1

University of Pennsylvania
School of Nursing
Course Syllabus
Summer 2013
TITLE: N 619 Principles of Nurse Anesthesia Practice III
COURSE UNITS: 1 cu
CATALO !ESCRIPTION:
This course explores the perioperative evaluation an anesthetic principles relate to
patient populations unergoing avance surgical proceures! "mphasis is place on
selection an aministration of anesthesia to these populations to ensure optimal patient
care# comfort# an safety! Particular emphasis is also place on monitoring# an
implementing interventions to prevent an treat common perioperative emergencies!
PLACE"ENT: Su##er I$II %ear II
&ACULT%: Lori Ann 'inner( "SN( CRNA
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PRE.RE6UISITE7S8: N619 Principles of Nurse Anesthesia Practice II
N69) Applie5 Sciences Relate5 To Anesthesia III
N+90 Clinical &iel51or: for Nurse Anesthesia Practice II
N/9- Phar#acolo42 of Anesthetics
CO.RE6UISITE7S8: None
COURSE O;ER;IE':
This course explores the aministration of anesthesia to populations unergoing avance
surgical proceures! $n aition# monitoring an interventions for treating perioperative
emergencies %ill be iscusse!
COURSE O<=ECTI;ES:
1! &iscuss cerebral perfusion pressure# cerebral autoregulation# an the extrinsic
influences on these concepts!
2! &iscuss the anesthetic implications in the treatment of intracranial masses an
aneurysms!
3! $entify the complications in craniotomy proceures an iscuss the interventions
involve!
'! &iscuss the anesthetic management of patients %ith massive bloo loss from
thoracolumbar proceures!
2
(! &iscuss the impact of various pre existing respiratory conitions on the selection
an aministration of an anesthetic!
)! "xplore anesthetic consierations for patients unergoing a thoracotomy!
*! &escribe methos to achieve one lung ventilation an its impact on ventilation
an perfusion!
+! &iscuss the concept of hypoxic pulmonary ventilation an its impact on the
selection an elivery of anesthesia!
,! &iscuss the implementation an management of ouble-lumen tubes an thoracic
epiurals in thoracotomy proceures!
10! $entify specific anesthetics %ith positive an negative impacts on one-lung
ventilation!
11! &iscuss concepts of evo.e potential monitoring! $entify surgical proceures
%here evo.e potential monitoring is neee!
12! &iscuss the impact on the selection of an anesthetic %hen evo.e potential
monitoring is implemente!
13! "xplain clinical manifestations of bone cement# tourni/uet release# an embolisms
in patients unergoing orthopeic proceures
1'! &iscuss regional anesthetic techni/ues specific for orthopeic proceures an
their effects on postoperative analgesia!
1(! $entify postoperative averse events an iscuss anesthetic interventions in
treatment!
1)! $entify the anesthetic management for enoscopic sinus surgery# nec.
issections# an para0thyroiectomy!
1*! &iscuss the process of laser air%ay surgery an the anesthetic management of
averse events!
1+! $entify techni/ues involve to minimi1e bloo loss in enoscopic surgery an
their clinical manifestations!
1,! &iscuss the air%ays challenges in maxillofacial reconstructive surgery an any
postoperative proceure %ith air%ay manipulation involve!
20! "xplain the anesthetic management of patients unergoing both outpatient an in
hospital surgical proceures involving plastic an reconstructive boy surgery!
21! "xplain complications of positioning# TU2P synrome# an shoc. %ave
lithotripsy involve in urological proceures!
22! &escribe anesthetic techni/ues use for both outpatient an inpatient short
uration urologic surgeries in often elerly population!
23! "xplore systemic effects of traumatic in3uries re/uiring surgical intervention!
2'! &iscuss various shoc. states# their effect on homeostasis# an interventions to
maintain perfusion!
2(! "xplain anesthesia elivery to the traumatically in3ure patient %ith focus on
oxygenation# air%ay management# an perfusion!
2)! "xamine the current trauma system!
TEAC>IN "ET>O!S:
4ecture 5 group iscussion
E;ALUATION "ET>O!S:
"xam 6 1 33!37
3
"xam 6 2 33!37
"xam 6 3 33!37
RA!IN POLIC%:
89 ,*-100 :9 +*-+, C9 **-*, ; 0-),
8 ,3-,) : +3-+) C *3-*)
8- ,0-,2 :- +0-+2 C- *0-*2
2ouning %ill be one as follo%s<
=raes of !( an above %ill be roune up to the next %hole number
=raes of !' or less %ill be roune o%n to the next %hole number
Shoul5 a stu5ent ?e foun5 responsi?le for cheatin4 in this course( their 4ra5e for the
course 1ill ?e a failure, The Uni@ersit2 Co5e of Aca5e#ic inte4rit2 1ill ?e follo1e5
in this course, It is a@aila?le on <lac:?oar5 an5 the stu5ent han5?oo:,
Code of Academic Integrity
Since the University is an academic community, its fundamental purpose is the pursuit of
knowledge. Essential to the success of this educational mission is a commitment to the principles
of academic integrity. Every member of the University community is responsible for upholding the
highest standards of honesty at all times. Students, as members of the community, are also
responsible for adhering to the principles and spirit of the following Code of Academic Integrity.
Aca5e#ic !ishonest2 !efinitions
Activities that have the effect or intention of interfering with education, pursuit of knowledge, or
fair evaluation of a students performance are prohibited. E!amples of such activities include but
are not limited to the following definitions"
A. Cheating" using or attempting to use unauthori#ed assistance, material, or study aids
in e!aminations or other academic work or preventing, or attempting to prevent, another
from using authori#ed assistance, material, or study aids. E!ample" using a cheat sheet
in a $ui# or e!am, altering a graded e!am and resubmitting it for a better grade, etc.
%. &lagiarism" using the ideas, data, or language of another without specific or proper
acknowledgment. E!ample" copying another persons paper, article, or computer work
and submitting it for an assignment, cloning someone elses ideas without attribution,
failing to use $uotation marks where appropriate, etc.
C. 'abrication" submitting contrived or altered information in any academic e!ercise.
E!ample" making up data for an e!periment, fudging data, citing none!istent articles,
contriving sources, etc.
(. )ultiple submissions" submitting, without prior permission, any work submitted to fulfill
another academic re$uirement.
E. )isrepresentation of academic records" misrepresenting or tampering with or
attempting to tamper with any portion of a students transcripts or academic record, either
before or after coming to the University of &ennsylvania. E!ample" forging a change of
grade slip, tampering with computer records, falsifying academic information on ones
resume, etc.
'. 'acilitating academic dishonesty" knowingly helping or attempting to help another
violate any provision of the Code. E!ample" working together on a take*home e!am, etc.
+. Unfair advantage" attempting to gain unauthori#ed advantage over fellow students in
an academic e!ercise. E!ample" gaining or providing unauthori#ed access to
'
e!amination materials, obstructing or interfering with another students efforts in an
academic e!ercise, lying about a need for an e!tension for an e!am or paper, continuing
to write even when time is up during an e!am, destroying or keeping library materials for
ones own use., etc.
, If a student is unsure whether his action-s. constitute a violation of the Code of Academic
Integrity, then it is that students responsibility to consult with the instructor to clarify any
ambiguities. -Source" /ffice of the &rovost, 0112.
http<00%%%!vpul!upenn!eu0osl0pennboo.!html
RE6UIRE! TEATS:
2hoaes# 2!8! 5 :ell# &!2! >2013?! @eical Physiology< Principles for Clinical @eicine
'
th
"ition! Philaelphia< 4ippincott# Ailliams# 5 Ail.ins!
Nagelhout# B! 5 Caglanic1ny >2013?! Nurse 8nesthesia (
th
"ition! @issouri< "lsevier
Sauners!
:arash# P!=!# Cullen# :!;! 5 Stoeling# 2!D! "s! >2013?! Clinical 8nesthesia *
th
"ition!
Phila!# P8< 4ippincott# Ailliams 5 Ail.ins!
RECO""EN!E! TEATS:
@organ# "!=!# @i.hail# @! S!# 5 @urray# @!B! >2013?! Clinical 8nesthesiology (
th

"ition! Ne% Eor.< 4ange @eical &ivision0@c=ra%-Fill Companies# $nc!
Stoelting# 2!# Fines# 2!4!# 5 @arschall# D!"! >2012?! 8nesthesia an Co-"xisting
&iseases )
th
"ition! Pennsylvania< "lsevier Sauners!
Stoelting# 2! 5 @iller# 2! >200*?! :asics of 8nesthesia (
th
"ition! Ne% Eor.< Churchill
4ivingstone!
Stoelting# 2! 5 Fillier# S! >200)?! Pharmacology an Physiology in 8nesthetic Practice
'
th
"! Philaelphia< 4ippincott Ailliams 5 Ail.ins!
@ac.sey# 4! >2011?! Surgical Proceures an 8nesthetic $mplications< 8 Fanboo. for
Nurse 8nesthesia Practice 1
st
"ition! @assachusetts< Bones 5 :artlett 4earning# 44C!
(
Tuesday 1p-4p
'EEBL% TOPICAL OUTLINE:
&ay0Time Topic Gb3ective 2eaings
'ee: 1
@ay 20
&a%n :ent
Perioperative
emergencies an nurse
anesthesia interventions
( 5 1( S 5 @ Ch! 3+
@ 5 @ Ch! ') 5 '+
Nagelhout Ch! (1 5
('
:arash Ch! 2, 5 ((
'ee: 0
@ay 2*
Pete Conicelli
Grthopeic proceures
an their impact on
nurse anesthesia
practice
13-1(
Nagelhout Ch! '0
:arash Ch! (0
'ee: )
Bune 3
@i.e ;or
Urologic Proceures an
the implications of nurse
anesthesia practice
21 5 22
@ 5 @ pgs! *3'-
*'0H Ch 33!
Nagelhout Ch! 30#
32# 5 '3!
:arash Ch! (2
'ee: *
Bune 10
4ori 8nn Ainner
ECa# D 1
>Perioperative#
Grthopeic an Urologic
8nesthesia?
;ollo%ing "xam 61<
Gutpatient Surgery
Gbesity
Plastic 5 2econstructive
Proceures
20 5 22
"xam is content
covere in previous
%ee.s 1-3!
Nagelhout Ch! 3*#
3+# 5 '3
:arash Ch! 30-32#
'3-''
'ee: /
Bune 1*
Eianni
8ugousties
Thoracic 8nesthesia an
Pulmonary @echanics on
Gne 4ung Ientilation (-10
S 5 @ Ch! 1)# 1*#
5 2*
Nagelhout Ch 1*# 2*
:arash Ch! 11# 2*#
5 3*
@ac.sey Ch 1'
)
'ee: 6
Bune 2'
"ileen
Ierbrugghe
Trauma 8nesthesia 23-2) @5@ Ch! 3,
S5@ Ch! '1
:arash Ch! 3) 5 (*
Nagelhout Ch! 3)
'ee: +
Buly 1
Bill Drystofins.i
8nesthesia for the :urn
patient
23-2)
N5P Ch! 3( 5 3)
:arash Ch! (2
@5@ Ch 3,# pgs!
+1,-+22!
'ee: 9
Buly +
ECa# D0
>Gutpatient# Gbesity#
Plastics# Trauma0:urns 5
Thoracic 8nesthesia?
"xam is content
covere in previous
%ee.s '-*!
'ee: 9
Buly 1(
4ori 8nn Ainner
8nesthetic consierations
for Fea an Nec.
Proceures
1) - 1,
S 5 @ Ch! 33-3*
@ 5 @ Ch! 3,
Nagelhout Ch! 3,
:arash Ch! (0
'ee: 1-
Buly 22
4ori 8nn Ainner "vo.e Potential
@onitoring
11 5 12
:arash pgs! 1010-11
Nagelhout pgs! 3(3-
()
@5@ pgs! 1')-'*#
)2'-2)
'ee: 11
Buly 2,
En5 of se#ester
e@aluations 1ith
#entors
'ee: 10
ECa# D)
"xam is content
*
8ugust ( >"NT 5 "vo.e Potential
@onitoring?
covere in previous
%ee.s ,-10!
TOTAL NU"<ER O& T>EOR% >OURS: */
TOTAL NU"<ER O& CLINICAL >OURS: -