ANS5181, ANS5182, ANS5183, ANS5184 Anesthesia Laboratory I, II, II, and IV
prerequisite ANS5181: permission of faculty prerequisite ANS5182: ANS5181 prerequisite ANS5183: ANS5182 prerequisite ANS5184: ANS5183 Summer, Fall, Winter, Spring Quarters.
This four quarter sequence starts with the students applying standard intraoperative monitors to each other and performing various experiments to explore the proper and improper applications, and to identify rudimentary pitfalls of routing monitoring techniques. The laboratory progresses to detailed study of the anesthesia delivery system and various types of breathing circuits. Experiments are designed to explore dead space, compliance losses, humidification, time constants, fresh gas flow effects, valve malfunction and potential complications of CO2 removal. Many patient modalities are explored, such as capnography and pulse oximetry, permitting investigation of those effects that routinely provide poor quality information and degradation of the monitoring system response, such as invasive blood pressure monitoring systems. Theory of dilutional methods of cardiac output monitoring, along with hemodynamic model experiments to explore relationships between Mean circulatory filling pressure and Central Venous pressure and the Frank Starling law of the heart. Physical principles such as resistance affects on infusion of various types of fluids are explored along with catastrophic failure analysis, and the concepts of various forms of mechanical ventilation.