Beruflich Dokumente
Kultur Dokumente
2009 Anaesthesia
Intravenous induction Short acting opiate - e.g. fentanyl anaesthetic - e.g. propofol Set up of anaesthetic maintenance - e.g. sevoflurane vapour in oxygen and air Specific muscle paralysis may be needed Definitive analgesia Anti-emetic
Propofol
Maintenance
Maintenance
Concepts of partial pressure and MAC
The most insoluble so the fastest to equilibrate but a respiratory irritant, so unsuitable for gaseous induction. Used for gaseous induction.
Muscle Paralysis
Neuromuscular blockers
Depolarising
Non-depolarising
Reversal of Paralysis
Neostigmine
Sugammadex
Uppers
Anticholinergics
Atropine Glycopyrulate
Symatheto-mimetics
agonists
Phenylepherine Metaraminol
Ephidrine
Downers
More anaesthetic or opiate
Short acting -blockers (labetalol, esmolol) GTN Clonidine - 2 agonist clonidine
Opiates
Antiemetics
Antiemetics
Cyclizine an anti-histamine (SE tachycardia and other anti-cholinergic effects) Granisetron and ondansatron 5-HT3 receptor antagonists (SE constipation) Prochlorperazine (stematil) a dopamine and mACh receptor antagonist (SE extrapyramidal) Dexamethasone a glucocorticoid (SE deranged glucose control)