition, normal values, factors affecting GFR, measurement of GFR
4. Renal threshold for glucose, tubular load for glucose.
5. Role of aldosterone and ADH in urine formation.
6. Micturition, Innervation of bladder. Diuresis.
7. Renal functions tests – Based on analysis of urine and analysis of blood.
8. Skin: Functions of skin. Sweat glands.
7. Digestive system 7 Hrs.
1. Introduction, structure of alimentary canal.
2. Saliva: Composition, functions.
3. Stomach: Functions. Gastric Juice: composition, functions.
4. Pancreatic Juice: Composition and function.
5. Liver: Functions, Bile: composition, functions, Gall bladder: functions.
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Regulations and Curriculum –B.Sc (A & OTT)
Unit- 4 18 Hrs.
9. Nervous system 10 Hrs.
1. Synapse: Types, Transmission
2. Sensory receptors: Definition, Classification Organization of spinal cord.
3. Functions of Dorsal column and Spinothalamic tract.
4. Functions of Corticospinal tract.
5. Reflex Action: Definition, reflex arc.
6. Functions of Cerebellum, Basal ganglia, Thalamus, Hypothalamus.
7. Cerebral cortex: Lobes & functions. EEG – Definition and uses.
8. Autonomic nervous system: Organization & functions.
9. Cerebrospinal fluid: Composition and function.
10. Special senses 4 Hrs.
1. Vision: Physiological anatomy of eye ball, rods & cones.
2. Refractive errors: Myopia, hypermetropia, presbyopia & astigmatism.
3. Audition: Functions of outer, middle & inner ear, cochlea.
4. Deafness – types.
5. Taste: Taste buds, primary taste sensation.
6. Smell: Receptors, modalities of smell
11. Reproductive system 4 Hrs.
1. Male reproductive system: functions of testes, puberty, spermatogenesis functions
of testosterone, semen.
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Regulations and Curriculum –B.Sc (A & OTT)
No practical examination
25
Regulations and Curriculum –B.Sc (A & OTT)
Physiology books
1. Text Book of Physiology – A.P.Krishna
Reference books
1. Text Book of Physiology – A.K.Jain.
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Regulations and Curriculum –B.Sc (A & OTT)
Theory hours 55
Practical/ Demonstration hours 05
Lecture including 2 Hours per week
Practical/ Demonstration
Method of Assessment Written examination
COURSE OUTCOMES
CO1: Understand the responsibility of health care personals and hazards faced in the clinical
laboratory
CO2: Explain the different types, use, care and maintenance of laboratory apparatus and
instruments.
CO3: Understand the fundamental chemistry and knowledge of different solutions
CO4: Understand what are acids, bases, salts and indicators and also know about acid base
balance
CO5: Describe the sample collection procedure to analyse various biochemical parameters
CO6: Describe assimilation of nutrients and consequences of malnutrition
CO7: Understand the different functional tests like LFT (Liver function test), RFT (Renal
function test)
CO8: Understand the overview of tumor markers, cardiac markers, blood sugar and GTT,
lipid profile and diagnostic enzymology
CO9: Describe the applications of radioisotopes
Objectives:
Students at the end of the course should have knowledge about the following aspects of
biochemistry.
• Brief account of glasswares and equipments used in the clinical laboratory and hazards
faced in the clinical laboratory
• Preparation of different types of solution
• Specimen collection and handling
• Importance of nutrients
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Regulations and Curriculum –B.Sc (A & OTT)
Unit I 11 hrs
I Introduction to Clinical Biochemistry: 2 hrs
• Hazards in the clinical chemistry laboratory
• Brief account of the glass ware and equipments used in clinical biochemistry
laboratory
• Conventional and SI units
Unit II 10 hrs
IV Nutrition 10 hrs
• Calorific value
• Nitrogen Balance
• Respiratory quotient
• BMR
• Nutritional importance of carbohydrate, lipids, proteins, vitamins and minerals
• Emphasis on parenteral nutrition
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Regulations and Curriculum –B.Sc (A & OTT)
• Phregulation
• Disturbance in acid base balance
• Anion gap
• Basic principles & estimation of blood gases and ph.
Unit IV 23 hrs
VII Clinical chemistry 20hrs
Brief over view of normal values and interpretation of results
• Renal function tests
• Liver function tests
• Tumor markers
• Cardiac markers
• Diagnostic Enzymology
• Lipid profile
• Blood sugar and GTT
• Normal &Abnormal urine analysis
Scheme of Examination
No practical Examination
Internal Assessment
Theory Internal Assessment-10 marks
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Regulations and Curriculum –B.Sc (A & OTT)
Recommended books:
1. Vasudevan (DM) Sreekumari(s) text book of biochemistry for dental students latest
Edition
Reference books:
1. Biochemistry for Physiotherapy and allied health sciences students - Nandini M, Beena
V Shetty, VinithaRamanath Rai
2. Varley - Clinical chemistry
3. Teitz - Clinical chemistry
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Regulations and Curriculum –B.Sc (A & OTT)
COURSE OUTCOMES
CO1: Understand and plan the structural framework of the operation theatre zones.
CO2: Describe measures to prevent and control sepsis in operation theatre.
CO3: Operate equipment used for sterilization and practice methods of sterilization
including fumigation.
CO4: Understand practice of universal precautions and management of needle stick injury.
CO5: Know the significance of disposal of biomedical wastes and understand its
management
CO6: Know various applications of advanced airway equipments
CO7: Practise the management of difficult airway.
CO8: Describe the anaesthesia workstation and standards.
CO9: Operate the monitoring devices.
Objectives:
Students at the end of the course should have knowledge about the following aspects of
Operation Theatre Management.
• To have general idea about the plan, the structural framework and outline of the operation
theatre zones.
• The broad outline about prevention and control of sepsis in operation theatre.
• The required equipment like autoclave and methods of sterilization including fumigation.
• The knowledge of the anaesthesia machine, airway equipments, difficult airway
management devices, monitors, breathing systems, oxygen therapy devices, gas
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Regulations and Curriculum –B.Sc (A & OTT)
Unit- I 15hrs
• Physical layout of the surgical 3hrs
Location
Space allocation & traffic patterns
Transition zones
Peripheral support areas
Layout of the operation theatre
- Size
- Doors
- Ventilation
- Floors
- Walls & ceiling
- Piped- In gases, computer lines & electrical system
- Lighting
- Radiograph view box
- Cabinets or carts
- Furniture & other equipment
- Communication system
Special procedure rooms
• Care of the perioperative environment 2hrs
• Standards for cleanliness in the surgical environment
Establishing the surgical environment
Room turnover between patient
- Room turnover activities by the scrub person
- Room turnover activities by the team
• Cart system clean up
• Getting room ready for the next patient
• Prevention of infection in OT 2hrs
• Transportation of the patient to OT
• Sources of infections
• Prevention of infection
• Handling sterile items in OT
• Daily terminal cleaning 3hrs
• In the operating room
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Regulations and Curriculum –B.Sc (A & OTT)
Unit-2 16hrs
• General care & testing of instruments 1hr
• Forceps, Hemostats, Needle holders
• Knife
• Blades
• Scissors
• Needle stick injury management 1hr
• Universal precautions 1hr
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Regulations and Curriculum –B.Sc (A & OTT)
▪
Aims & advantages of CSSD
▪
Techniques
▪
Assembly of instrument sets
▪
Packaging instruments & other items for sterilization
▪ Methods of sterilization
- Physical
- Chemical
- Radiation
- New methods of sterilization
▪ Biomedical waste management 2hrs
▪ WHO check list (safe surgery) 1hr
Unit-3 18hrs
Airway equipments 8hrs
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Regulations and Curriculum –B.Sc (A & OTT)
▪
Cleaning
▪
Complications
▪
Advantages & disadvantages
▪
Uses
• Esophagealcombitube airway
• I gel
• Ambu LMA
• Laryngeal tube airway
• Descriptions
• Technique
• Uses
• Evaluation
• Perilaryngeal airway
• Streamlined pharynx airway
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Regulations and Curriculum –B.Sc (A & OTT)
▪ Description
▪ Technique of use
▪ Parts
▪ Types
▪ Advantages & disadvantages
▪ Indirect rigid fiberoptic laryngoscopes
▪ Optical intubating styllets
▪ Video laryngoscopes
Unit-4 26hrs
Difficult Airway Management Devices 10hrs
• Descriptions
• Indications
• Contraindications
• Uses
• Advantages & Disadvantages
▪
Fibroptic Bronchoscope
▪
Combitube
▪
Retrograde Intubation
▪
Cricothyrotomy
▪
Percutaneous Dilatational Tracheostomy
▪
Translaryngeal Tracheostomy
▪
Bonfills
▪
Jet ventilator
▪
Devices in difficult airway cart
▪
Video laryngoscopes
▪
Airtraq
▪
C-MAC
▪
Glidescope
Airway management adjuncts 3hrs
Descriptions and Uses of
• Styllet
• Bougies
• Airway exchange catheter
• Forceps
Anaesthesia Machine 13hrs
• History
• The anaesthesia work station and standards
36
Regulations and Curriculum –B.Sc (A & OTT)
Unit-5 21hrs
Breathing System 8hrs
• General principle
• Common components
• Classification:
• Mapelson’s breathing system
▪
Classification
▪
Configurations
▪
Details of Bain’s circuit and paediatric circuit
37
Regulations and Curriculum –B.Sc (A & OTT)
▪
Technique of use
▪
Functional analysis
▪
Advantages & disadvantages
• Circle System- CO2 absorber
▪
Components
▪
Arrangement of components
▪
Gas flows through the breathing systems
▪
Resistance & work of breathing in the circle system
▪
Dead space of the circle system
▪
Advantages & disadvantages
▪
Importance & advantages of closed circuit
▪
Self-inflating bag
Oxygen Therapy Devices 2hrs
• Conventional face mask
• Nasal Cannula
• Venturi mask
Monitors 10hrs
• Pulse oximetry
• ECG monitor
• Capnograph-ETCO2
• NIBP
• IBP
• CVP
• Temperature
• TEE
• BIS
Gas Monitoring Devices
• Definitions
• Monitor types
• Advantages & disadvantages
• Humidifier
▪
General Considerations for anaesthesia
▪
Sources of humidity
▪
Advantages
▪
Disadvantages
▪
Hazards
38
Regulations and Curriculum –B.Sc (A & OTT)
• Warming devices
▪
Standards
▪
Warming methods
▪
Cost effectiveness
▪
Hazards
• Suction equipment
▪
General Principles
▪
Equipment components
▪
Suctioning techniques
▪
Hazards associated with suctioning
• Anaesthesia Ventilators & working principles
• Peripheral Nerve Stimulator
▪
Descriptions
▪
Principle
▪
Choice of monitoring site
▪
Uses
• Defibrillator
• AED
• Infusion pump
• PCA
• Nerve Locator
Practical/Demonstration: 30hrs
• Checking of anaesthesia machine & drill (check list )
• Checking of breathing circuits , vaporizers , ventilators, defibrillators & suction machine
• Setting of intubation tray
• Setting of monitors
• Setting of airway management equipments
• Setting difficult airway equipments including difficult airway cart & fiberoptic
bronchoscope
• Checking and setting of closed circuit and soda lime mixture
• Setting of peripheral nerve stimulator, warming devices nerve locator and infusion pumps
• Demonstration of gas monitoring devices
• Setting and preparation of oxygen therapy devices
• Assembling of instruments for sterilization
• Packing of instruments & other items for sterilization
• Different methods of sterilization
• Autoclave – working & principle
39
Regulations and Curriculum –B.Sc (A & OTT)
No Practical Examination
Recommended books:
Drugs & equipment in anaesthetic practice -Arun Kumar Paul 6th edition
Manual of Anaesthesia for operation theatre technicians-S Ashanatha Pillai 1st edition
Reference books:
Anaesthesia equipment – Dorsch&Dorsch 5th edition
40
Regulations and Curriculum –B.Sc (A & OTT)
Theory hours 30
Practical/ Demonstration hours -----
Lecture 01 Hour per week
Practical/ Demonstration -------
Method of Assessment Written examination
Course Description: The course is designed to enhance the personality of the students by
introducing and improving their spoken knowledge and speaking skills apropos their
professional work.
COURSE OUTCOMES
Objectives: After completing this course the students will be able to:
• Read and write correct English.
• Communicate effectively in English language.
• Demonstrates skill in writing and speaking English language.
41
Regulations and Curriculum –B.Sc (A & OTT)
Unit II 03 hours
Read and comprehend prescribed course books
Reading, Summarizing, Comprehension
Assessment methods: Fill in the blanks and One mark questions
Unit IV 10 hours
Objectives: Develop skill in spoken English
Content: English- Spoken mode, Debates, Telephonic conversion, formal & informal
conversation:
Agreeing emphasizing, interrupting, politely, opinions, interviews and visual
presentation.
Teaching learning activities: Participating in seminar, Telephonic conversion,
conversation in different situations, practice in public speaking
Assessment methods: Assessment of the skills.
Unit V 06 hours
Content: Listening to comprehension media, audio, video, speeches, definition of listening,
types of listening, purposes of listening, obstacles for listening, contexts of listening, to be a
good listener, listening to a lecture etc.
Teaching learning activities: Listening to audio, video tapes and identify the key points.
Assessment methods: Practical test of listening and filling out the blanks
There shall be examination for 100 marks at the end of the academic year, which will be
conducted by the college.
42
Regulations and Curriculum –B.Sc (A & OTT)
Reference Books:
1. Tom Koorkkakala, Communicative English for General Nursing Students, K.J.
Publications, 2008.
2. King’s English, Addone Publishing Group, Thiruvananthapuram.
3. John Ellison Kahn & others, How to write and speak Better, Reader’s
43
Regulations and Curriculum –B.Sc (A & OTT)
Theory hours 30
Practical/ Demonstration hours -----
Lecture 01 Hour per week
Practical/ Demonstration -------
Method of Assessment Written examination
COURSE OUTCOMES
Unit 1 8hrs.
1. Constitution of India: 4hrs.
• An Introduction to Indian Polity
• Meaning and importance of Constitution
• Making of the Indian Constitution – The Constituent Assembly
• Salient features of the Indian Constitution
• Preamble of the Indian Constitution and Its significance
2. Fundamental Rights and Directive Principles 4hrs
• Fundamental Rights
• Directive Principles of the State Policy
• Fundamental Duties
Unit 2 9hrs.
1. Government of the Union 4hrs
• The Union Executive – The President and The Vice President – The Council of
Ministers and The Prime Minister
44
Regulations and Curriculum –B.Sc (A & OTT)
• The Union Legislature – The Parliament – The Lok Sabha and The Rajya
Sabha – Composition of Powers and Functions, Role of the Speaker
2. Government of the States 4hrs
• The Governor – The Council of Ministers and the Chief Minister
• The State Legislature – Composition of Powers and Functions
3. Democratic Decentralization or Panchayath Raj in India 1hr.
Unit 3 10hrs
1. Federalism in India 5hrs
Unit 4 3hrs
Examination:
There shall be an examination for 100 marks at the end of the academic year, which will be
conducted by the college
45
Regulations and Curriculum –B.Sc (A & OTT)
46
Regulations and Curriculum –B.Sc (A & OTT)
Total Hours: 30
Course Description: The course is designed to enhance the personality of the students by
introducing and improving their spoken knowledge and speaking skills in regional language
apropos their professional work. /
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47
Regulations and Curriculum –B.Sc (A & OTT)
The student groups are made with local students as the group leaders, so that they help the non-
Kannada students to improve the language skills outside the class and even after completion
of the course. All students should attend these classes and must have minimum 75%
attendance. It is mandatory that they pass the examination conducted at the end of the course
to become eligible to appear for the 1st Year University Examination.
48
Regulations and Curriculum –B.Sc (A & OTT)
Theory 40
Practical/ Demonstration 20
Lecture/ Practical/ Demonstration 2 Hours per week
Method of Assessment Written examination
COURSE OUTCOMES
Objectives:
At the end of the course the student should know,
• What is “Disease” or concepts of Diseases?
• The Definition, classification of diseases and the medical terms used.
• The cause and mechanism of a few common diseases they come across during their routine
work.
• The common changes seen in these diseased persons in different organs/tissues/body
fluids.
• The names of the common laboratory tests done to diagnose the diseases like examination
of urine, blood, other body fluids and tissues.
• The proper methods of collection, preservation and delivery of the samples to the
respective laboratories and.
49
Regulations and Curriculum –B.Sc (A & OTT)
• The procedures of procuring the whole blood or blood components from blood bank and
the complications of blood transfusion.
Unit I 7 hrs
Introduction to Pathology, Cell membrane, Cytoplasm, contents and nucleus
Various injuries – Cell changes – Reversible changes, fatty liver, hydropic changes and
Irreversible changes
Irreversible changes – Necrosis. Types with examples.
Apoptosis Pigments – Classification. Bilirubin, melanin,
pathological calcification
Inflammation – Definition, classification, signs, vascular & cellular events in acute
inflammation
Repair and wound healing, fracture healing, complications, factors influencing healing
Infectious diseases – Tuberculosis, leprosy, fungal diseases, malaria
Unit II 9 hrs
Oedema – Definition, classification, causes, pathogenesis. Pulmonary oedema, cardiac
oedema, Renal oedema, Lymphedema
Thrombosis – Definition, classification, pathogenesis, venous and arterial thrombosis, fate of
thrombus
Embolism – Definition, classification and clinical manifestations – Infarction, gangrene
Cellular adaptations and Growth disorders: Atrophy, hypertrophy, hyperplasia, metaplasia,
dysplasia and neoplasia
Neoplasia (Tumors) – Definition, nomenclature, differences between benign and malignant
tumors metastasis Causes (carcinogens), clinical features and lab diagnosis of cancers Genetics
– Genetic diseases, cause.
Common cytogenic diseases – Klinefelter, Downs and Turners syndrome.
Complete urine examination – physical, chemical, microscopy of sediment
Liver function tests, Renal function tests
Cytology, FNAC, Surgical pathology, biopsy, resected specimen preservation, fixation and
filling of request forms
50
Regulations and Curriculum –B.Sc (A & OTT)
Unit IV 8 hrs
Osteomyelitis – Acute and chronic, Tubercular, causes, pathology & its complications
Diseases of joints – Osteoarthritis and Rheumatoid arthritis – causes, aetiopathogenesis,
pathology, complications
Metabolic disease of bones – Osteoporosis, Osteomalacia, Rickets
Cardiovascular diseases – Introduction, Atherosclerosis – definition, risk factors, sites/ organs,
pathology manifestations, complications. Aneurysms – types, causes and complications
Ischemic heart disease (IHD) – Types, Pathogenesis of Angina, Myocardial infarctions and its
complications
Rheumatic heart disease – etiology, pathogenesis and morphology of
the heart Hypertension – definition, causes, complications
Heart failure – Causes, pathophysiology, clinical manifestations and complications
Unit V 7 hrs
Respiratory diseases – Chronic obstructive pulmonary airway diseases – causes, pathology and
complications of each (asthma, chronic bronchitis, emphysema, Broncheictasis in brief).
Pneumonia – classification, clinical features and morphology
Pulmonary tuberculosis – classification/ types, primary, complex, miliary TB and cavitatory
TB, complications
Pleural effusion – definition, causes, clinical features and diagnosis
Renal system; Glomerulonephritis, nephritic and nephrotic syndrome. Tubulo-interstitial
diseases, Renal failure – Acute and chronic
Pyelonephritis – Types, causes, organ changes and complications.
51
Regulations and Curriculum –B.Sc (A & OTT)
52
Regulations and Curriculum –B.Sc (A & OTT)
Scheme of Examination
Scheme of Theory Examination:
There shall be one theory paper of 1 hour 30 minutes duration carrying 40 marks.
Distribution of type of questions & marks for Pathology shall be as given under:
No practical Examination
Internal Assessment
Theory Internal Assessment-10marks
Books Recommended:
Harsh Mohan – Text Book of Pathology with Pathology Quick Review
53
Regulations and Curriculum –B.Sc (A & OTT)
Theory hours 64
Practical/ Demonstration/ 32
Lecture 2 Hours per week
Practical/ Demonstration 01 Hour per week
Method of Assessment Written examination
COURSE OUTCOMES
Objectives:
• Explain the concepts and principles of microbiology and its importance
• Describe the structure, classification, morphology growth of bacteria
• Describe the methods of infection control and role in hospital infection control program
• Describe different disease producing organisms
• Explain the concepts of immunity, hypersensitivity and immunization
Unit- I 21 Hours
Theory
Morphology of Bacteria: 6 Hours
(Structure, size, shape, arrangement cell wall, flagella, spore, capsule,
fimbria)
Physiology of Bacteria: 2 Hours
(Bacterial growth curve, Temp, O2, Co2, micro and macro nutrient growth
requirements)
Culture Media 1 Hour
Culture Methods 1 Hour
54
Regulations and Curriculum –B.Sc (A & OTT)
Unit -III
Immunology 10 Hours
Immunity 2 Hours
Antigen 2 Hours
Antibody 2 Hours
Hypersensitivity 4Hours
Unit- IV 7 Hours
General Properties of fungi. 3 Hours
(General characters, classification, Morphology, Reproduction)
General Properties of Viruses. (General character, classification based on
Genome, 4 Hours
Capsid, Envelope & replication and cultivation of virus).
55
Regulations and Curriculum –B.Sc (A & OTT)
56
Regulations and Curriculum –B.Sc (A & OTT)
OT Surveillance – II
Biomedical waste Management – I
Biomedical waste Management – I
Scheme of Examination
No practical Examination
Internal Assessment
Theory Internal Assessment-10 marks
57
Regulations and Curriculum –B.Sc (A & OTT)
Theory hours 64
Practical/ Demonstration/ ---
Lecture 2 Hours per week
Practical/ Demonstration --
Method of Assessment Written examination
COURSE OUTCOMES
At the end of the course students will be able to...
Objectives:
• The objective of teaching Pharmacology to B. Sc. A & OTT students is to inculcate the
knowledge of rational and scientific basis of usage of drugs in therapeutics.
• At the end of the course student shall be able to describe the pharmacological aspects of
some of the commonly used drugs and must be in a position to list their indications,
therapeutic uses and adverse effects.
• Extra focus is laid on those essential drugs which are used in the OT setup.
Unit – 1 12hrs
General pharmacology 6hrs
• Introduction& definitions
• Routes of drug administration
• Pharmacokinetics
58
Regulations and Curriculum –B.Sc (A & OTT)
• Pharmacodynamics
• Adverse drug reactions
Drugs acting on autonomic nervous system 6hrs
• Adrenergic drugs & blockers
• Cholinergic drugs & blockers
• Skeletal muscle relaxants
Unit – 2 12hrs
Drugs acting on central nervous system 12hrs
• Alcohols
• Sedatives& hypnotics
• Antiepileptic drugs
• General anaesthetics
• Local anaesthetics
• Antiparkinsonian drugs
• Opioid analgesics
• NSAIDS
• Drugs used in psychiatric disorders
Unit – 3 10hrs
Drugs used in cardiovascular disorders 8hrs
• Drugs used in congestive cardiac failure
• Drugs used in angina & MI
• Antihypertensive agents
• Antiarrhythmics agents
• Hypolipedemic agents
• Drugs used in shock
• Cardioplegic drugs
• IV fluids & drugs used in perfusion technology
Diuretics 2hrs
Classification
Mechanism of action
Therapeutic uses & adverse effects
Unit – 4 16hrs
59
Regulations and Curriculum –B.Sc (A & OTT)
Antiplatelet drugs
Coagulants & anticoagulants
Thrombolytics & antithrombolytics
Scheme of Examination
No practical Examination
Internal Assessment
Theory Internal Assessment-10marks
60
Regulations and Curriculum –B.Sc (A & OTT)
Books Recommended:
1. K.D. Tripathi- Essentials of medical pharmacology
2. Laurence and Bennet - Clinical pharmacology
61
Regulations and Curriculum –B.Sc (A & OTT)
Theory hours 96
Practical/ Demonstration 30
Clinical Posting 268
Lecture 3 Hours per week
Practical/ Demonstration 01 Hour per week
Clinical Posting 08 Hours per week
Method of Assessment Written examination
COURSE OUTCOMES
Objectives:
Students at the end of the course should have knowledge about the following aspects of Basics
of Anaesthesia.
• Overall knowledge of the preoperative evaluation, premedication and different anaesthesia
techniques.
• Basic pharmacology of anaesthesia and emergency drugs.
• Intubation and emergency airway equipments
• Techniques of anaesthesia
• The monitors and recording the vital signs.
62
Regulations and Curriculum –B.Sc (A & OTT)
Unit-1 28hrs
• Introduction 3hrs
•
History of anaesthesia
•
Scope of anaesthesia practice
• Pre-operative evaluation and medication 2hrs
▪
Preoperative evaluation
- History
- General physical examination and systemic examination
- Overall assessment of perioperative risk and ASA classification
▪
Preoperative medication 3hrs
- Psychological preparation
- Pharmacologic agents
• Sedatives
• Anticholinergics
• Antiemetics
• Antacids
• H2receptor blockers
• Choice of anaesthesia technique 20hrs
▪
Anaesthesia techniques
▪
General anaesthesia technique
• Induction
• Laryngoscopy
• Intubation
• Oral intubation
• Nasal intubation
• Fiberoptic intubation
▪
Positioning
▪
Maintenance and monitoring
▪
Reversal
▪
Post-operative care
• Fluid management
• Pain management
▪
Regional anaesthesia technique
• Positioning
• Spinal anaesthesia
• Epidural Anaesthesia
• Caudal block
• Plexus block
63
Regulations and Curriculum –B.Sc (A & OTT)
• Nerve blocks
• IVRA
▪
Monitored anaesthesia care
Unit-2 16hrs
• Pharmacology of anaesthetic agents
Sedatives
- Midazolam
- Trichlofos
- Diazepam
- Clonidine
- Dexmedetomidine
- Lorazepam
- Promethazine
Induction Agents
- Thiopentone Sodium
- Propofol
- Ketamine
- Etomidate
Muscle relaxants
- Succinylcholine
- Atracurium
- Cisatracurium
- Vecuronium
- Pancuronium
- Rocuronium
• Analgesics
- Opioids
- Morphine
- Pethidine
- Fentanyl
- Sufentanyl
- Remifentanyl
- Buprenorphine
- Butorphenol
- Nalbuphine
- Nalaxone
64
Regulations and Curriculum –B.Sc (A & OTT)
- Tramadol
- NSAIDS
- Paracetamol
- Diclofenac Sodium
- Ketorolac
Unit-3 20hrs
▪ Reversal agents
▪ Neostigmine
▪ Sugammadex
▪ Inhalational agents
▪ Nitrous oxide
▪ Halothane
▪ Isoflurane
▪ Sevoflurane
▪ Desflurane
▪ Local anaesthetic agents
▪ Lignocaine
▪ Bupivacaine
▪ Levobupivacaine
▪ Ropivacaine
▪ EMLA
▪ Antiemetics
▪ Metoclopromide
▪ Ondonseton
▪ Domperidone
▪ Granisetron
▪ Others
▪ Hyaluronidase
▪ Insulin
▪ Protamine sulphate
▪ Antibiotics
▪ IV fluids
▪ Crystalloids
▪ Colloids
65
Regulations and Curriculum –B.Sc (A & OTT)
Unit-4 14hrs
Emergency drugs
• Oxygen
• Ionotropes
▪
Adrenaline
▪
Noradrenaline
▪
Dopamine
▪
Dobutamine
▪
Isoprenaline
▪
Vasopressine
▪
Digoxin
▪
Milrinone
• Sympathomemmetics
▪
Mephenteramine
▪
Phenylnephrine
▪
Ephedrine
• Vasodilators
▪
Sodium Nitroprusside
▪
Nitro-glycerine
▪
Nifedipine
• Anticholinergics
▪
Atropine
▪
Glycopyrrolate
• Bronchodilators
▪
Deriphylline
▪
Aminophylline
▪
Salbutamol
Unit-5 18hrs
• Steroids
▪
Hydrocortisone
▪
Dexamethasone
▪
Methylprednisolone
• Β Blockers
▪
Esmolol
▪
Metoprolol
▪
Propranolol
▪
Lebetolol
66
Regulations and Curriculum –B.Sc (A & OTT)
• Antiarrhythmics
▪
Lignocaine
▪
Amiodarone
▪
Adenosine
▪
Phenytoin sodium
• Electrolytes
▪
Sodium Bicarbonate
▪
Calcium Gluconate
▪
Calcium Chloride
▪
Magnesium Sulphate
▪
Potassium Chloride
• Others
▪
Frusemide
▪
Mannitol
▪
Prostodin (PGE∝)
▪
Oxytocin
▪
Methyl ergometrine
▪
Heparin
▪
Low molecular weight heparin
▪
Warfarin
Practicals/demonstration: 30hrs
• Preoperative evaluation of patient
• Consent taking
• Shifting the patient into the operation theatre
• Preparation of intubation tray
• Preparation and setting of drug tray
• Preparation and setting of monitor and ventilator
• Preparation and setting of drug tray
• Preparation of sets for Spinal Anaesthesia, Epidural Anaesthesia, Blocks
• IV Cannulation
• Connecting the monitors & recording baseline vitals
• Assisting during anaesthetization of patient
• Intraoperative anaesthesia management
• Anaesthesia record maintenance
• After recovery shifting the patient to post-operative ward
• Post-operative management of patient
67
Regulations and Curriculum –B.Sc (A & OTT)
Books Recommended:
1. Short text book of anaesthesia –Ajay yadav 12th edition
2. Drugs & equipment in anaesthetic practice –Arun Kumar Paul
3. Text book for Operation Room Technicians- Pramila Bhalla 2nd edition
Reference books:
1. Lee’s synopsis of anaesthesia- 13th edition
2. Basics of anaesthesia- Robert k. Stoelting, Ronald d. Miller 6th edition
68
Regulations and Curriculum –B.Sc (A & OTT)
Theory hours 50
Practical/ Demonstration/ clinics ------
Lecture 2 Hours per week
Practical/ Demonstration/ clinics ------
Method of Assessment Written examination
COURSE OUTCOMES
Objectives:
Students at the end of the course should have knowledge about the following aspects of
Medicine.
• Basic knowledge of clinical examination of patients.
• Understanding of common medical diseases like Diabetes Mellitus, Hypertension,
Ischemic Heart Disease, Anaemia, COPD, Chronic liver and kidney diseases.
• Principles of management of shock, sepsis and common medical emergencies.
69
Regulations and Curriculum –B.Sc (A & OTT)
Unit-1 10hrs
• Introduction
• Clinical examination of patients
▪
History
▪
GPE
▪
Systemic examination
▪
Investigations
• Diabetes mellitus
▪
Types
▪
Pathophysiology
▪
Clinical features
▪
Investigations
▪
Complications
▪
Treatment
Special emphasis on
• Diabetic ketoacidosis
• Fluid management
• Measurement of blood sugar
Unit-2 8hrs
• Hypertension
▪
Definition
▪
Clinical features
▪
Management
▪
Complications
▪
Investigations
• Ischemic heart disease
▪
Itiopathology
▪
Clinical features
▪
Investigations
▪
Management
▪
Complications
Special emphasis on
• ECG
• TMT
• Echocardiography
70
Regulations and Curriculum –B.Sc (A & OTT)
Unit-3 11hrs
• Obesity
▪
Definition
▪
Clinical features
▪
Clinical implications
• Elderly patient
▪
Definition
▪
Clinical features
▪
Clinical implications
• Shock
▪
Definition
▪
Types
▪
Pathophysiology
▪
Treatment
▪
Details of each type
▪
Ionotropes
Unit-4 10hrs
• Sepsis & septicemia
• COPD & Bronchial asthma
▪
Pathophysiology
▪
Clinical features
▪
Treatment
▪
Lung Function Tests
• Chronic renal failure
▪
Acute renal failure
▪
Causes of CRF
▪
Complications
•
Treatment
•
Renal Transplantation
Unit-5 11hrs
• Chronic liver disease/failure
▪
Hepatitis – Types & treatment
▪
Cirrhosis: Pathophysiology and complications
▪
Investigations: Liver function tests
▪
Obstructive jaundice
• Anaemia
71
Regulations and Curriculum –B.Sc (A & OTT)
▪
Types
▪
Diagnosis
▪
Management
• Epilepsy & cerebrovascular accidents
▪
Causes
▪
Treatment
▪
Status epilepticus
▪
Drugs
Scheme of Examination
Scheme of Theory Examination:
There shall be one theory paper of 1 hour 30 minutes duration carrying 40 marks.
Distribution of type of questions & marks for Medicine shall be as given under:
No practical Examination
Internal Assessment
Theory Internal Assessment-10marks
Books recommended:
1. Hutchison’s clinical method
2. Davidson’s principles and practice of mecicine-22nd edition
72
Regulations and Curriculum –B.Sc (A & OTT)
COURSE OUTCOMES
Objectives:
Students at the end of the course should have knowledge about the following aspects of
Surgery-Basics.
73
Regulations and Curriculum –B.Sc (A & OTT)
Unit-1 15 hrs
The Perioperative Environment 5hrs
• Basics of surgery
▪
History of surgery
▪
Role of surgeon
▪
Importance of team work & anticipating the needs of surgeons
The Perioperative Patient Care Team 4hrs
• Non sterile team members
• Sterile team members
• The surgical first assistant
▪
First assistants knowledge and skill level
▪
What does the first assistant do?
▪
Disciplines associated with first assisting in surgery
Surgical Asepsis & Sterile Technique 6hrs
• Principles of asepsis & sterile technique
▪
Transmission of microorganisms
▪
Human –borne sources of contamination
▪
Non-human factors in contamination
▪
Aseptic technique & environmental control
▪
Standard precautions
▪
Principles of sterile technique
▪
Application of sterile technique
Unit-2 15 hrs
• Personal care & hand asepsis 3hrs
•
Appropriate operating room attire
•
Surgical hand & skin cleansing
•
Gowning & gloving
• Decontamination & disinfection 5hrs
•
Instrument cleaning & decontamination
•
Decontamination of items used in patient care
•
Methods of disinfection
•
Waste disposal
•
Sterilization 7hrs
•
Sterilization versus disinfection
•
Assembly of instrument sets
•
Packing instruments & other items for sterilization
74
Regulations and Curriculum –B.Sc (A & OTT)
▪ Thermal sterilization
▪ Chemical sterilization
▪ Radiation sterilization
▪ Control measures
Unit-3 15hrs
Surgical Instrumentation & Equipment 12hrs
• Surgical Instrumentation
▪
Fabrication of metal instruments
▪
Classification of instruments
▪
Powered surgical instruments
▪
Handling instruments
• Specialized Surgical Equipment
▪
Laparoscopic equipments
▪
Endoscopic equipments
▪
Electrocautery
▪
Lasers
▪
Operating microscope
Unit-4 29hrs
Intraoperative Patient Care
• Coordinated Roles of the scrub person & the circulating nurse 7hrs
▪
Setting up the room
▪
Scrub person duties
▪
Circulating nurse duties
▪
Sponges, sharps, & instrument Counts
▪
Instruments
▪
Efficiency of the operating room team
• Positioning , prepping & draping the patient 20hrs
▪
Preliminary considerations
▪
Anatomic & physiologic considerations
▪
Equipment for positioning
▪
Surgical positions
▪
Principles of patient skin preparation
75
Regulations and Curriculum –B.Sc (A & OTT)
▪
Preliminary preparation of the patient’s skin
▪
Surgical skin cleansing fundamentals
▪
Antiseptic solutions
▪
Skin preparation for specific anatomic areas
▪
Draping
▪
Draping materials
▪
Principles of draping
▪
Procedures for draping the patient
▪
Draping of equipment
▪
Plastic isolator
WHO check list 2hrs
Unit-5 22hrs
Surgical Site Mangement 11hrs
• Hemostasis
• Wound closure
• Suture materials
▪
Absorbable
▪
Non absorbable
• Wound healing
▪
Mechanism of wound healing
▪
Types of wounds
▪
Factors influencing wound healing
▪
Wound management
▪
Complications of wound healing
▪
Post-operative wound infections
▪
Basic wound care
Practicals: 30hrs
• Preoperative preparation & consent taking
• Shifting the patient & checking the case records
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Regulations and Curriculum –B.Sc (A & OTT)
There shall be one theory paper of three hours duration carrying 80 marks. Distribution
of type of questions & marks for Surgery-Basics shall be as given under:
Books Recommended:
1. Berry & Kohn’s Operating Room Technique 12th edition
2. Pocket guide to the Operating Room- Jaypee 3rd edition
3. Text book for Operation Room Technicians- Pramila Bhalla 2nd edition
Reference books:
1. Text book of surgery – Bailey and Love
77
Regulations and Curriculum –B.Sc (A & OTT)
Theory hours 30
Practical/ Demonstration hours -----
Lecture 01 Hour per week
Practical/ Demonstration -------
Method of Assessment Written examination
COURSE OUTCOMES
Syllabus
Unit 1
Human rights 10 hours
1. Human Rights – Meaning; Universal Declaration of Human Rights 6 hours
2. Human Rights Advocacy: Global Advocacy of Human Rights;
Amnesty International and other organization; People’s Union for
Civil Liberty (PUCL);
Human Rights Commission in India; Minority Commission in India; Remedies against
violation of Human Rights in India 10 hours
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Regulations and Curriculum –B.Sc (A & OTT)
3. United Nations and Human Rights: Civil and Political Rights: Economic, Social and
Cultural Rights 4 hours
Unit 2
Gender equity 10 hours
1. Sex and Gender – Masculinity and Feminity – Patriarchy, Matriarchy, Gender Roles and
Attributes, Gender Division of Labour – Gender bias, Gender Stereotypes – Need for
Gender Sensitization
2. Women’s Status in India: Important indicators – sex ratio, education, health, nutrition,
maternal and infant mortality, work participation rates, political participation
3. Contemporary Women’s issues: Discrimination against girl child; Violence against
women; Problems of Health and Nutrition; Women’s Education and gender bias in
education; Trafficking of Women; Globalization and impact on women
4. State Initiative on Gender Issues: Constitution rights of women; Laws pertaining to
women; National and State Commission for women
Unit-3
Environmental studies 10hours
1. Environment: Components of Environment Concepts of Ecology; Ecological factors: Soil,
air, water; Eco System – Pond and Forest as Ecosystem; Human Population Growth
2. Environmental Pollutions: Types of Pollution – a) soil, air, water b) noise and
radioactive pollution; Sources of Pollution and their effects; Control measures: Legal and
administrative
Examination;
There shall be an examination for 100 marks at the end of the academic year, which will be
conducted by the college.
79
Regulations and Curriculum –B.Sc (A & OTT)
Recommended Books:
A. Human Rights
1. S. Davidson: Human Rights, Buckingham, Open University, Nirmal Chiranjivi: Human
Rights in India, New Delhi, Oxford University Press
B. Gender Equity
1. Usha Sharma (ed): Gender Mainstreaming and Women’s Rights, Authorspress, New
Delhi, 2004
2. Sushma Yadav and Anil Datta: Gender Issues in India, Radha Publications, New Delhi,
2003
C. Environmental Studies
1. N.K. Chakravarthy: Environmental Protection and Law, Ashis Publishing House, New
Delhi
2. Kumar N: Air Pollution and Environmental Protection, Mittal Publication, New Delhi
3. Erach Baruch: Text Book For Environmental Studies, UGC, New Delhi and Bharati
Vidyapeeth Institute Environment Education and Research, Pune
4. Jadhav H & Bhosale, VM: Environmental Protection and Laws, Himalaya Publishing
House, New Delhi
80
Regulations and Curriculum –B.Sc (A & OTT)
Theory hours 96
Practical/ Demonstration/ clinics 30
Clinical Posting 138
Lecture 3 Hours per week
Practical/ Demonstration/ clinics 01 Hour per week
Clinical Posting 04 Hours per week
Method of Assessment Written examination
COURSE OUTCOMES
Objectives:
Students at the end of the course should have knowledge about the following aspects of
Applied Anaesthesia.
• Knowledge of airway obstruction, airway management and difficult airway management
• Monitors and monitoring
• Fluid management, blood transfusion and blood products.
• Anaesthesia outside the operation theatre.
• Knowledge of different medical emergencies and their management.
• Setting of emergency drug trolley, airway equipment trolley and difficult airway cart.
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Regulations and Curriculum –B.Sc (A & OTT)
Unit-1 27hrs
• Airway management 15hrs
▪ Airway assessment
▪
Management of obstructed airway
- Triple maneuver
- Gadgets to manage airway obstruction
- Laryngoscopy and intubation
- Surgical airway
▪ Airway management technique
- Ventilation with a face mask
- Endotracheal intubation
- Fiberoptic Endotracheal intubation
∙ Airway blocks
∙ Preparation
Technique of Fiberoptic intubation
▪
Retrograde tracheal intubation
▪
Blind nasotracheal intubation
▪
Trans tracheal techniques
• Cricothyrotomy
• Trans tracheal jet ventilation
▪
Complications of tracheal intubation
▪
Airway management in infants and children
• Airway difference between infants and adults
• Managing the normal airway in infants and children
• Managing the difficult airways in infants and children
• Tracheal extubation in infants and children
• Anaesthetic monitoring 12hrs
▪ Electrocardiography
▪ Blood pressure monitoring
- Non invasive
- Invasive
▪ Pulseoximetry
▪ Capnography
▪
Central venous pressure monitoring
▪
Pulmonary artery pressure monitoring
▪ Trans Oesophageal Echocardiography
▪ Temperature monitoring
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Regulations and Curriculum –B.Sc (A & OTT)
Unit -2 16hrs
• Anaesthesia outside the operating room 8hrs
•
Non invasiveradiographic procedure
•
Computed tomography
•
Magnetic resonance imaging
- Safety considerations
- Monitoring issues
- Compatible equipment
- Management of anaesthesia
•
Invasive radiographic procedure
- Angiography
•
Radiation therapy
•
Electro convulsive therapy
•
Extra corporeal shock wave lithotripsy
•
Dental surgery
•
Endoscopy
•
Colonoscopy
•
IVF procedure
•
Labour analgesia
• Acute post-operative pain management 8hrs
▪
Analgesic delivery system
- Oral administration
- Intra muscular administration
- Intravenous administration
- Patient controlled analgesia
- Neuraxial analgesia
▪
Alternative approach to management of Acute post operative pain
- Peripheral nerve blocks
- TENS
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Regulations and Curriculum –B.Sc (A & OTT)
Unit-3 13hrs
• Fluid management 5hrs
▪
Pre operative considerations
▪
Perioperative fluid therapy – quantitative considerations
- Pre existing fluid deficit
- Maintenance requirement
- Surgical fluid losses
Blood therapy 8hrs
• Assessment of blood loss
▪
Blood groups
▪
Cross matching
▪
Blood components
▪
Blood transfusion
- Indications
- Complications
• Autologous blood transfusion
• Mismatched blood transfusion
Unit-4 25hrs
• Medical emergencies in the intra operative period
▪
Difficult airway
- Difficult mask ventilation
- Difficult intubation
- CVCI
▪
Hypoxia
▪
Tight bag
▪
Bronchospasm
▪
Laryngospasm
▪
Hypertension
▪
Hypotension
▪
Bradycardia
▪
Tachycardia
▪
Hypothermia
▪
Arrhythmia
▪
Hyperthermia-Malignant hyperthermia
▪
Shivering
▪
Raised ICT
▪
Hypercarbia
84
Regulations and Curriculum –B.Sc (A & OTT)
▪
Thyrotoxicosis
▪
High spinal
▪
Total spinal
▪
Anaphylaxis
▪
Pulmonary edema
▪
DIC
▪
Mismatched blood transfusion
▪
TURP syndrome
▪
LA toxicity
▪
Emergency LSCS
▪
PPH
▪
Intraoperative cardiac arrest
▪
Post-operative restlessness
▪
OT fire & electrical mishap
Unit-5 15hrs
• Post Anaesthesia recovery
▪
Admission to the post anaesthesia care unit (PACU)
▪
Airway obstruction
- Loss of pharyngeal muscle tone
- Residual neuromuscular blockade
- Laryngospasm
- Airway edema
- Management of upper airway obstruction
▪
Post-operative de saturation
- Hypoventilation
▪
Pulmonary edema
- Post obstructive pulmonary edema
- Transfusion-related lung injury
▪
Hemodynamic Instability
- Systemic hypertension
- Systemic hypotension
- Myocardial ischemia
- Cardiac disrhythmias
▪
Post-operative restlessness
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Regulations and Curriculum –B.Sc (A & OTT)
- Risk factors
- Management
▪
Renal dysfunction
- Oliguria secondary to depletion of intravascular fluid volume
- Intra- abdominal hypertension
- Rhabdomyolysis
▪
Body temperature and shivering
- Mechanism
- Treatment
- Clinical effects
▪
Post-operative nausea and vomiting
- High risk patients
- Prevention and treatment
▪
Post-operative bleeding
▪
Delayed recovery
- Treatment
▪
Criteria for discharge from PACU
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Regulations and Curriculum –B.Sc (A & OTT)
There shall be one theory paper of three hours duration carrying 80 marks. Distribution
of type of questions & marks for Applied Anaesthesia shall be as given under:
Practical Examination-50marks
Books Recommended:
1. Short text book of anaesthesia –Ajay yadav 12th edition
2. Drugs & equipment in anaesthetic practice –Arun Kumar Paul
3. Basics of anaesthesia- Robert k. Stoelting, Ronald d. Miller 6th edition
Reference books:
1. Lee’s synopsis of anaesthesia- 13th edition
2. Morgan and Mikhail’s clinical anaesthesiology
3. Miller’s anaesthesia - Miller
87
Regulations and Curriculum –B.Sc (A & OTT)
Theory hours 96
Practical/ Demonstration/ clinics 30
Clinical posting 138
Lecture 3 Hours per week
Practical/ Demonstration/ clinics 01 Hour per week
Clinical Posting 04 Hours per week
Method of Assessment Written examination
COURSE OUTCOMES
Objectives:
Students at the end of the course should have knowledge about the following aspects of
Applied Surgery.
• To have a basic knowledge of the different general surgical procedures.
• Their preparation, positioning, surgical assistance and management of equipments in
Intraoperative period.
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Regulations and Curriculum –B.Sc (A & OTT)
Unit-1 29hrs
• General surgery 4hrs
▪ Breast procedures
- General principles
- The surgical procedures & preparation
- Positioning
- Surgical instruments
- Technique
- Special considerations
- Post-operative care
Abdominal surgery 5hrs
- General principles
- The surgical procedures & preparation
- Positioning
- Surgical instruments
- Technique
- Special considerations
- Post-operative care
▪
Biliary tract procedures 3hrs
- General principles
- The surgical procedures & preparation
- Positioning
- Surgical instruments
- Technique
- Special considerations
- Post-operative care
▪
Liver procedures 3hrs
- General principles
- The surgical procedures & preparation
- Positioning
- Surgical instruments
- Technique
- Special considerations
- Post-operative care
89
Regulations and Curriculum –B.Sc (A & OTT)
▪
Spleen procedures 2hrs
- General principles
- The surgical procedures & preparation
- Positioning
- Surgical instruments
- Technique
- Special considerations
- Post-operative care
▪
Pancreatic procedures 3hrs
- General principles
- The surgical procedures & preparation
- Positioning
- Surgical instruments
- Technique
- Special considerations
- Post-operative care
▪
Oesophageal procedures 3hrs
- General principles
- The surgical procedures & preparation
- Positioning
- Surgical instruments
- Technique
- Special considerations
- Post-operative care
▪
Gastric procedures 3hrs
- General principles
- The surgical procedures & preparation
- Positioning
- Surgical instruments
- Technique
- Special considerations
- Post-operative care
90
Regulations and Curriculum –B.Sc (A & OTT)
- Technique
- Special considerations
- Post-operative care
Unit-2 25hrs
▪ Colorectal procedures 3hrs
- General principles
- The surgical procedures & preparation
- Positioning
- Surgical instruments
- Technique
- Special considerations
- Post-operative care
▪
Anorectal procedures 3hrs
- General principles
- The surgical procedures & preparation
- Positioning
- Surgical instruments
- Technique
- Special considerations
- Post-operative care
▪
Hernia procedures 2hrs
- General principles
- The surgical procedures & preparation
- Positioning
- Surgical instruments
- Technique
- Special considerations
- Post-operative care
▪
Amputation of extremities 3hrs
- General principles
- The surgical procedures & preparation
- Positioning
- Surgical instruments
- Technique
- Special considerations
- Post-operative care
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Regulations and Curriculum –B.Sc (A & OTT)
▪
Laparoscopic surgeries 3hrs
- General principles
- The surgical procedures & preparation
- Positioning
- Surgical instruments
- Technique
- Special considerations
- Post-operative care
▪
Cancer surgeries 3hrs
- General principles
- The surgical procedures & preparation
- Positioning
- Surgical instruments
- Technique
- Special considerations
- Post-operative care
▪
Orthopaedics Surgery 8hrs
- General principles
- The surgical preparation and technique
- Positioning
- Surgical equipments
- Wound debridement
- Tendon repair
- Excision of ganglion
- Carpal tunnel release
- Open reduction
- Nailing of femoral shaft fracture
- Internal fixation
- Amputation
- Arthroplasty
- Arthroscopy
- TKR
- THR
Unit-3 16hrs
• Obstetrics & Gynaecology 5hrs
•
General principles
92
Regulations and Curriculum –B.Sc (A & OTT)
•
The surgical preparation and technique
•
Positioning
•
Surgical equipments
•
Normal labour
•
LSCS
•
Dilatation of the cervix and curettage
•
Hysterectomy
- Vaginal
- Total abdominal
•
Dilatation and Evacuation
•
Ectopic Pregnancy
•
Post-partum female sterilization
•
Myomectomy
•
IVF
• ENT Surgery 6hrs
▪
General principles
▪
The surgical preparation and technique
▪
Positioning
•
Surgical equipments
•
Tonsillectomy
•
Adenoidectomy
•
Tracheostomy
•
Myringoplasty
•
Mastoidectomy
•
Tympanoplasty
•
Radical neck dissection
•
Turbinectomy
•
Septoplasty
•
Rhinoplasty
•
FESS
•
Thyroidectomy
• Ophthalmic Surgery 5hrs
▪ General principles
▪
The surgical preparation and technique
▪ Positioning
▪ Surgical equipments
▪ Exicision of Chalazion
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Regulations and Curriculum –B.Sc (A & OTT)
▪ Iridectomy
▪ Corneal transplants
▪ Cataract
▪ Glaucoma
▪ Refractive keratoplasty
▪ Lacrimal duct dilation
Unit-4 26hrs
• Neurosurgery 5hrs
•
General principles
•
The surgical preparation
•
Positioning
•
Surgical instruments
•
Technique
•
Special considerations
•
Post-operative care
•
Craniotomy
•
VP shunt
•
Burr hole
•
Awake craniotomy
•
Spine surgeries
•
Aneurysm surgeries
• Urology 6hrs
▪
General principles
▪
The surgical preparation
▪
Positioning
▪
Surgical instruments
▪
Technique
▪
Special considerations
▪
Post-operative care
▪
PCNL
▪
ESWL
•
Renal transplantation
•
TURP
•
Cystoscopy
•
Nephrectomy
•
AV Fistula
94
Regulations and Curriculum –B.Sc (A & OTT)
95
Regulations and Curriculum –B.Sc (A & OTT)
▪
Post-operative care
▪
Urethroplasty
▪
Colostomy
▪
Cystoscopy
▪
Appendicectomy
Practicals: 30 hrs
• Preoperative preparation & consent taking
• Shifting the patient & checking the case records
• Surgical asepsis- Cleaning, scrubbing, gowning & gloving
• Setting of the nurses instrument trolley
• Assisting the surgical management of cases posted for general surgery
• Assisting the surgical management of cases posted for obstetrics & gynaecology
• Assisting the surgical management of cases posted for ophthalmology
• Assisting the surgical management of cases posted for ENT
• Assisting for surgical management of cases posted for Neuro surgery
• Assisting for surgical management of cases posted for Urology
• Assisting for surgical management of cases posted for Cardio thoracic surgery
• Assisting for surgical management of cases posted for Plastic, reconstructive & vascular
surgeries
• Assisting for surgical management of cases posted for Paediatric surgery
• Assisting the surgical management of cases posted for orthopaedics
There shall be one theory paper of three hours duration carrying 80 marks.Distribution of type
of questions & marks for Applied Surgery shall be as given under:
96
Regulations and Curriculum –B.Sc (A & OTT)
Practical Examination-50marks
Books Recommended:
Berry & Kohn’s Operating Room Technique 12th edition Pocket guide to the Operating Room-
Jaypee 3rd edition
Reference books:
Text book of surgery – Bailey and Love
97
Regulations and Curriculum –B.Sc (A & OTT)
Theory hours 96
Practical/ Demonstration 30
Clinical posting 139
Lecture 3 Hours per week
Practical/ Demonstration 1 Hour per week
Clinical Posting 4 Hour per week
Method of Assessment Written examination
COURSE OUTCOMES
CO1: Learn to interact with patient families and break the bad news to the families
CO2: Understand the reactions of patient and family
CO3: Understand universal precautions
CO4: Report patient vital signs with different monitoring systems
CO5: Know the techniques, procedures and treatment of intensive care unit patients
CO6: Understand general care, nutrition and respiratory care of intensive care unit patients
CO7: Learn to manage the hospital acquired infections
CO8: Participate in disaster and triage management and trauma management
CO9: Perform basic life support (BLS) and advanced cardiac life support (ACLS)
CO10: Learn to monitor the patient during inter hospital and intra hospital transport
Objectives:
Students at the end of the course should have knowledge about the following aspects of
Emergency Medicine and Critical Care.
• Overall idea of ICU care, emergency care, and transport of patients.
• Knowledge of techniques, procedures and monitoring of ICU patients.
• General care, nutrition and respiratory care of ICU patients.
• Basic Life Support and some knowledge of ACLS.
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Regulations and Curriculum –B.Sc (A & OTT)
Unit -1 20hrs
Introduction/ General Concepts 10hrs
• Life & death in ICU: Ethical consideration
• Understanding reactions of patients & families
• Breaking bad news to patients
• Informed consent
• Judicial involvement in end of life decisions
• Collaborative care: Physician & nursing interactions & the fundamentals of a successful
unit
• Universal precautions : Protecting the practitioner
• Intra hospital transport of critically ill patients
• ICU planning: space & personnel
Unit-2 20hrs
Techniques, Procedures & Treatment 9hrs
• Clean & aseptic techniques at the bed side
• Vascular Cannulation
▪
Central venous
▪
Arterial
• Temporary cardiac pacemakers
• Important intensive care procedures
• Feeding tube placement
• Urinary catheter & Endotracheal tube care
• Blood & blood products transfusion
99
Regulations and Curriculum –B.Sc (A & OTT)
Unit-3 15hrs
The Surgical Patient 7hrs
• Initial management of the trauma patient
• Secondary & tertiary triage of the trauma patient
• Surgical & post-surgical bleeding
• Abdominal trauma: Nonoperative management & postoperative considerations
• Evaluating the acute abdomen
• Burn injury : Thermal & electrical
• Daily dressing of the infected wounds
Infectious Disease 8hrs
• The role of antibiotics in the management of serious hospital acquired infections
• An approach to the febrile ICU patient
• Surgical infections
• Skin wounds & musculoskeletal infection
• Catheter related Blood stream infections
• Human immune deficiency virus in the intensive care intensive care unit
• Bed sore management
Unit-4 15hrs
Respiratory Disorders 6hrs
• Mechanical ventilation
100
Regulations and Curriculum –B.Sc (A & OTT)
Unit-5 20hrs
• Resuscitation 5hrs
•
ABC
•
BLS-CAB
•
ACLS
•
Algorrhythms
• Transportation 15hrs
▪
Basic principles & management
▪
Trauma management
▪
Disaster management
101
Regulations and Curriculum –B.Sc (A & OTT)
Practical/Demonstration: 30hrs
• Universal precautions in ICU
• Hand hygiene
• Understanding reactions of patients and families
• Informed consent
• Patient care in ICU
• Setting of peripheral line 102atheterization tray
• Setting of emergency airway equipments trolley
• Setting of emergency drug trolley
• Setting of ventilator
• Setting of Infusion pumps
• Setting of defibrillator
• Setting and preparation for arterial blood pressure monitoring line
• Setting and preparation of tracheostomy set
• Setting of CVP monitoring set
• BLS and ACLS in ICU
• Parenteral nutrition in ICU
There shall be one theory paper of three hours duration carrying 80 marks. Distribution of
type of questions & marks for Emergency medicine and critical care shall be as given
under:
102
Regulations and Curriculum –B.Sc (A & OTT)
No practical examination
Books Recommended:
Civetta, Taylor &Kirbey’s Critical care
Critical care- Paul Marino
The ICU book-Schumacher
Text book for Operation Room Technicians- Pramila Bhalla
103
Regulations and Curriculum –B.Sc (A & OTT)
Theory hours 96
Practical/ Demonstration 30
Clinical Posting 139
Lecture 03 Hours per week
Practical/ Demonstration 01 Hour per week
Clinical Posting 04 Hours per week
Method of Assessment Written examination
COURSE OUTCOMES
Objectives:
Students at the end of the course should have knowledge about the following aspects of
Speciality Anaesthesia.
• Assistance in anaesthetic management of different surgical procedures.
• Basic knowledge of anaesthetic implications in different medical conditions.
Unit-1 14hrs
• Anaesthesia for Laparoscopic surgeries
▪
Preanaesthetic evaluation
104
Regulations and Curriculum –B.Sc (A & OTT)
▪
Preoperative preparation
▪
Planning for anaesthesia techniques
▪
Pre anaesthetic medication
▪
Intra operative anaesthetic management
▪
Special considerations
▪
Recovery
▪
Post-operative care
• Major GI surgeries
▪
Preanaesthetic evaluation
▪
Preoperative preparation
▪
Planning for anaesthesia techniques
▪
Pre anaesthetic medication
▪
Intra operative anaesthetic management
▪
Special considerations
▪
Recovery
▪
Post - operative care
• Gynaecological & obstetric procedures
▪
Preanaesthetic evaluation
▪
Preoperative preparation
▪
Planning for anaesthesia techniques
▪
Pre anaesthetic medication
▪
Intra operative anaesthetic management
▪
Special considerations
▪
Recovery
▪
Post-operative care
• Urologic procedures
▪
Preanaesthetic evaluation
▪
Preoperative preparation
▪
Planning for anaesthesia techniques
▪
Pre anaesthetic medication
▪
Intra operative anaesthetic management
▪
Special considerations
▪
Recovery
▪
Post-operative care
Unit-2 13hrs
• Orthopaedic surgery including replacements & arthroscopies
▪
Preanaesthetic evaluation
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Regulations and Curriculum –B.Sc (A & OTT)
▪
Preoperative preparation
▪
Planning for anaesthesia techniques
▪
Pre anaesthetic medication
▪
Intra operative anaesthetic management
▪
Special considerations
▪
Recovery
▪
Post-operative care
• Neurosurgery traumatic head injuries, craniotomies & aneurysm surgeries
▪
Preanaesthetic evaluation
▪
Preoperative preparation
▪
Planning for anaesthesia techniques
▪
Pre anaesthetic medication
▪
Intra operative anaesthetic management
▪
Special considerations
▪
Recovery
▪
Post-operative care
• Ophthalmic surgery including phaecoemulsification & retinal surgeries
▪
Preanaesthetic evaluation
▪
Preoperative preparation
▪
Planning for anaesthesia techniques
▪
Pre anaesthetic medication
▪
Intra operative anaesthetic management
▪
Special considerations
▪
Recovery
▪
Post-operative care
Unit-3 18hrs
• Plastic, Reconstructive & Vascular surgery
▪
Preanaesthetic evaluation
▪
Preoperative preparation
▪
Planning for anaesthesia techniques
▪
Pre anaesthetic medication
▪
Intra operative anaesthetic management
▪
Special considerations
▪
Recovery
▪
Post-operative care
• ENT surgeries including microsurgeries & laser surgeries
▪
Preanaesthetic evaluation
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Regulations and Curriculum –B.Sc (A & OTT)
▪
Preoperative preparation
▪
Planning for anaesthesia techniques
▪
Pre anaesthetic medication
▪
Intra operative anaesthetic management
▪
Special considerations
▪
Recovery
▪
Post-operative care
• Thoracic surgery
▪
Preanaesthetic evaluation
▪
Preoperative preparation
▪
Planning for anaesthesia techniques
▪
Pre anaesthetic medication
▪
Intra operative anaesthetic management
▪
Special considerations
▪
Recovery
▪
Post-operative care
• Cardiac surgeries on bypass & on beating heart
▪
Preanaesthetic evaluation
▪
Preoperative preparation
▪
Planning for anaesthesia techniques
▪
Pre anaesthetic medication
▪
Intra operative anaesthetic management
▪
Special considerations
▪
Recovery
▪
Post-operative care
Unit-4 15hrs
• Organ procurement & transplantation
•
Preanaesthetic evaluation
•
Preoperative preparation
•
Planning for anaesthesia techniques
•
Pre anaesthetic medication
•
Intra operative anaesthetic management
•
Special considerations
•
Recovery
•
Post-operative care
• Paediatric surgeries
•
Preanaesthetic evaluation
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Regulations and Curriculum –B.Sc (A & OTT)
•
Preoperative preparation
•
Planning for anaesthesia techniques
•
Pre anaesthetic medication
• Intra operative anaesthetic management
▪
Special considerations
▪
Recovery
▪
Post-operative care
• Maxillofacial surgeries
▪
Preanaesthetic evaluation
▪
Preoperative preparation
▪
Planning for anaesthesia techniques
▪
Pre anaesthetic medication
▪
Intra operative anaesthetic management
▪
Special considerations
▪
Recovery
▪
Post-operative care
• Major cancer surgeries
▪
Preanaesthetic evaluation
▪
Preoperative preparation
▪
Planning for anaesthesia techniques
▪
Pre anaesthetic medication
▪
Intra operative anaesthetic management
▪
Special considerations
▪
Recovery
▪
Post-operative care
Unit-5 30hrs
• Anaesthetic implications in medical conditions
▪
Anaesthesia and Obesity
▪
Anaesthesia and geriatrics
▪
Anaesthesia and endocrine diseases (including DM)
▪
Anaesthesia and trauma
▪
Anaesthesia and burns
▪
Anaesthesia and haematological disorders
▪
Anaesthesia for Renal diseases
▪
Anaesthesia for Respiratory diseases
▪
Anaesthesia for Cardio vascular diseases(including hypertension)
▪
Anaesthesia for Liver diseases
108
Regulations and Curriculum –B.Sc (A & OTT)
▪
Anaesthesia for Central nervous system diseases
▪
Anaesthesia for Neuromuscular diseases
Practicals: 30 hrs
• Preparation & loading of common anaesthesia drugs
• Preparation & loading of emergency drugs including infusions
• Dosage of common anaesthesia & emergency drugs
• Setting of emergency drug trolley
• Setting of airway management equipments
• Setting difficult airway equipments including difficult airway cart & Fiberoptic
bronchoscope
• Checking of anaesthesia machine & drill ( check list )
• Checking of breathing circuits, vaporisers, ventilators, defibrillators & suction machine
• Positioning for different surgical procedures
• Fluids
• Positioning for spinal , epidural anaesthesia and general anaesthesia
• Care of anaesthetized patient
• Assisting the anaesthesiologists in anaesthesia management of different specialized
surgical procedures
There shall be one theory paper of three hours duration carrying 80 marks. Distribution of
type of questions & marks for Speciality Anaesthesia shall be as given under:
No Practical Examination
Books Recommended:
Short text book of anaesthesiology- Ajay yadav
Stoelting’s Anaesthesia & Co-existing diseases
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Regulations and Curriculum –B.Sc (A & OTT)
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Regulations and Curriculum – B.Sc (A & OTT)
Course Description:
Introduction to Basic Statistical Concepts.
Methods of Statistical Analysis; And Interpretation of Data
Behavioural Objectives
Understands Statistical Terms.
Possess Knowledge and Skill in the use of Basic Statistical and Research Methodology.
COURSE OUTCOMES
At the end of the course students will be able to...
Unit 1 2Hrs.
Introduction: Meaning, Definition, Characteristics of Statistics; Importance of the Study of
Statistics. Branches of Statistics; Descriptive and Inferential Statistics; Variables and their
Types. Different Measurement Scales
Unit 2 3Hrs.
Tabulation of Data: Raw Data, the Array, Frequency Distribution .Basic Principles of
Graphical Representation; Types of Diagrams - Histograms, Frequency Polygons, Smooth
Frequency Polygon, Commutative Frequency Curve, Ogive, Normal Probability Curve.
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Regulations and Curriculum – B.Sc (A & OTT)
Unit 3 7Hrs.
Measure of Central Tendency: Need for Measures of Central Tendency; Definition and
Calculation of Mean; Ungrouped and Grouped Meaning, Interpretation and Calculation of
Median Ungrouped and Grouped data; Meaning and Calculation of Mode; Comparison of
Mean, Median and Mode; Guidelines for the Use of Various averages.
Unit 4 8Hrs.
Measure of Variability: Need for Measure of Dispersion. The Range, the Average Deviation,
Variance Standard Deviation and relative measures each measures; Calculation of Variance
and Standard Deviation, Ungrouped and Grouped. Properties and Uses of Variance
Unit 5 4Hrs.
Probability and Standard Distributions: Meaning of Probability of Standard Distribution,
Binominal Distribution. Normal Distribution; Divergence from Normality – Skewness,
Kurtosis.
Unit 6 4Hrs.
Sampling Techniques: Need For Sampling - Criteria for Good Samples. Application of
Sampling in Community studies, Simple and stratified sampling.
Unit 7 2Hrs.
Health Indicator: Importance of Health Indicators in Population study, Morbidity, Mortality,
Health Services. Calculation of Rates and Rations of Health indicators.
Examination:
There shall be an examination for 100 marks at the end of the academic year, which will be
conducted by the college.
Internal Assessment:
There shall be no internal assessment in the subject of Biostatistics.
Recommended Books:
1. Rao.N.S.N: Elements of Health Statistics
2. Sunder Rao.P.S.S: An introduction of Biostatistics:
3. B.K. Mahajan: Methods in Bio-Statistics
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Regulations and Curriculum – B.Sc (A & OTT)
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