CLNP5005: Semester 2, 2021

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Units CLNP5005 Semester 2 2021 [Online]

Unit of study_

CLNP5005: Neuromonitoring in Anaesthesia

Overview

This unit of study examines the techniques available to monitor the function and wellbeing of the brain and nervous system during anaesthesia and surgery. Despite their widespread use, the effect of general anaesthetic agents on the brain and spinal cord is still poorly understood. There is wide interpatient variability in responses to these agents, and intraoperative haemodynamic fluctuations and underlying disease processes are all threats to the central nervous system which may be mitigated by careful monitoring.

Details

Academic unit	Clinical Neurophysiology
Unit code	CLNP5005
Unit name	Neuromonitoring in Anaesthesia
Session, year ?	Semester 2, 2021
Attendance mode	Online
Location	Camperdown/Darlington, Sydney
Credit points	6

Enrolment rules

Prohibitions ?	None
Prerequisites ?	None
Corequisites ?	CLNP5001
Assumed knowledge ?	This unit of study is primarily targeted at Medicine students. Science in Medicine students should contact the unit coordinator to discuss enrolment in this unit of study
Available to study abroad and exchange students	No

Teaching staff and contact details

Coordinator	Adam Hastings, adam.hastings@sydney.edu.au
Administrative staff	Amanda Wong (Education Design and Delivery Officer): amanda.wong@sydney.edu.au

Type	Description	Weight	Due	Length
Final exam (Live+ supervised)	Final exam Online MCQ	50%	Formal exam period	1 hour
Outcomes assessed:
Online task	PeerWise Online task	15%	Multiple weeks	To be added by the unit coordinator
Outcomes assessed:
Assignment	Essay Essay	20%	Multiple weeks	1000 words each
Outcomes assessed:
Participation	Group learning and participation Online and in-class discussion	15%	Ongoing	Ongoing
Outcomes assessed:
Online task	Module quiz Open-book MCQ	0%	Weekly	Untimed
Outcomes assessed:
= hurdle task ? = Type A final exam ?

Module quiz: There will be 12 graded quizzes throughout the semester, each made up of 5 MCQs. These questions are open-book and untimed, but you are only permitted one attempt at each question.
Essay: There are two essays designed to help you synthesise and apply the knowledge you have gained.
PeerWise: Students are required to write multiple-choice questions as well as answer their peers’ questions via PeerWise. The purpose of this task is to encourage students to engage with and think critically about a topic. Essential information about participating in PeerWise can be found on the Student Hub. It is expected that you will regularly answer and provide constructive comments to questions throughout the semester so that by the end of the semester you will have answered at least 36 questions. Constructive feedback to other students regarding published questions is encouraged.
Group learning and participation: Students are required to engage with the unit of study coordinators and their fellow students throughout the semester. Contributing to group learning and engagement of colleagues is a central component of both good clinical practice and being a member of a multidisciplinary team.
Final online exam: It comprises 50 multiple choice questions that require students to select the single most correct response from four or five options. You will need to pass the final exam in order to achieve a minimum passing grade for this unit.

Detailed information for each assessment can be found on Canvas.

Assessment criteria

The University awards common result grades, set out in the Coursework Policy 2014 (Schedule 1).

As a general guide, a high distinction indicates work of an exceptional standard, a distinction a very high standard, a credit a good standard, and a pass an acceptable standard.

Result name	Mark range	Description
High distinction	85 - 100
Distinction	75 - 84
Credit	65 - 74
Pass	50 - 64
Fail	0 - 49	When you don’t meet the learning outcomes of the unit to a satisfactory standard.

For more information see sydney.edu.au/students/guide-to-grades.

Late submission

In accordance with University policy, these penalties apply when written work is submitted after 11:59pm on the due date:

Deduction of 5% of the maximum mark for each calendar day after the due date.
After ten calendar days late, a mark of zero will be awarded.

Special consideration

If you experience short-term circumstances beyond your control, such as illness, injury or misadventure or if you have essential commitments which impact your preparation or performance in an assessment, you may be eligible for special consideration or special arrangements.

Academic integrity

The Current Student website provides information on academic honesty, academic dishonesty, and the resources available to all students.

The University expects students and staff to act ethically and honestly and will treat all allegations of academic dishonesty or plagiarism seriously.

We use similarity detection software to detect potential instances of plagiarism or other forms of academic dishonesty. If such matches indicate evidence of plagiarism or other forms of dishonesty, your teacher is required to report your work for further investigation.

Weekly schedule

WK	Topic	Learning activity
Week 01	Module 1.1: Introduction to intraoperative EEG	Online class (10 hr)
Week 02	Module 1.2: Mechanisms and patterns of EEG changes in anaesthesia	Online class (10 hr)
Week 03	Module 1.3: Clinical aspects of intraoperative EEG	Online class (10 hr)
Week 04	Module 1.4: EEG in children, sleep and abnormal states	Online class (10 hr)
Week 05	Module 1.5: Cerebral networks and anaesthesia	Online class (10 hr)
Week 06	Module 2.1: Physiology and pharmacology of neuromuscular transmission	Online class (10 hr)
Week 07	Module 2.2: Neuromuscular monitoring – when, where and why	Online class (10 hr)
Week 08	Module 2.3: Measurement techniques and clinical applications of neuromuscular monitoring	Online class (10 hr)
Week 09	Module 3.1: Basic sciences of cerebral and tissue oximetry	Online class (10 hr)
Week 10	Module 3.2: Clinical application of infrared spectroscopy	Online class (10 hr)
Week 11	Module 4: Jugular venous oximetry and transcranial doppler monitoring	Online class (10 hr)
Week 12	Module 5: Intracranial pressure monitoring	Online class (10 hr)
Week 13	Module 6: Neurophysiological effects of anaesthesia	Online class (10 hr)

Study commitment

Typically, there is a minimum expectation of 1.5-2 hours of student effort per week per credit point for units of study offered over a full semester. For a 6 credit point unit, this equates to roughly 120-150 hours of student effort in total.

Required readings

All readings for this unit can be accessed through Canvas.

Learning outcomes

Learning outcomes are what students know, understand and are able to do on completion of a unit of study. They are aligned with the University’s graduate qualities and are assessed as part of the curriculum.

Outcomes
Graduate qualities

At the completion of this unit, you should be able to:

LO1. interpret single channel intraoperative electroencephalogram to determine adequacy of hypnosis and to avoid the administration of excessive doses of anaesthetic agents
LO2. use rational test selection and interpretation to ensure patient safety by determination of neuromuscular function in the setting of pharmacological neuromuscular blockade
LO3. critically evaluate the selection and application of various techniques for the monitoring of intracranial perfusion and oxygenation
LO4. examine the utilisation of invasive monitoring systems for the determination of intracranial pressure to promote adequate intracranial perfusion in the context of neurocritical care.

Graduate qualities

The graduate qualities are the qualities and skills that all University of Sydney graduates must demonstrate on successful completion of an award course. As a future Sydney graduate, the set of qualities have been designed to equip you for the contemporary world.

GQ1	Depth of disciplinary expertise Deep disciplinary expertise is the ability to integrate and rigorously apply knowledge, understanding and skills of a recognised discipline defined by scholarly activity, as well as familiarity with evolving practice of the discipline.
GQ2	Critical thinking and problem solving Critical thinking and problem solving are the questioning of ideas, evidence and assumptions in order to propose and evaluate hypotheses or alternative arguments before formulating a conclusion or a solution to an identified problem.
GQ3	Oral and written communication Effective communication, in both oral and written form, is the clear exchange of meaning in a manner that is appropriate to audience and context.
GQ4	Information and digital literacy Information and digital literacy is the ability to locate, interpret, evaluate, manage, adapt, integrate, create and convey information using appropriate resources, tools and strategies.
GQ5	Inventiveness Generating novel ideas and solutions.
GQ6	Cultural competence Cultural Competence is the ability to actively, ethically, respectfully, and successfully engage across and between cultures. In the Australian context, this includes and celebrates Aboriginal and Torres Strait Islander cultures, knowledge systems, and a mature understanding of contemporary issues.
GQ7	Interdisciplinary effectiveness Interdisciplinary effectiveness is the integration and synthesis of multiple viewpoints and practices, working effectively across disciplinary boundaries.
GQ8	Integrated professional, ethical, and personal identity An integrated professional, ethical and personal identity is understanding the interaction between one’s personal and professional selves in an ethical context.
GQ9	Influence Engaging others in a process, idea or vision.

Outcome map

Learning outcomes	Graduate qualities
Learning outcomes

Closing the loop

We value your feedback about any aspect of the unit of study and your experience as a student of Sydney Medical School. To help ensure our courses meet your needs and maintain a high standard, we welcome your feedback at any time and we ask you to complete the Mid-Semester Evaluation Survey and the unit of study Evaluation Survey at the end of the semester. You can also rate any component of the unit using our star rating system found at the bottom of many pages as you progress through the unit. Your ratings and comments are anonymous and specifying what you liked and didn’t like about any of the learning materials, assessment items, discussion forums, feedback etc will help us to target our improvement efforts. Please note that your participation in this unit of study permits de-identified information about your learning experience and interaction with learning resources to be used for the purpose of improving the student learning experience.

Additional information

This unit of study is primarily targeted at Medicine students. Science in Medicine students should contact the unit coordinator to discuss enrolment in this unit of study.

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Current students

Overview

Details

Enrolment rules

Teaching staff and contact details

Assessment

Assessment criteria

Late submission

Special consideration

Academic integrity

Weekly schedule

Study commitment

Required readings

Learning outcomes

Graduate qualities

Outcome map

Closing the loop

Additional information

Disclaimer

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