COURSE GUIDE
DENTISTRY DEGREE
DEGREE: DENTISTRY
ACADEMIC YEAR: 2019-2020
COURSE:SURGICAL PATHOLOGY & ANESTHESIA
COURSE TITLE
MEDICAL & SURGICAL PATHOLOGY
ECTS TYPE Semester Calendar Pre-requisites
Mandator
Total Basic 1st 2nd Weeks
y
6 X X 15 none
COURSE LANGUAGE
Castellano Valenciano English X
DEPARTMENT SPECIFIC AREA OF KNOWLEDGE
BIOMEDICAL
GENERAL MEDICINE
SCIENCES
Course Coordinator and other Professors
Belén Merck MD PhD
Name
Juan Miguel Redín MD PhD (Practices)
Office / Faculty Room 326. Health Sciences Building
E-mail belen.merck@uchceu.es
Student
appointment Fridays 3 - 4 pm
schedule
INTRODUCTION TO THE COURSE
Surgical Pathology & Anesthesia is an introduction to Surgical Pathology focused on Dentistry. It is
organized as a 6-credit course designed to provide students with the basic concepts about injury and
healing process; clinical presentation, diagnostic tools and therapy of injuries & trauma, burns, fractures
and oncologic diseases.
Local, general and regional anesthesia techniques, drugs and complications are the content of a specific
unit.
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PRE-REQUISITES
Basic knowledge of the human’s anatomy and physiology.
COURSE OBJECTIVES
The student will be able to diagnose and treat the pathological disorders of the patient.
The student will be able to perform local anesthesia and indicate sedation or general anesthesia in a
Dental practice patient.
The student will be able to treat an emergency and dental emergency and apply the techniques of
Cardiorespiratory resuscitation.
GENERAL AND SPECIFIC SKILLS OFFERED BY THE COURSE
Basic skills
General Skill 1 Knowledge Acquisition
Building on the foundations laid during their secondary education and with the support of advanced textbooks,
the students will be able to demonstrate a level of knowledge and understanding equivalent to those at the
forefront of their field of study.
General Skill 2 Knowledge Application
Students will be able to apply their knowledge to their work or vocation in a professional manner and possess
the skills typically demonstrated through devising and sustaining arguments and solving problems within
epidemiology and public health.
General Skill 3 Collection, Interpretation and Analysis of Relevant Data
Students will gain the ability to gather and interpret relevant data to inform judgments that include reflection on
social scientific and ethical issues.
General Skill 4 Communication
Students will gain the opportunity to improve their communication skills via dissemination of information, ideas,
problems and solutions to both specialist and non-specialist audiences.
Specific competences. According to Order CIN / 2136/2008 of July 3, that establishes the requirements for the
verification of university degrees officers who qualify for the practice of the profession of Dentist
26. To know the general processes of illness, cure and repair, among whichInclude infection, inflammation,
bleeding and coagulation, scarring, injuries and alterations of the immune system, degeneration, neoplasia,
metabolic alterations and genetic disorders.
27. To know the general pathological characteristics of diseases and disorders which affect the organic
systems.
30. To know the pharmacological basis of the different anesthetic techniques, local and general, as well as the
role of sedation and general anesthesia in the management of the dental patient.
31. To know and handle the most frequent emergencies and medical emergencies in the dental practice and
basic cardiorespiratory resuscitation techniques.
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COURSE CONTENTS
The main objective of the curriculum in dentistry is to offer professional knowledge, skills and attitudes that
enable the student to serve adequately society by taking care of its health demands.
This attention should consider not only diagnoses and treatment, but also prevention, in an ethical manner,
with efficiency and safety.
The student shall know basic aspects related to surgical concepts, the operation room and surgical practice.
Specific content: Tissue scaring and wound healing; infection and prophylaxis; basic aspects of surgical
oncology and orthopedics.
In relation to general &locoregional anesthesia, the student shall know the pharmacological properties of the
drugs, surgical risk evaluation and performance and complications of the different anesthetic techniques. The
student shall acquire basic knowledge of CPR.
Practical skills:
General aspects in the operating room
Types and use of surgical instruments.
Suture materials and techniques.
Haemostatic techniques.
Local anesthesia technique.
Wound care
Basic surgical procedures (biopsy, resection, incisions, excision)
Basic CPR procedures
Grafts and flaps
COURSE STRUCTURE AND DESIGN
Theoretical lectures(30 hours) will provide the required knowledge
Seminars (9 hours) are focused in providing the student with some side knowledge necessary for a competent
professional practice.
Practical classes (15 hours) to train the student in basic surgical techniques
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ESTIMATION OS STUDENT WORK VOLUME
SUBJECT SURGICAL PATHOLOGY & ANAESTHESIA
CREDITS: 6
Breakdown of student work hours
Formative activity Contact Independent Study (B) Total work hours (C)
hours (A) C=A+B
TAUGHT CLASSES
Introduction to the
material
Theory classes 30 50 80
Debates
Feedback and review
of assignments
Other
PRACTICAL CLASSES
Problem solving
Debates
Feedback and review
of assignments
Simulation
Laboratory 15 15 30
Practical classes in
informatics room
Outing
Work presentation
Other
SEMINARS
Problem solving
Debates
Feedback and review 9 6 15
of assignments
COURSEWORK
PROJECT
Personal Project work
hours
EXAMINATIONS AND
TESTS
Exam preparation
Examinations 4 51 55
Other…
TOTAL 58 122 180
RELATIONSHIP BETWEEN WORK HOURS / ECTS 30
(the result of the relation working hours/ECTS will have to be equal to 30
hours, that is the hours that conform 1 ECTS in the CEU-UCH)
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ASSESSMENT CRITERIA
The learning assessment is based on continuous evaluation and a final exam. To pass the subject, the
students must get 5 points out of 10 by adding both parts:
3rd 9am
1. Continuous evaluation: 50% April
Practical exam: 20%(Tuesday, April 16th10 am) April
'
7th 4.30pm
Midterm exam: 20% (Tuesday, April 16th 4.30 pm). Lectures 1-11 included. Llull (osteoporosis
Seminar exam: 10%(Tuesday, April 16th 4.30 pm)
May 26M 4. so pm
2. Final exam: 50%
Note: According to the current regulations the student must score a minimum of 50 % in the Final Exam in
order to apply the continuous evaluation system
Attendance to the practical and seminar sessions is compulsory. 1 unjustified* or 3 justified** absences from
practical or seminar sessions will result in the student having to sit an additional practical or seminar exam
alongside the final exam. The student must score 7 out of 10 in the seminar exam to prevent an automatic fail
of the subject. The extra practical or seminar exam score will contribute as normal to the continuous
assessment, following the rules as stated above.
* Notification of absence must be made by email and provide the proof in hand to the professor.
** Justified absences are those for illness (with a doctor’s note), a death in the family (with documentary
evidence) or attendance to a university sponsored event
In the event that students do not achieve the required pass mark for this subject in the first examination session
in June, students will NOT be evaluated via the continuous assessment system for the Extraordinary re-sit
in July. In this case, the final course mark will be based purely on the final exam.
Students who enroll for this subject for the second time will NOT be evaluated via the continuous assessment
system unless they request this of the Professor IN WRITING before the start of the course. In this case, the
final course mark will be based purely on the final exam.
All students are expected to adhere to the University rules governing attitude and behavior in class. The rules
are available upon request from the Departmental Secretary.
COURSE PROGRAM
Lectures:
Unit 1. Surgical aggression
Unit 2. Surgical Infection
Unit 3. Osteoarticular apparatus
Unit 4. Surgical treatment
Unit 5. Anesthesia
DETAILED COURSE CONTENTS
UNIT 1
SYSTEMIC RESPONSE TO INJURY.
SHOCK: CONCEPT, DIAGNOSIS AND TREATMENT
WOUND HEALING PROCESS.GENERAL TREATMENT OF WOUNDS. OPERATING WOUND CARE
HAEMOSTASIS, SURGICAL BLEEDING & TRANSFUSION.
BURNS.SKIN GRAFTS AND MUSCULOCUTANEOUS FLAPS
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DETAILED COURSE CONTENTS
OBJECTIVE: To know the surgical aggression and its consequences on the human body, to be able to
recognize and treat them.
UNIT 2
SURGICAL INFECTION. ANTIBIOTIC PROPHYLAXIS
LOCAL AND GENERAL INFECTION: FLEMON, ABSCESS, SEPSIS AND SEPTIC SHOCK
TETANUS
OBJECTIVE: To know the consequences of infection, to diagnose and treat it, but fundamentally to know
how to prevent it.
UNIT 3
GENERAL ASPECTS OF BONE METABOLISM AND STRUCTURE
ORTHOPAEDICS: HISTORY, PHYSICAL EXAM, DIAGNOSTIC TOOLS
ARTICULAR TRAUMATISMS: LUXATION AND SLOW
ARTICULAR INFECTION
PRINCIPLES OF FRACTURES
GENERAL TREATMENT OF FRACTURES. REDUCTION, IMMOBILIZATION AND
OSTEOSINTHESIS.
FRACTURES OF FACIAL BONES
SKELETAL INFECTION: ACUTE AND CHRONIC OSTEOMYELITIS
NERVE TRAUMATISMS
OBJECTIVE: To know the osteoarticular apparatus and consequences of trauma with its diagnosis and
treatment.
UNIT 4
SURGICAL BLEEDING. PHYSIOPATHOLOGY AND HEMOSTASIA
SURGICAL ONCOLOGY
OBJECTIVE: To know the basis of oncology, its etiopathogeny and the role of surgery on it. To know the
pathophysiology of surgical hemorrhage. Diagnosis and treatment.
UNIT 5
SURGICAL RISK ASSESSMENT.
ANESTHETIC PREMEDICATION. OBJECTIVES AND EFFECTS OF PREMEDICATION. DRUGS,
DOSES AND ROUTE OF ADMINISTRATION.
BASIC CONCEPTS IN GENERAL ANESTHESIA. HYPNOSIS, ANALGESIA, RELAXATION AND
NEUROVEGETATIVE PROTECTION.
INHALATION AND ENDOVENOUS DRUGS. TECHNIQUES OF ADMINISTRATION. BASIC
MONITORING.
GENERAL ANESTHESIA. ATTENTION OF ANESTHESIA DURING SURGICAL INTERVENTION.
POSTANESTESIA RECOVERY.
COMPLICATIONS AND ACCIDENTS IN GENERAL ANESTHESIA. PROPHYLAXIS, DIAGNOSIS AND
TREATMENT
BASIC PRINCIPLES OF LOCAL AND REGIONAL ANESTHESIA.
LOCAL ANESTHETICS. CONCEPT, CLASSIFICATION AND PHARMACOLOGICAL PROFILE.
TECHNIQUES OF LOCAL AND REGIONAL ANESTHESIA IN DENTISTRY.
COMPLICATIONS IN LOCAL AND REGIONAL ANESTHESIA
TREATMENT OF POST-OPERATIVE PAIN.
BASIC CARDIOPULMONARY REACTION PRINCIPLES
OBJECTIVE: To know the surgical risk, indications and complications of local, regional and general
anesthesia.
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DETAILED COURSE CONTENTS
SEMINARS:
SEMINAR 1. ORGANIZATION AND ASSISTANCE IN THE OPERATING ROOM
Objective: To know the organization of the surgical block.
SEMINAR 2. ASEPSIS AND ANTISEPSIS. DISINFECTION IN SURGERY.
Objective: To know the asepsis-antisepsis protocols for the prevention of surgical infection
SEMINAR 3. BASIC PRINCIPLES ON SURGICAL INSTRUMENTS.
Objective: To know basic instruments and their management in surgery.
SEMINAR 4. FACTORS AFFECTING THE EFFICACY OF DISINFECTION AND STERILIZATION
Objective: To know the factors that affect the sterilization and disinfection results
SEMINAR 5: DISINFECTION. CHEMICAL DISINFECTANTS
Objective: To know the different chemical disinfectants
SEMINAR 6. STERILIZATION.
Objective: To know the different sterilization techniques
PRACTICES:
PRACTICE 1: SURGICAL SCRUBBING
Objective: To know and practice surgical hand washing
PRACTICE 2: BASIC SUTURE TECHNIQUES.
Objective: To know and practice the most frequent sutures in surgical practice.
PRACTICE 3: SUTURING.
Objective: To know and practice the most common knotting techniques in surgical practice.
PRACTICE 4: BASIC HEMOSTATICAND SURGICAL TECHNIQUES.
Objective: To know and practice the most used hemostatic and surgical techniques
PRACTICE 5: CARDIOPULMONARY RESUSCITATION
Objective: To review previously learned cardiopulmonary resuscitation techniques
PRACTICE 6: CLEANING THE DENTAL CHAIR
Objective: To know and practice the cleaning and disinfection of the dental chair.
PRACTICE 7: PRACTICAL EXAMINATION.
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BASIC BIBLIOGRAPHY
Faisal Khayyat, Belén Merck MD PhD, Juan Miguel Redín MD PhD. GENERAL CONCEPTS OF
SURGICAL PATHOLOGY. Low Cost Books. Valencia 2019.
DAVIDSON’S Principles and Practice of Medicine.21st Edition. Elsevier. 2010.
WHALAN C. Assisting at surgical operations. A practical guide. Cambridge University Press 2006.
Guideline for Disinfection and Sterilization in Healthcare Facilities, 2008.
GARDEN OJ, BRADBURY AW, FORSYTHE JLR, PARKS RW. Principles & Practices of Surgery.
Churchill Livingstone. Elsevier 2012.
BRUNICARDI, F Schwartz. Principles of Surgery. 9th Edition.
ARCHUNDIA, A. Cirugía 1. Educación Quirúrgica.2011.
PEREZ LARA, FCO.J. Urgencias Quirúrgicas en Atención Primaria.2007
DURÁN H. y cols. Tratado de Patología y Clínica Quirúrgicas. 2002
BALIBREA, J.L. Tratado de Cirugía. Tomo I. 2000
MILLER R. Anestesia. 2010
ADDITIONAL READING
VON ROENN, J. Diagnostico Y Tratamiento En El Dolor . 2011
AITKENHEAD A. Textbook of Anaesthesia . 2010
KOGON, B. Información Esencial en Cirugía General .2008
PROUBASTA, I. Lecciones Básicas en Cirugía Ortopédica y Traumatología .2008
LASKIN D. Decision making in oral and maxillofacial surgery . 2007
OTHER SUPPORT MATERIALS
The library has been requested to supply the basic bibliography above.
RECOMMENDATIONS TO STUDENTS TAKING THIS COURSE
Use the teaching notes in combination with personal literature searches and study to help you master the
subject. Students are encouraged to attend the lectures and dedicate personal time to studying the course
material in order to have an integrated view of research in this field. It is strongly recommended that the student
carries out the assignments set for continuous assessment and performs all the tasks listed in the schedule in
the recommended timeframe. Students are also advised to read the texts (articles and book references)
recommended by the lecturer during lectures.
LINKS TO ONGOING RESEARCH
This subject enables the student to start research in the I+D groups of CEU. We recommend to contact the
principal researcher in case of interest.
LINKS TO THE DENTAL PROFESSION
Most of the actual dentist need a complete knowledge of bone structure and its physiopathology.
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