Nasal Intubation can be accomplished by special nasal tubes or by simple oral tubes. Advantages of nasal intubation over oral intubation: 1. Better fixation and therefore less chances of accidental extubation. 2. No possibility of tube occlusion by biting. 3. Better oral hygiene can be maintained. 4. Oral feeding is possible. 5. Better tolerated by
Some of the Sevoflurane respiratory effects include that there is no irritation to the airway, least among inhalation agents, this makes it suitable for inhalational induction, the low blood/gas solubility aids faster induction. Sevoflurane respiratory effects include respiratory depression, reduces minute ventilation, tidal volume and ventilatory response to CO2. Sevoflurane abolishes hypoxic pulmonary vasoconstriction in
Phenoperidine a new opoid Phenoperidine is chemically related to pethidine and is similar to fentanyl. It is one of the new opioids available now for use in anesthesia for analgesia and as a pre anesthesia medication. Phenoperidine potency One milligram of this new opioid drug is equianalgesic to 100 mg pethidine. Phenoperidine Onset and Duration of
Neuroleptanalgesia Neuroleptanalgesia is method of IV anesthesia which combines at neuroleptic drug with opioid analgesic drug. The most favored combination is neuroleptic droperidol and the analgesic fentanyl. The combination used neuroleptanalgesia induces state which is different from usual general anesthesia. Because the patient is awake during surgery and is cooperative during the operative and surgical
Some disadvantages of volatile anesthetics are listed here. • Poor oxygen availability is one of the disadvantages of volatile anesthetics ; hypoxic insults are poorly tolerated due to dilution of air-oxygen mixture by ethe’ vapour. • Patient breathes dry air because water vapour in the air condenses on the mask due to low temperature because
In normal Blood Brain Barrier functions the effective pore size of cerebral capillaries is 7-9 A°. This small pore size does not allow movement of small ions, i.e, Na, K and C1. Therefore, the fluid movement across the Blood Brain Barrier Functions is determined by the ‘total’ osmotic gradient, generated both by large molecules and
General Anesthesia mask is used to ventilate the patient without intubation or before intubation. The mask significantly increases amount of dead space. These are available in sizes from 0 to 4 numbers. Face mask should be made of antistatic rubber. At the bottom of General Anesthesia mask there is air filled cuff which has soft cushioning effect.
Nitrous Oxide Effects the brain and induced analgesia or pain relief and anesthesia. Nitrous Oxide Effects includes the cardiovascular system as well. Nitrous oxide is a myocardial depressant and reduces the cardiac output. This is offset by an increase in sympathetic nerve activity resulting in peripheral vasoconstriction and thereby a minimal change in blood pressure.
Halothane Anesthesia is an alkane, halogenated hydrocarbon introduced in 1256. (M Johnston, UK). Physical Properties: Halothane Anesthesia is colorless, sweet smelling, nonirritating, bp 50 degrees C, VP 243 mm Hg, blood/gas 2.5, oil/gas 224, metabolism 20—40%, MAC in 02 ofQ7 /o and 0.29% with N20. It is relat Istable, decopcs on exposure tq.ajr, hence stored
As with other volatile agents desflurane depresses the respiratory system. Desflurane respiratory effects are quite different. There is a dose-dependent decrease in tidal volume, decreased minute volume and CO2 retention, and an increase in respiratory rate. The ventilatory response to CO2 is reduced. One of the desflurane respiratory effects is that, the desflurane is extremely
