Diploma in Anesthesia and Critical Care Technician

  • Programme Objective: To train students to work as Anesthesia and Critical Care Technicians and assist the Anesthetist in their duties.
  •  Course Duration: 2 Years 
  • Eligibility: 10+2 with science subjects (Physics, Chemistry, Biology/ Maths and English).

 Programme Aim/Focus

Critically ill patients are often managed in an intensive care unit within a hospital with the help of sophisticated equipment and trained personnel. Frequent monitoring of vital parameters/signs, assisted ventilation and rapid resuscitation measures are required to be taken whenever life-threatening situations arise/occur.

The diploma in Anesthesia and Critical Care Technician program aims to train technicians into the field of anesthetics and critical care and it’s important in medical field. This program shall prepare the students with necessary skills and knowledge so as to assist Anesthesiologist during anesthetic procedures, incubation procedures, loading of anesthetics to patients, also assisting anesthesia related procedures outside the operation theatres (procedures such as CT, MRI, endoscopy, digital angiograms etc.). Focus would also be on skilling the students in dealing with patients in operation theatres including good communication, calmness and need for detailing so as to develop understanding of severely of situation and dosage.

Employability

After completion this programme lots of opportunities to work as technician in anesthesia and critical care areas. The students can be easily placed in hospitals to work in ICU, emergency rooms, trauma centers and similar healthcare settings requiring emergencies and critical care. There are equal and ample opportunity available in private as well as public sectors hospitals. Ambulance and casualty departments also utilize the services of these technicians.

Major Course Content of the Programme

First Year (Theory)

  • General Anatomy & Physiology
    • Cytology, Histology, Osteology and only basics of structure and functioning of all organ systems of body
  • Basics of relevant Pathology, Pharmacology & Microbiology
  • Various drugs used before, during and after Anesthesia
  • Vital recording, First aid.
  • Hand hygiene & prevention of cross infection.
  • Basics Life Support (BLS) & Cardio-Pulmonary Resuscitation (CPR)
  • Basic English Communication Skills
  • Basic Computer/ IT Skills
  • Soft Skills – Interpersonal skills & moral education

Second Year (Theory)

  • Relevant surgical & medical diseases
  • Basic Nursing Procedures like Vital Recording, IM/IV/SC Injection, IV Cannula, Oxygen Therapy, Nebulization, Catheterization, IV Infusion, Ryle’s Tubing.
  • Types of Anesthesia and tools and techniques used in different types of Anesthesia
  • Basics of sterilization practices and biomedical waste management
  • Basic biomedical engineering of equipment & instruments used in Anesthesia and Critical Care

 

Program Structure:

First Year

S. No. Subject Numbers of Hours /Week

Theory                  Practical

1 Basics of Human Anatomy and Physiology    
2 Biochemistry    
3 Basic Communication and Soft Skills    
4 Basic IT Skills    
5 Anesthetic Equipments – I    
6 Essentials of Clinical Medicine    
7 Patient and Staff Safety    
8 Infection Control    

Second Year

S. No. Subject Numbers of Hours /Week

Theory                  Practical

1 Pathology    
2 Pharmacology and Microbiology    
3 Basics of Anesthesiology    
4 Anesthetic Equipments -II    
5 Cardiopulmonary Resuscitation & Trauma Life Support    
6 ICU Management    
7 Anesthesia in Surgical Specialties -I    
8 Anesthesia in Surgical Specialties -II    
9 Bio-Medical Engineering    
  Pain Management    
  Ethics in Anesthesia    
  Standards in Anesthesia    

1.1 General Anatomy & Physiology

  • General Orientation about parts of human body. Various terms used in Anatomy. Total numbers of bones, their names & location. Basic idea about organization of body, from cell to organ systems
  • Structure of Animal cell, Cell organelles & their functions
  • Human tissue, types, structure & functions
  • Osteology: Names, location, identification and basic details of all bones
  • Joints: Types, basic structure & examples
  • Skin & appendages
  • GIT: Location, Gross structure, various parts & their functions
  • Respiratory tract: Location, Gross structure, various parts & their functions. Details of breathing mechanism, different respiratory volumes
  • Urinary tract: Gross structure, various parts & their functions; process of urine formation & voiding
  • Male reproductive system: Only gross structure & functions of different parts.
  • Female reproductive system: Only gross structure & functions of different parts; Menstrual cycle.
  • Endocrine system: Hormones secreted by Pituitary, Thyroid, Parathyroid, Pancreas, Adrenal cortex, Adrenal medulla, Gonads & functions of different hormones.
  • Gross structure of brain & spinal cord; Functions of different parts of brain & spinal cord
  • Blood: Composition & Functions. Details about Plasma, RBCs, WBCs, Platelets, Clotting system
  • Gross structure & functions of sensory Organs – Eye, Ear, Nose, Tongue
  • Basic gross structure of heart, vessels opening into heart & leaving the heart; arterial & venous tree of body
  • Lymphatic system: Structure & Functions
  • Immune system: Components & various mechanisms of defense

 

1.2 Basics of relevant Pathology, Pharmacology & Microbiology

 

  • Basic steps of Acute & chronic inflammation and Healing of wound
  • Basics of Necrosis & apoptosis
  • Basics of Shock
  • Basics of Disorders of blood coagulation system
  • Basics of Disorders of Immune system of body
  • Modes of disease transmission & prevention of infection
  • Sterilization & methods of sterilization used in hospitals
  • Basic idea about types of Bacteria, Virus, Fungi
  • Routes of drug administration
  • Adverse effects & side effects of drugs
  • Basic idea of Analgesics: Opioid & NSAIDs
  • Basic idea of Drugs use in cough & expectoration
  • Basic idea of Drugs used in bronchitis asthma & COPD
  • Basic idea of Drugs used in GIT
  • Basic idea of Anti-Microbial
  • Basic idea of Anti H-1 Histaminic & Corticosteroids
  • Drugs used in anaemia

 

1.3 Drugs used before, during and after Anesthesia

 

  • Details of Muscle relaxants: central & peripheral
  • Details of Emergency drugs
  • Details of IV fluids
  • Details of Analgesics- Opioids, non- opioids and NSAIDs
  • Details of medical gases
  • Details of anti-hypertensives
  • Details of induction agents
  • Details of local anesthetic agents
  • Details of general anesthetic agents – volatile and injectables
  • Details of Anesthesia related drugs used in ANS
  • Basics of anti-arrhythmic drugs

 

Vitals recording: Manual & with multipara monitors

  • How to record ECG
  • Use of defibrillator
  • Common types of bandaging

 

Hand hygiene& method of Hand washing; Prevention of cross infection

Basic life support (BLS) & Cardio-pulmonary resuscitation (CPR): Code blue; details of BLS & CPR

1.4 Basic Communication and Soft Skills

1.5 Basic Computer/ I T Skills

Introduction to computers: Input / Output devices; Memories – RAM and ROM its types; Kilobytes, MB, GB their conversions; Basics of Networking – LAN, WAN,MAN.

 

Typing text in MS word, Text manipulating and formatting; Using different font sizes, bold, italics; Bullets and numbering; Pictures, file insertion; Aligning the text and justify; Choosing paper size, adjusting margins; Header and footer, inserting page numbers in a document; Printing a file with options; Using spell check and grammar; Find and replace; Mail merge; Inserting tables in a document.

 

Creating table in MS-Excel: Cell editing; Using formulas and functions; Manipulating data with excel; Using sort function to sort numbers and alphabets; Drawing graphs and charts using data in excel; Auto formatting; Inserting data from other worksheets.

 

Preparing new slides using MS-PowerPoint: Inserting slides, slide transition and animationusing templates; Different text and font sizes;Slides with sounds; Inserting clip arts, pictures, tables and graphs; Presentation using wizards.

 

Introduction to Internet: Using search engine; Google search; Exploring the next using Internet Explorer and Navigator; Uploading and Download of files and images; E-mail ID creation; Sending messages; Attaching files in E-mail.

 

1.6 Practical

 

  • Hands on training on:-
  • Vitals recording – Manual & with multipara monitors
  • Hand hygiene and scrubbing
  • Vital recording
  • BLS and CPR
  • Observation in OT as assistant anesthesia technician
  • Basic nursing procedures like injection, IV cannulation, Urinary catheterization, Ryle’s tubing, Nebulization

 

Second Year (Theory)

 

2.1 Relevant Surgical & Medical Diseases

 

  • History taking. General examination of the patient. Filling Case-sheet. Common clinical words; Glasgow coma scale
  • Hypertension – Definition, Causes, Pathology, Clinical features, Investigation & Management
  • Diabetes mellitus – Definition, Causes, Pathology, Clinical features, Investigation & Management
  • Diseases of blood – Anaemia, Basics of coagulation Bleeding disorders & Hemophilia
  • Respiratory Tract – Pneumonia, Tuberculosis, Bronchitis asthma, COPD, Bronchiectasis, Collapse of lung, Pneumonitis, Pleural effusion, Pneumothorax, Empyema thoracic, Cancer lung
  • Diseases of GIT & Liver & GB -Reflux Esophagitis, Peptic ulcers, Gastritis, Intestinal Obstruction, Hepatitis, Cirrhosis of liver, Cholecystitis, appendicitis, Hernia, Piles, Fissure, Fistula, Pancreatitis, Pancreatic Cancer
  • Diseases of Nervous system – Stroke, Meningo-encephalitis, Glasgow coma scale, Epilepsy, Facial n. palsy.
  • Diseases of Urinary tract – Urolithiasis, Benign prostatic hyperplasia, Hydrocoele, Cancer prostate, urethral stricture, Hypo &epi-spadias.
  • Endocrine system – Diabetes mellitus, hypo & hyper thyroidism.
  • Miscellaneous – Hypo & Hyper Natraemia, Hypo & Hyper Kalaemia, Hypo & Hyper Calcaemia and other electrolyte imbalances
  • Infectious diseases – TB, Typhoid, Malaria, Dengue fever, Leprosy, AIDS
  • Head injury & Intracranial bleed
  • Disease of G & O: Caesarian section, fibroid uterus, Cancer uterus, prolapse uterus, PID, Emergency delivery
  • Basics about fracture & management
  • PIVD, Potts spine, spinal injury
  • Eye disease: Cataract, Glaucoma, chemical injuries
  • ENT: CSOM, ASOM, Laryngeal tumor, Nasal poyp, DNS
  • Basic idea of Thoracic injury
  • Basic idea of Blunt & penetration abdominal injuries
  • Shock- types ,causes, clinical features and treatment

 

2.2 Basic Procedures

  • Temperature monitoring & Fever
  • Pulse monitoring
  • BP monitoring
  • Respiration monitoring
  • Types of Injection routes
  • IM/ IV/ SC Injection
  • Oxygen Therapy
  • Nebulization
  • IV Infusion, infusion with pump
  • Care of Unconscious patient
  • Urinary Catheterization
  • Nasogastric Intubation

 

2.3 Types of Anesthesia and Tools and Techniques

  • Positioning of patients for different surgeries
  • Airway management, intubation and oxygen therapy
  • IV access: peripheral and central
  • Aspiration prophylaxis
  • Use of Boyle’s machine
  • Use of Anesthesia work station
  • Use of various medical gases
  • Non-invasive & invasive monitoring
  • Aseptic techniques used in OT
  • Regional anesthesia – types, Equipments, positioning, indications, contraindications, techniques, adverse effects etc.
  • General anesthesia- types, Equipments, positioning, indications, contraindications, techniques, adverse effects etc.
  • Anesthesia consent, high risk anesthesia
  • Pre anesthetic checkup
  • Record keeping

 

Basics of sterilization practices and biomedical waste management

  • Various methods of Sterilization
  • Aseptic practices
  • Basics of Bio-medical waste management

 

Basic biomedical engineering of equipment

  • Multipara monitors
  • Ventilators
  • Bi-PAP, C-PAP
  • Infusion pump
  • Nebulizers
  • Boyles machine and anesthesia work station
  • Pulse Oximeter
  • Cardiac monitor
  • Defibrillator
  • Glucometer
  • Oxygen concentrator
  • Medical Gas supply

 

  1. 4 Practical
  2. Positioning of patients for different surgeries
  3. Airway management, intubation and oxygen therapy
  4. IV access: peripheral and central
  5. Aspiration prophylaxis
  6. Use of Boyle’s machine
  7. Use of Anesthesia work station
  8. Use of various medical gases
  9. Non-invasive & invasive monitoring
  10. Aseptic techniques used in OT
  11. Assisting Regional anesthesia
  12. Assisting General anesthesia
  13. Anesthesia consent, high risk anesthesia
  14. Pre-anesthetic checkup
  15. Record keeping