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Anesthesia
History of Anesthesia
History of Anesthesia
Ether
History of Anesthesia
Endotracheal
Preoperative Evaluation
The goals of preoperative evaluation include assessing the
risk of coexisting diseases, modifying risks, addressing
patients' concerns, and discussing options for anesthesia
care.
Anesthesia Providers
Anesthesiologist
Patient Safety
Choice of anesthesia
Premedication
Perioperative monitoring
Undergeneral anesthesia: monitoring
Inspired oxygen analyzer(FiO2) which calibrated to room air and 100% oxygen on a daily basis
Low pressure disconnect alarm, which senses pressure in the expiratory limb of the patient circuit
Inspiratory pressure
Respirometer (these four devices are an integral part of most modern anesthesia machine
ECG
BP-automated unit
Heart rate
Precordial or esophagel stethoscope
Temp
Perioperative monitoring
Pulse oximeters
End tidal carbon dioxide (ECO2)
Peripheral nerve stimulator if muscle relaxants are used
Foly catheter
For selected patint with a potential risk of venous air
embolism a doppler probe may placed over the right atrium
Invasive: arterial pressure mesurements, central venous
pressure
Pulmonary artery catheter and continous mixed venous
oxygen saturation measured
Perioperative monitoring
For
Regional Anesthesia
Defined
Spinal Anesthesia
A local
subarachnoid block
Blocks
Hypotension
Epidural Anesthesia
Local
May
Complications of Epidural
Anesthesia
Hypotension
Inadvertent
dural puncture
Inadvertent injection of anesthetic into the
subarachnoid space
IV Regional Blocks
Also
IV Regional Block
After
Anesthesia
IV Regional Blocks
IMPORTANT- to
prevent an overdose of
lidocaine it is important not to deflate the
tourniquet quickly at the end of the
procedure.
nerve
Can
Examples:
Conscious Sedation
Inhalation Anesthetics
Nitrous
Inhalation Anesthetics
Post-op N&V
Intravenous
Induction/Maintenance Agents
Propofol
(Diprivan)- pain/burning on
injection, can cause bizarre dreams
Pentothal
General Anesthesia
General Anesthesia
This
Page
Pressure
Sellick Maneuver
Regional Anesthesia
Circulator
Patient
Post
Avoid