CEA Anesthesia or Carotid endarterectomy anesthesia can be general or regional or combined. Here is a discussion on the relative advantages and disadvantageous of the different types. Mc CaI Thyet al conducted a prospective, randomized trial investigating patient experience of CEA Anesthesia under local or general anesthesia in 176 patients and found that the recovery
The Effects of Nitrous oxide in neuroanaesthesia has been questioned many times due to its detrimental effects on the cerebral vasculature and the brain tissue. However, there are no large-scale outcome studies to approve or disapprove its continued use in neuroanaesthesia. Nitrous oxide has been used in neuroanaesthesia for many years. Intraoperative analgesia with haemodynamic
Isoflurane volatile anesthetic is a halogenated methyl ethyl ether, which is a racemic mixture. It is very stable at room temperature, soda-lime and UV light. It has an ethereal odour and is irritating to the respiratory tract and not epileptiform. Metabolism 0.2% Physical properties: Isoflurane volatile anesthetic has a bp of 48.5°C similar to halothane,
Acute barbiturate poisoning causes depression of the CNS, particularly the respiratory system causing decreased breathing, and the cardiovascular system causing a peripheral circulatory collapse. The frequent and often fatal complications are respiratory (atelectasis, pulmonary edema and bronchopneumonia) or renal (acute renal shutdown). Treatment of acute barbiturate poisoning The severity of barbiturate poisoning is assessed by
A lot of anesthetic gases can be dangerous when used in a low alveolar ventilation anesthesia. This is because the anesthetic gases can combine with soda lime or other components of the boyles machine and produce poisonous gases. It is also known as low flow anesthesia where low fresh gas flow is set in a closed circuit or a semi closed
Chronic pain is a persistent condition that affects millions of people worldwide. It can be debilitating and significantly impact a person’s quality of life. Fortunately, there are various strategies and approaches available to help manage chronic pain effectively. In this article, we will explore some of the commonly used chronic pain management strategies. 1. Medication:
Chronic Pain Management Strategies Commonly Used Read More »
Some of the toxicity issues related to desflurane toxicity is that, renal toxicity is not reported even after prolonged exposures and markers of renal function (albuminuria, glucosuria, urinary p-glutathione transferase, serum creatinine and BUN) were not altered after 7 days of exposure to 8 hours MAC of 1.25% desflurane. Desflurane Toxicity might occur at certain
Halothane cardiovascular effect plays a critical role. The main haemodynamic effect is a reduction in blood pressure secondary to a fall in cardiac output, reduced cardiac contractility and stroke volume, due to alterations in Ca-metabolism and a reduction in intracellular calcium. So, the coronary blood flow is reduced. The heart rate often falls due to
Enflurane is not a very commonly used agent in the developing counties although its usage is on in America. It is a newer inhalational agent like that of halothane. Enflurane is halogenated ether. Enflurane Physical Properties : It is a Colorless gas. It has ethereal odor. It is Non inflammable at clinical concentration but inflammable
Pethidine injection is a synthetic morphine like analgesic. this opioid medication has about one tenth as powerful compared to morphine. This drug has sedative and tranquilizing effects also. It may cause euphoria and sleepiness. Unlike morphine it tends to relax smooth muscles and thus relieves most types of pain associated with plain muscle spasm. But
