Common manifestation management of patient surgical interventions.

Cleft lip & palate, Acute appendicitis, Urethral strictures.

Instruments used in major surgical operations including Biliary Tract Surgery, Anorectic
Surgery, Urological Surgery, Orthopedic Surgery
Obstetrics and Gynecological Surgery instruments
Plastic Surgery Instruments.

A. Basic Surgical Techniques 5e-Raymond Maurice Kirk
B. Manual of Surgery, Volume 1: General Surgery by Alexis Thomson, Alexander Miles
Publisher: Morrison and Gibb 1921

Boyle Machine & Its functioning.

Boyle Vaporizer

Magill’s breathing circuit
Bains breathing circuit
Pediatric anaesthesia circuit

Gas cylinder and flow meters, Carbon dioxide absorption contester.

Suction apparatus-Foot operated, Electrically operated
Ambu bag and laryngoscope
Hand tracheal tubes
Catheters
Face masks, Ventimask, Drugs.

General Principles
Pharmacological classification of drugs
Route of drug administration
Precautions in administration
Principles of drug toxicity
Prevention and treatment of poisoning
Adverse drug reaction.

Sedatives & Hypnotics
Barbiturates morphine and others.

Important groups of drugs
NS and other IV fluids
Ibuprofen, Aspirin, Antimicrobial agents, Anti allergic drugs, Anti diuretics.

Pre-anesthetic medication.

Local Anesthetic agents
Spinal Anesthetic agents
General Anesthetic agents.

A. Anesthesia: A Comprehensive Review by Brian A. Hall, Robert C. Chantigian
B. Manual of Anaesthesia By Paul Arun Kumar-Jaypee Digital

Storing, Sterilization and disinfections in O.T.

General Surgical Principles and Instruments
The surgical patient operation room technique

Instruments used for preparing Surgical Cheatles forceps, Rampleys sponge holding forceps,
Mayo’s towel clip, Esmarch bandage, Simple tourniquet, Pneumatic touriniquet

Bard parker knife, Handles, Major abdominal incision, Artery forceps and their types,
Instruments used in homeostasis, Kocher’s forceps, Electric cautery Retractor: Single hook
retractor, Czerny’s retractor’s, Nerve hook retractor, Morris retractors and Deaver’s
retractors.

Care, Washing, Sterilization and maintenance of Endoscopic Instruments
Orthopedic Power instruments
Advanced OT tables & their attachment.

Types, Setting & Use of Image intensifier Portable X-ray Machine
Cautery Machine
Suction machine, Pulse oxymeter & Cardiac monitor

Scissors and its types, Sucking material and techniques, Disinfectants and irritant, Dressing
procedures, Different types of bandages, Surgical needle & needle holders, Various types of
suture material.

A Manual of Surgical Equipment Sewta Rajendra Singh-Jaypee Digital
B. Surgical Instruments: A Pocket Guide Maryann M. Papanier Wells

A. Thepost anesthesia care unit: a critical care approach to post anesthesia nursing, Volume 1
Cecil B. Drain
B. http://www.ebauems.eu/resources/PDFS/Quality_and_safety_guidelines_of postanaesthesia.1.pdf

Identification & Demonstration of working of the equipment
Fumigation, Cleaning and disinfection of articles
Packing articles for sterilization
Sterilization of equipments.

Care Sterilization & lubrication of Orthopedic Power instrument
Setting up table for various surgeries& portable X-ray Machine
Cautery Machine- Types, Setting & Uses, Positioning for orthopedic patient and other
surgeries.

A, Manual of Surgery, Volume 1: General Surgery by Alexis Thomson, Alexander Miles
Publisher: Morrison and Gibb 1921
B. Basic Surgical Techniques Se-Raymond Maurice Kirk

Introduction to equipments – Simple usage, Indication and contraindication of use, Repair
and maintenance of equipments used in laboratory, colorimeter digital, Centrifuge (different
types), Serological water Bath 37°C.

Micropipette, Balances (different type), Distilled water units, Hot air oven, Autoclave,
Water bath. (different types), pH Meter, Incubator Microtome (different types), Semi auto
and fully automatic analyzer (Biochemistry Analyzer), Fully automatic cells counter, Flame
photometer, Automatic tissue processor, Automatic cover slipper. Automatic blood weight
machine, Rotary shaker, Microscope, Monocular, Binocular, Dark field immersion.

A, Medical Laboratory manual for tropical countries vol. I, II. By Monica Chesbrough ELBS edition.
B. Medical Laboratory technology a procedure manual for routine diagnostic test – vol – I, I, IIL.
Kanai L. Mukharjee Tata Mc graw hill pub. New Delhi.

Identification & Demonstration of working of the equipment
Fumigation, Cleaning and disinfection of articles
Packing articles for sterilization
Sterilization of equipments
Care, Sterilization & lubrication of Orthopedic Power instrument
Setting up table for various surgeries
Scrubbing, Gloving & Gowning.

Handling of image intensifier & portable X-ray Machine
Cautery Machine- Types, Setting & Uses
Positing for orthopedic patient and other surgeries
Advanced O.T. Table & their attachments as well as their maintenance
Assisting with Anesthesiologist
Observing and monitoring the patient in recovery room, Terminal disinfection.

A. A Complete Hospital Manual of Instruments and Procedures by Kapur- Jaypee Brothers
YEAR I
B. http://www.zimmer.co.nz/web/enUS/pdf/Surgical_Cleaning_Instructions_Final.pdf

Biotic and Abiotic environment, Adverse effects of Environmental Pollution, Control
Strategies, Various Acts and Regulation.

Water Quality Standards for potable water, Surface and underground water sources,
Impurities in water and their removal, Denomination, Adverse effects of domestic waste
water and industrial effluent to surface water sources, Eutrophication of lakes, Self
purification of steams.

Sources of air contaminations, Adverse effects on human health, Measurement of air quality
standards and their permissible limits, Measure to check air pollution, Greenhouse effect,
Global warming, Acid rain, Ozone depletion.

Bio Medical Waste Management, Introduction to bio medical waste, Types of bio medical
waste, Collection of bio medical waste.

Land Pollution, Soil conservation, Land erosion, Afforestation.

Ecology, Basics of species, Population dynamics, Energy flow, Ecosystems, Social Issues
and the Environment, Sustainable development and Life Styles, Urban problems related to
energy, Resettlement and Rehabilitation of people, Energy flow, Consumerism and waste
products
‘Water Harvesting and Rural SanitationWater harvesting techniques, Different schemes of Rural Water Supply in Rajasthan, Rural
Sanitation, Septic Tank, Collection and disposal of wastes, Bio-gas, Community Awareness
and participation.

Non-Conventional (Renewable) source of energy. Solar Energy, Wind energy, Bio mass
energy and Hydrogen energy.

A, Environmental science-Coming ham Saigo. w
Solid waste management-C.L. men tall.
C. Environmental Technologies for Sustainable Development Dr. Upendra Pnadel, DR M.P.
Poonia.

Introduction of surgery and basic principles of surgery
Cancer-TumorsBenign and malignant cyst, Ulcers, Sinuses, Fistula, Differential diagnosis of cyst and tumor|
Fractures and Dislocation1 Classification of fracture management, Fixation, Reduction immobilization, Principles of
closed reduction artificial prosthesis
Comparative and Surgical Anatomy
Breast CancerInvestigating of breast, Benign disease, Carcinoma of breasts
Treatment of carcinoma of breast mastectomy.

Common manifestation, Management of patient, Surgical interventions
Cleft lip & palate acute appendicitis urethral strictures
Different Surgical Instrument2. Instruments used in major surgical operation including Biliary Tract Surgery, Anorectic
Surgery, Urological Surgery
Orthopedic Surgery Instruments
Obstetrics and Gynecological Surgery Instruments.
Plastic Surgery Instruments.

Storing Sterilization and disinfections in O.T.
General Surgical Principles and InstrumentsThe surgical patient operation room technique
 Instrument used for preparing Surgical Cheatles forceps, Rampleys sponge holding forceps,
. Mayo’s towel clip, Esmarch bandage, Simple tourniquet, Pneumatic tourniquet, Incision
making method and instruments, Bard parker knife handle
Major abdominal incision artery forceps and their types
Instruments used in homeostasis- Kocher’s forcep, Electrocautery Retractor, Single hook
retractor, Czerny’s retractor’s, Nerve hook retractor, Morris retractors, and Deaver’s
retractors.

Care, Washing, Sterilization and maintenance of Endoscopic Instruments
Orthopedic Power instruments
Advanced OT tables & their attachment
Types, Setting & Use of Image intensifier Portable X-ray Machine
Cautery Machine
Suction machine, Pulse oxymeter, and Cardiac monitor.

Scissors and its types
Sucking material and techniques
Disinfectants and irritant dressing procedures
Different types of bandages, Surgical needle & needle holders
Various types of suture material.

A Basic Surgical Techniques 5e-Raymond Maurice Kirk
B. Manual of Surgery, Volume 1: General Surgery by Alexis Thomson, Alexander Miles
Publisher: Morrison and Gibb 1921

Gas physics, States of matter, Temperature conversion, Humidity, Pressure measurement,
Gas flows and diffusion, Gas laws, miscellaneous concepts such as density and specific
gravity.

Medical Gas Supply. Compressed Gas Cylinders, Colour coding, Cylinders and Cylinder
valves, Cylinder storage, Diameter index safety system, Medical gas pipeline system and
station outlets, Air compressors, OXygen concentrators, Alarms and safety devices

Simple oxygen administration devices
Methods of controlling gas flow-Reducing valves, Flow meters, Regulators, Flow
restrictors.

Definition, Causes and responses to hypoxemia
Clinical signs of hypoxemia
Goals of oxygen therapy
Evaluation of patients receiving oxygen therapy
Hazards of oxygen therapy.

Hanger and yoke system
Cylinder pressure gauge
Pin index
Pressure regulator, Flow meter assembly, Vaporizers — Types, Hazards, Maintenance,
Filling and Draining.

General considerations
Classification of Breathing system
Mapleson breathing system
Jackson Rees system
Bain circuit
Non breathing valves — Ambu valves, Others.

Pulse Oximeter, CO2 Monitor, Gas analysis-Types and care
Transcutaneous oxygen monitors
Pulse oximeters, Capnography.

Types of resuscitator bags, Indications, Hazards
¥ Methods of increasing oxygen delivery capabilities while using oxygen with resuscitator
bags.

Oral and Nasal endotracheal tubes, Tracheotomy tubes
Parts of airway and features, Types, sizes and methods of insertion
Indications for use
Care of long term airways and complications
Protocol for tracheotomy decannulation, Face masks — Types, sizes and its usage.

Methods of cleaning and sterilization of anesthetic equipments.

Prehistoric (Ether) era, Inhalational anesthetic era, Regional anesthetic era, Intravenous
anesthetic era, Modem anesthetic era.

‘Who should give anesthesia
Ten golden rules of anesthesia
Patient assessment and preparation
Checking the drugs and equipment, Keeping the airway clear, Be ready to control
ventilation, Monitor pulse and BP.

A. Manual of Anaesthesia By Paul Arun Kumar-Jaypee Digital
B. Thepost anesthesia care unit: a critical care approach to post anesthesia nursing, Volume 1
Cecil B. Drain

Boyle’s Machine & Its functioning
Boyle’s Vaporizer, Magill’s breathing circuit, Bains breathing circuit, Pediatric anesthesia
circuit
Gas cylinder and flow meters, Carbon dioxide absorption contester
Suction apparatusFoot operated, Electrically operated, Ambu bag laryngoscope
Hand tracheal tubes, Catheters, Face masks, Venti mask drugs, General Principles.
Anesthetic DrugsPharmacological classification of drugs
Route of drug administration
Precautions in administration
Principles of drug toxicity
Prevention and treatment of poisoning adverse drug reaction.

Sedatives & Hypnotics, Barbiturates morphine and others
Important groups of drugs
NS and other IV fluids ibuprofen, Aspirin, Antimicrobial agents
Anti allergic drugs ant diuretics
Pre-anesthetic medication, Local Anesthetic agents, Spinal Anesthetic agents, General
Anesthetic agents.

Medical ethics and the relevant medico legal aspects
Responsibilities and duties-Ethical behavior and conduct
Medico legal aspects and its relation to consumer protection act.

Basics of computer application
Basic structure of computers, Micro processors in computers, Principles of computer and its
application in various fields.

Basics of medical statistics, Common statistical terms, Sources and presentation of data,
Measures of location — average and percentiles, Measures of central tendency and
dispersion, Normal distribution and normal curve
Sampling and probability, Sampling variability and its significance, Significance of
difference in mean, Chi-square test
Designing and methodology of an experiment of a study
Representation of data as tables and graphs
Demography of vital statistics, Standard deviation, P value and its significance
Recording of data and maintenance of records.

Biomedical waste and its management,
Electricity and electro medical equipments and safe guards
Basics of electricity and functioning of electro medical equipments
Earthing and care of apparatus, Staticelectricity
Fires and explosion causes
Prevention of fire and explosions, Electrical hazards

History of Anesthesia, Introduction, Antecedents of modern anesthesia, Evolution of
modem anesthesia.
Anesthesia Operating Room, Dye allergies, Embolization, Examination for magnetic
resonance imaging (MRI), Monitoring, Equipment options in the MRI suite
General anesthetic/sedation techniques.

Electroconvulsive shock therapy (ECT), Preoperative, Anesthetic techniques and drug
effects on seizure duration
Hemodynamic responses and appropriate treatment
Cardiac catheterization, Preoperative evaluation of children, Aesthetic consideration,
Children, Electrophysiological tests/radio frequency, Ablation Cardio version.

Urology Service (This service may be OPD or OT)
Become skilled in anesthetic technique applicable to the Genitourinary Clinic
Transurethral resection of the prostate
Recognize and treat hyponatremia
Different anesthetic options-advantages and disadvantages of each
Trrigation fluid options, advantages and disadvantages of each
Anesthetic techniques for extracorporeal shock wave lithotripsy
Anesthetic consideration for percutaneous placement of nephrostomy.

A. The post anesthesia care unit: a critical care approach to post anesthesia nursing, Volume 1
Cecil B. Drain.
B. The Anesthesia Technician and Technologist’s Manual: All You Need to Know By Glenn
Woodworth.

Principles of anaesthesia system (Boyle anaesthetic machine)
Cylinders, storage of gases, oxygen, nitrous-oxide, tests for cylinders, cylinder valves, pin
index system
Safe use of cylinders
Liquid oxygen, oxygen concentrators
Anaesthesia machine, Pressure gauge, Pressure regulator, Flow meters, Carbon-dioxide
absorber, Pressure relief valves, Rebreathing bags, Face masks, Boyle vaporizers, Ether
bottle, Halothane vaporizer, Fluotech mark one to six, Pipeline system, Central pipeline
system, Advantages and hazards.

Anaesthesia gadgets
Different types of laryngoscopes and blades, Endotracheal tubes
Description of plane and cuffed endotracheal tubes (nasal/oral), indications
Methods of insertion, Sterilization and Complication
Other types of Endotracheal tubes, Latex armoured tubes, Ring, Adair and elwyn tube,
Microlaryngeal tubes, Endobronchial tubes etc.
Classifications of breathing circuits
Explaining details about Mapleson’s to system, Bain circuit, Lack circuit, etc.
Methods of anesthesia.

Introduction to general anaesthesia and regional anaesthesia, Stages of ether anaesthesia,
intravenous anaesthetic agents uses and complications
Pre-medication indication, Type of drugs used for pre-medication, Doses and side effects
Drugs used in anaesthesia, Narcotic agents, Anticholinesterase drugs, Vasopressor drugs,
Antiarthythmic drugs, Hypotensive drugs, Hypoglycaemic drugs, Anticoagulant drugs,
Antihypertensive drugs etc.

Neuromuscular blocking agents used in anaesthesia practice
Inhalation anaesthetics, Nitrous oxide, Diethyl ether, Halothane, Enflurane, Isoflurane,
Sevoflurane, Desflurane-there indications and complications
Intra-operative management
Monitoring during anaesthesia by use of monitors.

Monitoring during anaesthesia
Clinical monitoring by use of monitor
Patient Monitoring- Arterial blood pressure monitoring
Electrocardiogram, Pulse oximetry, Capnography, Neuromuscular monitoring etc.,
Monitoring during shifting of the patient from operation theater to post operative care unit,
Monitoring of the patient in postoperative care unit
Complications in the postoperative period and acute pain management in postoperative
ward.

Regional Anaesthesia-Local anesthetic agents used in regional anaesthesia, indications,
contraindications, dosage, Complications, Route of administrations example Lignocaine,
Bupivacaine etc.
 Regional anaesthesia, spinal anaesthesia in all age group of patients, Indications,
contraindications
Commonly used local anaesthetics, Adjuvants
Epidural anaesthesia, Epidural anaesthesia in all age group of patients, Indications,
Contraindications, Commonly used local anaesthetics, Adjuvants.

Caudal anaesthesia in all age group of patients indications, Contraindications, Commonly
used local anaesthetics, Adjuvants, Regional blocks, Brachial plexus block, Popliteal block, Hernia block etc., Indications, Complications
Anaesthesia for common surgical procedures
General anaesthesia/regional anaesthesia in surgery, Orthopedics, Obs and gynae example
Appendectomy, Lower segment cesarean section, Intramedullary nailing etc.

Hypertensive patients, Ischemic heart disease, Elderly patients, Diabetic patients, Renal
failure patients, Bronchial asthma, Head injury patients etc.
Anaesthesia for special situations, Dental anaesthesia, Out-patient anaesthesia
Patients in shock, Respiratory failure, Cardiac diseases, Trauma and emergency medical
diseases.

Regional anaesthesia and general anaesthesia
Basic principles of fluid management during Surgery, Accidents, Shock, Cardiac patients
Basic principles of blood transfusion and complications
Ventilators- Types of ventilators, Modes of ventilation, Sterilization of the ventilator
Cardiopulmonary resuscitationBasic life support, Advanced cardiac life support, Intensive coronary care unit
Pain managementAcute and chronic.

A, The Anesthesia Technician and Technologist’s Manual: All YouNeed to Know By Glenn
Woodworth.
B. Manual of Anaesthesia By Paul Arun Kumar-Jaypee Di

Identification & Demonstration of working of the equipment, Fumigation, Cleaning and
disinfection of articles, Packing articles for sterilization, Sterilization of equipments.

Care, Sterilization & Lubrication of Orthopedic Power instrument
Setting up table for various surgeries & portable X-ray Machine
Cautery Machine-Types Setting & Uses
Positing for orthopedic patient and other surgeries.

Advanced O.T. Table & Their attachment as well as their maintenance
Assisting with Anesthesiologist
Observing and monitoring the patient in recovery room, Terminal disinfection.

A. Basic Surgical Techniques Se-Raymond Maurice Kirk
B. Manual of Surgery, Volume 1: General Surgery by Alexis Thomson, Alexander Miles
Publisher: Morrison and Gibb 1921

Medical ethics, Medico legal aspects
Basics of Computer application
Basic of Medical statistics
Biomedical wastes, Electricity and electro medical equipments
Fire and explosion, History of anesthesia, Physics in principles of Anaesthesia machine,
Boyle’s machine in details.

Pipeline system, Anaesthesia gases, Vaporizers, Anaesthesia gadgets, Different types of
endotracheal tubes and endobroncheal tubes, Breathing circuits, General anaesthesia,
Neuromuscular blocking drugs 11.Monitoring in anaesthesia.

A. Manual of Anaesthesia By Paul Arun Kumar-Jaypee Digital
B. The Anesthesia Technician and Technologist’s Manual: All YouNeed to Know By Glenn
Woodworth

Attending preoperative rounds with anaesthesiologists
Attending postoperative rounds with anaesthesiologists
Attending pain clinic everyday with anaesthesiologists
Attending rounds in ICU, ICCU, MICU, SICU with anaesthesiologists and understanding
Ventilators, its implication and sterilization
Attending regular operation theatre for regular anaesthesia cases
Attending emergency cases along withanaesthesiologists.

Arrangement of anaesthesia trolley for general anaesthesia,
Arrangement of anaesthesia for regional anaesthesia example: epidural, Bracheal etc.,
Arrangement of monitors and anaesthesia machine before starting of any cases for
anaesthesia
Sterilization of anaesthesia machine
Arrangement of anaesthesia breathing circuits ex: Magill’s, Ayer’s circuits etc.
Filling of soda lime canstors of close circuits
Arrangement of Simple oxygen administration devices during postoperative ward.

Airway gadgets arrangements during anaesthesia procedures like Oropharyngeal airways,
Nasopharyngeal airways, Endotracheal tubes and Laryngeal mask airways etc.
Anaesthesia Vaporizers to be filled and make arrangements for inhalation
Anaesthesia with use of Either, Halothane and Enflorane etc.
Assisting anaesthesiologists during blood transfusion
Assisting in transfusion of fluids ex. Ringer lactate, dextrose 5% etc.
Assisting anaesthesiologist during patient in shock
Complications of general anaesthesia and regional anaesthesia
Assisting anaesthesiologists during bronchoscopy and invasive procedures during
anaesthesia
Observing cardiopulmonary resuscitation
Assisting during transportation of patients from casualty to other wards and care units.

A. Manual of Anaesthesia By Paul Arun Kumar-Jaypee Digital.
B. The Anesthesia Technician and Technologist’s Manual: All YouNeed to Know By Glenn
Woodworth.
C. Understanding Anesthesia Equipment, Construction, Care and Complications By Dorsch and Dorsch – 5* Edition (2008)