Seminar on anesthetic metheds and equipments
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Transcript of Seminar on anesthetic metheds and equipments
SEMINAR ON ANESTHETIC METHEDS AND EQUIPMENTS
BY G/WAHD ALEMU- G/YOHANS TESFAYE GEDAMU W/YFRAW GETACHEW
History
First successful demonstration of GAIn Boston General Hospital USA in 1846
•By Morton(Local Dentist)
Pre-Anesthetic Assesment
AIM• Reduce morbidity of surgery
• Increase quality of perioperativ care & to return the pt’ to desirable functioning as
quickely as posible• A study in University of Florida fouynd that pre-
anestetic evaluation provided information leading to change in care planes fo 20% of all
patients
History point Anesthesia plans requiring extra time
Asthma Use bronchiodilators,extubat during deep anesthesia
GERD Adminster H2 blockers, use rapid sequence induction of anesthesia
Malignant hyperthermia Obtain clean anesthesia machine
History
• Recent medical care(medication)• Allergies/for anesthesia/• Last time he took anesthesia• Last time alcohol• His ability to walk up stairs play sports with out
being in short of breath• If he ever had awakened & felt short of breath• Ask history of asthma,evidens of obstruction,order
to stop smoking before anesthesia
cont’d
• History of clotting problem• Nause & vomiting/GI desease
Physical examination
• Measure the BP,PR&Temp• CVS,Respiratory&CNS
Anesthetic Implication of DM
When using regional anesthesia in DM pt’s it should be lower in quantity as risk of nerve injury is high
Combination of local anesthetic with epinephrine poses a risk
During Anesthesia…
Control –BP,Temp,Use pt monitoring device to control
inspiratory oxygen conc, saturation,ECG,
Common Anesthetic Agents
IV anesthetic agents To induce GA/unconciousness,analgesia , immobility&/or
amnesia Have cvs&resp depression, pain on injection&vomiting as
side effect Include Ethomedate Ketamine propofole/commonest&maintainance/
Tiopental
Volatile Anesthetic Agents-maintainGAEnflurane
DesfluraneSevoflurane
HalothaneIsoflurane
e
• Neuro Muscular Blocking AgentsDepolarizing SuccinylcholineNon depolarizing Pancronium
MivacuriumAtracurium{hypot}
Local anesthetics esters(cocaisn,procaine and chloro procain) amides(lidocain,Bupivacaine ,Ropivacaine) ADRS -allergy
Drugs for spinal anesthesia