rezidenturis (diplomisSemdgomi samedicino ganaTlebis ...3 katastrofebis dros. muxli 2. specialistis profesiuli zogadi codnamuxli 2. specialistis profesiuli zogadi codna ((((kritikuli

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rezidenturis (diplomisSemdgomi samedicino ganaTlebis programa rezidenturis (diplomisSemdgomi samedicino ganaTlebis programa rezidenturis (diplomisSemdgomi samedicino ganaTlebis programa rezidenturis (diplomisSemdgomi samedicino ganaTlebis programa

““““----kritikuli medicinakritikuli medicinakritikuli medicinakritikuli medicina----““““

(xangrZlivoba – 3 weli (2+1) )

Tavi I. zogadi debulebebiTavi I. zogadi debulebebiTavi I. zogadi debulebebiTavi I. zogadi debulebebi

muxli 1. zogadi gansazRvrebebimuxli 1. zogadi gansazRvrebebimuxli 1. zogadi gansazRvrebebimuxli 1. zogadi gansazRvrebebi

� kritikuli medicina aris klinikuri medicinis specialoba, romelic swavlobs kritikul mdgomareobaTa aRmocenebis mizezebsa da ganviTarebis meqanizmebs, qmnis da praqtikul saqmianobaSi iyenebs kritikul mdgomareobaTa prevenciis, diagnozisa da mkurnalobis meTodebsa da saSualebebs.

� kritikuli medicinis eqimi aris specialisti, romelic marTavs kritikul mdgomareobaTa diagnostikis, prevenciisa da mkurnalobis procesebs.

� kritikuli medicinis specialists erT-erTi wamyvani adgili uWiravs qveynis janmrTelobis dacvis procesSi, rogorc mSvidobianobis ise omebisa da katastrofebis dros.

� programa originaluria da ZiriTadad Seesabameba saerTaSorisod aRiarebul standartebs, maT Soris aSS da evrokavSiris qveynebSi arsebul analogebs. sarezidento programa samwliania. misi pirveli – ori weli ,, anesTeziologia-reanimatologiis” specialobis rezidenturis programis identuria da moicavs anesTeziologiuri profilis modulebs da moduls ,,kritikuli medicinis safuZvlebis” saxelwodebiT. amasTan TiToeuli maTganis swavleba 10-10 Tvea. swavlebis mesame weli moicavs moduls ,,kritikuli medicina”, romlis xangrZlivobac 11 Tvea. es gamowveulia im faqtiT, rom am etapze ,,kritikuli medicina” warmodgenilia ZiriTadi specialobis ,,anesTeziologia-reanimatologiis” momijnave specialobad.

� ZiriTadi saxelmZRvanelo qarTulenovania, saxeldobr: z. xelaZe ,kritikuli medicina” , kritkuli medicinis instituti, Tbilisi, 2007 w. -610gv. es ukanaskneli mTlianad amowuravs saswavlo programas, originaluria da Seesabameba am tipis saxelmZRvaneloTaTvis wayenebul saerTaSorisod aRiarebul moTxovnebs.

� programaSi swavla SeuZliaT im pirebs, romelTac pirveli-ori weli iswavles ,,anesTeziologia-reanimatologiis” specialobiT, aseve SesaZlebelia am programiT swavleba gaiaron ,,anesTeziologia-reanimatologiis” specialobis rezidenturis kursdamTavrebulebma. am SemTxvevaSi am pirebs ,,anesTeziologia-reanimatologiis” serTifikatTan erTad ,,kritikuli medicinis” specialobis serTifikatic SeuZliaT miiRon. rezidenturis damTavrebis Semdeg kritikuli medicinis eqimis serTifikatis misaRebad savaldebuloa saserTifikato gamocdis Cabareba.

� programaSi maswavleblebad (mwvrTnelebad, lokalur xelmZRvanelebad) mowveul unda iqnan mxolod ara nakleb 5 wlis pedagogiuri staJis mqone kritikuli medicinis eqimis serTifikatis mqone pirebi; sasurvelia Tu am ukanasknelT medicinis doqtoris akademiuri xarisxic eqnebaT.

� programis ganxorcieleba SesaZlebelia mxolod zogadi profilis ,kritikuli medicinis” sauniversiteto an sainstituto klinikebSi, romelTac Sesabamis donis mwvrTnelebTan erTad am swavlebis saWiro materialur-teqnikuri bazac gaaCniaT. programa gulisxmobs rezidentTa yoveldRiur samsaxurs da yovelkvireul morigeobas klinikaSi. programa aseve gulisxmobs damamTavrebeli kursis rezidentTa monawileobas dabali kursis rezidentTa

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wvrTnis procesSi. aseve sasurvelia programis direqtoris da mwvrTnelis pasuxismgeblobis qveS damamTavrebeli kursis rezidentTa mier damoukidebeli morigeobis micema. aseve savaldebuloa maT mier kritikul mdgomareobaSi avadmyofTa damoukidebeli kuracia.

muxli 2. muxli 2. muxli 2. muxli 2. mizani da amocanebimizani da amocanebimizani da amocanebimizani da amocanebi

� programa gankuTvnilia:

• im eqimebisTvis, romlebmac gaiares orwliani swavleba ,,anesTeziologia-reanimatologiis” rezidenturis specialobiT.

• ,,anesTeziologia- reanimatologiis” orwliani rezidenturis kursdamTavrebulTaTvis.

• ,,anesTeziologis” serTifikatis mqone eqimebisTvis

� programis mizania Seaswavlos eqims kritikul mdgomareobaTa aRmocenebis mizezebi da ganviTarebis gzebi; amasTan eqimi unda flobdes kritikul mdgomareobaTa diagnostikis, prevenciis da mkurnalobis meTodebsa da saSualebebs.

� sarezidento programis dasrulebis Semdeg kritikuli medicinis eqimis kompetencias warmoadgens kritikul mdgomareobaSi myofi avadmyofebis mkurnaloba

� programis dasrulebis Semdeg kritikuli medicinis eqims unda SeeZlos kritikul mdgomareobaTa diagnostikis, prevenciisa da mkurnalobis procesis marTva.

� kritikul mdgomareobaTa eqimis samuSao sferos warmoadgens kritikul mdgomareobaSi myof avadmyofTa mkurnaloba hospitalur areSi. saxeldobr: qveynis im saavadmyofoTa, kritikuli medicinis klinikebsa da ganyofilebebSi, sadac amgvari samsaxurebia Camoyalibebuli.

Tavi II. ”_Tavi II. ”_Tavi II. ”_Tavi II. ”_kritikuli mediciniskritikuli mediciniskritikuli mediciniskritikuli medicinis_” specialobis aRweriloba/specifikacia_” specialobis aRweriloba/specifikacia_” specialobis aRweriloba/specifikacia_” specialobis aRweriloba/specifikacia

muxli 1. muxli 1. muxli 1. muxli 1. specialobisa da specialistis gansazRvspecialobisa da specialistis gansazRvspecialobisa da specialistis gansazRvspecialobisa da specialistis gansazRvreba (definicia); reba (definicia); reba (definicia); reba (definicia);

kritikuli medicinis specifikaciis SemuSavebisas gamoyenebulia aSS kritikul mdgomareobaTa medicinis sazogadoebis, evropis intensiuri zrunvis medicinis sazogadoebis, ruseTis anesTeziolog-reanimatologTa samecniero sazogadoebis da katastrofia da kritikul mdgomareobaTa medicinis saqarTvelos asociaciis rekomendaciebi. aseve gamoyenebulia saqarTvelos kanoni ,,janmrTelobis dacvis Sesaxeb”. . . .

kritikuli medicina aris klinikuri medicinis specialoba, romelic swavlobs kritikul mdgomareobaTa aRmocenebis mizezebsa da ganviTarebis meqanizmebs, qmnis da praqtikul saqmianobaSi iyenebs kritikul mdgomareobaTa prevenciis, diagnozisa da mkurnalobis meTodebsa da saSualebebs.

kritikuli medicinis eqimis movaleobaa marTos kritikul mdgomareobaTa diagnostikis, prevenciisa da mkurnalobis procesebi. . . .

kritikuli medicinis eqimis saqmianobis sferoa saxvadasxva donis hospitlebis kritikuli medicinis struqturuli erTeulebi..

kritikuli medicinis specialists erT-erTi wamyvani adgili uSiravs qveynis janmrTelobis dacvis procesSi, rogorc mSvidobianobis ise omebisa da

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katastrofebis dros.

muxli 2. specialistis profesiuli zogadi codnamuxli 2. specialistis profesiuli zogadi codnamuxli 2. specialistis profesiuli zogadi codnamuxli 2. specialistis profesiuli zogadi codna ((((kritikuli medicina) eqim) eqim) eqim) eqim----specialisti unda flobdes codnas Semdegi specialisti unda flobdes codnas Semdegi specialisti unda flobdes codnas Semdegi specialisti unda flobdes codnas Semdegi kanonebis Sesabamisad: kanonebis Sesabamisad: kanonebis Sesabamisad: kanonebis Sesabamisad:

⇒ saqarTvelos kanoni “janmrTelobis dacvis Sesaxeb” ⇒ saqarTvelos kanoni “saeqimo saqmianobis Sesaxab” ⇒ saqarTvelos kanoni “pacientis uflebebis Sesaxeb” ⇒ saqarTvelos kanoni ,,samedicino dazRvevis Sesaxeb” ⇒ saqarTvelos kanoni ,,adamianis organoebis, organoTa nawilebis,

qsovilebis aRebisa da gamoyenebis Sesaxeb” ⇒ eqimisa da pacientis urTierTobebis safuZvlebi ⇒ bioeTikis Tanamedrove principebi ⇒ saqarTvelos prezidentis brZaneba ,,adamianis Tavis tvinis sikvdilis

kriteriumebis Sesaxeb”

muxli 3. eqimmuxli 3. eqimmuxli 3. eqimmuxli 3. eqim----specialistis zogadi unarspecialistis zogadi unarspecialistis zogadi unarspecialistis zogadi unar----CvevebiCvevebiCvevebiCvevebi kritikuli medicinis eqims unda SeeZlosunda SeeZlosunda SeeZlosunda SeeZlos

⇒ kritikul mdgomareobaTa diagnozis dasma, am mdgomareobaTa prevenciisa da mkurnalobis procesis marTva

muxli 4. specialoba moicavs muxli 4. specialoba moicavs muxli 4. specialoba moicavs muxli 4. specialoba moicavs sxvadasxva genezis kritikul mdgomareobaTa sxvadasxva genezis kritikul mdgomareobaTa sxvadasxva genezis kritikul mdgomareobaTa sxvadasxva genezis kritikul mdgomareobaTa klinikis, diagnozis, mkurnalobis da prevenciis problemebs.klinikis, diagnozis, mkurnalobis da prevenciis problemebs.klinikis, diagnozis, mkurnalobis da prevenciis problemebs.klinikis, diagnozis, mkurnalobis da prevenciis problemebs.

muxli 5. im laboratoriulmuxli 5. im laboratoriulmuxli 5. im laboratoriulmuxli 5. im laboratoriul----instruminstruminstruminstrumentuli gamokvlevebis CamonaTvali, entuli gamokvlevebis CamonaTvali, entuli gamokvlevebis CamonaTvali, entuli gamokvlevebis CamonaTvali, romelTa Sedegebis interpretacia romelTa Sedegebis interpretacia romelTa Sedegebis interpretacia romelTa Sedegebis interpretacia da klinikuri Sefaseba unda SeeZlda klinikuri Sefaseba unda SeeZlda klinikuri Sefaseba unda SeeZlda klinikuri Sefaseba unda SeeZlos eqim os eqim os eqim os eqim –––– specialists;specialists;specialists;specialists;

⇒ hematologiuri kvlevebi

⇒ bioqimiuri kvlevebi

⇒ liqvoris kvleva

⇒ Sardis serTo analizi

⇒ mJava – tutovani balansis kvleva

⇒ sisxlSi airTa kvleva

⇒ imunologiuri parametrebi

⇒ hemokoagulaciuri parametrebi

⇒ toqsikologiuri parametrebi

⇒ cilebis, cximebis, naxSirwylebis, da lipidebis cvla.

⇒ eleqtrolitTa kvleva

⇒ eleqtrokardiograma

⇒ eqokardioskopia

⇒ eleqtroencefalograma

⇒ eqoskopia

⇒ rendgenoskopia da rendgenografia

⇒ maspeqtrometria

⇒ kompiuteruli tomografia

⇒ birTvul-magnituri rezonansuli kvleva

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⇒ transkraniuli doplerografia

⇒ garegani sunTqvis maCveneblebi

⇒ kardiomonitoringi

⇒ baqteriologiuri kvleva

⇒ biologiur siTxeTa citologiuri da bioqimiuri kvleva

muxli 6. eqimmuxli 6. eqimmuxli 6. eqimmuxli 6. eqim----specialisspecialisspecialisspecialistis aucilebeli praqtikuli unartis aucilebeli praqtikuli unartis aucilebeli praqtikuli unartis aucilebeli praqtikuli unar----Cvevebi Cvevebi Cvevebi Cvevebi ((((diagnostikuri da samkurnalo manipulaciebi);diagnostikuri da samkurnalo manipulaciebi);diagnostikuri da samkurnalo manipulaciebi);diagnostikuri da samkurnalo manipulaciebi);

1. xelovnuri sunTqvis tradiciuli da modernuli meTodebi 2. kardioversia, el. defibrilacia 3. eleqtrokardiostimulacia (gadaudebeli) 4. plazmaferezi, hemosorbcia 5. konikotomia, traqeostomia 6. intubacia _ orotraqeuli, nazotraqeuli 7. spinaluri punqcia 8. plevros Rrus punqcia 9. gulis masaJi 10. bronquli xis lavaJi 11. haergamtari gzebis gamavlobis aRdgena 12. oqsigenoTerapia 13. periferiul sisxlmilTa punqcia da kaTeterizacia 14. infuziuri Terapiis teqnika 15. parenteraluri kveba 16. nazo-gastraluri zondireba da enteraluri kveba zondiT 17. Sardis buStis kaTeterizacia 18. kritikul avadmyofTa movlis teqnika

muxli 7. im daavadebebis da paTologiuri mdgomareobebis CamonaTvali, muxli 7. im daavadebebis da paTologiuri mdgomareobebis CamonaTvali, muxli 7. im daavadebebis da paTologiuri mdgomareobebis CamonaTvali, muxli 7. im daavadebebis da paTologiuri mdgomareobebis CamonaTvali, romelTa profilaqtika, diagnostika, pirveladi daxmareba da mkurnalobaromelTa profilaqtika, diagnostika, pirveladi daxmareba da mkurnalobaromelTa profilaqtika, diagnostika, pirveladi daxmareba da mkurnalobaromelTa profilaqtika, diagnostika, pirveladi daxmareba da mkurnaloba unda SeeZlos eqimunda SeeZlos eqimunda SeeZlos eqimunda SeeZlos eqim----specialists.specialists.specialists.specialists.

# Teoriuli kursi davaleba 1 vitalur funqciaTa ukmarisobavitalur funqciaTa ukmarisobavitalur funqciaTa ukmarisobavitalur funqciaTa ukmarisoba

sisxlis mimoqcevis ukmarisobasisxlis mimoqcevis ukmarisobasisxlis mimoqcevis ukmarisobasisxlis mimoqcevis ukmarisoba monitoringi sisxlmilebis punqcia da kaTeterizeba kardiostimulacia oqsigenatorebi kontrpulsacia kardioversia gulis travma vazo-vagaluri sinkope hipertenziuli krizi anevrizma da Trombozi ariTmiebi da blokadebi gulis mankebi kardiomiopaTiebi miqsoma perikarditebi miokarditebi kardiogenuri Soki gulis ukmarisoba gulis gaCereba

leqcia, seminari, referati, avadmyofTa kuracia, morigeoba, muSaoba mulaJebze, manekenebTan, trenaJorebTan.

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sunTqvis ukmarisobasunTqvis ukmarisobasunTqvis ukmarisobasunTqvis ukmarisoba monitoringi respiratorebiT Terapia hiperbaruli oqsigenacia traqeostomia konikotomia traqeis punqcia traqeis intubacia plevris punqcia da drenireba bronqoskopia gul-mkerdis travma mwvave mediastiniti centraluri genezis sunTqvis mwvave ukmarisoba sasunTqi gzebis obstruqcia asTmuri statusi filtvis arteriis Tromboembolia filtvebis ateleqtazi filtvebis kibo plevritebi mwvave pnevmoniebi aspiraciuli pnevmoniti filtvebis SeSupeba filtvebis mwvave dazianebis sindromi,mozrdilTa respiraciuli distres sindromi.

2 gadamamuSavebeli da gamomyofi funqciebis gadamamuSavebeli da gamomyofi funqciebis gadamamuSavebeli da gamomyofi funqciebis gadamamuSavebeli da gamomyofi funqciebis ukmarisobaukmarisobaukmarisobaukmarisoba saWmlis monelebis ukmarisobasaWmlis monelebis ukmarisobasaWmlis monelebis ukmarisobasaWmlis monelebis ukmarisoba laparaskopia laparacentezi parenteraluri kveba muclis Rrus travma saylapavis ucxo sxeulebi saylapavis kibo kuWis kibo wylulovani daavadeba kuWis atonia gastro-duodenuri sisxldena „kronis“ daavadeba divertikuliti malabsorbcia “gaRizianebuli nawlavis sindromi” „mokle nawlavis sindromi“ diarea yabzoba “nawlavis reperfuziis sindromi” “abdominuri kompresiis sindromi” nawlavTa mwvave gauvaloba peritoniti msxvili nawlavis daavadebebi qolecistiti mwvave pankreatiti RviZlis ukmarisobaRviZlis ukmarisobaRviZlis ukmarisobaRviZlis ukmarisoba Tirkmlebis ukmarisobaTirkmlebis ukmarisobaTirkmlebis ukmarisobaTirkmlebis ukmarisoba

3 integralur funqciaTa ukmarisobaintegralur funqciaTa ukmarisobaintegralur funqciaTa ukmarisobaintegralur funqciaTa ukmarisoba

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fsiqiuri darRvevebifsiqiuri darRvevebifsiqiuri darRvevebifsiqiuri darRvevebi febriluri Sizofrenia,avTvisebiani neiroleptiuri sindromi alkoholuri deliriumi narkotikuli absistenciis sindromi suicidebi nervuli funqciebis ukmarisobanervuli funqciebis ukmarisobanervuli funqciebis ukmarisobanervuli funqciebis ukmarisoba kvlevis meTodebi qala_tvinis mZime travma zurgis tvinis mZime travma insultebi zurgis tvinSi sisxlis mimoqcevis mwvave moSla „gien-bares sindromi“ epilefsiuri statusi „Caketili adamiani“ “reies“ sindromi „alfa“ koma „refleqsuri distrofiis sindromi“ „spontanuri perioduli hipoTermiis sindromi“ „avTvisebiani hiperTermia“ „Zilis apnoes sindromi“ meningitebi encefalitebi vegetaturi mdgomareoba („axali sicocxle“)

axas Tavis tvinis sikvdili („axali sikvdili“) postreanimaciuli daavadeba sisxlis funqciis darRvevebisisxlis funqciis darRvevebisisxlis funqciis darRvevebisisxlis funqciis darRvevebi siblantis cvlilebebi gazebis da mJava-tutovani wonasworobis cvlilebebi wylisa da eleqtrolitebis cvlilebebi sisxlwarmiqmnis Seferxebebi hipovolemiuri Soki Tandayolili hemolizuri anemiebi SeZenili hemolizuri anemiebi elenTis daavadebebi mwvave leikemiebi qronikuli mieloleikemia qronikuli limfoleikemia eriTremia limfomebi limfogranulomatozi paraproteinuli hemoblastozebi mwvave xangamiSvebiTi porfiria sisxlis xelovnuri Semcvlelebi

4 mesenjerul funqciaTa ukmarisobamesenjerul funqciaTa ukmarisobamesenjerul funqciaTa ukmarisobamesenjerul funqciaTa ukmarisoba endokrinuli darRvevebiendokrinuli darRvevebiendokrinuli darRvevebiendokrinuli darRvevebi hipoTalamur-hipofizuri koma “icengo-kuSingis” daavadeba ,parxonis” sindromi uSaqro diabeti ,,nelsonis” sindromi ,,simondsis” sindromi gigantoba da akromegalia Tireotoqsiuri krizi

7

hipoTireoiduli krizi hiperparaTireoiduli krizi hipoparaTireoiduli krizi fsevdoparaTireoiduli krizi hiperglikemiuri koma hipoglikemiuri koma hipermolaruli koma hiperlaqtaciduri koma miasTeniuri krizi Tirkmelzeda jirkvlis qerqis mwvave ukmarisoba pirveladi hiperaldosteronizmi meoradi hhiperaldosteronizmi feoqromocitoma “kuSingis” sindromi sasqeso jirkvlebis funqciis darRvevebi hemostazis darRvevebihemostazis darRvevebihemostazis darRvevebihemostazis darRvevebi kvlevis meTodebi Trombocitopeniebi TrombocitopaTiuri sindromebi hemokoagulopaTiuri sindromebi diseminirebuli intravaskuluri koagulopaTiuri sindromi imunodeficitiimunodeficitiimunodeficitiimunodeficiti imunuri statusis cvlilebaTa Taviseburebani “citokinuri qariSxali” alergiaalergiaalergiaalergia anafilaqsiuri Soki “kvinkes” SeSupeba Sratismieri daavadeba sefsisisefsisisefsisisefsisi arsi dignozis sirTuleni prognozis SesaZlebloba receptebi antibaqteriuli TerapiisaTvis drotekogin alfas perspeqtiuloba sxva mkurnaloba kanis daavadebebikanis daavadebebikanis daavadebebikanis daavadebebi multiformuli eriTema toqsiur-epidermuli nekrolizi eqsfoliaturi dermatiti pustulozuri fsoriazi herpesismagvari impetigo kolagenozebikolagenozebikolagenozebikolagenozebi sistemuri sklerodermia sistemuri wiTeli mglura “vegeneris” granulomatozi gigantur ujredovani arteriti “gudpasCeris” sindromi “takaiasus” daavadeba kvanZovani periarteriti revmatoiduli arTriti hemoragiuli vaskulitebihemoragiuli vaskulitebihemoragiuli vaskulitebihemoragiuli vaskulitebi “Sonlein_henoxis” daavadeba “randiu_osleris” daavadeba “elers_danlosis”sindromi

8

SeZenili sisxlZarRvovani disproteinemiebi sisxlZarRvovani purpurebi

5 organoTa transplantaciaorganoTa transplantaciaorganoTa transplantaciaorganoTa transplantacia arsi Tirkmlebis gadanergva gulis gadanergva RviZlis gadanergva filtvebis gadanergva Zvlis tvinis gadanergva kuWqveSa jirkvlis gadanergva RerZuli ujredebis gadanergva endendendendogenuri toqsemiaogenuri toqsemiaogenuri toqsemiaogenuri toqsemia arsi paTogenezi klinika diagnozi mkurnaloba

6 eqstrakorporuli detoqsikaciaeqstrakorporuli detoqsikaciaeqstrakorporuli detoqsikaciaeqstrakorporuli detoqsikacia arsi hemodializi, plazmodializi, limfadializi hemodiafiltracia, hemofiltracia, ultrafiltracia hemosorbcia, plazmasorbcia ,limfasorbcia liqvorosorbcia imunosorbcia plazmaferezi, citaferezi, hemoqsigenacia peritonuli dializi, peritonuli Rrus programuli gamorecxva sisxlis gamocvla molekulur-adsorbciuli retikuluri sistemiT Terapia sxva detoqsikacia

7 asakobrivi Taviseburebebiasakobrivi Taviseburebebiasakobrivi Taviseburebebiasakobrivi Taviseburebebi orsulebi da mSobiareniorsulebi da mSobiareniorsulebi da mSobiareniorsulebi da mSobiareni eklamfsia placentas ukmarisoba trofoblasturi daavadebebi sanayofe siTxiT embolia mSobiares sisxldena mSobiares sefsisi axalSobilebiaxalSobilebiaxalSobilebiaxalSobilebi axalSobilTa reanimacia hialinuri membranebis daavadeba dRenaklulni axalSobilTa sefsisi bavSvTa asakis TaviseburebebibavSvTa asakis TaviseburebebibavSvTa asakis TaviseburebebibavSvTa asakis Taviseburebebi moxucTa asakis TavisemoxucTa asakis TavisemoxucTa asakis TavisemoxucTa asakis Taviseburebebiburebebiburebebiburebebi

Tavi III. swavlebis/Sefasebis meTodebi.Tavi III. swavlebis/Sefasebis meTodebi.Tavi III. swavlebis/Sefasebis meTodebi.Tavi III. swavlebis/Sefasebis meTodebi.

muxli 1. swavlebis/Sefasebis principebimuxli 1. swavlebis/Sefasebis principebimuxli 1. swavlebis/Sefasebis principebimuxli 1. swavlebis/Sefasebis principebi

swavlebis meTodebidan gamoyenebuli iqneba Semdegi formebi:

9

• dilis konferenciebi

• klinikuri konferenciebi

• programis direqtoris Semovla

• leqciebi

• seminarebi

• avadmyofTa kuracia

• morigeobebi

• mulaJebZe, manekenebze, trenaJorebze muSaoba

• referati

• eqspres laboratoriaSi muSaoba

• samecniero muSaoba

muxli 2. Sefasebis meTodebimuxli 2. Sefasebis meTodebimuxli 2. Sefasebis meTodebimuxli 2. Sefasebis meTodebi

� Teoriuli codnis da praqtikuli unar/Cvevebis dauflebis Sefasebis meTodologiis aRwera;

� Sefasebis meTodebidan gamoyenebuli iqneba:

• lokaluri xelmZRvanelis dRiuri

• testireba

• weriTi gamocda

• gasaubreba (interviu) programis direqtorTan.

muxli 3. Sesafasebeli kompetenciebimuxli 3. Sesafasebeli kompetenciebimuxli 3. Sesafasebeli kompetenciebimuxli 3. Sesafasebeli kompetenciebi

� Teoriuli mzadebis Sefaseba moxdeba testirebis, weriTi gamocdis, gasaubrebis (interviu) saxiT. aseve gamoyenebuli iqneba rezidentis mier momzadebuli referatis Sefaseba da misi monawileoba seminaruli muSaobis procesSi

� praqtikuli saqmianobis Sefaseba moxdeba sami donis mixedviT: pirveli done gulisxmobs rezidentis mier praqtikuli Cvevis Teoriul codnas, meore done _ praqtikuli Cvevis mmwvrTnelis meSveobiT Catarebas, mesame done _ praqtikuli Cvevis damoukidebel Catarebas.

� Sesasrulebeli manipulaciebis CamonaTvali:

• xelovnuri sunTqvis tradiciuli da modernuli meTodebi

• gadaudebeli kardioversia, el. defibrilacia

• gadaudebeli eleqtrokardiostimulacia

• plazmaferezi, hemosorbcia

• konikotomia, traqeostomia

• intubacia _ orotraqeuli, nazotraqeuli

• spinaluri punqcia

• plevros Rrus punqcia

• gulis masaJi

• bronquli xis lavaJi

10

• oqsigenoTerapia

• periferiul sisxlmilTa punqcia da kaTeterizacia

• infuziuri Terapiis teqnika

• parenteraluri kveba

• kritikul avadmyofTa movlis teqnika � rezidentis mzadebisas savaldebulo iqneba misi monawileoba

samecniero kvlevebSi, simpoziumebisa da konferenciebis msvlelobaSi.

Tavi IV. Tavi IV. Tavi IV. Tavi IV. programis xangrZlivoba.programis xangrZlivoba.programis xangrZlivoba.programis xangrZlivoba.

� programis xangrZlivoba mTlianobaSi sami welia. maTgan aTi Tve eTmoba anesTeziologiuri modulebis Seswavlas, aTi Tve ,, kritikuli medicinis safuZvlebis” Seswavlas, xolo TerTmeti Tve _ kritikuli medicinis” modulis Seswavlas. aRniSnuli vadebi optimaluria da sakmarisia rezidentis winaSe dasmuli miznebis da amocanebis gadasawyvetad.

� wliuri etapis mizania kritikuli medicinis Teoriuli kursis codna da am codnis realizeba;

Tavi V. rezidenturaSi profesiuli mzadebis meToduri uzrunvelyofisa Tavi V. rezidenturaSi profesiuli mzadebis meToduri uzrunvelyofisa Tavi V. rezidenturaSi profesiuli mzadebis meToduri uzrunvelyofisa Tavi V. rezidenturaSi profesiuli mzadebis meToduri uzrunvelyofisa da organizaciis wesi.da organizaciis wesi.da organizaciis wesi.da organizaciis wesi.

muxli 1.muxli 1.muxli 1.muxli 1. rezidenturaSi profesiuli mzadeba warimarTeba saqarTvelos kanonebis - `saeqimo saqmianobis Sesaxeb~, “janmrTelobis dacvis Sesaxeb” -Sesabamisad.

muxli 2. muxli 2. muxli 2. muxli 2. rezidenturaSi profesiuli mzadeba xorcieldeba diplomis Semdgomi ganaTlebisa (profesiuli mzadebis) da uwyveti profesiuli ganviTarebis sabWos mier akreditebuli rezidenturis programebiT saeqimo specialobaTa nusxis Sesabamisad.

muxli 3.muxli 3.muxli 3.muxli 3. rezidenturaSi profesiuli mzadebas srulad afinansebs saxelmwifo (stomatologiur specialobebSi dasaSvebia kerZo dafinanseba), saministros specialuri saxelmwifo programis _ `diplomisSemdgomi samedicino ganaTlebis saxelmwifo programis~ farglebSi. amave dros, arsebobs rezidenturis alternatiuli diplomisSemdgomi ganaTleba (profesiuli mzadeba), romelic gulisxmobs sarezidento programis yvela modulis gavlas calkeuli modulisa da mTlianad programis xangrZlivobis zustad gansazRvris gareSe da finansdeba kerZo piris mier moZiebuli saxsrebiT (“rezidenturi alternatiul diplomisSemdgom ganaTlebaSi (profesiul mzadebaSi) monawileobis, misi warmarTvisa da Sefasebis wesisa da im samedicino dawesebulebebis akreditaciis kriteriumebis da wesis damtkicebis Sesaxeb, romlebSic SesaZlebelia diplomisSemdgomi ganaTlebis (profesiuli mzadebis) kursis gavla” saqarTvelos Sromis, janmrTelobisa da socialuri dacvis ministris 2007 wlis 18 aprilis #135/n brZanebis Sesabamisad).

muxli 4. muxli 4. muxli 4. muxli 4. rezidenturaSi Caricxvis wesi ganisazRvreba saqarTvelos Sromis, janmrTelobis da socialuri dacvis ministris brZanebiT: `erTiani diplomisSemdgomi sakvalifikacio gamocdis Catarebis wesisa da

11

rezidenturaSi Caricxvis wesis damtkicebis Sesaxeb~ (# 295/n; 3.11.2006), xolo rezidenturis alternatiuli diplomisSemdgomi mzadebis wesi: “rezidenturis alternatiuli diplomisSemdgom ganaTlebaSi (profesiuli mzadebaSi) monawileobis, misi warmarTvisa da Sefasebis wesisa da im samedicino dawesebulebebis akreditaciis kriteriumebis da wesis damtkicebis Sesaxeb, romlebSic SesaZlebelia diplomisSemdgomi ganaTlebis (profesiuli mzadebis) kursis gavla” (#135/n; 18.04.2007).

muxli 5. muxli 5. muxli 5. muxli 5. rezidenturis programis ganxorcieleba mimdinareobs sauniversiteto klinikebsa da im samedicino dawesebulebebSi, romelTac miRebuli aqvT akreditacia kanonmdeblobiT dadgenili wesiT (`rezidenturis alternatiul diplomisSemdgom ganaTlebaSi (profesiul mzadebaSi) monawileobis, misi warmarTvisa da Sefasebis wesisa da im samedicino dawesebulebebis akreditaciis kriteriumebis da wesis damtkicebis Sesaxeb, romlebSic SesaZlebelia diplomisSemdgomi ganaTlebis (profesiuli mzadebis) kursis gavla~ saqarTvelos Sromis, janmrTelobis da socialuri dacvis ministris 2007 wlis 18 aprilis #135/n brZanebis Sesabamisad).

muxli 6. muxli 6. muxli 6. muxli 6. rezidenturis kursis dasrulebis Semdeg gaicema saxelmwifo mowmoba.

muxli 7. muxli 7. muxli 7. muxli 7. rezidenturis programis xarisxis uzrunvelyofaze pasuxismgebelni arian - rezidenturis programis direqtori, programis direqtorati, lokaluri xelmZRvanelebi, rezidentebi, saministros saxelmwifo kontrols daqvemdebarebuli sajaro samarTlis iuridiuli piri.

muxli 8. muxli 8. muxli 8. muxli 8. programis direqtoris movaleobebi:

1. misaRebi gamocdis programis Sedgena da rezidenturaSi miRebis procesSi monawileoba;

2. specialobis aRwerilobis safuZvelze Sedgenil diplomis Semdgomi profesiuli mzadebis (rezidenturis) akreditebuli programis ganxorcielebas;

3. samedicino dawesebulebis da lokaluri xelmZRvanelis miTiTebiT rezidentis individualuri gegma-grafikis Sedgena da gansazRvra Tu ramden rezidents SeiZleba zedamxedvelobdes erTi lokaluri xelmZRvaneli.

4. winaswar dadgenili individualuri grafikis mixedviT rezidentis mier Sesasrulebeli samuSaos moculobasa da Casatarebeli manipulaciebis raodenobaze kontroli.

5. direqtoratis wevrebTan erTad dadgenili wesis mixedviT yovelwliurad rezidentis muSaobis Sefaseba da saministros saxelmwifo kontrols daqvemdebarebul sajaro samarTlis iuridiuli pirisaTvisangariSis Cabareba.

6. yovelwliuri Sefasebis Sedegebis gaTvaliswinebiT rezidentisaTvis rekomendacias micema programis gagrZelebis Sesaxeb.

7. rezidentis saqmianobis aradamakmoyofilebli wliuri Sefasebisas, saministros saxelmwifo kontrols daqvemdebarebul sajaro samarTlis iuridiuli pirisaTvis dasabuTebuli moxsenebiT baraTis wardgena garicxvis Sesaxeb.

8. rezidenturis kursis warmatebuli dasrulebis Semdeg rezidentis Semajamebeli atestaciis Catareba da diplomisSemdgomi ganaTlebis

12

(profesiuli mzadebis) da uwyveti profesiuli ganviTarebis sabWos kursis gavlis damadasturebeli saxelmwifo mowmobis gacemis Sesaxeb rekomendaciis micema.

9. lokaluri xelmZRvanelebis saqmianobis zedamxedveloba da Sefaseba.

muxli 9. muxli 9. muxli 9. muxli 9. programis direqtoratis wevrebis movaleobebi:

1. rezidentebis SerCevis procesSi monawileoba; 2. program direqtorTan erTad yovelwliurad rezidentebis muSaobis

dadgenili wesis mixedviT Sefaseba; 3. program direqtorTan erTad SeimuSaveben rezidentis atestaciis

formatis SemuSaveba; 4. rezidentis Semajamebeli atestaciis procesSi monawileoba; 5. saWiroebis SemTxvevaSi, programis direqtorisaTvis rezidenturis

programasTan dakavSirebul nebismier sakiTxebze konsultaciis gaweva.

muxli 10. muxli 10. muxli 10. muxli 10. lokaluri xelmZRvanelis movaleobebi:

1. samedicino dawesebulebaSi rezidentis muSaobis warmarTva; 2. rezidentebTan pedagogiur muSaobisaTvis Tavisi saqmianobis

gansazRvruli drois daTmoba. 3. TiToeuli modulis dasrulebis Semdeg dadgenili wesis mixedviT,

program direqtorisaTvis rezidentis mier gaweuli samuSaos Sesaxeb angariSis wardgena;

4. rezidentis dRiurSi rezidentis mier Sesrulebuli samuSaos xelmoweriT dadastureba.

muxli 11. muxli 11. muxli 11. muxli 11. rezidentis ufleba/movaleobebi:

1. rezidenti SeiZleba garicxuli iqnas rezidenturidan erTi Tvis ganmavlobaSi gamoucxadeblobis an programis ver daZlevis SemTxvevaSi. gadawyvetilebas rezidentis garicxvis Sesaxeb iRebs programis direqtori saministros saxelmwifo kontrols daqvemdebarebuli sajaro samarTlis iuridiuli pirTan SeTanxmebiT;

2. rezidents ufleba aqvs programis kurikulumis darRvevis an Seferxebis Sesaxeb werilobiT acnobos saministros saxelmwifo kontrols daqvemdebarebul sajaro samarTlis iuridiuli pirs;

3. rezidents ufleba aqvs programis daubrkolebeli daZlevisaTvis moiTxovos Sesabamisi samuSao pirobebiT uzrunvelyofa (kvalificiuri xelmZRvaneli, Tanamedrove tipis klinikuri da sainformacio/sakomunikacio teqnologiebi, samuSao oTaxi);

4. rezidenti valdebulia Seasrulos rezidenturis programiT gansazRvruli kurikulumi;

5. rezidenti valdebulia programiT gansazRvruli da Sesrulebuli saqmianoba daafiqsiros personalur dRiurSi;

6. rezidenti valdebulia yoveli wlis bolos warudginos programis direqtors gaweuli muSaobis angariSi da gaiaros etapobrivi da damasrulebeli atestacia dadgenili wesiT;

7. rezidenti valdebulia daicvas samedicino dawesebulebis Sinaganawesi da Seasrulos dawesebulebis ganrigiT gansazRvruli saqmianoba.

13

Tavi VI.Tavi VI.Tavi VI.Tavi VI. programis etapobrivi ganxorcielebis aRweriloba (wlebis programis etapobrivi ganxorcielebis aRweriloba (wlebis programis etapobrivi ganxorcielebis aRweriloba (wlebis programis etapobrivi ganxorcielebis aRweriloba (wlebis mixedviT) mixedviT) mixedviT) mixedviT)

muxlmuxlmuxlmuxli 1. mzadebis pirveli wlis modulebis raodenoba i 1. mzadebis pirveli wlis modulebis raodenoba i 1. mzadebis pirveli wlis modulebis raodenoba i 1. mzadebis pirveli wlis modulebis raodenoba ---- 9999

moduli 1.1. - eqimisa da pacientis urTierTobis samarTlebrivi da eTikuri safuZvlebi; moduli 1.2. - fundamenturi medicinis Tanamedrove aspeqtebi moduli 1.3. - Tanamedrove anesTeziologiuri uzrunvelyofis koncefciebi, farmakokinetika, farmakodinamika da farmakogenetika moduli 1.4. - topografiuli anatomia da qirurgiuli midgomebi anesTeziologiasa da reanimatologiaSi moduli 1.5. - avadmyofis winasaoperacio gamokvleva, zogadi anesTeziisa da operaciis riskis Sefaseba moduli 1.6. - axali teqnologiebi anesTeziologiur praqtikaSi, avadmyofis usafrTxoebis Tanamedrove principebi moduli 1.7. - infuzur-transfuzuri Terapiisa da parenteraluri kvebis ZiriTadi principebi moduli 1.8. - regionuli gautkivarebis Tanamedrove koncepciebi da meTodebi moduli 1.9. - zogadi gautkivarebis Taviseburebani qirurgiis sxvadasxva dargebSi, ambulatoriuli gautkivareba

muxli 2. profesiulmuxli 2. profesiulmuxli 2. profesiulmuxli 2. profesiuli mzadebis I wlis mizania: i mzadebis I wlis mizania: i mzadebis I wlis mizania: i mzadebis I wlis mizania:

rezidenti (maZiebeli) daeuflos anesTeziologia – reanimatologiis ZiriTad sabaziso Teoriuli aspeqtebs, aiTvisos ZiriTad manipulaciaTa teqnika.

muxli 3. mzadebis meore wlis modulebis raodenoba muxli 3. mzadebis meore wlis modulebis raodenoba muxli 3. mzadebis meore wlis modulebis raodenoba muxli 3. mzadebis meore wlis modulebis raodenoba __ 3__ 3__ 3__ 3 moduli 2.1. - sazogadoebrivi jandacva da epidemiologia moduli 2.2. - mtkicebiTi medicinisa da samedicino statistikis safuZvlebi moduli 2.3. - reanimatologia (kritikuli medicinis safuZvlebi)

muxli 4. profesiuli mzadebis II wlis mizani: muxli 4. profesiuli mzadebis II wlis mizani: muxli 4. profesiuli mzadebis II wlis mizani: muxli 4. profesiuli mzadebis II wlis mizani:

meore wlis mizania rezidentma (maZiebelma) aiTvisos reanimatologiis Teoriuli da praqtikuli sakiTxebi.

muxli 5. mzadebis pirveli wlis modulebis raodenoba muxli 5. mzadebis pirveli wlis modulebis raodenoba muxli 5. mzadebis pirveli wlis modulebis raodenoba muxli 5. mzadebis pirveli wlis modulebis raodenoba 1 moduli _ ,,kritikuli medicina”

� ,,kritikuli medicina” sicocxlisTvis saSiS mdgomareobaTa Teoriis Seswavla da mkurnalobisTvis saWiro praqtikuli Carevebis gamomuSaveba _ 11Tve

muxli 6. profesiuli mzadebis mizania: rezidemuxli 6. profesiuli mzadebis mizania: rezidemuxli 6. profesiuli mzadebis mizania: rezidemuxli 6. profesiuli mzadebis mizania: rezidentma/maZiebelma srulyofilad ntma/maZiebelma srulyofilad ntma/maZiebelma srulyofilad ntma/maZiebelma srulyofilad Seiswavlos kritikul mdgomareobaTa gamomwvevi mizezebi, ganviTarebis gzebi, Seiswavlos kritikul mdgomareobaTa gamomwvevi mizezebi, ganviTarebis gzebi, Seiswavlos kritikul mdgomareobaTa gamomwvevi mizezebi, ganviTarebis gzebi, Seiswavlos kritikul mdgomareobaTa gamomwvevi mizezebi, ganviTarebis gzebi, SesZlos kritikul mdgomareobaTa diagnozis dasma, maTi prevencia da SesZlos kritikul mdgomareobaTa diagnozis dasma, maTi prevencia da SesZlos kritikul mdgomareobaTa diagnozis dasma, maTi prevencia da SesZlos kritikul mdgomareobaTa diagnozis dasma, maTi prevencia da mkurnaloba.mkurnaloba.mkurnaloba.mkurnaloba.

14

Tavi VII. profesiuli mzadebis I wlis modulebiTavi VII. profesiuli mzadebis I wlis modulebiTavi VII. profesiuli mzadebis I wlis modulebiTavi VII. profesiuli mzadebis I wlis modulebi

muxli 1. moduli 1.1. muxli 1. moduli 1.1. muxli 1. moduli 1.1. muxli 1. moduli 1.1. eqimisa da pacientis urTierTobis eqimisa da pacientis urTierTobis eqimisa da pacientis urTierTobis eqimisa da pacientis urTierTobis samarsamarsamarsamarTTTTlebrivi da eTikuri safuZvlebi.lebrivi da eTikuri safuZvlebi.lebrivi da eTikuri safuZvlebi.lebrivi da eTikuri safuZvlebi.

1. modulis xangrZlivobaa:modulis xangrZlivobaa:modulis xangrZlivobaa:modulis xangrZlivobaa: 2 kv. (72 sT.) 2. modulis mizania:modulis mizania:modulis mizania:modulis mizania: saeqimo saqmanobisTan dakavSirebuli saqarTvelos

moqmedi sakanonmdeblo normebis da Tanamedrove bioeTikis principebis Sesabamisi codnis SeZena da misi gamoyenebis unaris gamomuSaveba rezidentis/specialobis maZieblisaTvis

3. modulis amocanebia:modulis amocanebia:modulis amocanebia:modulis amocanebia: 1) saeqimo saqmianobasTan dakavSirebuli sakanonmdeblo normebi arsebuli kanonmdeblobis Sesabamisad, pacientis uflebebis dacvis samarTlebrivi sakiTxebi 2) janmrTelobis dacvis sferoSi biosamedicino eTikis sayovelTaod aRiarebuli normebi da profesiuli saqmianobis Tanamedrove samedicino eTikis principebi, 3) damoukidebeli saeqimo saqmianobis subieqtsa da saxelmwifo xelisuflebis organoebis, fizikur da iuridiul pirebs Soris urTierTobis samarTlebrivi sakiTxebi, 4) adamianze Catarebuli samedicino-biologiuri kvlevebis samarTlebrivi da eTikuri sakiTxebi,saerTaSoriso normebisa da saqarTvelos arsebuli kanonmdeblobebis Sesabamisad.

4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba mocemuliraodenoba mocemuliraodenoba mocemuliraodenoba mocemulia cxrili # 1a cxrili # 1a cxrili # 1a cxrili # 1----is saxiT:is saxiT:is saxiT:is saxiT:

cxrili # 1cxrili # 1cxrili # 1cxrili # 1 Teoriuli kursi davaleba

kanonisa da eTikis roli samedicino momsaxureobis gawevisaskanonisa da eTikis roli samedicino momsaxureobis gawevisaskanonisa da eTikis roli samedicino momsaxureobis gawevisaskanonisa da eTikis roli samedicino momsaxureobis gawevisas -bioeTikis Seswavlis sagani, samedicno eTika,istoriuli aspeqtebi,”hipokrates fici ”, samedicino saqmianobis regulirebis istotiuli aspeqtebi

bioeTikis ZiriTadi principebibioeTikis ZiriTadi principebibioeTikis ZiriTadi principebibioeTikis ZiriTadi principebi “ar avno”, “Hhqmeni sikeTe”, “avtonomia” ,samarTlianoba, konfidencialuroba;

eqimisa da pacientis urTierTobis modelebieqimisa da pacientis urTierTobis modelebieqimisa da pacientis urTierTobis modelebieqimisa da pacientis urTierTobis modelebi prezentaciebis analizi

saeqimo saqmianobiis samarTlebrivi regulirebis istoriuli saeqimo saqmianobiis samarTlebrivi regulirebis istoriuli saeqimo saqmianobiis samarTlebrivi regulirebis istoriuli saeqimo saqmianobiis samarTlebrivi regulirebis istoriuli magaliTebimagaliTebimagaliTebimagaliTebi, -saqarTvelos kanonmdebloba janmrTelobis dacvis sferoSi ; -kanoni pacientis uflebebis Sesaxeb, saqarTvelos janmrTelobis dacvis kanoni, kanoni saeqimo saqmianobis Sesaxeb

socialuri pasuxismgeblobasocialuri pasuxismgeblobasocialuri pasuxismgeblobasocialuri pasuxismgebloba da janmrTelobada janmrTelobada janmrTelobada janmrTeloba -janmrTeloba da avadmyofoba, -eqimi, pacienti, sazogadoeba;;;;

pacientis individualuri uflebebi,pacientis individualuri uflebebi,pacientis individualuri uflebebi,pacientis individualuri uflebebi, -saqarTvelos kanonmdebloba pacientis individualuri uflebebis Sesaxeb, -informaciis miRebis ufleba, samedicino personalis da samedicino dawesebulebis arCevis ufleba, informaciis konfidencialuroba;

informainformainformainformaciuli Tanxmobaciuli Tanxmobaciuli Tanxmobaciuli Tanxmoba –samedicino momsaxureobis ganxorcielebis safuZveli

15

-informaciuli Tanxmobis elementebi da aucilebeli pirobebi -informaciuli Tanxmobis ganxorcielebis meTodebi;. pacientis qmedunarianobapacientis qmedunarianobapacientis qmedunarianobapacientis qmedunarianoba -mis mier gacnobierebuli gadawyvetilebis miRebis unari. -araqmedunariani pacienti

testireba

sicocxle da sikvdilisicocxle da sikvdilisicocxle da sikvdilisicocxle da sikvdili-------- bioeTikuri kategoriebibioeTikuri kategoriebibioeTikuri kategoriebibioeTikuri kategoriebi -biologiuri sikvdili,Tavis tvinis sikvdili, -gardacvaleba-definacia da eTikuri aspeqtebi

prezentaciebis analizi

tkivilis marTvatkivilis marTvatkivilis marTvatkivilis marTva, -ukurnebeli seniT daavadebuli pacienti, paliatiuri mkurnaloba,hospisi;

evTanazia,evTanazia,evTanazia,evTanazia, istoriuli,religiuri,eTikuri aspeqtebi -evTanaziis samarTlebrivi da eTikuri problemebi; -evTanaziis formebi; sikvdili eqimis daxmarebiT;

suicidisuicidisuicidisuicidi , masTan dakavSirebuli eTikuri aspeqtebi, masTan dakavSirebuli eTikuri aspeqtebi, masTan dakavSirebuli eTikuri aspeqtebi, masTan dakavSirebuli eTikuri aspeqtebi -eqimis daxmareba TviTmkvlelobaSi, -mkurnalobaze uaris Tqmis samarTlebrivi da eTikuri sakiTxebi,

samedicino mecnierebis progresi samedicino mecnierebis progresi samedicino mecnierebis progresi samedicino mecnierebis progresi ----axali teqnologiebiaxali teqnologiebiaxali teqnologiebiaxali teqnologiebi -transplantacia, adamianis organoebis gadanergvis samarTlebrivi da eTikuri sakiTxebi, donoris Tanxmobis sakanonmdeblo modelebi

reproduqtolougiis samarTlebis da eTikuri sakiTxebireproduqtolougiis samarTlebis da eTikuri sakiTxebireproduqtolougiis samarTlebis da eTikuri sakiTxebireproduqtolougiis samarTlebis da eTikuri sakiTxebi ; -xelovnuri ganayofiereba, in-vitro - xelovnuri ganayofierebis eTikuri aspeqtebi,surogatuli dedoba, -adamianis reproduqciuli klonireba;.

socialurad saSiSi infeqciebi socialurad saSiSi infeqciebi socialurad saSiSi infeqciebi socialurad saSiSi infeqciebi -Sidsi, narkomania ,infeqciuri hepatitebi. maTTan dakavSirebuli samarTlebrivi da eTikuri sakiTxebi

adamianze Catarebuli kvlevebiadamianze Catarebuli kvlevebiadamianze Catarebuli kvlevebiadamianze Catarebuli kvlevebi saerTaSoriso dokumentebi janmrTelobis dacvis sferoSi saerTaSoriso dokumentebi janmrTelobis dacvis sferoSi saerTaSoriso dokumentebi janmrTelobis dacvis sferoSi saerTaSoriso dokumentebi janmrTelobis dacvis sferoSi adamianis uflebebze adamianis uflebebze adamianis uflebebze adamianis uflebebze -bioeTikis da adamianis uflebebis sayovelTao deklaracia, -msoflio samedicino asociaciis eTikis kodeqsi, -konvencia adamianis uflebebisa da biomedicinis Sesaxeb,da sxva

5. modulis Sefasebis meTodebi modulis Sefasebis meTodebi modulis Sefasebis meTodebi modulis Sefasebis meTodebi (kriteriumebi, perioduloba) _

1. profesiuli saqmianobisas konkretuli SemTxvevis samarTlebrivi da eTikuri mxareebis warmoCenis unaris gamomuSaveba rezidentis mier

2. profesiuli saqmianobisas Tanamedrove samedicino eTikis principebisa da arsebuli kanonmdeblobis Sesabamisad warmarTvis unari;

3. eTikuri dilemebis gadawyvetis unaris gamomuSaveba; 4. adamianze Catarebuli samedicino-biologiuri kvlevebis samarTlebrivi

da eTikuri sakiTxebis warmoCenis, analizis da biosamedicino eTikisa da arsebuli kanonmdeblobis Sesabamisad moqmedebis unaris gamomuSaveba rezidentisTvis.

5. aucilebeli da rekomendebuli literaturis nusxa: aucilebeli da rekomendebuli literaturis nusxa: aucilebeli da rekomendebuli literaturis nusxa: aucilebeli da rekomendebuli literaturis nusxa:

1. bioeTikis da adamianis uflebebis sayovelbioeTikis da adamianis uflebebis sayovelbioeTikis da adamianis uflebebis sayovelbioeTikis da adamianis uflebebis sayovelTao deklaraciaTao deklaraciaTao deklaraciaTao deklaracia----iunesko,2005 iunesko,2005 iunesko,2005 iunesko,2005 qarTuli versiaqarTuli versiaqarTuli versiaqarTuli versia – e.giorgaZe, j.mamalaZe,l.gurgeniZe, l.korZaia – samedicino gazeTi, 2007 w.

2. samedicino eTika (bioeTika) samedicino eTika (bioeTika) samedicino eTika (bioeTika) samedicino eTika (bioeTika) – leqciebi, m.i.iarovinski. moskovi – “medicina”, 2000

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3. biosamedicino eTika biosamedicino eTika biosamedicino eTika biosamedicino eTika – b.i.pokrovski. moskovi – “medicina”, 1997 w. 4. bioeTikis Sesavali bioeTikis Sesavali bioeTikis Sesavali bioeTikis Sesavali – i.ivanuSkini da sx., moskovi, progresi-tradicia,

1998 w. 5. bioeTikabioeTikabioeTikabioeTika: principebi, wesebi problemebi – b.g.iudini, moskovi, 1998 w. 6. saqarTvelos kanonmdebloba adamianis uflebebis Sesaxeb biomedicinis saqarTvelos kanonmdebloba adamianis uflebebis Sesaxeb biomedicinis saqarTvelos kanonmdebloba adamianis uflebebis Sesaxeb biomedicinis saqarTvelos kanonmdebloba adamianis uflebebis Sesaxeb biomedicinis

sferoSi sferoSi sferoSi sferoSi – g.javaSvili, g.kiknaZe, a.barkalaia. Tbilisi, 2001 w. 7. axalaZe v. bioeTika aTaswleulis mijnaze,- jurnali religia , Tb, 2002

w., # 7,8,9, gv, 82-91 8. axalaZe v.bioeTika, rogorc msoflgageba da mecniereba,biomedicines

sferoSi kacobriobis sulier-zneobrivi orientaciis Sesaxeb (jurnali rwmena da codna 2002 1 ,9, gv.82-91

9. Tanamedrove medicinis zogierTi samarTlebrivi sakiTxi , m.kvaWaZe,Tbilisi, 1995 w.

10. eqimis profesiuli saqmianobis samarTlebrivi safuZvlebi –guram kiknaZe,givi javaSvili,Tbilisi, 2002 w.

11. deontologia qirurgiaSi, n.doliZe, d. mSvenieraZe, mecniereba,1990,Tbilisi

12. adamianis uflebebi da samedicino personalis movaleobebi saerTaSoriso dokumentebSi - Tbilisi, 1999

13. saeqimo saidumlo, saeqimo Secdoma,b.v.Sevrigini,moskovi,2000 14. saeqimo deontologia,i.i.makSanovi,1998,minski 15. Власов Василий Викторович- Невидимые проблемы медицинской этики: Медицина и

,общество-Медицинское право и этика 2002.- №1.- С. 18-28 16. Власов Василий Викторович Медицина в условиях дефицита ресурсов-Триумф,

Москва, 2000 17. И.В.Силуянова. Нравственная культура врача как основание врачебного

профессионализма./ ж-л «Экономика здравоохранения»№ 1/ 42, 2000, с.5-8. 18. И.В.Силуянова Биомедицинская этика в системе медико-биологических

знаний.//Медицинское право и этика. №2, 2000 19. .И.В.Силуянова. О сущности “этического” этических проблем современной медицины. //

Медицинское право и этика,№4,2000.с. 50 20. И.В.Силуянова. В помощь преподавателю биоэтики. Программа по биоэтике.

Тематические планы лекций и семинаров.// Медицинское право и этика.№4,2001.с.84- 96.

21. И.В.Силуянова. Этическая культура как основание медицинского профессионализма или зачем будущему врачу изучать гуманитарные науки?// Медицинское право и этика.№4, 2001, с.81-84.

22. И.В.Силуянова. Понимание этики в медицине как социальная проблема. (Этические проблемы медицины глазами медиков).// Этика и медицина проблема взаимодействия. Медицинское право и этика.2002,№4, с.33-41

23. .И.В.Силуянова, Сабурова В.И. ,Сушко Н.А.,Першин М.С Семинарские занятия по курсу “Биомедицинская этика” для студентов лечебного, педиатрического, медико-биологического факультетов. Учебно-методич. Пособие. М. 2003.

24. И.В.Силуянова, Ляуш Л. Б., В. А. Антипенков опросы тестового контроля по биомедицинской этике. //«Медицинское право и этика», № 4, 2000, с. 79-80.

25. -http://www.bioethics.ru/rus/ - bioeTikis forumi 26. Медицина, этика, религия и право : Материалы конф. 25-26 нояб. 1999 г.. - М., 2000. -

45-56 с. 27. Биоэтика. Вопросы и ответы // Прогресс-Традиция А. Я. Иванюшкин, Л.Ф. Курило,

Ю.М. Лопухин, Н.Н. Седова, П.Д. Тищенко, Б.Г. Юдин (unesco)2005 28. http://depts.washington.edu/bioethx/topics/physpt.html#ques6 -kazusebi da pauxebi 29. -meoce saukunis qarTuli filosofiis anTologia- pirveli tomi

pirveli nakveTi 1998 weli 30. cnobili ucxoeli da qarTveli eqimebi,biografia,moRvaweoba medicinaSi

da mis farglebs gareT- z.kaxiani,s.kaxiani, 1993, gamomcemloba ganaTleba

17

31. bioeTikosTa bioeTikosTa bioeTikosTa bioeTikosTa saerTaSoriso asociiaciidan miRebuli masalebisaerTaSoriso asociiaciidan miRebuli masalebisaerTaSoriso asociiaciidan miRebuli masalebisaerTaSoriso asociiaciidan miRebuli masalebi, http://bioethicsinternational.org

32. msoflio samedicino asociaciidan miRebuli masalebimsoflio samedicino asociaciidan miRebuli masalebimsoflio samedicino asociaciidan miRebuli masalebimsoflio samedicino asociaciidan miRebuli masalebi, http://www.wma.net/e/ethicsunit/index.htm

33. The Center for Bioethics and Human Dignity http://www.cbhd.org/ 34. Feminist Approaches to Bioethics -http://www.pdcnet.org/member-fab.

35. BioethicsWeb - http://bioethicsweb.ac.uk/ 36. http://www.unesco.org/ibc/ www.unesco.org/shs/bioethics 37. msoflios janmrTelobis organizaciis veb gvmsoflios janmrTelobis organizaciis veb gvmsoflios janmrTelobis organizaciis veb gvmsoflios janmrTelobis organizaciis veb gverdze ganTavsebuli erdze ganTavsebuli erdze ganTavsebuli erdze ganTavsebuli

masalebimasalebimasalebimasalebi---- www.who.int/ethics/topics/en/ 38. amerikis bioeTikis da humanizmis asociacia - http://www.asbh.org/

(Georgetown University , BIOETHICS CURRICULUM UNITS FROM THE KENNEDY INSTITUTE OF ETHICS http://www.georgetown.edu/research/nrcbl

muxli 2. moduli 1.2. muxli 2. moduli 1.2. muxli 2. moduli 1.2. muxli 2. moduli 1.2. fundamenturi medicinis Tanamedrove aspeqtebi.fundamenturi medicinis Tanamedrove aspeqtebi.fundamenturi medicinis Tanamedrove aspeqtebi.fundamenturi medicinis Tanamedrove aspeqtebi.

1. modulis xangrZlivobaamodulis xangrZlivobaamodulis xangrZlivobaamodulis xangrZlivobaa ---- 2 kv. (72 sT.) 2. modulis mizaniamodulis mizaniamodulis mizaniamodulis mizania - rezidentis/specialobis maZieblisaTvis medicinis

fundamenturi da klinikuri kvlevis Tanamedrove principebis Sesaxeb saWiro codnis SeZena da misi gamoyenebis unaris gamomuSaveba. programa kompleqsuria, Sedgeba oTxi - imunologiis, klinikuri farmakologiis, fiziologiis da paTfiziologiis - qvemodulisagan, Sesabamisi amocanebis Tanmimdevruli ganxorcielebiT.

3. modulis amocanebia:modulis amocanebia:modulis amocanebia:modulis amocanebia: fiziologiis qvemoduli:

1. adaminis organizmis funqciuri sistemebis organizaciisa da centralur nervul sistemaSi mimdinare neirobiologiuri procesebis bioqimiuri safuZvlebi integraciis sxvadasxva doneze;

2. calkeuli neiromediatoruli sistemis funqcionirebis (sinafsuri mediaciis) natifi molekuluri meqanizmebi; sinafsuri gadacemis sxvadasxva safexurze qimiuri preparetebis zemoqmedebis efeqturi gamovlinebebi da daavadebaTa koreqciis zogadi principebi;

3. tkivilisa da gautkivarebis funqciuri sistemis neirobiologiuri safuZvlebi; nocicepciis periferiuli da centraluri meqanizmebis neiroqimiuri safuZvlebi; endogenuri opioiduri da sxva peptidebis receptoruli sistemis roli analgeziis ganviTarebaSi;

4. motivacia da emocia. limburi sistema (hipokampi, sartylebri xveuli, nuSisebri kompleqsi), striopaliduri sistema da integraciis Talamuri done adamianis qcevis organizaciaSi. hipoTalamusis roli integraciul moqmedebaSi da ZiriTad biologiur motivaciebis formirebaSi.

5. fiziologiaSi, molekulur biologiaSi da Teoriul medicinaSi ukanasknel wlebSi (2000-2005) ganxorcielebuli mniSvnelovani kvlevis Sedegebis mimoxilva da analizi;

paTfiziologiis qvemoduli:

1. adaptaciis procesi. organizmis zogadi reaqcia endogenuri da egzogenuri faqtoris zemoqmedebaze. organizmis Seguebadoba Secvlil saarsebo garemosTan.

2. organizmis saregulacio sistemebis roli adaptaciis ganxorcielebaSi fiziologiur da eqstremalur situaciebSi.

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parakrinuli regulaciis molekuluri meqanizmebi. mexsierebis roli adaptaciuri qcevis realizaciaSi.

3. adapturi stres-reaqcia. stresuli da antistresuli meqanizmebi. eqstremaluri faqtoris zemoqmedebiT ganviTarebuli paTogenuri stresi. Sokuri mdgomareobis zogadi paTogenezi. organoebisa da organoTa sistemebis funqciobis da integraciis moSlis meqanizmebi Sokis dros.

klinikuri farmakologiis qvemoduli:

1. kerZo klinikuri farmakologiis ZiriTadi sakiTxebi fundamenturi da klinikuri medicinis bolo miRwevebis Sesabamisad. farmakoTerapia mtkicebiTi medicinis poziciebidan.

2. samkurnalod praqtikaSi gamoyenebuli samkurnalo preparatebis ZiriTadi jgufebis farmakokinetikis da farmakodinamikis Seswavla. sxvadasxva samkurnalo preparatebis urTierTdamokidebulebis da arasasurveli gverdiTi efeqtebis Seswavla. agreTve, gamoyenebuli farmakologiuri preparatebis randomizebuli kontrolirebadi kvleva.

imunologiis qvemoduli:

1. fundamenturi da klinikuri imunologiis - imunuri sistemis organoebisa da ujredebis, imunoglobulinebis, antigenis gamomcnobi da warmdgeni molekulebis struqturisa da funqciis- Tanamedrove Teoriuli da praqtikuli aspeqtebi;

2. daavadebaTa ganviTarebaSi imunuri meqanizmebis rolis, rogorc axali sadiagnozo da Terapiuli strategiis safuZvlebi;

4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis

raodenoba mocemulia cxrili # 2raodenoba mocemulia cxrili # 2raodenoba mocemulia cxrili # 2raodenoba mocemulia cxrili # 2----is saxiT:is saxiT:is saxiT:is saxiT: cxrilcxrilcxrilcxrili # 2i # 2i # 2i # 2

Teoriuli kursi davaleba organizmis funqciebis regulacia da fiziologiuri integraciaorganizmis funqciebis regulacia da fiziologiuri integraciaorganizmis funqciebis regulacia da fiziologiuri integraciaorganizmis funqciebis regulacia da fiziologiuri integracia

neironis morfologiuri specializacia da neironTaSorisi komunikaciis safuZvlebi cns-is integraciuli moqmedebis ganxorcielebaSi. neirosekrecia, rogorc ZiriTadi biologiuri kanonzomiereba da cns-is subujreduli regulaciis elementi.

neironTaSorisi komunikaciis safuZvlebineironTaSorisi komunikaciis safuZvlebineironTaSorisi komunikaciis safuZvlebineironTaSorisi komunikaciis safuZvlebi

neiroregulatorebis klasifikacia da maTi gansazRvris kriteriumebi. neiroregulatorebis mimarT mgrZnobiare receptorebis klasifikacia da maTi moqmedebis kanonzomierebani. “retrograduli mesenjeri”. sinafsis plastikuroba. neironuli integracia. calkeuli neiroregulatorebi (biogenuri aminebi, aminomJavebi, arapeptiduri kandidatebi, neiropeptidebi).


tkivilis fiziologiatkivilis fiziologiatkivilis fiziologiatkivilis fiziologia

problemis zogadi mimoxilva. nocicepturi sistema da tkivilis sensitiuri aRmavali gzebi. endogenuri opioiduri da sxva peptidebis roli. antinocicefciuri sistema, gautkivarebis biologiuri mniSvneloba. tkivilis saxeebi. tkivilis neirobiologiuri safuZvlebi. tkivilis centraluri da periferiuli meqanizmebi. endogenuri opiatebi (opioidebi). opioidebiT gamowveuli analgeziis neirofiziologiuri meqanizmebi. substancia P da misi roli tkivilis


19

SegrZnebaSi.

motivacia da emociamotivacia da emociamotivacia da emociamotivacia da emocia

limburi sistemis anatomiis da funqciis zogadi mimoxilva. adamianis qcevis organizacia. “motivaciis” da “emociis” mniSvneloba qcevis organizaciaSi. “fsiqoanalizis” Teoria. hipoTalamusis roli integraciul moqmedebaSi da ZiriTad biologiur motivaciebis formirebaSi. limburi sistema (hipokampi, sartylebri xveuli, nuSisebri kompleqsi) striopaliduri sistema da integraciis Talamuri done.

testireba

fiziologiaSi, molekulur biologiaSi da Teoriul medicinaSi ukanasknel wlebSi (2004-2006) ganxorcielebuli mniSvnelovani kvlevis mniSvnelovani kvlevis mniSvnelovani kvlevis mniSvnelovani kvlevis Sedegebis mimoxilva da analizi;Sedegebis mimoxilva da analizi;Sedegebis mimoxilva da analizi;Sedegebis mimoxilva da analizi;

orgaorgaorgaorganizmis sxvadasxva funqciurnizmis sxvadasxva funqciurnizmis sxvadasxva funqciurnizmis sxvadasxva funqciur----struqturul doneze ganviTarebuli struqturul doneze ganviTarebuli struqturul doneze ganviTarebuli struqturul doneze ganviTarebuli paTologiuri procesebis urTierTobisa da integraciis paTologiuri procesebis urTierTobisa da integraciis paTologiuri procesebis urTierTobisa da integraciis paTologiuri procesebis urTierTobisa da integraciis kanonzomierebani.kanonzomierebani.kanonzomierebani.kanonzomierebani. organizmis da garemos fiziko-qimiuri da informaciuli urTierToba. reaqtiulobis roli Secvlil saarsebo garemosTan adaptaciis ganviTarebaSi.

saregulacio sistemebis roli adaptaciuri procesebis ganviTarebaSisaregulacio sistemebis roli adaptaciuri procesebis ganviTarebaSisaregulacio sistemebis roli adaptaciuri procesebis ganviTarebaSisaregulacio sistemebis roli adaptaciuri procesebis ganviTarebaSi. parakrinul-autokrinuli regulacia. citokinebi ujredSorisi urTierTobebis peptiduri regulatorebi. azotis oqsidi da misi moqmedebis molekuluri meqanizmebi.


mexsierebis roli adaptaciuri qcevis ganxorcielebaSi. sxvadasxva tipis mexsierebis neirobiologiuri meqanizmebi. mexsierebis darRveva.


specifiuri adaptaciis meqanizmebispecifiuri adaptaciis meqanizmebispecifiuri adaptaciis meqanizmebispecifiuri adaptaciis meqanizmebi. stresstresstresstres----reaqcia. zogadi adaptaciuri reaqcia. zogadi adaptaciuri reaqcia. zogadi adaptaciuri reaqcia. zogadi adaptaciuri sindromi. sindromi. sindromi. sindromi. stresuli hormonebi. centraluri da periferiuli antistresuli meqanizmebi, stresuli cilebi.


eqstremaluri mdgomareobis zogadi paTogenezi. Soki, Sokis eqstremaluri mdgomareobis zogadi paTogenezi. Soki, Sokis eqstremaluri mdgomareobis zogadi paTogenezi. Soki, Sokis eqstremaluri mdgomareobis zogadi paTogenezi. Soki, Sokis stadiebi. neiroendokrinuli regulaciisa da organoTa sistemebis integraciis moSlis meqanizmebi. Sokuri Tirkmlis, Sokuri RviZlis, Sokuri filtvis ganviTarebis meqanizmebi. mozrdilTa mwvave respiraciuli distres-sindromi.

testireba

imunuri sistemis zogadi daxasiaTeba. imunuri sistemis zogadi daxasiaTeba. imunuri sistemis zogadi daxasiaTeba. imunuri sistemis zogadi daxasiaTeba. sakuTarisa da ucxos garCeva. Tandayolili da SeZenili imunuri pasuxi. imunuri sistemis ujredebi. imunuri pasuxis mediatorebi. ujredSida da ujredgareTa paTogenis sawinaaRmdego dacva. vaqcinacia. imunopaTologia da atopia.

imunuri pasuxis regulaciaimunuri pasuxis regulaciaimunuri pasuxis regulaciaimunuri pasuxis regulacia

antigeniT imunuri pasuxis regulacia. antigenwarmdgeni ujredebi. antisxeulebiT regulacia. limfocitebiT regulacia. idiotipuri modulacia. neiroendokrinuli modulacia. imunuri pasuxis genetikuri kontroli.

tolerantobis induqcia eqsperimentSi. sakuTari antigenebisadmi centraluri Timusuri tolerantoba. sakuTari antigenebisadmi periferiuli – postTimusuri tolerantoba. sakuTari antigenebisadmi B-ujreduli tolerantoba. in vitro da in vivo xelovnurad inducirebuli tolerantoba. tolerantobis gamoyeneba TerapiaSi.


simsivnis imunologiasimsivnis imunologiasimsivnis imunologiasimsivnis imunologia

simsivne rogorc qsovilovani transplantanti. imunuri


20

zedamxedveloba. simsivnesTan asocirebuli antigenebi. simsivnis sawinaaRmdego imunuri pasuxi. simsivnis mier imunuri pasuxis Tavidan acileba. imunodiagnostika. imunoTerapia.

autoimuniteti da autoimunuri daavadebebiautoimuniteti da autoimunuri daavadebebiautoimuniteti da autoimunuri daavadebebiautoimuniteti da autoimunuri daavadebebi

autoimunitetis kavSiri daavadebebTan. organospecifiuri da araorganospecifiuri autoimunuri daavadebebi. genetikuri faqtorebi. paTogenezi. autoimunur daavadebaTa modelebi: inducirebuli da spontanuri autoimuniteti. daavadebebi, ganpirobebuli paTogenuri autoantisxeulebiT: Tireotoqsikozi, avTvisebiani miasTenia, I tipis diabeti, mamakacis uSviloba, perniciozuli anemia, gudpasCeris sindromi, sisxlis daavadebebi. daavadebebi, ganpirobebuli paTogenuri imunuri kompleqsebiT: sistemuri wiTeli mglura, revmatoiduli poliarTriti, skleroderma, antifosfolipiduri sindromi.


imunuri sistemis klinikuri da laboratoriuli Sefasebaimunuri sistemis klinikuri da laboratoriuli Sefasebaimunuri sistemis klinikuri da laboratoriuli Sefasebaimunuri sistemis klinikuri da laboratoriuli Sefaseba

humoruli imunuri pasuxis Sefaseba. ujreduli imunuri pasuxis Sefaseba.

limfocitTa raodenobisa da funqciis Sefaseba: imunofenotipireba gamWoli citofluorometriiT, in vitro limfocitebis proliferacia, citokin-maproducirebeli ujredebis gansazRvra (ELISPOT meTodi), citotoqsiurobis testi. komplementis sistemis gamokvleva. fagocitebis funqciis gamokvleva.

antigenis/antisxeulis aRmosaCeni reaqciebi: precipitaciis reaqcia, hemaglutinaciis reaqcia, komplementis SeboWvis reaqcia, pirdapiri da arapirdapiri imunofluorescenciis reaqcia, imunofermentuli reaqcia, imunoblotingi da imunoprecipitacia. antisxeulTa izolacia. monoklonuri antisxeulebis produqcia.

testireba

klinikuri farmaklinikuri farmaklinikuri farmaklinikuri farmakokinetikisa da klinikuri farmakodinamikis ZiriTadi kokinetikisa da klinikuri farmakodinamikis ZiriTadi kokinetikisa da klinikuri farmakodinamikis ZiriTadi kokinetikisa da klinikuri farmakodinamikis ZiriTadi principebi, racionaluri farmakoTerapia.principebi, racionaluri farmakoTerapia.principebi, racionaluri farmakoTerapia.principebi, racionaluri farmakoTerapia.

arasasurveli wamlismieri reaqciebi. klinikuri farmakoekonomika, arasasurveli wamlismieri reaqciebi. klinikuri farmakoekonomika, arasasurveli wamlismieri reaqciebi. klinikuri farmakoekonomika, arasasurveli wamlismieri reaqciebi. klinikuri farmakoekonomika, farmakoepidemiologia.farmakoepidemiologia.farmakoepidemiologia.farmakoepidemiologia. samkurnalo dozebis gaTvla Tirkmlis qr. ukmarisobiT daavadebul pacientebSi. medikamentozuli saSualebebis metabolizmi, biotransformacia.


farmakoTerapia da mtkicebiTi medicina.farmakoTerapia da mtkicebiTi medicina.farmakoTerapia da mtkicebiTi medicina.farmakoTerapia da mtkicebiTi medicina. medikamentebis Sewovisa da organizmSi ganawilebis meqanizmebi


farmakoTerapiis saxeebifarmakoTerapiis saxeebifarmakoTerapiis saxeebifarmakoTerapiis saxeebi----etiotropuli, paTogenezuretiotropuli, paTogenezuretiotropuli, paTogenezuretiotropuli, paTogenezuriiii

farmakoTerapiis saxeebi farmakoTerapiis saxeebi farmakoTerapiis saxeebi farmakoTerapiis saxeebi ---- simptomaturi, profilaqtikuri.simptomaturi, profilaqtikuri.simptomaturi, profilaqtikuri.simptomaturi, profilaqtikuri. racionaluri antibiotikoTerapiis sakiTxebi. medikamentozuri monitoringi (Cvenebebi, klinikuri mniSvneloba da Sedegebis interpretacia).


gadaudebel mdgomareobaTa klinikaSi gamgadaudebel mdgomareobaTa klinikaSi gamgadaudebel mdgomareobaTa klinikaSi gamgadaudebel mdgomareobaTa klinikaSi gamoyenebul medikamentTa oyenebul medikamentTa oyenebul medikamentTa oyenebul medikamentTa farmakokinetikuri da farmakodinamikuri daxasiaTebafarmakokinetikuri da farmakodinamikuri daxasiaTebafarmakokinetikuri da farmakodinamikuri daxasiaTebafarmakokinetikuri da farmakodinamikuri daxasiaTeba. arasasurveli medikamentozuri efeqtebi, maTi karcenogenoba.

testireba

5. modulis Sefasebis meTodebi modulis Sefasebis meTodebi modulis Sefasebis meTodebi modulis Sefasebis meTodebi

modulis dasrulebis Semdeg rezidents/specialobis maZiebelma unda icodes/SeeZlos:

21

1. integraciis sxvadasxva doneze organizmis cxovelmoqmedebis zogadi kanonzomierebebis (molekuluridan-organizmulamde) da principebis Sefaseba;

2. daavadebul organizmSi mimdinare adaptaciuri procesebis, avadmyofobis aRmocenebis, mimdinareobisa da gamosavlis zogadi meqanizmebis, paTogenezuri profilaqtikis, Terapiis principebis da meTodebis Sefaseba;

3. imunopaTologiuri mdgomareobebis diagnostikuri da Terapiuli strategiis safuZvlebis Sefaseba; alergiuli daavadebebis profilaqtikisa da mkurnalobis Sesaxeb codnas;

4. farmakokinetikuri da farmakodinamikuri monacemebis Sesabamisad samkurnalo saSualebebis SerCeva. individualuri mgrZnobelobidan gamomdinare, preparatis arasasurveli efeqtebis gaTvaliswineba; datvirTvisa da SemanarCunebeli dozebis SerCeva; zogierT kategoriis avadmyofTaTvis (RviZlis funqciis darRveva, Tirkmlis qr. ukmarisoba, xandazmuli da xanSisesuli pirebi, bavSvebi) samkurnalo dozis gaTvla; arasasurveli wamlismieri reaqciis profilaqtika, diagnostika da mkurnaloba; samkurnalo preparatebis zedozirebis diagnostika da mkurnaloba.


1. T.naneiSvili ”sinafsi. molekulidan qcevamde” Tbilisi,2002w.

2. T.naneiSvili “”qcevis fsiqofiziologia” , Tbilisi.2003w.

3. Р,Орлов. А,Ноздрачев «Нормальная физиология». ГЕОТАР-Медия 2005 г,

4. Acta Neurobiol Exp 2004, 64; - [email protected]

5. Диффузная внесинаптическая нейропередача посредством глутамата и ГАМК .

6. http://www.biomednet.ru/content/view/47

7. http://www.brain.ru/

8. http://phynist3d.narod.ru/

9. http://www.ecclescorner.org/RUS/

10. http://www.stoppain.org/pain_medicine/content/chronicpain/

11. http://www.pbs.org/wnet/brain/3d/index.html

12. http://www.uclan.ac.uk/ldu/resources/multimedia/visualization/directions.html - brain

13. http://www.bayareapainmedical.com/nervanim.html - spinothalamic-retikulothalamic

14. http://www.painresearch.utah.edu/cancerpain/neurax.html

15. http://www.stoppain.org/pain_medicine/content/medication/opioids.asp#top

16. http://www.spine-health.com/dir/dir01.html

17. http://library.med.utah.edu/WebPath/HISTHTML/NEURANAT/NEURANCA.html#2

18. http://webschoolsolutions.com/patts/systems/nervous.htm#somatosensory

19. http://www.innerbody.com/image/nervov.html

22

20. П,Литвицкий. «Патофизиология». Москва. 2002 г,

21. О,Молотков. С,Ефремов. В,Решедько. «Патофизиология в вопросах и в ответах». Смоленск. 1999 г,

22. Р,Орлов. А,Ноздрачев «Нормальная физиология». ГЕОТАР-Медия 2005 г,

23. Р,Сепиащвили «Основы физиологии имунной системы». Москва. 2003 г,

24. Кукес В.Г. Клиническая фармакология. Учебник для медицинских ВУЗов.-М.ГЭОТАР-МЕД, 2004.

25. Основы клинической фармакологии и рационалъной фармакотерапии. Под общей ред. Белоусова Ю.Б., Леоновой М.В.-М., Бионика, 2002.

26. Верткин А.Л. Скорая медицинская помощъ.-М., ГЭОТАР-МЕД, 2003.

27. Михаилов И.Б. . Клиническая фармакология. С-Пт., Фолиант, 2002.

28. Лоуренс Д.Р.,Бенитт П.Н. . Клиническая фармакология. Москва «Медицина», 1993.

29. Интенсивная Терапия, реанимация, первая помощъ». Под. ред. Малышева В.Д. Москва «Медицина», 2000.

30. n.foraqiSvili. struqturuli imunologia. gamzadebulia dasabeWdad.

31. T Ciqovani. imunologia. amonabeWdis saxiT. mzaddeba dasabeWdad. 32. g.burkaZe. imunomorfologia. norma, paTologia (I da II nawili) 33. Борисов Л.Б. Медицинская микробиология, вирусология, иммунология.

Москва. 2001 34. Roitt, I., Brostoff, J. and Male, D. Immunology (7th edn.) Mosby. 2003. 35. C.A.Janeway, P.Travers, M. Walport, M.Shlomchik. Immunobiology. 6th

edition., 2005 36. Supplement to The J. of Allergy and Clinical Immunology, 2003, vol.111,

No.2 www.mosby.com/jaci 37. www.tsmu.edu/immuno

muxli 3. muxli 3. muxli 3. muxli 3. moduli 1. 3. moduli 1. 3. moduli 1. 3. moduli 1. 3. Tanamedrove anesTeziologiuri uzrunvelyofis Tanamedrove anesTeziologiuri uzrunvelyofis Tanamedrove anesTeziologiuri uzrunvelyofis Tanamedrove anesTeziologiuri uzrunvelyofis koncefciebi, farmakokinetikakoncefciebi, farmakokinetikakoncefciebi, farmakokinetikakoncefciebi, farmakokinetika, farmakodinamika da , farmakodinamika da , farmakodinamika da , farmakodinamika da farmakogenetikafarmakogenetikafarmakogenetikafarmakogenetika 1. modulis xangrZlivobaa 1. modulis xangrZlivobaa 1. modulis xangrZlivobaa 1. modulis xangrZlivobaa 1 Tve ( 144 saaTi) 2. modulis mizania 2. modulis mizania 2. modulis mizania 2. modulis mizania anesTetikebis, analgetikebis, hipnotikebis, relaqsantebis da anesTeziologiur praqtikaSi gamoyenebadi sxva samkurnalwamlo saSualebebis farakologiuri Tvisebebis Seswavla. anesTeziologiuri uzrunvelyofis Tanamedrove koncefciaTa analizuri Seswavla. 3. modulis amocanebi3. modulis amocanebi3. modulis amocanebi3. modulis amocanebi (miznis miRwevis/daZlevis saSualebebi):

Tanamedrove anesTeziologiur praqtikaSi arsebuli koncefciebis, meTodologiis, gamoyenebadi preparatebis farmakokinetikis, farmakodinamikis da farmakogrnrtikis principebis da Taviseburebebis Seswavla.

4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba mocemulia cxrili # 3raodenoba mocemulia cxrili # 3raodenoba mocemulia cxrili # 3raodenoba mocemulia cxrili # 3----is saxiT:is saxiT:is saxiT:is saxiT:

cxrili # 3cxrili # 3cxrili # 3cxrili # 3

23

Teoriuli kursi davaleba

preparatebis moqmedebis meqanizmebi seminari, diskusia, prezentacia

mgrZnobeloba preparatebis mimarT seminari, diskusia, prezentacia

individualuri variaciebi da farmakokinetika; preparatebis urTierTqmedeba

seminari, diskusia, prezentacia

preparatebis toqsikuroba; karcenogenezi seminari, diskusia, prezentacia

samkurnalwamlo saSualebebi orsulobisa da laqtaciis periodSi


ganwyoba toqsemiis mimarT seminari, diskusia, prezentacia

preparatebi romlebic moqmedeben centralur nervul sistemaze: depresantebi, trankvilizatorebi, antidepresantebi, centraluri nervuli sistemis stimulatorebi da anoreqsantebi. antikonvulsantebi


preparatebi romlebic moqmedeben simpaTikur da parasimpaTikur sistemaze:parasimpaTomimetikebi, parasimpaTolitikebi, simpaTomimetikebi, ganglioblokatorebi, periferiuli vazodilatatorebi.


narkotikuli analgetikebi; aranarkotikuli analgetikebi


inhalaciuri anesTetikebi; arainhalaciuri anesTetikebi


adgilobrivi anesTetikebi;


miorelaqsantebi seminari, diskusia, prezentacia

antiperitikebi da anTebis sawinaaRmdego arasteroiduli preparatebi


gluko da mineralokortikoidebi seminari, diskusia, prezentacia

antihistaminuri preparatebi: H1 blokatorebi; H2 blokatorebi


diuretikebi seminari, diskusia, prezentacia

preparatebi romlebic moqmedeben sasunTq sistemaze:mukolitikebi, xvelis refleqsis damaqveiTebeli prepatatebi


antimikrobuli preparatebi: antiseptikebi; baqterioseptikebi;


antibiotikebi seminari, diskusia, prezentacia


24

Sefaseba moxdeba test-kiTxvarebiT modulis dasrulebis Semdgom.

modulis dasrulebis Semdeg rezidents (specialobis maZiebels) unda icodes/SeeZlos:

- anesTeziologiis Tanamedrove koncefciaTa analizi - konkretuli SemTxvevebisTvis anesTeziologiuri programis Sedgena

SerCeul medikamentTa farmakokinetikis, farmakodinamikis da farmakogenetikis gaTvaliswinebiT

- intensiuri Terapiis procesSi medikamentTa kombinirebuli SerCeva da Seyvanis gzebis da meTodebis gansazRvra


1. klinikuri anesTeziologiisa da zogadi intensiuri Terapiis safuZvlebi kiTxvebsa da pasuxebSi. n. lebaniZe. Tbilisi, 2001.

2. anesTeziologia da reanimatologia kiTxvebsa da pasuxebSi. n.lebaniZe,

s.qajaia. Tbilisi 2008.

3. Клиническая Анестезиология. Дж. Эдвард Морган-мл., Мегид С. Михаил. книга I

, II. Изд-во «БИНОМ – Невский Диалект», 1998

4. Руководство по анестезиологии. под ред. А. Р. Эйткенхеда, Г. Смита, том I , II. Москва, «Медицина», 1999 5. Практическое руководство по анестезиологии. под ред. акад. А. А. Бунятяна, Москва, «Медицина», 1997 6. Детская анестезиология и реаниматология, В. А. Михельсон, Москва, «Медицина», 1985 7. Актуальные проблемы анестезиологии и реаниматологии. Освежающий курс лекций.

под ред. Э. В. Недашковского, Архангельск, 2004 N 3. 4. 8. Актуальные проблемы анестезиологии и реаниматологии. Освежающий курс лекций.

под ред. проф. Э. В. Недашковского, Архангельск-Тромсё, 1997 9. Анестезиология и реаниматология на рубеже 21-ого века, Днепропетровск, 1998 10. Интенсивная терапия. Паул Л. Марино. под ред. А.И. Мартынов. Москва, «Медицина»,

1998 11. Сердечно-лёгочная и церебральная реанимация. Петер Сафар. Москва, «Медицина»,

1984 12. Сердечно-лёгочная реанимация. К. Гроер, Д. Кавалларо. Москва, «Практика», 1996 13. Медицина критических состоянии. А. П. Зильбер. Петрозаводск.1995 14. Респираторная поддержка. В. Л. Кассиль, Г. С. Лескин, М. А. Выжигина. Москва,

«Медицина», 1997 15. Интенсивная терапия при кровопотере. Л. В. Усенко, Г. А. Шифрин. Киев, «Здоровье»

1995 16. Инфузионная терапия и парентеральное питание, под ред. проф. Г. Н. Хлябича, 1992 17. Патофизиология почки. Джеймс А. Шейман. Изд-во «БИНОМ – Невский Диалект»,

1999 18. Патофизиология лёгких. Маикл А. Гриппи. Изд-во «БИНОМ – Невский Диалект», 2000 19. Патофизиология крови. Фред Дж. Шиффман. Изд-во «БИНОМ – Невский Диалект»,

2000 20. Терапия. Ален Р. Майер. под ред. А. Г. Чучалина. «ГЭОТАР Медицина», Москва, 1998 21. ANESTHESIA. edited by Ronald D. Miller, M.D. 6th edition «Churchill Livingstone»,

Copyrught 2005. Eisvier Inc. 22. Principles of Anesthesiology, general and regional anesthesia. Vincent J. Collins. Vol. I, II,

«Lea & Febiger», 1993 23. Opioids in Anesthesia edited by Fazwy G. Estafonous, M.D. Vol. I, II, «Butterwoth-

Heinemann», 1991

25

24. Annual Refresher Course Lectures. American Society of Anesthesiologists. San Francisco 1994

25. Breathing and Mechanical Support. Wolfgang Oczenski, Alois Werba, Harald Andel. «Blackwell Science», 1997

26. Respiratory and Critical Care Medicine. Vol.#157, 158. 1998 27. Regional-anästhesie. Gustav Fischer Verlag. 1989

33. American Heart Association in collaboration with International Liaison Committee on Resuscitation. Guidelines 2005 for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care: International Concensus on Science, Part 11, 7: Neonatal Resuscitation. Circulation 2005;112:91-9.

34. Davis P, Tan A, OТDonnell C, Schulze A. Resuscitation of newborn infants with 100% oxygen or air: a systematic review and meta-analysis. Lancet 2004;364:1329-33. 35. Oca M, Nelson M, Donn S. Randomized trial of normal saline versus 5% albumin for the treatment of neonatal hypotension. J Perinatol 2003;23:473-6.

36. Perondi MB, Reis AG, Paiva EF, Nadkarni VM. A comparison of high-dose and standard- dose epinephrine in children with cardiac arrest. N Engl J Med 2004;350:1722-30. 37. Respiratory Manajment in Critical Care. Edited by M JD Griffiths and T W Evans. BMJ Publishing Group 2004. London Wich 9JR. 38. ICU Book, the 3rd Edition. Marino Paul L. Coyiright 2007 Lippincott Williams & Wilkins.

ISBN: 0-7817. 39. Clinical Anesthesiology. 4th edition. G. Edward Morgan, Jr; Maged S. Mikhail; Michael J. Murray. 2006

muxli 4. muxli 4. muxli 4. muxli 4. moduli 1.4. moduli 1.4. moduli 1.4. moduli 1.4. topografiuli anatomia da qirurgiuli topografiuli anatomia da qirurgiuli topografiuli anatomia da qirurgiuli topografiuli anatomia da qirurgiuli midgomebi midgomebi midgomebi midgomebi anesTeziologiasa da reanimatologiaSianesTeziologiasa da reanimatologiaSianesTeziologiasa da reanimatologiaSianesTeziologiasa da reanimatologiaSi 1. modulis xangrZlivobaa1. modulis xangrZlivobaa1. modulis xangrZlivobaa1. modulis xangrZlivobaa 1 Tve ( 144 saaTi) 2. modulis mizania2. modulis mizania2. modulis mizania2. modulis mizania

rezidentma uda aiTvisos topografiuli anatomiis ZiriTadi sakiTxebi da im qirurgiul manipulaciaTa teqnika, romelic aucilebelia anesTeziologiuri uzrunvelyofis procesebSi sxvadasxva asakobriv jgufebSi aRmocenebuli qirurgiuli paTologiis operaciuli mkurnalobisa da sxvadasxva genezis kritikuli mdgomareobis mkurnalobis procesSi.

3.modulis amocanebia:3.modulis amocanebia:3.modulis amocanebia:3.modulis amocanebia: (miznis miRwevis/daZlevis saSualebebi): amocanas warmoadgens – rezidentma (maZiebelma) a). Seiswavlos: - saWmlis momnelebeli sistemis topografiuli anatomia

- sasunTqi sistemis topografiuli anatomia - sisxlis mimoqcevis da limfuri sistemebis topografiuli anatomia - nervuli sistemis topografiuli anatomia - Zval-saxsrovani aparatis topografiuli anatomia - saSarde sistemis topografiuli anatomia - aseptikis da antiseptikis sakiTxebi - ZiriTadi qirurgiuli instrumentebi b). daxvewos - traqeis intubaciis teqnika - momnelebeli sistemis intubaciis teqnika - manipulaciebis teqnika gulmkerdis Rrus organoebze - arteriebisa da venebis punqciis da kaTeterizaciis teqnika

- manipulaciebi xerxemalsa da zurgis tvinze

26

4.Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis 4.Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis 4.Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis 4.Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba mocemulia cxrili # 4raodenoba mocemulia cxrili # 4raodenoba mocemulia cxrili # 4raodenoba mocemulia cxrili # 4----is saxiT:is saxiT:is saxiT:is saxiT:


Teoriuli kursi profesiuli unar-Cvevebi

(raodenobis miTiTebiT)

davaleba

zurgis tvinis arxis /subaraqnoiduli sivrcis/ punqcia

10 manipulacia

epiduruli sivrcis punqcia da kaTeterizacia welis malebis doneze

10 manipulacia

saWmlis momnelebeli sistemis topografiuli anatomia

seminari

mxris wnulis blokadis teqnika

2 manipulacia

sajdomi nervis blokadis teqnika

2 manipulacia

neknTaSua nervebis blokadis teqnika.

2 manipulacia

paranefraluri blokadis teqnika

2 manipulacia

spirometriuli gamokvleva 10 manipulacia kanis provokaciuli sinjebi.

10 manipulacia

bronqoskopia

2 manipulacia

bronqo-alveoluri lavaJi

2 manipulacia

sasunTqi sistemis topografiuli anatomia seminari sisxlis mimoqcevis da limfuri sistemebis topografiuli anatomia

seminari

nervuli sistemis topografiuli anatomia seminari traqeis orotraqeuli intubacia.

20 manipulacia

nazotraqeuli intubacia

10 manipulacia

traqeis retrograduli intubacia

5 manipulacia

filtvebis gancalkevebuli intubacia

5 manipulacia

traqeis punqcia da kaTeterizacia

2 manipulacia

konikotomiis teqnika

prezentacia

traqeostomiisa da traqeotomiis teqnika

2 manipulacia

gulis daxuruli masaJis teqnika

2 manipulacia treningi mulaJze

plevris Rrus punqciis teqnika

5 manipulacia

27

gulis Rrus punqciis teqnika

2 manipulacia

laviwqveSa venis kaTeterizacia 10 manipulacia defibrilaciis teqnika 2 manipulacia Sida da gare sauRle venis kaTeterizacia

5 manipulacia

barZayis venis kaTeterizacia

2 manipulacia

zeda kidurebis arteriebis kaTeterizacia 5 manipulacia

5.modulis Sefasebis meTodebi 5.modulis Sefasebis meTodebi 5.modulis Sefasebis meTodebi 5.modulis Sefasebis meTodebi (kriteriumebi, perioduloba) _


modulis dasrulebis Semdeg rezidents /specialobis maZiebels/ unda icodes/SeeZlos:

- traqeis intubacia sxvadasxvagvari variantebiT - momnelebeli sistemis intubacia - manipulaciebi gulmkerdis Rrus organoebze - arteriebisa da venebis drenireba da kaTeterizacia

- manipulaciebi xerxemalsa da zurgis tvinze

6.aucilebeli da rekomendebuli literaturis6.aucilebeli da rekomendebuli literaturis6.aucilebeli da rekomendebuli literaturis6.aucilebeli da rekomendebuli literaturis nusxa:nusxa:nusxa:nusxa:

1. klinikuri anesTeziologiisa da zogadi intensiuri Terapiis safuZvlebi kiTxvebsa da pasuxebSi. n. lebaniZe. Tbilisi, 2001. 2. anesTeziologia da reanimatologia kiTxvebsa da pasuxebSi. n.lebaniZe, s.qajaia. Tbilisi 2008.

3. Клиническая Анестезиология. Дж. Эдвард Морган-мл., Мегид С. Михаил. книга I,

II. Изд-во «БИНОМ – Невский Диалект», 1998

4. Руководство по анестезиологии. под ред. А. Р. Эйткенхеда, Г. Смита, том I , II. Москва, «Медицина», 1999 5. Практическое руководство по анестезиологии. под ред. акад. А. А. Бунятяна, Москва, «Медицина», 1997 6. Детская анестезиология и реаниматология, В. А. Михельсон, Москва, «Медицина», 1985 7. Патофизиология почки. Джеймс А. Шейман. Изд-во «БИНОМ – Невский Диалект»,

1999 8. Патофизиология лёгких. Маикл А. Гриппи. Изд-во «БИНОМ – Невский Диалект», 2000 9. ANESTHESIA. edited by Ronald D. Miller, M.D. 6th edition «Churchill Livingstone»,

Copyrught 2005. Eisvier Inc. 10. Principles of Anesthesiology, general and regional anesthesia. Vincent J. Collins. Vol. I, II,

«Lea & Febiger», 1993 11. Annual Refresher Course Lectures. American Society of Anesthesiologists. San Francisco

1994 12. Breathing and Mechanical Support. Wolfgang Oczenski, Alois Werba, Harald Andel.

«Blackwell Science», 1997 13. Regional-anästhesie. Gustav Fischer Verlag. 1989

14.. American Heart Association in collaboration with International Liaison Committee on Resuscitation. Guidelines 2005 for Resuscitation and Emergency Cardiovascular Care:

International Concensus on Science, Part 11, 7: Circulation 2005;112:91-9.

28

muxli 5. muxli 5. muxli 5. muxli 5. moduli 1.5. moduli 1.5. moduli 1.5. moduli 1.5. avadmyofis winasaoperacio gamokvleva, zogadi avadmyofis winasaoperacio gamokvleva, zogadi avadmyofis winasaoperacio gamokvleva, zogadi avadmyofis winasaoperacio gamokvleva, zogadi anesTeziisa da operaciis riskis SefasebaanesTeziisa da operaciis riskis SefasebaanesTeziisa da operaciis riskis SefasebaanesTeziisa da operaciis riskis Sefaseba 1.modulis xangrZlivobaa1.modulis xangrZlivobaa1.modulis xangrZlivobaa1.modulis xangrZlivobaa 1 Tve ( 144 saaTi) 2. modulis mizaniamodulis mizaniamodulis mizaniamodulis mizania

anesTeziisa da operaciuli riskis Sefasebis kriteriumebis aTvisebas. aseve gautkivarebis programebis Sedgenas anesTeziologiuri riskis minimizaciis mimarTulebiT

3. modulis amocanebia:modulis amocanebia:modulis amocanebia:modulis amocanebia: (miznis miRwevis/daZlevis saSualebebi): - sasicocxlo mniSvnelobis mqone sistemebis funqciuri mdgomareobisa da adaptaciur-kompensatoruli SesaZleblobebis gansazRvra. - SesaZlo garTulebebis prognozireba operaciis, anesTeziisa da uaxloes postoperaciul periodSi. - programis gavlis Semdeg anesTeziologma unda SeZlos anamnezis srulyofili Segroveba, gamokvlevebis Catareba da Tanamedrove doneze anesTeziologiuri uzrunvelyofa

4.4.4.4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis

raodenoba mocemulia cxrili # 5raodenoba mocemulia cxrili # 5raodenoba mocemulia cxrili # 5raodenoba mocemulia cxrili # 5----is saxiT:is saxiT:is saxiT:is saxiT: cxrili # 5cxrili # 5cxrili # 5cxrili # 5

Teoriuli kursi praqtikuli unar-Cvevebi (raodenobis CvenebiT)

davaleba

1. pacientisgan anamnezis Sekrebis wesi

20 pacienti

saTanado formebis Sevseba

2. obieqturi monacemebis Segroveba, savaldebulo standarti

20 pacienti

standartis gansazRvra

3. anesTeziologis winasaoperacio Canaweri

20 pacienti

Canawerebi istoriaSi

4. operaciis moculobis Sefaseba da qirurgiuli riskis gansazRvra

20 pacienti

praqtikuli Sesruleba

5. anesTeziis riskis faqtorebi, maTi xarisxis Sefasebis kriteriumebi

20 pacienti

seminari da diskusia

6. anesTeziis riskis gansazRvra

20 pacienti

1.praqtikuli Sesruleba

2. diskusia seminarze

7. anesTeziologiuri uzrunvelyofis taqtika da meTodis SerCeva sxadasxva saxis da riskis operaciebis dros

20 pacienti


29

8. mosalodneli garTulebebis prognozireba da profilaqtika

20 pacienti


5.5.5.5. modulis Sefasebis meTodebi modulis Sefasebis meTodebi modulis Sefasebis meTodebi modulis Sefasebis meTodebi (kriteriumebi, perioduloba) _

Sefaseba moxdeba testtesttesttest----kiTxvarebiTkiTxvarebiTkiTxvarebiTkiTxvarebiT modulis dasrulebis Semdgom.


- gamoikvlios avadmyofi winasaoperacio periodSi - sworad da srulyofilad Sekribos anamnezi - Seafasos ZiriTad sasicocxlo funqciaTa mdgomareoba da kompensatoruli

rezervi - gansazRvros operaciisa da anesTeziis riski - gaTvalos mosalodneli garTulebebis xasiaTi

6.6.6.6. aucilebeli da rekomendebuli literaturis nusxa: aucilebeli da rekomendebuli literaturis nusxa: aucilebeli da rekomendebuli literaturis nusxa: aucilebeli da rekomendebuli literaturis nusxa:

1. Крафт Т.М., Антон П.М. Ключевые вопросы и темы в анестезиологии, Москва «Медицина», 1997г. 2. Морган-мл Дж.Э., Мэгид С. М. Клиническая Анестезиология, изд. «БИНОМ» Москва, «Невский Диалект» Санкт-Петербург, 1998г., том I. 3. Эйткенхед А.Р., Смит Г. Руководство по анестезиологии, «Медицина», 1999г. том I. 4. Miller R.D., M.D. Anesthesia, Churchill Livingstone, New York, 1986, vol. III. 5. Интенсивная терапия-Paul L. Marino 6. Руководство по анестезиологии. под ред. А. Р. Эйткенхеда, Г. Смита, том I , II. Москва, «Медицина», 1999 7. Практическое руководство по анестезиологии. под ред. акад. А. А. Бунятяна, Москва, «Медицина», 1997 8. Детская анестезиология и реаниматология, В. А. Михельсон, Москва, «Медицина», 1985 9. Актуальные проблемы анестезиологии и реаниматологии. Освежающий курс лекций. под ред. Э. В. Недашковского, Архангельск, 2004 N 3. 4. 10.Актуальные проблемы анестезиологии и реаниматологии. Освежающий курс лекций. под ред. проф. Э. В. Недашковского, Архангельск-Тромсё, 1997 11.Анестезиология и реаниматология на рубеже 21-ого века, Днепропетровск, 1998 12.ANESTHESIA. edited by Ronald D. Miller, M.D. 6th edition «Churchill Livingstone», Copyrught 2005. Eisvier Inc. 14. Principles of Anesthesiology, general and regional anesthesia. Vincent J. Collins. Vol. I, II,

«Lea & Febiger», 1993 15. Opioids in Anesthesia edited by Fazwy G. Estafonous, M.D. Vol. I, II, «Butterwoth-

Heinemann», 1991 16. Annual Refresher Course Lectures. American Society of Anesthesiologists. San Francisco

1994 17. Breathing and Mechanical Support. Wolfgang Oczenski, Alois Werba, Harald Andel.

«Blackwell Science», 1997 18. Regional-anästhesie. Gustav Fischer Verlag. 1989

19. American Heart Association in collaboration with International Liaison Committee on Resuscitation. Guidelines 2005 for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care: International Concensus on Science, Part 11, 7: Neonatal Resuscitation. Circulation 2005;112:91-9.

20. Clinical Anesthesiology. 4th edition. G. Edward Morgan, Jr; Maged S. Mikhail; Michael J. Murray. 2006

30

muxli 6. muxli 6. muxli 6. muxli 6. moduli 1.6. moduli 1.6. moduli 1.6. moduli 1.6. axali teqnologiebi anesTeziologiur praqtikaSi, axali teqnologiebi anesTeziologiur praqtikaSi, axali teqnologiebi anesTeziologiur praqtikaSi, axali teqnologiebi anesTeziologiur praqtikaSi, avadmyofis usafrTxoebis Tanamedrove principebi zogadi avadmyofis usafrTxoebis Tanamedrove principebi zogadi avadmyofis usafrTxoebis Tanamedrove principebi zogadi avadmyofis usafrTxoebis Tanamedrove principebi zogadi anesTezanesTezanesTezanesTeziis drosiis drosiis drosiis dros

1. modulis xangrZlivobaa modulis xangrZlivobaa modulis xangrZlivobaa modulis xangrZlivobaa 1 Tve (144 sT) 2. modulis mizaniamodulis mizaniamodulis mizaniamodulis mizania airTa mcire da minimaluri nakaduri anesTeziis

teqnologiaTa aTvisebas da gamoyenebas zogadi anesTeziis procesSi maRalxarisxiani monitoringis pirobebSi.

3. modulis amocanebia:modulis amocanebia:modulis amocanebia:modulis amocanebia: (miznis miRwevis/daZlevis saSualebebi): kursis gavlis

Semdeg, rezidentma (maZiebelma) SeZlos gazTa mcire da minimaluri nakadis pirobebSi zogadi

anesTeziis warmarTva

4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba mocemulia cxrili # 6raodenoba mocemulia cxrili # 6raodenoba mocemulia cxrili # 6raodenoba mocemulia cxrili # 6----is saxiT:is saxiT:is saxiT:is saxiT:

cxrili # 6 Teoriuli kursi profesiuli

unar- Cvevebi

(raodenobis miTiTebiT)

davaleba

anesTeziis - airTa narevis dabali nakadi pirobebSi – ganviTarebis istoria.

seminari

sunTqviTi konturebis klasifikacia da airTa narevis dabali nakadis pirobebSi anesTeziis arsi.

seminari prezentacia

airTa narevis dabali nakadis pirobebSi momuSave respiratorTa SedarebiTi daxasiaTeba

seminari

sunTqviTi konturis hermetuloba, rogorc airTa narevis dabali nakadis pirobebSi anesTeziis uzrunvelyofis ZiriTadi kriteriumi.

seminari

amaorTqleblebi, maTi gamtarunarianoba airTa narevis dabali nakadis pirobebSi anesTeziis dros axali gazTa narevis dabali wneviT miwodebisas.

seminari diskusia

adsorbentebi, maTdami wayenebuli moTxovnebi seminari diskusia

Jangbadis da naxSirorJangis farmakokinetikis Taviseburebani sunTqviT konturSi airTa narevis dabali nakadis pirobebSi anesTeziis dros

seminari

gazTa deficiti sasunTq konturSi, jangbadis da azotis qveJangis nakadTa koregireba airTa narevis dabali nakadis pirobebSi anesTeziis dros.

seminari prezentacia

monitoringis aucilebeli minimaluri done airTa narevis dabali nakadis pirobebSi anesTeziis dros.

seminari

inhalaciuri anesTeziis Catarebis modeli seminari

31

airTa narevis dabali nakadis pirobebSi diskusia prezentacia

airTa narevis dabali nakadis pirobebSi anesTeziis praqtika

50 anesTezia dabali nakadis pirobebSi damouklideblad supervaizeris meTvalyureobiT

prezentacia seminari diskusia

saSiSroebani, sirTuleebi da problemebi airTa narevis dabali nakadis pirobebSi anesTeziisas.

seminari diskusia

airTa narevis dabali nakadis pirobebSi anesTeziis perspeqtivebi.

seminari diskusia



modulis dasrulebis Semdeg rezidents /specialobis maZiebels/ unda icodes/SeeZlos: Caataros da srulyofilad marTos sunTqvis daxuruli konturiT balansirebuli kombinirebuli endotraqeuli inhalaciuri narkozi airTa dabali nakadis pirobebSi

6. aucilebeli da rekomendebuli literaturis nusxa:aucilebeli da rekomendebuli literaturis nusxa:aucilebeli da rekomendebuli literaturis nusxa:aucilebeli da rekomendebuli literaturis nusxa:

1. Крафт Т.М., Антон П.М. Ключевые вопросы и темы в анестезиологии, Москва «Медицина», 1997г.

2. Морган-мл Дж.Э., Мэгид С. М. Клиническая Анестезиология, изд. «БИНОМ» Москва, «Невский Диалект» Санкт-Петербург, 1998г., том I.

3. Эйткенхед А.Р., Смит Г. Руководство по анестезиологии, «Медицина», 1999г. том I. 4. Miller R.D., M.D. Anesthesia, Churchill Livingstone, New York, 1986, vol. III. 5. Интенсивная терапия-Paul L. Marino

muxli 7. muxli 7. muxli 7. muxli 7. moduli 1.7. moduli 1.7. moduli 1.7. moduli 1.7. infuzurinfuzurinfuzurinfuzur----transfuzuri Terapiisa da transfuzuri Terapiisa da transfuzuri Terapiisa da transfuzuri Terapiisa da parenteraluri kvebisparenteraluri kvebisparenteraluri kvebisparenteraluri kvebis ZiriTadi principebiZiriTadi principebiZiriTadi principebiZiriTadi principebi

1. modulis xangrZlivobaa1. modulis xangrZlivobaa1. modulis xangrZlivobaa1. modulis xangrZlivobaa 2 Tve (288 sT) 2 modulis mizania2 modulis mizania2 modulis mizania2 modulis mizania – rezidentisagan (maZieblisgan) infuzur-transfuzuli Terapiisa da parenteraluri kvebis principebis da meTodologiuri sakiTxebis aTviseba. 3. modulis amocanebia:modulis amocanebia:modulis amocanebia:modulis amocanebia: (miznis miRwevis/daZlevis saSualebebi):

rezidentma (maZiebelma) unda Seiswavlos: - wyal – eleqrtolituri balansis fiziologia da paTfiziologia; - hemodinamikis da mikrocirkulaciis fiziologia da paTfiziologia - organizmis energetikuli balansi da disbalansis paTfiziologia - metabolizmis struqturuli darRvevebis paTfiziologia

32

- Termoregulacia, misi moSlis paTfiziologia da Tanmxlebi metaboluri darRvevebi 4.4.4.4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis


Teoriuli kursi profesiuli unar-Cvevebi (raodenobis

miTiTebiT)

davaleba

wyal – eleqtrolituri balansis fiziologia da paTfiziologia

diskusia prezentacia

hemodinamikis da mikrocirkulaciis fiziologia da paTfiziologia


organizmis energetikuli balansi da disbalansis paTfiziologia


metabolizmis struqturuli darRvevebis paTfiziologia


Termoregulacia, misi moSlis paTfiziologia da Tanmxlebi metaboluri darRvevebi


volemiis donis Sefaseba 20 avadmyofi diskusia prezentacia

metabolizmis struqturuli darRvevebis analizi

20 avadmyofi diskusia prezentacia

racionaluri infuzur – transfuzuri Terapiis receptis SemuSaveba


racionaluri parenteraluri kvebis receptTa SemuSaveba


infuzur – transfuzuri Terapiisa da parenteraluri kvebis efeqturobis Sefaseba da koregireba


laviwqveSa venis kaTeterizeba 5 manipulacia sauRle venebis kaTeterizeba 5 manipulacia barZayis venis kaTeterizeba 5 manipulacia postoperaciul periodSi avadmyofTa kuracia

5 avadmyofi

Sokis pirobebSi myofi avadmyofis kuracia 3 avadmyofi metaboluri darRvevebiT avadmyofTa kuracia

3 avadmyofi

5.5.5.5. modulis Sefasebis meTodebi modulis Sefasebis meTodebi modulis Sefasebis meTodebi modulis Sefasebis meTodebi (kriteriumebi, perioduloba) _



- volemiis donis Sefaseba - metabolizmis struqturuli darRvevebis analizi - racionaluri infuzur – transfuzuli Terapiis receptis SemuSaveba - racionaluri parenteraluri kvebis receptis SemuSaveba - infuzur – transfuzuri Terapiisa da parenteraluri kvebis efeqturobis

Sefaseba da koregireba 6. aucilebeli da rekomendebuli literaturis nusxa:6. aucilebeli da rekomendebuli literaturis nusxa:6. aucilebeli da rekomendebuli literaturis nusxa:6. aucilebeli da rekomendebuli literaturis nusxa:

33

1.Kruskall MS, Bergen JJ, Klein HG, et al. Transfusion therapy in emergency medicine. Ann Emerg Med 1988; 27:327-335.

2.Hogman CF, Bagge L, Thoren L. The use of blood components in surgical transfusion therapy. World JSurg 1987; 11:2-13.

3.Nusbacher J. Transfusion of Red Cell Products. In: Peltz LD, Swisher SN eds. Clinical practice of blood transfusion. New York: Churchill Livingstone, 1981; 289.

4.Sheldon GF, Watkins GM, Glover JL, et al. Panel: Present use of blood and blood products. J Trauma 1981, 23:1005-1012.

5.Fresh frozen plasma. Report of consensus development conference on fresh frozen plasma. JAMA 1985:253:551-553.

6.Perioperafive red blood cell transfusion. Report of consensus development conference on perioperative red cell transfusion. JAMA 1988; 2,60:2700-2703.

7.Dula DJ, Muller A, Donovan SW. Flow rate of commonly used IV infusion techniques. J Trauma 1981; 21:480-482.

8.Mateer JR, Thompson BM, Aprahamian C, et al. Rapid fluid resuscifation with central venous catheters. Ann Emerg Med 1983; 12:149-152.

9.Aeder MI, Crowe JP, Rhodes RS, et al. Technical limitations in the rapid infusion of intravenous fluids. Ann Emerg Med 1985; 14:307-310.

10.Gianino N. Equipment used for transfusion. In: Rutman RC, Miller WV eds. Transfusion Therapy. Rockville: Aspen Publishers, 1981; 131-150.

11.Reiner A, Kickler TS, Bell W. How to administer massive transfusions effectively. J Crit Illness 1987; 2:15-24.

12.Phillips ТЕ, Soulier G, Wilson RE. Outcome of massive transfusion exceeding two blood volumes in trauma and emergency surgery. J Trauma 1987; 27:903-909.

13.Seyfried H, Walewska 1. Immune hemolytic transfusion reactions. World J Surg 1987; ! 1:25-29.

14.Cans ROB, Duurkens VAM, van Zundert AA, et al. Transfusion-related acute lung injury. Intensive Care Med 1988; 14:654-657.

15.Petz LD, Swisher SN eds. Clinical practice of transfusion medicine, 2nd ed. New York: Churchill Livingstone, 1989; 213-222.

16.Gervin AS, Fischer RP. Resuscitation of trauma patients with type-specific uncross-matched blood. J Trauma 1984; 24:327-331.

17.Messmer KFW. Acceptable hematocrit levels in surgical patients. World J Surg 1987; 11:41-46.

18.Duke M, Abelmann WH. The hemodynamic response to chronic anemia. Circulation, 1969; 39:503-515.

34

19.Takaori M, Safar P. Treatment of massive hemorrhage with colloid and crystalloid solutions. JAMA 1967; 199:297-302.

20.Henling СЕ, Carmichael MJ, Keats AS, et al. Cardiac operation for congenital heart disease in children of Jehovah's witnesses. J Thorac Cardiovasc Surg 1985; 89:914-921.

21.Laks H, Pilon RN, Klovekorn WP, et al. Acute hemodilution: Its effect of hemodynamics and oxygen transport in anesthetized man. Ann Surg 1974; 280:103-109.

22.Martin E, Hansen E, Peter К. Acute limited normovolemic hemodilution: A method for avoiding homologous transfusion. World J Surg 1987; 11:53-59.

23.Blumberg N, Heal J, Chuang C, et al. Further evidence supporting a cause and effect relationship between blood transfusion and early cancer recurrence. Ann Surg 1988; 207:410-415.

24.Stephan RN, Kisala JM, Dean RE, et al. Effect of blood transfusion on antigen presentation function and on interleukin-2 generation. Arch Surg 1988; 223:235-240.

muxli 8. muxli 8. muxli 8. muxli 8. moduli moduli moduli moduli 1.8. 1.8. 1.8. 1.8. regionuli gautkivarebis Tanamedrove regionuli gautkivarebis Tanamedrove regionuli gautkivarebis Tanamedrove regionuli gautkivarebis Tanamedrove meTodebimeTodebimeTodebimeTodebi 1. modulis xangrZlivobaa1. modulis xangrZlivobaa1. modulis xangrZlivobaa1. modulis xangrZlivobaa 2 Tve (288 sT)

2. modulis mizania2. modulis mizania2. modulis mizania2. modulis mizania – eqimi-anesTeziologi srulyofilad daeuflos regionuli gautkivarebis

Tanamedrove meTodebs, daeuflos teqnikasa da SeeZlos misi marTva, safuZvlianad Seiswavlos

regionuli anesTeziis anatomiur-fiziologiuri safuZvlebi, Tanamedrove saanesTezio saSualebebis

farmakokinetika da farmakodinamika. srulyofilad Seiswavlos regionuli anesTeziis Cvenebebi,

ukuCvenebebi, garTulebebi da maTi prevencia.

3. modulis amocanebia:3. modulis amocanebia:3. modulis amocanebia:3. modulis amocanebia: (miznis miRwevis/daZlevis saSualebebi):

rezidentma (maZiebelma) unda Seiswavlos da aiTvisos: - regionuli gautkivarebis anatomiur-fiziologiuri safuZvlebi - regionuli gautkivarebis iuridiuli aspeqtebi

- Tanamedrove saanesTezio saSualebebis farmakokinetika da farmakodinamika

- centraluri da periferiuli blokadebis teqnika

- regionuli gautkivarebis marTva

- regionuli gautkivarebis garTulebebi, maTi SesaZlo prevencia, mkurnalobis meTodebi

- regionuli anesTeziis Cvenebebi, SedarebiTi da absoluturi ukuCvenebebi

- kombinirebuli regionuli anesTezia da misi marTvis Taviseburebebi - algologiis safuZvlebi da regionuli blokadebis roli - regionuli anesTeziis gamoyeneba qirurgiis sxvadasxva dargSi

4. Sesasrulebeli samuSaos moculoba da Casatar4. Sesasrulebeli samuSaos moculoba da Casatar4. Sesasrulebeli samuSaos moculoba da Casatar4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis ebeli manipulaciebis ebeli manipulaciebis ebeli manipulaciebis raodenoba mocemulia cxrili # 9raodenoba mocemulia cxrili # 9raodenoba mocemulia cxrili # 9raodenoba mocemulia cxrili # 9----is saxiT:is saxiT:is saxiT:is saxiT:

cxrili #9 Teoriuli kursi profesiuli unar- davaleba

35

Cvevebi (raodenobis miTiTebiT)

regionuli anesTeziis rolis zrda anesTeziologiur

praqtikaSi. diskusia

seminari

avadmyofis Tanxmoba anesTeziaze, iuridiuli aspeqtebi diskusia seminari

manipulaciebi regionul anesTeziaSi, romelic unda

Seasrulos damwyebma anesTeziologma TiToeuli manipulacia 10 raodenobiT

regionuli anesTeziis Cvenebebi da ukuCvenebebi diskusia seminari

garTulebebi da maTi prevenciis gzebi diskusia seminari

garTulebebis mkurnaloba diskusia seminari

Tanmxlebi daavadebebi da regionuli anesTezia diskusia seminari

nervostimulatorisa da ultrasonografis roli

regionul anesTeziaSi diskusia

seminari

araadeqvaruri anesTezia, misi prevenciis gzebi diskusia seminari

kombinirebuli regionuli anesTezia, dadebiTi da

uaryofiTi mxareebi diskusia

seminari

zogadi da regionuli gautkivareba, dadebiTi da

uaryofiTi mxareebi diskusia

seminari

regionuli blokadebi algologiaSi TiToeuli manipulacia 10 raodenobiT

diskusia seminari

5. modulis Sefasebis meTodebi 5. modulis Sefasebis meTodebi 5. modulis Sefasebis meTodebi 5. modulis Sefasebis meTodebi (kriteriumebi, perioduloba) _



- regionuli gautkivarebis anatomiur-fiziologiuri safuZvlebi - Tanamedrove regionuli saanesTezio saSualebebis farmakokinetika da farmakodinamika - centraluri da periferiuli blokadebis teqnika - regionuli gautkivarebis marTva - regionuli gautkivarebis garTulebebi, maTi SesaZlo prevencia, mkurnalobis meTodebi - regionuli anesTeziis Cvenebebi, SedarebiTi da absoluturi ukuCvenebebi - kombinirebuli regionuli anesTezia da misi marTvis Taviseburebebi - algologiis safuZvlebi da regionuli blokadebis roli - regionuli anesTeziis gamoyeneba qirurgiis sxvadasxva dargSi

6. aucilebeli da rekomendebuli literaturis nusxa:6. aucilebeli da rekomendebuli literaturis nusxa:6. aucilebeli da rekomendebuli literaturis nusxa:6. aucilebeli da rekomendebuli literaturis nusxa:

1. Осипова Н. А. Оценка эффекта наркотических, анальгетических и психотропных средств в клинической анестезиологии. -Л. :Медицина, 1988.

2. Coderre T.Ї, Katz Ї, Vaccarіno A.L, Melzack R. Contrіbutіon of central neuroplastіsіty to pathologіcal paіn: revіew of clіnіcal and experіmental evіdence.// Paіn. - 1993.

3. - Woolf C.Ї., Chong M.S. Preemptіve analgesіa - Treatіng postoperatіve paіn by preventіng the establіshment of central sensіtіzatіon. / / Anesth.Analg- 1993 –

4. . Abram S.E., Olson E.E. Systemіc opіoіds do not supress spіnal sensіtіzatіon after subcutaneous formalіn іn rats. // Anesthesіology.-1994.

36

5. Равал н., Периферические нервные блокады в лечении боли. Оребро, Швеция.- Освежающие лекции по анестезиологии, Арxангельск, 1998.

6. Опит использования перидуральной анестезии в ЛОКБ за10 лет – www. Rambler.ru. 2003.

7. Гуля. М.Б. Леснои.И.И. Радчук.И.Л. Фесенко.В.С.- Опыт использования спинально- епидуралной анестезии в Житомирском областном онкологическом диспансере. www. Rusanesth.ru 2004

8. Medical Risks Peridural Anaesthesia During Birth Rate.- Lewis Mehl-Madrona M.D. the doctor of philosophy <http//www. Healing-arts. Org/meht-madrona>

9. Проведение эпидуральной анестезии. Brett B. Gutshe, M.D. Профессор анестезиологии, профессор акушерства и гинекологии. The University of Pennsylvania Medical Center, Филадельфия, штат Пенсильвания. www. Rusanesth.ru 2004

10. Корячкин В. А. Страшнов В. Н. ,,Перидуральная и спинальная анестезия” Санкт-Петербург 2000г

11. G. Edward Morgan, Jr.,MD Maged S. Mikhail Clinikal Anesthesiologi. , MD Prentice-Hall International inc 1998, p. 310-314.

12. Lokalanästhesie, Regionalanästhesie,Regionale Schmerztherapie. Herausgegeben von Hans Christoph Niesel und Hugo Van Aken. Georg Thieme Verlag, Stuttgart-New York

13. Regional-anästhesie Gustav Fischer Verlag. Stuttgart-New York

muxli 9. muxli 9. muxli 9. muxli 9. moduli 1.9.moduli 1.9.moduli 1.9.moduli 1.9. zogadi gautkivarebis Taviseburebani qirurgiis zogadi gautkivarebis Taviseburebani qirurgiis zogadi gautkivarebis Taviseburebani qirurgiis zogadi gautkivarebis Taviseburebani qirurgiis sxvadasxva dargSi, ambulatoriuli gautkivareba sxvadasxva dargSi, ambulatoriuli gautkivareba sxvadasxva dargSi, ambulatoriuli gautkivareba sxvadasxva dargSi, ambulatoriuli gautkivareba

1. modulis xangrZlivobaa1. modulis xangrZlivobaa1. modulis xangrZlivobaa1. modulis xangrZlivobaa 2 Tve (288 sT) 2. modulis mizania2. modulis mizania2. modulis mizania2. modulis mizania – rezidentma (maZiebelma) aiTvisos gautkivarebis procesTa teqnologiuri Taviseburebani qirurgiis sxvadasxva dargebSi da “ambulatoriuli anesTeziologia”

3. modulis amocanebia:3. modulis amocanebia:3. modulis amocanebia:3. modulis amocanebia: (miznis miRwevis/daZlevis saSualebebi): rezidentma unda Seiswavlos:

- gautkivareba oftalmologiaSi - gautkivareba otorinolaringologiaSi - gautkivareba sameano praqtikaSi - gautkivareba xanmokle qirurgiuli operaciebisas - diagnostikuri qirurgiuli manipulaciebis gautkivareba - gautkivarebis Taviseburebani e.w. “dRis stacionarSi” - qronikuli da mwvave araqirurgiuli tkivilis menejmenti 4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis 4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis 4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis 4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba mocemulia cxrili # 10raodenoba mocemulia cxrili # 10raodenoba mocemulia cxrili # 10raodenoba mocemulia cxrili # 10----is saxiT:is saxiT:is saxiT:is saxiT:

cxrili # 10 Teoriuli kursi profesiuli unar-

Cvevebi (raodenobis miTiTebiT)

davaleba

gautkivareba ofTalmologiaSi seminari, diskusia prezentacia

gautkivareba otorinolaringologiaSi seminari diskusia prezentacia

gautkivareba sameano praqtikaSi seminari diskusia prezentacia

gautkivareba xanmokle qirurgiuli operaciebisas

seminari diskusia prezentacia

37

kombinirebuli intravenuri narkozi spontanuri sunTqvis SenarCunebiT


diagnostikuri qirurgiuli manipulaciebis gautkivareba gautkivarebis Taviseburebani e.w. “dRis stacionarSi”


laparaskopuli operaciebis gautkivareba


praqtikuli samuSao 5-5 narkozi ofTalmologiaSi, otorinolaringologiaSi, laparaskopuli operaciebisas, meanoba ginekologiaSi

tkivilis sindromis kupireba da tkivilis menejmenti





- uzrunvelyos gautkivareba otorinolarongologiaSi, oftalmologiaSi, meanoba – ginekologiaSi, mcire Cirqovan qirurgiaSi.

- uzrunvelyos sxvadasxvagvari xanmokle qirurgiuli Carevebis anesTeziologiuri uzrunvelyofa

- uzrunvelyos ambulatoriulad Catarebuli qirurgiuli manipulaciebis adeqvaturi anesTeziologiuri uzrunvelyofa

- marTos tkovilis sindromi arastacionarul (sayofacxovrebo) pirobebSi

6. aucilebeli da rekomendebuli literaturis nusxa: 6. aucilebeli da rekomendebuli literaturis nusxa: 6. aucilebeli da rekomendebuli literaturis nusxa: 6. aucilebeli da rekomendebuli literaturis nusxa:

1. Glass PS, Shafer SL, Jacobs JR, Reves JG: Intravenous drug delivery systems. In: Miller RD (ed), 4th ed. Anaesth. 1994, 389-416. NY: Churchill, Livingstone.

2. Glass PS, Dyar 0: TIVA with propofol versus combinations of propofol and fentanyl. Focus on infusion. Ed. Prys-Roberts С Current Medical Literature Ltd, London 1991, 84-86

3. Lilburn JK, Dundee JW: Ketamine sequelae. Anaesth 1978 33:307-311

4. Monk TG, Yifeng D: Total intravenous anesthesia: Effects of opioid versus hypnotic supplementation on autonomic responses and recovery. Anaesth Analg 1992, 75:798-804

5. Restall J, Tully AM: TIVA for military surgery. A technique using ketamine, midazolam and vecuronium. Anaesth 1988, 43:46-49

6. Shafer SL, Varvel JR: Pharmacokinetics, pharmacodynamics and racional opioid selection. Anaesth 1991,74:53-63

38

7. Short TG, Plummer JL: Hypnotic and anesthetic interactions between midasolam, propofol and alfentanyl. BrJ Anaesth 1992 69:162-167

8. Smith С, McEwan Al: Reduction of propofol Cp50 by fentanyl. Anesth 1994 (in press)

9. White PF, Way WL: Ketamine - its pharmacology and therapeutic uses. Anesthesiology 198256:119-136

10.White PF, Dworsky WA: Comparison of continious infusion of fentanyl or ketamine versus thiopentone-determining the mean effective serum concentrations for outpatient surgery. Anesthesiology 1983 59:564-569

Tavi VIII. profesiuli mzadebis II wlis modulebiTavi VIII. profesiuli mzadebis II wlis modulebiTavi VIII. profesiuli mzadebis II wlis modulebiTavi VIII. profesiuli mzadebis II wlis modulebi

muxli 1. moduli 2.1. muxli 1. moduli 2.1. muxli 1. moduli 2.1. muxli 1. moduli 2.1. sazogadoebrivi jandacva da epidemiologiasazogadoebrivi jandacva da epidemiologiasazogadoebrivi jandacva da epidemiologiasazogadoebrivi jandacva da epidemiologia

1. modulis xangrmodulis xangrmodulis xangrmodulis xangrZlivobaaZlivobaaZlivobaaZlivobaa - 2 kv. (72 sT.)2 kv. (72 sT.)2 kv. (72 sT.)2 kv. (72 sT.) 2. modulis mizaniamodulis mizaniamodulis mizaniamodulis mizania - modulis mizania rezidentis/specialobis

maZieblisaTvis programis mizania msmenelTa Soris sazogadoebrivi jandacvis safuZvlebis codnis amaRleba da aRniSnuli disciplinis principebisa da meTodebis praqtikul saqmianobaSi gamoyenebis SesaZleblobis xelSewyoba

3. modulis amocanebia:modulis amocanebia:modulis amocanebia:modulis amocanebia: 1) sazogadoebrivi jandacvis politika; 2) sazogadoebrivi jandacvis programebi da maTi prioritetebi; 3) sazogadoebrivi jandacvis programaTa dagegmva da marTva; 4) mosaxleobis janmrTelobis mdgomareobis damaxasiaTebeli ZiriTadi

maCveneblebi (daavadebis gavrceleba da sixSire, letaloba); 5) vitaluri statistikis ZiriTadi maCveneblebi (sikvdiloba, bavSvTa

sikvdiloba, dedaTa sikvdiloba, Sobadoba, sicocxlis xangrZlivoba);

6) jandacvis marTis sainformacio sistemebi 7) Tanamedrove epidemiologia, epidemiologiuri kvlevebis tipebi-

observaciuli da eqsperimentuli kvlevebi 8) infeqciur daavadebaTa epidemiologia, epidemia da endemia,

transmisia, 9) epidemiologiuri kvlevebis tipebi-onservaciuli da eqsperimentuli

kvlevebi 10) epidemiologiuri kvlevebis potenciuri DSecdomebi 11) epidemiologiuri kvlevebis validurobis Sefaseba 12) mizezi da mizez-Sedegobrioba epidemiologiaSi, mizez-

Sedegobriobis kriteriumebi 13) infeqciur daavadebaTa epidemiologia,epidemia da endemia,

transmisia, bazisuri reproduqciuli ricxvi, maspinZeli da garemo pirobebi

14) epidemilogia da prevencia,prevenciis sagani da mniSvneloba. midgomabi prevenciasa da kontrolSi.



Teoriuli kursi davaleba mosaxleobis janmrTelobis mdgomareobis maxasiaTeblebi.

39

daavadebis gavrceleba, daavadebis sixSire, kumulaciuri sixSire da riski, letaloba

vitaluri statistika, sikvdiloba, bavSvTa sikvdiloba, dedaTa sikvdiloba, Sobadoba, sicocxlis xangrZliba, monacemTa standartizacia.

prezentaciebis ganxilva

statistikur monacemebi (tipebi, Sefardeba, proporcia, procenti, monacemebis grafikuli gamosaxva, normaluri distribucia, saSualo, moda, mediana)


statistikuri analizis principebi (jgufebis Sedareba) testireba

hipoTezis testireba da Sefaseba (sarwmonoobis intervali, statistikuri sarwmunooba)

saz. jandacvis koncefcia (gansazRvreba, fokusi, saz. Jandacvis determinantebi, saz. jandacvis ZiriTadi funqciebi)

saz. jandacvis praqtika (RonisZiebebi, prevenciis programebi, saz. janfacvis reforma saqarTveloSi)


Tanamedrove epidemiologia (istoriuli konteqsti, sagani, janmrTelobisa da avadmyofobis gazomva)

epidemiologiuri kvlebi. dakvirvebadi da eqsperimentuli kvlevebi

qronikul daavadebaTa epidemiologia da kontroli, gulsisxlZarRvTa daavadebebi, kibo, Saqriani diabeti

Tambaqo da alkoholi (saz. jandacvis programebi, maTi dizaini da implementacia

epidemiologia da prevencia, prevenciis doneebi, miodgomrbi prevenciasa da kontrolSi.

epidemiologiri kvlevebis potenciuri Secdomebi

mizezi da mizez Sedegobrioba epidemiologiaSi infeqciuri daavadebebis epidemiologia

epidemia da endemia, bazisuri reproduqciuli ricxvi


- sazogadoebrivi jandacvis politikis formireba; - sazogadoebrivi jandacvis programebisaTvis prioritetebis

gansazRvra; - sazogadoebrivi jandacvis programaTa dagegmva da marTva; - mosaxleobis janmrTelobis mdgomareobis daxasiaTeba ZiriTadi

maCveneblebis mixedviT (daavadebis gavrceleba da sixSire, letaloba);

- vitaluri statistikis ZiriTadi maCveneblebis gamoyeneba da interpretacia (sikvdiloba, bavSvTa sikvdiloba, dedaTa sikvdiloba, Sobadoba, sicocxlis xangrZlivoba);

- epidemiologiuri kvlevebis validurobis Sefaseba - infeqciur daavadebaTa epidemiologiis safuZvlebis praqtikaSi

gamoyeneba - infeqciur daavadebaTa epidemiis gamokvlevis, zedamxedvelobis da

kontrolis bazisuri principebis praqtikaSi gamoyeneba - prevenciis potencialisa da efeqturobis Sefaseba .

40


1. Health information systems for low income countries: An overview, Canadian Society for International Health

2. Elizabeth A. McGlynn (Editor), et al. Health Information Systems : Design Issues and Analytic Applications (Directions in Health Services Research and Policy), 2001

3. Beaglehole R, Bonita R, Kjellstrom T. Basic Epidemiology, World Health Organization, Geneva, 1993

4. Puri BK. Statistics for the Health Sciences, Sunders, 1996 5. Training manual - Reporting and recording documentation for monitoring

immunization work in Georgia: Level 1 - providers of immunization services. PHRplus/ CIF

6. Training manual - Reporting and recording documentation for monitoring immunization work in Georgia: Level 2 – immunization managers, public health managers, and polyclinic managers. PHRplus/ CIF

7. Guidelines for health care providers for integrated surveillance and control of vaccine preventable diseases in Georgia. PHRplus/ CIF

8. MOH decree # 101/n, Georgi 9. 9 Rothman KJ, Greenland S. Modern Epidemiology, Lippincott Williams & Wilkins,

1998 10. 10 Rothman KJ. Epidemiology: An Introduction. Oxford University Press, 2002 11. 11 Beaglehole R, Bonita R, Kjellstrom T. Basic Epidemiology, World Health

Organization, Geneva, 1993 12. 12 Breaslow NE, Day NE. Statistical Methods in Cancer Research. Volume 1, The

Analysis of Case-Control Studies, IARC Scientific Publications No. 32, 1980 13. Breaslow NE, Day NE. Statistical Methods in Cancer Research. Volume II, The

Design and Analysis of Cohort Studies, IARC Scientific Publications No. 82, 1987 14. James J. Schlesselman. Case Control Studies : Design, Conduct, Analysis , 1999 15. Elizabeth A. McGlynn (Editor), et al. Health Information Systems : Design Issues and

Analytic Applications (Directions in Health Services Research and Policy) , 2001 16. Roger Webber. Communicable Disease Epidemiology and Control, 2000 17. Last JM. A Dictionary of Epidemiology, Fourth Edition, Oxford University Press,

2001 18. Rothman KJ, Greenland S. Modern Epidemiology, Lippincott Williams & Wilkins,

1998 19. Rothman KJ. Epidemiology: An Introduction. Oxford University Press, 2002 20. Beaglehole R, Bonita R, Kjellstrom T. Basic Epidemiology, World Health

Organization, Geneva, 1993 21. Breaslow NE, Day NE. Statistical Methods in Cancer Research. Volume 1, The

Analysis of Case-Control Studies, IARC Scientific Publications No. 32, 1980 22. Breaslow NE, Day NE. Statistical Methods in Cancer Research. Volume II, The

Design and Analysis of Cohort Studies, IARC Scientific Publications No. 82, 1987 23. James J. Schlesselman. Case Control Studies : Design, Conduct, Analysis , 1999 24. Elizabeth A. McGlynn (Editor), et al. Health Information Systems : Design Issues and

Analytic Applications (Directions in Health Services Research and Policy) , 2001 25. Roger Webber. Communicable Disease Epidemiology and Control, 2000 26. Last JM. A Dictionary of Epidemiology, Fourth Edition, Oxford University Press,

2001

muxli 2. moduli 2.2. muxli 2. moduli 2.2. muxli 2. moduli 2.2. muxli 2. moduli 2.2. mtkicebiTi medicinis da samtkicebiTi medicinis da samtkicebiTi medicinis da samtkicebiTi medicinis da samedicino medicino medicino medicino statistikis safuZvlebistatistikis safuZvlebistatistikis safuZvlebistatistikis safuZvlebi

1. modulis xangrZlivobaamodulis xangrZlivobaamodulis xangrZlivobaamodulis xangrZlivobaa ---- 2 kv. (72 sT.) 2 kv. (72 sT.) 2 kv. (72 sT.) 2 kv. (72 sT.) 2. modulis mizaniamodulis mizaniamodulis mizaniamodulis mizania - rezidentis/specialobis maZieblisaTvis mtkicebiTi

medicinis da samedicino statistikis codnis amaRleba da maT

41

praqtikul saqmianobaSi aRniSnuli disciplinebis principebisa da meTodebis danergvis xelis Sewyoba.

3. modulis amocanebia:modulis amocanebia:modulis amocanebia:modulis amocanebia: 1) klinikur praqtikaSi gamoyenebuli mtkicebiTi medicinis ZiriTadi

principebi 2) randomizirebuli klinikuri gamocdis Sedegebi, maTi validuroba,

mniSvneloba da praqtikuli Rirebuleba 3) meta analizi meta-analizis Sedegebi, maTi validuroba, mniSvneloba

da praqtikuli Rirebuleba 4) klinikuri gaidlainis validuroba da praqtikuli Rirebuleba 5) diagnostikuri testis Sesaxeb arsebuli mtkicebulebis validuroba

da praqtikuli Rirebuleba 6) prognozis Sesaxeb arsebuli mtkicebulebis validuroba da

praqtikuli Rirebuleba 7) dadasturebuli efeqturobis mqone intervenciebis moZieba da maTi

konkretul klinikur situaciebTan misadageba 8) koxranis biblioTeka 9) internetis eleqtronuli bazebi, romlebic iZlevian informacias

efeqturi intervenciebisa da gaidlainebis Sesaxeb 10) samedicno literaturis kritikulad aRqma 11) jandacvasa da medicinaSi statistikis roli da mniSvneloba, is

ZiriTadi sferoebi, sadac gamoiyeneba statistikis meTodebi. 12) monacemTa tipebi, maTi grafikuli gamosaxva; normaluri

distribuciis daxasiaTeba, variaciis gazomva. monacemTa standartizacia

13) albaTobis principebi da kanonebi maTi misadageba populaciis parametrebisa da sinjis distribuciis maxasiaTeblebisadmi.

14) statistikuri analizis bazisuri principebi (Sefaseba, hipoTezis testireba, statistikuri modelireba).

15) jgufebis Sedareba. 16) or uwyvet cvlads Soris damokidebuleba, korelacia da wrfivi

regresia. 17) ramdenime cvlads Soris damokidebuleba, mravlobiTi regresiis

analizis. 18) kompiuteris gamoyeneba monacemTa analizisaTvis, statistikuri

programebis tipebis garCeva, kompiuteruli analizis strategia, monacemTa bazis formireba.



Teoriuli kursi davaleba mtkicebiTi medicinis arsi, ZiriTadi principebi da strategia, mtkicebiTi samedicino praqtika da misi komponentebi, koxranis kolaboracia.


randomizirebuli klinikuri gamocda, klinikuri gamocdis dizaini da tipebi, klinikuri gamocdis Sedegebis validuroba, mniSvneloba, da praqtikuli Rirebuleba


meta-analizis meTodi, meta-analizis Sedegebis validuroba, mniSvneloba, da praqtikaSi gamoyenebiToba, koxranis kolaboraciis sistemuri mimoxilvis jgufebi


diagnozi da skriningi, diagnostikuri testis diagnostikuri Rirebuleba, diagnostikuri testis Sesaxeb arsebuli

testireba

42

mtkicebulebis validuroba da praqtikuli Rirebuleba

daavadebis naturaluri istoria da prognozi, prognozis Sesaxeb arsebuli mtkicebulebis validuroba da praqtikuli Rirebuleba, klinikuri gaidlaini, misi validuroba da praqtikuli Rirebuleba

monacemTa tipebi (daTvla da gazomva), Sefardeba, proporcia, procenti, daTvladi da gazomvadi monacemebis grafikuli gamosaxva, normaluri distribucia, saSualo, moda, mediana, monacemTa variabeluroba, variaciis gazomva, populacia da sinji, populaciis parametris distribucia, sinjis saSualos distribucia, ori sinjis saSualos sxvaobis distribuci

albaToba, albaTobis kanonebi, normaluri mrudis standartizacia, normaluri standartuli mrudi, Z da misi mniSvneloba.

statistikuri analizis principebi, Sefaseba (95% sarwmunoobis intervali), hipoTezis testireba (nulovani hipoTeza, alternatiuli hipoTeza, I da II tipis Secdoma), Sefaseba Tu hipoTezis testireba

jgufebis Sedareba - uwyveti monacemebi, analizis Sesabamisi meTodis amorCeva, t distribucia, ori sinjis saSualos sxvaoba, t testi,

jgufebis Sedareba – kategoriuli monacemebi, proporcia, ori damoukidebeli jgufis proporcia, 2 x 2 cxrili – ori jgufis proporciis Sedareba, ramdenime jgufis proporciis Sedareba, riskebis Sedareba (SedarebiTi riski, Sansebis Sefardeba)

or uwyvet cvlads Soris damokidebuleba, korelacia da misi testireba, korelaciis gamoyeneba, interpretacia, martivi wrfivi regresia

ramdenime cvlads Soris damokidebuleba, mravlobiTi wrfivi regresia

monacemTa standartizacia


modulis dasrulebis Semdeg rezidentma/specialobis maZiebelma unda icodes/SeeZlos:

- klinikur praqtikaSi mtkicebiTi medicinis principebis gamoyeneba

- randomizirebuli klinikuri gamocdis Sedegebis interpretireba, maTi validurobis, mniSvnelobis da praqtikuli Rirebulebis dadgena

- meta-analizis Sedegebis interpretireba, maTi validurobis, mniSvnelobis da praqtikuli Rirebulebis dadgena

- klinikuri gaidlainis validurobisa da praqtikuli Rirebulebis dadgena

- diagnostikuri testis Sesaxeb arsebuli mtkicebulebis validurobisa da praqtikuli Rirebulebis dadgena

- prognozis Sesaxeb arsebuli mtkicebulebis validurobisa da praqtikuli Rirebulebis dadgena

- dadasturebuli efeqturobis mqone intervenciebis moZieba da maTi konkretul klinikur situaciebTan misadageba

43

- koxranis biblioTekiT sargebloba

- internetis eleqtronuli bazebiT sargebloba, romlebic iZlevian informacias efeqturi intervenciebisa da gaidlainebis Sesaxeb

- samedicno literaturis kritikulad aRqma

- jandacvasa da medicinaSi statistikis rolisa da mniSvnelobis axsna, im ZiriTadi sferoebis dasaxeleba, sadac gamoiyeneba statistikis meTodebi.

- monacemTa tipebis garCeva, maTi grafikuli gamosaxva; normaluri distribuciis daxasiaTeba, variaciis gazomva.

- albaTobis principebisa da kanonebis misadageba populaciis parametrebisa da sinjis distribuciis maxasiaTeblebisadmi.

- statistikuri analizis bazisuri principebis gamoyeneba (Sefaseba, hipoTezis testireba, statistikuri modelireba).

- jgufebis Sedareba rogorc uwyveti ise kategoriuli monacemebisaTvis; aRniSnuli analizis Sedegebis interpretacia.

- or uwyvet cvlads Soris damokidebulebis axsna korelaciisa da wrfivi regresiis saSualebiT, maTi Sedegebis interpretacia.

- ramdenime cvlads Soris damokidebulebis axsna mravlobiTi regresiis analizis saSualebiT, Sedegebis interpretacia.

- kompiuteris gamoyeneba monacemTa analizisaTvis, statistikuri programebis tipebis garCeva, kompiuteruli analizis strategia, monacemTa bazis formireba.


1. Sackett DL, Straus SE, Scott Richardson W, Rosenberg W, Brian Haynes R. Evidence Based Medicine: How to Practice and Teach EBM. Churchill Livingstone, 2000.

2. letcher RH, Fletcher SW, Wagner EH. Clinical Epidemiology: the Essentials, Williams & Wilkins, 1996.

3. Rothman KJ. Epidemiology: An Introduction. Oxford University Press, 2002.

4. Rothman KJ, Greenland S. Modern Epidemiology, Lippincott Williams & Wilkins, 1998.

5. eaglehole R, Bonita R, Kjellstrom T. Basic Epidemiology, World Health Organization, Geneva, 1993.

6. Jadad AR. Randomized Clinical Trials: A User Guide, BMJ Publishing Group, 1999.

7. ltman DG. Practical Statistics For Medical Research, Chapman & Hall/CRC, 2005.

8. Last JM. A Dictionary of Epidemiology, Fourth Edition, Oxford University Press, 2006.

9. Altman DG. Practical Statistics For Medical Research, Chapman & Hall/CRC, 1999

10. Puri BK. Statistics for the Health Sciences, Sunders, 1996.

11. Castle WM, North PM. Statistics in Small Doses, Churchill Livingstone, 1995.

12. Clayton D, Hills M. Statistical Models in Epidemiology, Oxford University Press, 1998.

13. Breaslow NE, Day NE. Statistical Methods in Cancer Research. Volume 1, The Analysis of Case-Control.

14. Studies, IARC Scientific Publications No. 32, 1980.

15. Breaslow NE, Day NE. Statistical Methods in Cancer Research. Volume II, The Design and Analysis of Cohort Studies, IARC Scientific Publications No. 82, 1987.

44

16. Rothman KJ, Greenland S. Modern Epidemiology, Lippincott Williams & Wilkins, 1998.

17. Beaglehole R, Bonita R, Kjellstrom T. Basic Epidemiology, World Health Organization, Geneva, 1993.

muxli 3. muxli 3. muxli 3. muxli 3. moduli 2.3. reanimatologia (moduli 2.3. reanimatologia (moduli 2.3. reanimatologia (moduli 2.3. reanimatologia (kritikuli medicinis safuZvlebi). 1. modulis xangrZlivobaa1. modulis xangrZlivobaa1. modulis xangrZlivobaa1. modulis xangrZlivobaa 10 Tve (1440 sT) 2.modulis mizania2.modulis mizania2.modulis mizania2.modulis mizania – rezidentma/maZiebelma SeiZinos reanimatologiis, Teoriuli sakiTxebis codna da gamoimuSaos am codnis praqtikuli realizebisaTvis saWiro unar-Cvevebi.

3. modulis amocanebia:3. modulis amocanebia:3. modulis amocanebia:3. modulis amocanebia: (miznis miRwevis/daZlevis saSualebebi):

rezidentma/maZiebelma unda Seiswavlos da aiTvisos: 1. kritikuli medicinis arsi, samsaxuris organizaciis Taviseburebebi,

sakanonmdeblo baza, kadrebis momzadebis sistema. 2. kritikuli mdgomareobis cneba, stadiebi 3. organizmis funqciaTa moSlis Taviseburebani kritikul mdgoma-reobaTa

dros. 4. travmebiT gamowveuli kritikuli mdgomareobebi. 5. garemos faqtorebiT gamowveuli kritikuli mdgomareobebi. 6. mwvave mowamvlebiT gamowveuli kritikuli mdgomareobebi. 7. infeqciebTan asocirebuli kritikuli mdgomareobebi. 4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis 4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis 4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis 4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis raodenoba mocemulia cxrili # 12raodenoba mocemulia cxrili # 12raodenoba mocemulia cxrili # 12raodenoba mocemulia cxrili # 12----is saxiT:is saxiT:is saxiT:is saxiT:

cxrili #12cxrili #12cxrili #12cxrili #12

# Teoriuli kursi davaleba

1 kritikuli medicinis arsi (terminologia, ganviTarebis istoria, sakanonmdeblo baza, organizaciis Taviseburebani, safinanso sistema, teqnologiis Taviseburebani, kadrebis momza-debis sistema, moralur-eTikuri da filoso-fiuri problemebi)

referati

2 kritikuli mdgomareobebis arsi (terminologia, monoorganuli ukmarisobis stadia, poliorga-nuli ukmarisobis stadia, terminaluri mdgoma-reoba-agonia, klinikuri sikvdili. adreuli postreanimaciuli periodi)

referati

3 qronikuli vegetatiuri daavadeba postreanimaciuli daavadeba Tavis tvinis sikvdili

referati

4 ZiriTadi funqciebis (sisxlimimoqcevis, sunT-qvis, nervuli, gadamuSavebuli, gamoyofis, endo-krinuli, imunuri) mwvave darRvevaTa zogadi kanonzomierebani.

referati

45

5 homeostazis (hemostazis, gazebisa da mJava-tutovani wonasworobis, wylisa da el. lituri balansis, cilebis, cximebis, naxSirwylebis cvlis, fermentebis, mikroelementebis cvlis) mwvave darRvevebi.

referati

6 travmebiT gamowveuli kritikuli mdgomareobebi (politravma, travmuli Soki, xangrZlivi zewolis sindromi, poziciuri zewolis sindromi, qala-tvinis mZime travma, zurgis tvinis mZime travma gul-mkerdis travma, neknebis motexiloba, pnevmoToraqsi, filtvebis daJeJiloba, gulis daJeJiloba, muclis Rrus organoebis travma, Tirkmlebis travmuli dazianeba Zvlebis motexilibebi.

referati

7 garemos faqtorebiT gamowveuli kritikuli mdgomareobebi (Termuli dazianeba, damwvrobiTi Soki, eleqtro deniT dazianeba siTbos dakvra – gadaxureba, mzis gamosxivebis gavlena, dabali temperaturis moqmedeba, wyalSi daxrCoba, mwvave sxivuri daavadeba).

referati

8 mwvave mowamvlebTan asocirebuli mdgomareobebi (egzotoqsiuri Soki, fsiqoqimiuri moqmedebis iaraRiT mowamvla, aramdgradi naerTebiT mxuTavi airebiT mowamvla, aalebadi SxamebiT mowamvla, gamaRizianebeli moqmedebis SxamebiT mowamvla, mcenareuli SxamebiT mowamvla, cxoveluri SxamebiT mowamvla, qimiuri damwvrobis mqone SxamebiT mowamvla, mavne airebiT mowamvla, alkoholiT da misi surogatebiT mowamvla, mZime metalebiT mowamvla).

referati

9 infeqciebTan asocirebuli kritikuli mdgoma-reobebi (tetanusi, difteria, meningokokuri infeqcia, legionelozi, botulizmi, cofi, poliomieliti, virusuli meningitebi, hepatitebi, gripi, frinvelis gripi, hemoragiuli cxeleba, sokoebi, gamowveuli mwvave infeqciebi, eqinokoki)

referati


modulis damTavrebis Semdgom moxdeba Sefaseba testirebiT.Sefaseba testirebiT.Sefaseba testirebiT.Sefaseba testirebiT.

modulis damTavrebis Semdeg rezidents/maZiebels unda icodes: 1. kritikuli medicinis organizaciis Taviseburebani da sakanonmdeblo moTxovnebi

2. travmebiT gamowveul kritikul mdgomareobaTa mkurnalobis procesis marTva.

46

3. garemos faqtorebiT gamowveul kritikul mdgomareobaTa mkurnalobis procesis marTva

4. mwvave mowamvlebiT gamowveul kritikul mdgomareobaTa mkurnalobis procesis marTva.

5. infeqciebTan asocirebuli kritikul mdgomareobaTa mkurnalobis procesis marTva.

M modulis damTavrebis Semdeg rezidents/maZiebels unda gamomuSavebuli hqondes Semdegi praqtikuli unar-Cvevebi:

1. xelovnuri sunTqva. 2. gulis masaJi. 3. gulis el. Defibrilacia. 4. bronquli xis brma lavaJi. 5. oqsigenoTerapia. 6. peroferiuli sisxlmilTa punqcia da kaTeterizeba. 7. magistralur sisxlmilTa punqcia da kaTeterizeba. 8. infuziuri Terapiis teqnika. 9. kritikul avadmyofTa movlis teqnika.

10.parenteraluri kveba. 11.kritikul avadmyofTa movlis teqnika. M modulis damTavrebis Semdeg rezidents/maZiebels unda SeeZlos Semdegi paraklinikuri gamokvlevebis interpretacia.

1. rentegenologiuri gamokvlevebis, maT Soris kompiuteruli tomografiis

2. eqoskopiis monacemebis 3. bioqimiuri parametrebis 4. baqteriologiuri kvlevebis. 5. ekg 6. hematologiuri maCveneblebis 7. sisxlSi gazebisa da mJava-tutovani wonasworobis maCveneblebis 8. liqvoris maCveneblebis 9. Sardis maCveneblebis 10. kardiomonitoringis 11. garegani sunTqvis parametrebis

6.6.6.6. aucilebeli da rekomendebuli literaturaucilebeli da rekomendebuli literaturaucilebeli da rekomendebuli literaturaucilebeli da rekomendebuli literaturis nusxa:is nusxa:is nusxa:is nusxa:

1.z. xelaZe _ saserTifikacio moTxovnebi specialobaSi ,,kritikul mdgomareobaTa medicina, Sromis, jamrtelobis da socialuri dacvis saministro. Tbilisi, 2000w _ 279gv. wigni pirveli _ 650gv. 2.z.xelaZe - ,,kritikulTa medicina” ,,kritikuli medicinis instituti,” Tbilisi, 2007w. wigni meore – 650gv. 3.Z. Kheladze - ,,New Steps in Critical – Care Medicine”. ,,Critical Care Medicine Institute.” Tbilisi, 1998-215pp.. Kheladze - ,,New Steps in Critical – Care Medicine”. ,,Critical Care Medicine Institute.” Tbilisi, 1998-215pp. 4..,,Critical Care” J. M.Ciieetta, R.W. Taylor, R.R. Kirby, J.B. Lippincott Company. Ph. Ladelphia, USA, 2002 – 1998pp,

Tavi IX. profesiuli mzadebis III wlis modulebiTavi IX. profesiuli mzadebis III wlis modulebiTavi IX. profesiuli mzadebis III wlis modulebiTavi IX. profesiuli mzadebis III wlis modulebi

47

muxli 1. muxli 1. muxli 1. muxli 1. moduli moduli moduli moduli 3.3.3.3.1. 1. 1. 1. kritikuli medicinakritikuli medicinakritikuli medicinakritikuli medicina 7. modulismodulismodulismodulis xangrZlivobaxangrZlivobaxangrZlivobaxangrZlivoba ________________11 Tve11 Tve11 Tve11 Tve_ _ _ _

2. modulis mizania2. modulis mizania2. modulis mizania2. modulis mizania rezidentma/maZiebelma srulyofilad Seiswavlos rezidentma/maZiebelma srulyofilad Seiswavlos rezidentma/maZiebelma srulyofilad Seiswavlos rezidentma/maZiebelma srulyofilad Seiswavlos kritikul mdgomareobaTa gamomwvevi mizezebi, ganviTarebis gzebi, SesZlos kritikul mdgomareobaTa gamomwvevi mizezebi, ganviTarebis gzebi, SesZlos kritikul mdgomareobaTa gamomwvevi mizezebi, ganviTarebis gzebi, SesZlos kritikul mdgomareobaTa gamomwvevi mizezebi, ganviTarebis gzebi, SesZlos kritikul mdgomareobaTa diagnozis dasma, maTi prevencia da mkurnaloba.kritikul mdgomareobaTa diagnozis dasma, maTi prevencia da mkurnaloba.kritikul mdgomareobaTa diagnozis dasma, maTi prevencia da mkurnaloba.kritikul mdgomareobaTa diagnozis dasma, maTi prevencia da mkurnaloba.

3. 3. 3. 3. modulis amocanmodulis amocanmodulis amocanmodulis amocanebia:ebia:ebia:ebia: (miznis miRwevis/daZlevis saSualebebi): ___ amocanebi:amocanebi:amocanebi:amocanebi: rezidentma/maZiebelma unda Seiswavlos: 1. kritikuli medicinis arsi, samsaxuris organizaciis Taviseburebebi, sakanonmdeblo baza, kadrebis momzadebis sistema 2. kritikuli mdgomareobis mcneba, stadiebi 3. organizmis funqciaTa moSlis Taviseburebani kritikul mdgomareobaTa dros 4. sisxlis mimoqcevis ukmarisoba 5. sunTqvis ukmarisoba 6. saWmlis momnelebeli sistemis ukmarisoba 7. gamomyofi sistemis funqciebis ukmarisoba 8. fsiqiur darRvevebTn asocirebuli kritikuli mdgomareobebi 9. nervul funqciaTa ukmarisoba 10. sisxlis funqciis darRvevebi 11. endokrinul funqciaTa ukmarisoba 12. hemostazis darRvevebi 13. imunuri sistemis cvlilebaTa Taviseburebani kritikul mdgomareobaTa dros. 14. kanis daavadebebTan asocirebuli kritikuli mdgomareobani 15. kolagenozebTan asocirebuli kritikuli mdgomareobani 16. organoTa transplantacia 17. travmebiT gamowveuli kritikuli mdgomareobebi 18. garemos faqtorebiT gamowveuli kritikuli mdgomareobebi 19. mwvave mowamvlebiT gamowveuli kritikuli mdgomareobebi 20. infeqciebTan asocirebuli kritikuli mdgomareobebi 21. eqstrakorporuli detoqsikacia 22. kritikul mdgomareobaTa mkurnalobis asakobrivi Taviseburebebi. 4. 4. 4. 4. Sesasrulebeli samuSaos moculoba da Casatarebeli manipulaSesasrulebeli samuSaos moculoba da Casatarebeli manipulaSesasrulebeli samuSaos moculoba da Casatarebeli manipulaSesasrulebeli samuSaos moculoba da Casatarebeli manipulaciebis ciebis ciebis ciebis rrrraodenoba mocaodenoba mocaodenoba mocaodenoba mocemulia cxrili # emulia cxrili # emulia cxrili # emulia cxrili # 13131313 ----is saxiT:is saxiT:is saxiT:is saxiT:

cxrili # 13 # Teoriuli kursi profesiuli unar-Cvevebi davaleba

1 vitalur funqciaTa ukmarisobavitalur funqciaTa ukmarisobavitalur funqciaTa ukmarisobavitalur funqciaTa ukmarisoba sisxlis mimoqcevis ukmarisobasisxlis mimoqcevis ukmarisobasisxlis mimoqcevis ukmarisobasisxlis mimoqcevis ukmarisoba monitoringi sisxlmilebis punqcia da kaTeterizeba kardiostimulacia oqsigenatorebi kontrpulsacia kardioversia gulis travma vazo-vagaluri sinkope hipertenziuli krizi anevrizma da Trombozi ariTmiebi da blokadebi gulis mankebi kardiomiopaTiebi

testireba xelovnuri sunTqvis modernuli meTodebi gadaudebeli kardioversia eleqtrokardiostimulacia plazmaferezi, hemosorbcia konikotomia, traqeostomia intubacia _ orotraqeuli, nazotrrapaqeuli spinaluri punqcia plevros Rrus punqcia gulis masaJi bronquli xis lavaJi oqsigenoTerapia periferiul sisxlmilTa

referati, avadmyofTa kuracia, morigeoba,

48

miqsoma perikarditebi miokarditebi kardiogenuri Soki gulis ukmarisoba gulis gaCereba sunTqvis ukmarisobasunTqvis ukmarisobasunTqvis ukmarisobasunTqvis ukmarisoba monitoringi respiratorebiT Terapia hiperbaruli oqsigenacia traqeostomia konikotomia traqeis punqcia traqeis intubacia plevris punqcia da drenireba bronqoskopia gul-mkerdis travma mwvave mediastiniti centraluri genezis sunTqvis mwvave ukmarisoba sasunTqi gzebis obstruqcia asTmuri statusi filtvis arteriis Tromboembolia filtvebis ateleqtazi filtvebis kibo plevritebi mwvave pnevmoniebi aspiraciuli pnevmoniti filtvebis SeSupeba filtvebis mwvave dazianebis sindromi,mozrdilTa respiraciuli distres sindromi.

punqcia da kaTeterizacia infuziuri Terapiis teqnika parenteraluri kveba kritikul avadmyofTa movlis teqnika

muSaoba mulaJebze, manekenebTan, trenaJorebTan.

2 gadamamuSavebeli da gamomyofi gadamamuSavebeli da gamomyofi gadamamuSavebeli da gamomyofi gadamamuSavebeli da gamomyofi funqciebis ukmarisobafunqciebis ukmarisobafunqciebis ukmarisobafunqciebis ukmarisoba saWmlis monelebis ukmarisobasaWmlis monelebis ukmarisobasaWmlis monelebis ukmarisobasaWmlis monelebis ukmarisoba laparaskopia laparacentezi parenteraluri kveba muclis Rrus travma saylapavis ucxo sxeulebi saylapavis kibo kuWis kibo wylulovani daavadeba kuWis atonia gastro-duodenuri sisxldena „kronis“ daavadeba divertikuliti malabsorbcia “gaRizianebuli nawlavis sindromi” „mokle nawlavis sindromi“ diarea yabzoba

49

“nawlavis reperfuziis sindromi” “abdominuri kompresiis sindromi” nawlavTa mwvave gauvaloba peritoniti msxvili nawlavis daavadebebi qolecistiti mwvave pankreatiti RviZlis ukmarisobaRviZlis ukmarisobaRviZlis ukmarisobaRviZlis ukmarisoba Tirkmlebis ukmarisobaTirkmlebis ukmarisobaTirkmlebis ukmarisobaTirkmlebis ukmarisoba

3 integralur funqciaTa integralur funqciaTa integralur funqciaTa integralur funqciaTa ukmarisobaukmarisobaukmarisobaukmarisoba fsiqiuri darRvevebifsiqiuri darRvevebifsiqiuri darRvevebifsiqiuri darRvevebi febriluri Sizofrenia,avTvisebiani neiroleptiuri sindromi alkoholuri deliriumi narkotikuli absistenciis sindromi suicidebi nervuli funqciebis ukmarisobanervuli funqciebis ukmarisobanervuli funqciebis ukmarisobanervuli funqciebis ukmarisoba kvlevis meTodebi qala_tvinis mZime travma zurgis tvinis mZime travma insultebi zurgis tvinSi sisxlis mimoqcevis mwvave moSla „gien-bares sindromi“ epilefsiuri statusi „Caketili adamiani“ “reies“ sindromi „alfa“ koma „refleqsuri distrofiis sindromi“ „spontanuri perioduli hipoTermiis sindromi“ „avTvisebiani hiperTermia“ „Zilis apnoes sindromi“ meningitebi encefalitebi vegetaturi mdgomareoba („axali sicocxle“)

axas Tavis tvinis sikvdili („axali sikvdili“)

postreanimaciuli daavadeba sisxlis funqciis darRvevebisisxlis funqciis darRvevebisisxlis funqciis darRvevebisisxlis funqciis darRvevebi siblantis cvlilebebi gazebis da mJava-tutovani wonasworobis cvlilebebi wylisa da eleqtrolitebis cvlilebebi sisxlwarmiqmnis Seferxebebi hipovolemiuri Soki

50

Tandayolili hemolizuri anemiebi SeZenili hemolizuri anemiebi elenTis daavadebebi mwvave leikemiebi qronikuli mieloleikemia qronikuli limfoleikemia eriTremia limfomebi limfogranulomatozi paraproteinuli hemoblastozebi mwvave xangamiSvebiTi porfiria sisxlis xelovnuri Semcvlelebi

4 mesenjerul funqciaTa ukmarisobamesenjerul funqciaTa ukmarisobamesenjerul funqciaTa ukmarisobamesenjerul funqciaTa ukmarisoba endokrinuli darRvevebiendokrinuli darRvevebiendokrinuli darRvevebiendokrinuli darRvevebi hipoTalamur-hipofizuri koma “icengo-kuSingis” daavadeba ,parxonis” sindromi uSaqro diabeti ,,nelsonis” sindromi ,,simondsis” sindromi gigantoba da akromegalia Tireotoqsiuri krizi hipoTireoiduli krizi hiperparaTireoiduli krizi hipoparaTireoiduli krizi fsevdoparaTireoiduli krizi hiperglikemiuri koma hipoglikemiuri koma hipermolaruli koma hiperlaqtaciduri koma miasTeniuri krizi Tirkmelzeda jirkvlis qerqis mwvave ukmarisoba pirveladi hiperaldosteronizmi meoradi hhiperaldosteronizmi feoqromocitoma “kuSingis” sindromi sasqeso jirkvlebis funqciis darRvevebi hemostazis darRvevebihemostazis darRvevebihemostazis darRvevebihemostazis darRvevebi kvlevis meTodebi Trombocitopeniebi TrombocitopaTiuri sindromebi hemokoagulopaTiuri sindromebi diseminirebuli intravaskuluri koagulopaTiuri sindromi imunodeficitiimunodeficitiimunodeficitiimunodeficiti imunuri statusis cvlilebaTa Taviseburebani “citokinuri qariSxali” alergiaalergiaalergiaalergia anafilaqsiuri Soki “kvinkes” SeSupeba Sratismieri daavadeba

51

sefsisisefsisisefsisisefsisi arsi dignozis sirTuleni prognozis SesaZlebloba receptebi antibaqteriuli TerapiisaTvis drotekogin alfas perspeqtiuloba sxva mkurnaloba kanis daavadebebikanis daavadebebikanis daavadebebikanis daavadebebi multiformuli eriTema toqsiur-epidermuli nekrolizi eqsfoliaturi dermatiti pustulozuri fsoriazi herpesismagvari impetigo kolagenozebikolagenozebikolagenozebikolagenozebi sistemuri sklerodermia sistemuri wiTeli mglura “vegeneris” granulomatozi gigantur ujredovani arteriti “gudpasCeris” sindromi “takaiasus” daavadeba kvanZovani periarteriti revmatoiduli arTriti hemoragiuli vaskulitebihemoragiuli vaskulitebihemoragiuli vaskulitebihemoragiuli vaskulitebi “Sonlein_henoxis” daavadeba “randiu_osleris” daavadeba “elers_danlosis”sindromi SeZenili sisxlZarRvovani disproteinemiebi sisxlZarRvovani purpurebi

5 organoTa transplantaciaorganoTa transplantaciaorganoTa transplantaciaorganoTa transplantacia arsi Tirkmlebis gadanergva gulis gadanergva RviZlis gadanergva filtvebis gadanergva Zvlis tvinis gadanergva kuWqveSa jirkvlis gadanergva RerZuli ujredebis gadanergva endogenuri toqsemiaendogenuri toqsemiaendogenuri toqsemiaendogenuri toqsemia arsi paTogenezi klinika diagnozi mkurnaloba

6 eqstrakorporuli detoqsikaciaeqstrakorporuli detoqsikaciaeqstrakorporuli detoqsikaciaeqstrakorporuli detoqsikacia arsi hemodializi, plazmodializi, limfadializi hemodiafiltracia, hemofiltracia, ultrafiltracia hemosorbcia, plazmasorbcia ,limfasorbcia

52

liqvorosorbcia imunosorbcia plazmaferezi, citaferezi, hemoqsigenacia peritonuli dializi, peritonuli Rrus programuli gamorecxva sisxlis gamocvla molekulur-adsorbciuli retikuluri sistemiT Terapia sxva detoqsikacia

7 asakobrivi Taviseburebebiasakobrivi Taviseburebebiasakobrivi Taviseburebebiasakobrivi Taviseburebebi orsulebi dorsulebi dorsulebi dorsulebi da mSobiarenia mSobiarenia mSobiarenia mSobiareni eklamfsia placentas ukmarisoba trofoblasturi daavadebebi sanayofe siTxiT embolia mSobiares sisxldena mSobiares sefsisi axalSobilebiaxalSobilebiaxalSobilebiaxalSobilebi axalSobilTa reanimacia hialinuri membranebis daavadeba dRenaklulni axalSobilTa sefsisi bavSvTa asakis TaviseburbavSvTa asakis TaviseburbavSvTa asakis TaviseburbavSvTa asakis Taviseburebebiebebiebebiebebi moxucTa asakis TaviseburebebimoxucTa asakis TaviseburebebimoxucTa asakis TaviseburebebimoxucTa asakis Taviseburebebi

5. 5. 5. 5. modulis Sefasebis meTodebi modulis Sefasebis meTodebi modulis Sefasebis meTodebi modulis Sefasebis meTodebi (kriteriumebi, perioduloba) _

modulis codnis Sefaseba moxdeba rezidentis/maZieblis codnis modulis codnis Sefaseba moxdeba rezidentis/maZieblis codnis modulis codnis Sefaseba moxdeba rezidentis/maZieblis codnis modulis codnis Sefaseba moxdeba rezidentis/maZieblis codnis testirebiT, weriTi gamocdiT da gasaubrebiT (interviu programis testirebiT, weriTi gamocdiT da gasaubrebiT (interviu programis testirebiT, weriTi gamocdiT da gasaubrebiT (interviu programis testirebiT, weriTi gamocdiT da gasaubrebiT (interviu programis direqtorTan). amasTan Sefaseba direqtorTan). amasTan Sefaseba direqtorTan). amasTan Sefaseba direqtorTan). amasTan Sefaseba moxdeba rogorc modulis dasrulebis moxdeba rogorc modulis dasrulebis moxdeba rogorc modulis dasrulebis moxdeba rogorc modulis dasrulebis Semdeg, ise yoveli kvartlis bolos. praqtikuli Cvevebis Sefaseba moxdeba Semdeg, ise yoveli kvartlis bolos. praqtikuli Cvevebis Sefaseba moxdeba Semdeg, ise yoveli kvartlis bolos. praqtikuli Cvevebis Sefaseba moxdeba Semdeg, ise yoveli kvartlis bolos. praqtikuli Cvevebis Sefaseba moxdeba sami maCveneblisami maCveneblisami maCveneblisami maCveneblissss mixedviTmixedviTmixedviTmixedviT: : : :

a) icis Teoriulada) icis Teoriulada) icis Teoriulada) icis Teoriulad

b) ar SeuZlia gaakeTos damoukidebladb) ar SeuZlia gaakeTos damoukidebladb) ar SeuZlia gaakeTos damoukidebladb) ar SeuZlia gaakeTos damoukideblad

g) SeuZlia gaakeTos damoukidebladg) SeuZlia gaakeTos damoukidebladg) SeuZlia gaakeTos damoukidebladg) SeuZlia gaakeTos damoukideblad

Tavi X. damatebiTi sakiTxebi Tavi X. damatebiTi sakiTxebi Tavi X. damatebiTi sakiTxebi Tavi X. damatebiTi sakiTxebi

mumumumuxli 1. saswavlo gegma mocemulia cxrili # 14 saxiT:xli 1. saswavlo gegma mocemulia cxrili # 14 saxiT:xli 1. saswavlo gegma mocemulia cxrili # 14 saxiT:xli 1. saswavlo gegma mocemulia cxrili # 14 saxiT:


rezidenturis programa rezidenturis programa rezidenturis programa rezidenturis programa “anesTeziologia/reanimatologia”“anesTeziologia/reanimatologia”“anesTeziologia/reanimatologia”“anesTeziologia/reanimatologia” _ 33 Tve_ 33 Tve_ 33 Tve_ 33 Tve

profesiuli mzadebis I weliwadiprofesiuli mzadebis I weliwadiprofesiuli mzadebis I weliwadiprofesiuli mzadebis I weliwadi moduli

## modulis dasaxeleba xangrlivoba

1.11.11.11.1 eqimisa da pacientis urTierTobis samarTlebrivi daeqimisa da pacientis urTierTobis samarTlebrivi daeqimisa da pacientis urTierTobis samarTlebrivi daeqimisa da pacientis urTierTobis samarTlebrivi da eTikuri eTikuri eTikuri eTikuri safuZvlebisafuZvlebisafuZvlebisafuZvlebi

2 kvira2 kvira2 kvira2 kvira

1.21.21.21.2 fundamenturi medicinis Tanamedrove aspeqtebifundamenturi medicinis Tanamedrove aspeqtebifundamenturi medicinis Tanamedrove aspeqtebifundamenturi medicinis Tanamedrove aspeqtebi 2 kvira2 kvira2 kvira2 kvira

53

1.31.31.31.3 Tanamedrove anesTeziologiuri uzrunvelyofis koncefcia, Tanamedrove anesTeziologiuri uzrunvelyofis koncefcia, Tanamedrove anesTeziologiuri uzrunvelyofis koncefcia, Tanamedrove anesTeziologiuri uzrunvelyofis koncefcia, farmakokinetika, dinamika da genetika farmakokinetika, dinamika da genetika farmakokinetika, dinamika da genetika farmakokinetika, dinamika da genetika

1 Tve1 Tve1 Tve1 Tve

1.41.41.41.4 topografiuli anatomia da qirurgiuli midgomebi topografiuli anatomia da qirurgiuli midgomebi topografiuli anatomia da qirurgiuli midgomebi topografiuli anatomia da qirurgiuli midgomebi anesTeziologiaanesTeziologiaanesTeziologiaanesTeziologiasa da reanimatologiaSisa da reanimatologiaSisa da reanimatologiaSisa da reanimatologiaSi


1.51.51.51.5 avadmyofis winasaoperacio gamokvleva, zogadi anesTeziisa da avadmyofis winasaoperacio gamokvleva, zogadi anesTeziisa da avadmyofis winasaoperacio gamokvleva, zogadi anesTeziisa da avadmyofis winasaoperacio gamokvleva, zogadi anesTeziisa da operaciis riskis Sefasebaoperaciis riskis Sefasebaoperaciis riskis Sefasebaoperaciis riskis Sefaseba


1.61.61.61.6 axali teqnologiebi anesTeziologiur praqtikaSi, avadmyofis axali teqnologiebi anesTeziologiur praqtikaSi, avadmyofis axali teqnologiebi anesTeziologiur praqtikaSi, avadmyofis axali teqnologiebi anesTeziologiur praqtikaSi, avadmyofis usafrTxoebis Tanamedrove principebiusafrTxoebis Tanamedrove principebiusafrTxoebis Tanamedrove principebiusafrTxoebis Tanamedrove principebi


1.71.71.71.7 infuzurinfuzurinfuzurinfuzur----transfuzurtransfuzurtransfuzurtransfuzuri Terapiisa da parenteraluri kvebis i Terapiisa da parenteraluri kvebis i Terapiisa da parenteraluri kvebis i Terapiisa da parenteraluri kvebis ZiriTadi principebiZiriTadi principebiZiriTadi principebiZiriTadi principebi


1.81.81.81.8 regionuli gautkivarebis Tanamedrove meTodebiregionuli gautkivarebis Tanamedrove meTodebiregionuli gautkivarebis Tanamedrove meTodebiregionuli gautkivarebis Tanamedrove meTodebi 2 Tve2 Tve2 Tve2 Tve

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1. zurab xelaZe _ ,,kritikuli medicina” kritikuli medicinis instituti,

Tbilisi. 2007 w. _ 610gv. 2. J. M. Ciieetta, R.W. Taylor, R.R. Kirby ,, Critical Care”. Lippincott Company, Philadelphia, USA,

2002, _ 1998pp. 3. Дж. Марини, А. Уилер, ,, Медицина Критических Состоянии,, ,, Медицина,, Москва

2002-977 стр. Минесота, Теннсси, СЩА

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