The endotracheal tube position should always be confirmed because the correct placement of the tube is essential for proper ventilation of a person. If the endotracheal tube position is not correct within no time the patient can become hypoxic due to the unavailability of oxygen to the lungs. The tube may be wrongly placed in […]
There are several disadvantages of disadvantages of carbon dioxide : • High concentration causes narcosis. • It increases the cerebral blood flow and intracranial pressure. • It stimulates sympathetic nervous system, which may be dangerous in some patients already having systemic hypertension or myocardial ischaemia. • It sensitizes myocardium to externally administered catecholamines. • It
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
Nitrous oxide inhalation anaesthetic is a gaseous inhalation agent first described in 1799 by Hamphrey Davy and introduced by Horace Wells (1846), a dentist, into clinical use in the US and it is still in use. Physical properties: Nitrous oxide inhalation anaesthetic is a colourless, sweet smelling and non-irritant gas, bp-88°C, slightly heaver than air.
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
A common question that arises while studying respiratory physiology is what is minute ventilation and minute volume. The minute ventilation is the amount of air a person breaths in a minute. The minute ventilation is calculated by the multiplication of the tidal volume and the respiratory rate. What is minute ventilation? The normal tidal volume
There is very little airway irritation, hence used for inhalation induction especially in children. One of the halothane respiratory effects is that it is a potent respiratory depressant, reduces tidal volume and alveolar minute ventilation. The ventilatory response to raised Paco2 and reduced Pao, may be reduced due to depression of peripheral chemoreceptors in the
Emergence from anesthesia has cardiorespiratory, metabolic/endocrine and neurologic consequences. Awakening and extubation after anesthesia are associated with haemodynamic arousal lasting 10-25 minutes. This activation is partially mediated by elevations in catecholamine levels and partially by nociceptive stimuli. The aim of emergence after a neurosurgical procedure is to maintain intracerebral and extra-cerebral homeostasis. This implies maintenance
First recognized 50 years ago and used as xenon gas anesthesia in 1957, used for orchidectomy in a 81- year-old. The patient woke up after 2 minutes. Xenon, a by-product of oxygen production during fractional distillation of air. It is said to be a noble gas and is present in air 0.0000087%. Rediscovered in 1990, it
A rapid Isoflurane inhalation induction is possible with isoflurane because of low blood/gas solubility coefficient. It has a pungent odour, patients complain of burning sensation in the airway though there is no increase in airway reflexes or secretions. So a smoother induction is seen with halothane or sevoflurane which are preferred for inhalational induction. Recovery:
