Beruflich Dokumente
Kultur Dokumente
Meaning of Anaesthesia
Small, MR (1962). Oliver Wendell Holmes New York: Twayne Publishers. p. 55. "In a letter to dentist William
Some Basic Questions
I am a student /intern-I dont need to
learn Anaesthesia
CPR-Life giving
Some knowledge of GA ,LA, Pain Relief
whatever you may practice
Thus
1. OR ,RR, LR, ER
2. ICU, ward, Respiratory care unit
3. Pain clinic
4. CPR team, EMS ,intravenous team
Expanding Role of
Anesthesiologist
The anesthesiologist is the
perioperative physician
employed ether as a
general anesthetic
for limb
amputations
and parturition
First successful demonstration
Re-enactment of the first
public demonstration
of general anaesthesia
World Anaesthesia Day
On 16 October 1846,
John Collins Warren
removed a tumor from
the neck of a local
printer,Edward Gilbert
Abbott. Warren
reportedly quipped,
"Gentlemen, this is no
humbug.
MGH Boston
Regional
Anaesthesia
1884 Sigmund
Freud physiology
actions cocaine
Carl Koller
cocaine
ophthalmological
surgery
Journey of anesthesia
Mask Ventilation
Airway manuevres
Intubation skills
Intravenous Access
Basic Airway Skills
Some Basic Equipment
Endotracheal Intubation
Endotracheal tubes
Basic Intubation Skills
Casualty Area
Assess
Midazolam
Lorazepam
Diazepam
Induction agents
Thiopental
Ketamine
Propofol
Muscle relaxants
1. unconsciosness
2. analgesia
3. muscle relaxation ..
Endotraheal Intubation
Inhalational Agents
Chloroform
Ether
Halothane
Isoflurane
Sevoflurane
Desflurane
Monitoring-Eternal Vigilance
Presence of Anaesthetist
Non Invasive-SpO2,ETCO2,NIBP,Agent
Invasive-CVP,PA Catheter
Local and Regional anesthesia
Relative-Preexisting Neurological
Disease,Cardiac Disease,
Spinal Anaesthesia
regional anesthesia
1. preanesthetic care
Routine preanesthesia evaluation
1. History
2. physical examination
3. laboratory evaluation
4. ASA classification
Preanesthetic preparation
Premedication
Care of the anesthetized patient
2. anesthetic care
- preinduction phase
- induction phase
- maintenance phase
- emergence phase
Care of the anesthetized patient
3. postanesthesia care
3.1 immediate : RR or PACU
3.2 late postanesthesia care
- pain control
-complication
-monitoring
The primary goal of the anesthetist to
see the patient safety and comfortably
through procedure
Anaesthesia Today
The most common specialties
Anesthesiology
Internal Medicine
How risky is Anesthesiology
Amount of Malpractice Payments
Average working hours per week
<50 hrs28%
51-60 hrs22%
61-70 hrs15%
71-80 hrs12%
>81 hrs23%
Thank You