D.N.B. (Anesthesia)

Sr. No.

Subjects of Study

1

Anatomy of cranial nerves, respiratory tract including anatomy of the larynx, bronchopulmonary segments, heart, nose, cubital fossa, Brachial, cervical, lumbar plexus. diaphragm, triangles of a neck, tongue, dermatomal and cutaneous innervation of extremities, cerebral circulation, cerebral ventricles.

2

Principles of physics and use of equipment in anaesthesia:
i) Gas laws, vaporization, vaporizers
ii) Anaesthesia machine ñ checking the machine and assembly of necessary items.
iii) Airway equipment including Tracheostomy/ Equipment for airway management-mask, LMA, fibreoptic laryngoscopes; other devices like Combi tube etc.
iv) Breathing systems continuous flow systems, draw over a system.
v) Monitoring in Anaesthesia with concepts of minimal monitoring. Principles of oximetry, capnography and Neuromuscular monitoring. Principles of different Monitoring pieces of equipment used in anaesthesia and Intensive Care Unit.
vi) Safety in Anaesthesia Equipments
vii) Medical gases ñ storage and central pipeline system, Cylinders.

3

Physiology:
i) Theories of a mechanism of production of Anaesthesia Respiratory, cardiovascular, hepatobiliary, renal and endocrine system and central nervous system. Pregnancy, Blood Groups, Muscle & N M Junction, ECG, Regulation of temperature & Metabolism, Stress response, cerebral blood flow and ICP.
ii) Shock- pathophysiology, clinical diagnosis and management.
iii) Pulmonary function tests ñ principles and applications.

4

Pharmacology
i. General Pharmacological principles, the concept of pharmacodynamics and pharmacokinetics.
ii. Inhalational, intravenous anaesthetics, drugs used in premedication, postoperative pain, neuromuscular blocking drugs, and in the ICU, autonomic drugs, vasopressor and vasodilators.
iii. Drugs used for different diseases.
iv. Drug Interactions in Anaesthesiology.
v. Drugs used for spinal, epidural and local anaesthesia.

5

Biochemistry relevant to fluid balance & Blood and blood products Transfusion, Artificial Blood & Perioperative fluid therapy. Enzymes, calorie requirement, parental nutrition. Acid-base homeostasis in health and disease. Interpretation of blood gases and other relevant biochemical values

6

Anaesthetic records and medico-legal aspects of anaesthesia

7

Theoretical background on disorders of Cardiovascular, respiratory, hepatobiliary, Renal, Neurologic, Degenerative, Endocrine & Metabolic syndromes, DIC, and ARDS.

8

Resuscitation of a patient with overdose poisoning. Management of unconscious patients. Resuscitation of a patient with extremes of body temperature, polytrauma and dialysis. Neonatal resuscitation. Resuscitation of a trauma patient.

i) Artificial ventilation, ventilators, currently used modes, choice of ventilators, care of a patient on a ventilator.

9

Oxygen therapy

10

Operation theatre and Recovery rooms layout (concepts of PACU)

11

Computers, Utility, computer-assisted learning and data storage. Computerised anaesthesia records.

12

ECG, X-rays, Ultrasound, MRI and CT Scan.

13

General principles of preoperative assessment & premedication.

14

Acute and Chronic Pain: Pathophysiology and Management.

15

Neonatal and paediatric anaesthesia.

16

Principles of outpatient anaesthesia and anaesthesia in an abnormal environment and mass casualty.

17

Anaesthetic Management in special situations: Emergency, ENT, ophthalmology, Obstetric anaesthesia and analgesia., Plastic, Dental, Radiodiagnosis, Radiotherapeutic patients and MRI.

18

Anaesthesia for patients with common and uncommon diseases.

19

Basics of Orthopaedic anaesthesia.

20

Anaesthesia for camp surgery.

21

Difficult airway management.

22

Anaesthetic implication of coagulation disorders.

23

Principles of geriatric anaesthesia.

24

Selection, maintenance and sterilization of anaesthesia equipment.

25

Principles of anaesthetic management of Neuro, Cardiac, Thoracic, Vascular, Transplantation, burn and plastic surgery.