ANDHRA PRADESH PARA MEDICAL

BOARD
HYDERABAD
(Established Under the Andhra Pradesh Para Medical Board Act,
2006)

(A.P. Act No.38 of 2006)

******

Syllabus for

DIPLOMA IN ANESTHESIA TECHNICIAN COURSE

(TWO YEARS COURSE)

B.N.S. Kumar
Secretary
In view of representation from the Faculty the Syllabus for the 1st year in all Para
medical courses is modified accordingly and kept on website.

DIPLOMA IN ANESTHESIA TECHNICIAN COURSE

(TWO YEARS COURSE)

Syllabus for First Year

BASIC HUMAN SCIENCES

A) Basics of Anatomy
Paper-I
B) Basics of Physiology
C) Basics of Biochemistry

D) Basics of Bio-statistics

A) Basics of Pathology
Paper-II B) Basics of Blood Banking
C) Basics of Microbiology
D) Basics of Central Sterilization Services.

A) Hospital Awareness.

Paper-III B) Familiarization of different tables/tubes in surgical department,

Surgical Awareness, preparation of patient for surgery.
C) Patient related services.

D) Communication and Computer Skills, Audio & Visual Aids.

 DIPLOMA IN ANESTHESIA TECHNICIAN COURSE
(TWO YEARS COURSE)

Syllabus for Second Year

A) Anesthesiology ,Types of Anesthesia

B) Pre-operative preparation, Anesthesia Record keeping

Paper-I
C) Initiate start up Routine, Introduction to Operation Theatre,
Operation Theatre Procedures,

D) Cannulization and Blood Transfusion Procedure

A) Pharmacology & Equipment, Management, Essential

Equipment in use, Cardiac Drugs.
Paper-II
B) Management of Equipment Essential Equipment in use

C) Bronchodilators
D) Diuretics & Fluids (all types)

A) Cardio vascular Physiology, Cardio Resuscitation.

B) ICU Management, Mechanical Ventilation,
Paper-III
Monitoring during surgery, Critical Care Monitoring,
Reception of Patient,
C) Special Monitoring Methods, Electrolyte and Fluid Balance,
Other procedures.

D) Instrumentation Study, Instrument Measurement & Critical

Care equipment of the Courses concerned.
 1st YEAR
PAPER-I
Basics of Anatomy & Physiology
Basics of Anatomy

1. Introduction to Human Anatomy

2. Cell- Tissues Properties, Different Tissues
3. Digestive System & Hepatobiliary System
4. Respiratory System
5. Cardio Vascular System
6. Lymphatic System
7. Bones and Joints
8. Nervous System
9. Endocrine System
10. Sense Organs
11. Excretory System
12. Reproductive System

Basics of Physiology

1. Introduction to Human Physiology

2. Blood
3. Cardio Vascular System
4. Lymphoid System
5. Digestive System
6. Respiratory System
7. Nervous System
8. Endocrine System
9. Excretory System
10. Reproductive System

11. Sense Organs

 Basics of Bio – Chemistry
1. Introduction to Basics of Bio-chemistry including code of ethics for Medical
Lab Technicians and Medical Lab Organization.

2. Reception, Registration and bio-chemical parameters investigated.

3. Glassware and plastic ware used in a bio-chemical laboratory.

a. Glassware:
1) Types of glass and composition.
2) Types of glassware used, their identification, application & uses.
3) Cleaning, drying, maintenance and storage of glassware.

b. Plastic ware: Brief outline

4. Instrumental methods of Bio-chemical analysis.

a. Colorimetry :
Visual and photoelectric methods, instrumentation, principle & laws
involved construction, operation, care and maintenance, applications.

b. Spectrophotometry
Principle and theory, types, construction, & applications

5. Basic lab operations like

a. Separation of solids from liquids

1. Centrifugation: Principle, Different types of centrifuges care and

maintenance, applications.
2. Filtration using funnel.
3. Weighing : Different types of balances used, care and maintenance.
4. Evoporation
5. Distillation
6. Refluxing
7. Drying different salts and dessicotion.
6. Water Chemicals and related substances
a. Purity of chemicals
b. Corrosives
c. Hygroscopic Subsatance

7. Prevention, Safety and first aid in lab accidents.

8. Collection of Specimens

a. Blood: Types of Spencimens, Collection, Precations during collection

processing and preservation.

b. Urine: Types of Specimens, Collection, Precautions during collection,

Processing and Preservation.

9. Urine biochemical parameters.

10. Units of measurements

11. Solutions : Types based on solute and solvent, Types based on method of
expressing concentration, calculations.

12. Carbohydrates: Definitions, Biological importance, Acid value, iodine value,

saponification value.
13. Amino acids and Proteins Definition, Biological importance, Classification,
Qualitative tests.

14. Diagonistic tests : Blood sugar, Glucose tolerance test, Blood urea,
Serumuric acid, Serum creatinine.

15. Vitamins and Minerals

a. Vitamins:
Water Soluble vitamins, Fat Soluble vitamins, Sources, Daily
requirements, Deficiency diseases.

b. Minerals :

Sources, Daily requirements, Deficiency diseases.

 Paper-II
Basics of Pathology
Introduction to Pathology in brief
1. Urine – Analysis – Physical Examination – specific gravity PH,
reaction,

colour.
Chemical Examination – Sugar Albumin,
bile salts,
bile Pigments etc.
Microscopic,
Sediment for RBC,

WBC,
Epitheleal cells,
casts,
crystals,
parasites.
Preparation of Reagents, procedure and principle of tests.

2. Sputum Analysis – Physical Examination,

Preparation and staining smear for Microscopic Examination.

3. Semen Analysis – Physical Examination Microscopy – counting,

motility,
staining,
Morphology,
abnormal and normal forms.

4. Body Fluids – Differential count of Peritoneal, pericardial, pleural fluids and

CSF, charging chamber, Identifying and counting the cells.
 Basics of Microbiology

I. Introduction to Microbiology in brief

Definition,
History

II. Microscopy
a) Principle working and maintenance of compound Microscope.
b) Principle of Flourescent microscope, Electron Microscope, Dark
Ground Microscope.

History
Types of Microscope: (a) Light Microscope, (b) DGI, (c) Fluroscent,
(d) Phase contrast.

(e) Electron Microscope : a). Transmision, b) Scanning, Principles of

operational mechanisms of various types of Microscopes.
III. Sterilization and disinfection – classification and Methods of sterilization.

Sterilization: Definition, types and principles of sterilization methods:

(a) Heat (dry heat, moist heat with special reference to autoclave, (b)
Radiation, (c) Filtration, efficiency testing to various sterilizers.

Antiseptics and Disinfectants :

Definition, types and properties, mode of action, uses of various
disinfectants, precautions while using the disinfectants, qualities of a good
disinfectants, testing efficiency of various disinfectants.
1) Principle and Methods of sterilization by heat

a) By Dry Heat, flaming, Red Heat, Hot air oven, incineration.

b) By Merit Heat-pasteurization, Inspissation, tyndalisation, autoclave.
2) Filtration Methods

3) Ionising Radiation – Disinfection, Mode of action and uses of important

chemical disinfections – Phenol and Phenolic compounds, alcohols,
halogens, dyes and acids and alkalies.

4) Gaseous Methods of sterilization.

IV. Cleaning, drying & Sterilization of Glassware disposal of contaminated
material i.e. clinical infective material inoculated culture media. Handling and
Disposal of Biomedical waste.

V. Biomedical waste management in a Microbiology Laboratory : types of

the waste generated, segregation, treatment, disposal.

VI. Morphology and classification of Bacteria Sp. of cell, capsule, flagella, spore,
Anaerobic Methods of cultivation of Bacteria.

PAPER-III
A. Hospital Awareness

A brief idea of hospital as on organization management different units of a

hospital effective communication skills, communication channel

Maintenance of records
Effective leadership
General patient care
Medical terminologies
Vital signs
Unit preparation
Transporting & Transferring patients
Sterilization Techniques
Control of infection
Medication – Oral & parenteral
Admission – Discharge procedure
Bandages

Practicals : Posted in ward & taught clinically

A. Surgical Department
Familiarization of different tubes

1. Drainage tube
2. Post Operative Exercises
3. Post OP Management of Patient
4. Shock of Management
5. Changing Surgical Dressing.

1. Preoperative preparation of patient

2. Preanesthetic preparation
3. Assisting in operation
4. Anaesthesia
 5. CSSD
1. Recovery room
2. Movement of papers
3. Scheduling of theaters
4. Supplying of articles
5. Specific area practices
a. As scrubnurse
b. As circulating nurse

Communication and Computer Skills, Audio & Visual Aids.

COMMUNICATION Process
Types of communication
Strategies for effective Communication
Barriers of communication

SOFT SKILLS Presentation with the use of visual aids such as

power point
Conversation
Extempore speech, usage of effective language
for communication of health work.
Case studies and situational analysis
Survey and Reporting

COMPUTER Computer basic

MS – Office
MS – Word
MS – Excel
MS – Power Point

INTERNET CONCEPTS Browsing

Down- Loading
Use of Slide Projector
 SECOND YEAR

PAPER – I

ANESTHESIALOGY Pre Anesthetic checkup,

Patient Consent & High Risk Consent Pre
Medication,
IV Cannulation IV Fluids & Blood Transfusion
Conduct of Anesthesia General / Regional /
Local Anesthesia Setting up of Monitoring NIBP,
SPO2, ECG, ETCO2, NM junction (Peripheral
Nerve Stimulator) Invasive Monitoring
Techniques Recovery & Post Op Management.

TYPES OF ANESTHESIA General

Regional
Local
Spinal

PRE-OPERATIVE Records and forms used in Operation Theatre

PREPARATION Scrutinize checklist of the patient
Right patient, Right site, Right operation
Check Vital Signs

ANESTHESIA RECORD KEEPING Pre Anesthetic Evaluation Record

Intra Operative Monitoring Record
Post Operative Record for 24 hours
Chronological Preservation of these Records,
Statistics, Computerization& Research
Orientation.

RECEPTION OF PATIENT Check name, band and record

View X-Ray chest
View Blood Parameters
Check Skin Preparation at anesthesia site

INITIATE STARAT UP ROUTINE Check physical condition

Check whether NBO
Give Pre Medication
Transfer to operation table
CANNULIZATION AND BLOOD Select appropriate site – prepare site
TRANSFUSION PROCESS IV Cannulization Procedure
IV Fluids and their composition
Blood transfusion Procedure
INTRODUCTION TO OPERATION THEATRE

Designing of Operation Theatres, Fumigation of Operation Theatre, Inflow & Outflow of

Patients, Placement of Equipment, Care & Sterilization of Equipment, Drugs, Placement
& Dilutions, Dosage, Labelling Linen Management (Operation Theatre & Doctors &
Nurses)
OPERATION THEATRE PROCEDURES

Surgical Hand Wash

Gowning Gloving Masking, wearing cap, shoes
Pre Anesthetic tray preparation
Time In Time Out

OPERATION THEATRE (DESIGNATION AREAS)

Physical set up of operation theatre
Placement of sterile, unsterile articles and equipment, disinfection of equipments and
surfaces.
Fumigation & Sterilization
Linen Management
 PAPER-II
PHARMACOLOGY Pre Medicants, Intravenous Agents, Inhalational
Agents, Cardiac Drugs, Diuretics, Bronchodilators,
IV Fluids (all types)

Introduction to pharmacology pre medicants,

Intravenous agents,
Inhalational Agents.
Classification of drugs, Drugs in Anesthesiology
Drug collection – Amount to be infused pediatric
drug calculation
Flow rate / drops per min

EQUIPMENT Central Gas Pipeline System, Boyle’s Apparatus,

Cylinders, Vapourisers, Intubation Equipment,
Monitoring Equipment, Mechanical Ventilators.

CARDIAC DRUGS Classification

Dose and Route
Action
Side effects & contra indication

BRONCHODILATORS Classification
Dose and Route
Action
Side effects Contraindications

DIURETICS & FLUIDS (all types) Classification

Dose and Route
Action
Side effects Contraindications

EQUIPMENT AND ITS HANDLING

Central gas pipeline system

Boyle’s / Anesthesia Apparatus
Intubation Equipment
Monitors (invasive & non-invasive) Equipment, Mechanical Ventilators

ESSENTIAL EQUIPMENT IN USE

C- arm
Ventilator
Cardiac Monitors and its accessories
Infusion Pumps, knowledge of drugs used , action, reactions and contradictions.
 PAPER-III
CARDIOPULMOANRY RESUSCITATION

CARDIOPULMONARY Simultaneous mouth to mouth breathing (artificial

ventilation) and external / closed chest cardiac
massage.

Cardio Pulmonary Resuscitation,(CPR) Basic Life

Support

Advanced Cardiac Life Support, Neonatal

Resuscitation.

RESUSCITATION Restoring life in the apparently dead, as in

drowning, electric shock, respiratory arrest.

ABC Protocol
Initial assessment
Call for help Resuscitation

BASIC LIFE SUPPORT Assessment

ABC procedure
Drugs
First Aid

ADVANCED CARDIC LIFE ABC protocol for adult

SUPPORT – ADULT Drugs
Defibrillation
O2 Support

CPR FOR CHILD ABC Protocol for a Neonate

Assessment
Drugs
After care
 ICU MANAGEMENT

MECHANICAL VENTILATION Definition, Types, setting of Ventilator Adult / Child

Inotropes
Endotracheal Intubation / suctioning
Monitoring / weaning

MONITORING DURING NIBP

SURGERY SPO2
ECG
ETCO2

CRITICAL CARE MONITORING Preoperative complications and their

management
Post operative immunization
Cardiac Intensive care
Shock

SPECIAL MONITORING Invasive monitoring techniques

METHODS Types – CVP,
Procedure
Peripheral Nerve Stimulation (NM Junction)

ELECTROLYTE AND FLUID Normal fluid & electrolyte mechanism

BALANCE Monitoring fluid volume deficit and excess
Management
Chart maintenance

OTHER PROCEDURES Pace maker (Temporary / Permanent)

Extubation
Water seal drainage
Removal of drains
 PRACTICALS

1. Assists the Anesthetist

2. Monitoring of vital signs, Spo2
3. Conducts ABG analysis
4. Has knowledge of types of Anesthesia required for different types of
surgeries
5. Does a regular check of cannula and drains
6. Maintain records and reports
7. Transportation of patient to SICU
8. Suctioning of Endotracheal tube / Tracheostomy tube
9. After care of equipment
10. Mechanical ventilation – Settings and modes