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Lecturer(s)
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Gaul Aláčová Petra, Mgr. Ph.D.
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Zbořilová Lada, Mgr.
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Dus Marta, Mgr.
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Course content
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- Introduction to cardiothoracic surgical procedures and their implications for postoperative respiratory and hemodynamic status. Basic postoperative pathophysiology and risk factors relevant for early physiotherapy. - Respiratory and cardiovascular physiology after cardiothoracic surgery, including the impact of cardiopulmonary bypass and principles of ventilator weaning. - Monitoring and supportive technologies in cardiac intensive care, including basic interpretation of respiratory and hemodynamic parameters and an introduction to extracorporeal support. - Comprehensive patient assessment during mechanical ventilation and the weaning phase, including respiratory, cardiovascular and functional evaluation and selected ICU outcome measures. - Clinical considerations in the management of patients during and after weaning from mechanical ventilation, including safety criteria and clinical decision-making in intensive care. - Practical approaches to physiotherapy in cardiothoracic ICU, including soft tissue techniques, gentle mobilisation and basic therapeutic exercise. - Early mobilisation of patients after cardiothoracic surgery, including progression from bed mobility to standing and ambulation with appropriate monitoring. - Clinical case presentation focused on physiotherapy management of a cardiothoracic ICU patient, with emphasis on assessment, goal setting and clinical reasoning. - Integration of knowledge and final evaluation focused on postoperative pathophysiology, monitoring and physiotherapy management in cardiothoracic intensive care. - A substantial part of the course consists of supervised clinical practice in a cardiothoracic intensive care unit, where students participate in the assessment and physiotherapy management of critically ill patients
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Learning activities and teaching methods
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unspecified
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Learning outcomes
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The aim of the course is to develop advanced competencies in physiotherapy management of patients in cardiothoracic intensive care. After completing the course, the student will be able to: -understand the role of a physiotherapist in cardiothoracic intensive care, including safety principles and interdisciplinary cooperation -explain postoperative cardiopulmonary changes after cardiothoracic surgery relevant to physiotherapy -safely apply physiotherapy interventions in patients with ICU devices and monitoring -use selected questionnaires and outcome measures for assessment and SMART goal setting in intensive care -perform respiratory and functional assessment of cardiothoracic ICU patients -apply evidence-based pulmonary physiotherapy and integrate respiratory and functional interventions, -demonstrate clinical reasoning through case study analysis and presentation
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Prerequisites
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unspecified
KFA/PTB22 and FYT/PTA32 and KFA/PTA31 and KFA/PTA32 and KFA/PTA34 and KFA/PTB32 and FYT/PTA42
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Assessment methods and criteria
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unspecified
Attendance and Participation in Class: The student is required to attend all lectures, seminars and clinical sessions (100% attendance) and actively participate in all class activities. Active participation includes engagement in discussions, practical tasks and seminars. Credit Requirements: During the semester, the student may be asked short oral questions or assigned brief tasks to demonstrate knowledge of previously covered topics. Each student is required to prepare and present one selected questionnaire or outcome measure relevant to intensive care physiotherapy. At the end of the semester, the student must prepare and present a case study of one patient from cardiothoracic intensive care practice. The case study presentation will be delivered in the Pecha Kucha format. At the end of the semester, the student will take a written multiple-choice theory test covering the course material. A minimum score of 70% is required to pass.
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Recommended literature
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Gibbon, G. J., Geddes, D. M., Costabel, U., Sterk, P. J., Corrin, B. (2003). Respiratory Medicine. Saunders.
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HARDEN, B., CROSS, J., & BROAD, M. A. Respiratory physiotherapy: An on-call survival guide. Elsevier Health Sciences.
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HOUGH, A. (2014). Physiotherapy in respiratory and cardiac care: an evidence-based approach. Andover.
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CHAITOW, L., BRADLEY, D., GILBERT, CH. (2002). Multidisciplinary approaches to breathing pattern disorders. Edinburg.
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MALIK M., CAMM J. A. (1995). Heart Rate Variability.
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MCCONNELL, A. (2013). Respiratory muscle training: theory and practice. S.l.
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Parrillo, J., E., Dellinger, R. (2008). Critical care medicine: principles of diagnosis and management in the adult. Philadelphia, PA.
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Pryor, J. A. (2002). Physiotherapy for respiratory and cardiac problems: Adults and paediatrics. Edinburgh.
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