CARDIAC SURGERY

Course Sheet

Course code:

IN21B1E

Academic Year of enrolment:

2021

Year of supply:

2022/2023

Divisions:

CANALE A

Type of Course:

Characterising

Degree:

Course of 1st Cycle Degree in NURSING

Disciplinary Sector:

Cardiac Surgery

Is part of:

CARDIAC SURGERY

Location:

PESCARA

Credits:

Programme Year:

Professor and Collaborators:

DI GIAMMARCO GABRIELE

Cycle:

First semester

Obligatory attendance:

Yes

Hours of classroom activity:

Individual study hours:

Prerequisites:

Knowledge of systematic human anatomy, physiology, physics and and biochemistry. Propaedeuticities in accordance with the teaching regulations of the Course of Study.

Objectives

The educational objective of the course is to guide students in understanding cardiovascular diseases of cardiac surgical interest. The course will consist of a series of lectures on the epidemiology, etiopathogenesis, pathophysiology, clinical and therapeutic solutions of the major cardiovascular diseases that are the subject of invasive treatment, either conventional cardiac surgery or transcatheter surgery. Implications related to pre-treatment work-up as well as pathophysiologic ones that involve the adoption of specific nursing modalities will be specifically addressed in order to guide learning toward a framing suited to the specifics of nursing. In particular, aspects of instrumental monitoring, both invasive and noninvasive that are peculiar to thea patient's preparation for treatment that relate to the framing and monitoring of possible complications arising from surgical treatment will be covered.

Contents

The Cardiac Surgery course aims to illustrate cardiovascular pathologies with indication to cardiac surgery treatment through basic notions of etiopathogenesis, epidemiology, pathology aimed at the invasive treatment, surgical or interventional. The clinical features of cardiovascular diseases will be also illustrated. The history and evolution of extracorporeal circulation as well as the pathophysiology inherent to this technique that represents the foundation of cardiac surgery will also be treated. As far as those specific aspects of nursing concern the consequences of the use of extracorporeal circulation in the clinical practice and, in general, those concerning cardiac surgery techniques will be also treated in order to orient learning towards a specific and practical awareness of the role of nursing care setting.

Extended Syllabus

- Embryological development of the heart "in toto".
- Descriptive and topographical anatomy of the heart and great vessels.
- Congenital heart diseases: interatrial communication, interventricular communication, Transposition of the great arteries, Tetralogy of Fallot, aortic coarctation.
- History and evolution of heart surgery.
- Extracorporeal circulation and organ protection techniques.
- Aortic valvular pathology and its treatment.
- Mitral valvular pathology and its treatment
- Tricuspid valvular pathology and its treatment
- Valvular prostheses: types and indications
- Myocardial revascularization surgery: indications, types of conduits used, revascularization techniques.
- Ischemic heart disease and its complications of surgical interest (ventricular aneurysm, ruptured heart, acute mitral insufficiency from ruptured m. papillaris, post-infarct interventricular communication, intraventricular thrombosis)
- Acute aortic syndromes: Pathologic anatomy, clinical diagnosis, instrumental diagnosis, surgical treatment.
- The replacements of left ventricular mechanical function.
- Decompensation surgery and heart transplantation

Recommended Bibliography

Luigi Chiariello
Trattato di Chirurgia Cardiaca
Ed: Società editrice Universo
http://www.chirurgia-cardiaca.it

Oxford Handbook of Surgical Nursing
Edited by Mark Radford, Maria Kisiel, and Alison Smith
https://global.oup.com/academic/product/oxford-handbook-of-surgical-nurs...

A.Haverich, G. Ziemer
Operations on the Heart and Great Vessels in Adults and Children
Springer-Verlag Berlin and Heidelberg GmbH & Co. K

Lawrence Cohn
Cardiac Surgery in the Adult Fifth Edition
McGraw-Hill Inc.,US

Teaching Methods

face-to-face class

Evaluation methods

Verification of learning:

Depending on the training needs, in
itinere in order to detect the effectiveness of the learning and
teaching.
The final assessment, at the end of the course, consists of a face-to-face oral test and/or a written test in which the
student must prove that he/she has mastered the topics
of the course syllabus. The final examination may be taken in one
of the appointments on the calendar.
Upon completion of the final test, the student must demonstrate mastery of the topics.
@a sufficient basic knowledge (grade 18-22/30),
@a fair knowledge (23-25/30),
@good ability to illustrate the topics with properties of language and
mastery of the subject matter (26-28/30),
@very good subject knowledge with ability to move from one
topic to another contextualizing any interconnections and/or
differences (28-30/30).
Honors are reserved for those who also demonstrate particular interest and
knowledge of the functional aspects of the professionalizing field, with
high communication and independent learning skills.

Contacts/More Information

Contact with the lecturer can be established by email to the following address: gabrieledigiammarco57@gmail.com

Università degli Studi
"G. d'Annunzio"

Chieti - Pescara

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