ANAESTHESIA TODAY

[...] close monitoring of vitals  and has fully recovered without any neurologic sequelae. Local anaesthetics  are drugs used to prevent or relieve pain in specific regions of the body without [...]

[...]             Adjuvants used along with Local Anaesthetics:  Adjuvants are used to intensify the block ,to reduce systemic absorption or to [...]

[...] antihistamines and IV fluids. Barbiturates due to non immunologically mediated mechanisms Local anaesthetics mainly ester linked local anaesthetics are involved Radiocontrast media. In radiology suite [...]

[...] to be full. In case the local anaesthesia fails or a toxicity or CNS involvement by the local anaesthetics he may have to administer general anaesthesia or to resuscitate the patient. 3.Anaesthetise [...]

[...] oxygen for a GA case? Diffusion hypoxia (fink effect) means outpouring of large volumes of nitrous oxide into the lung during recovery from general anaesthesia and subsequent hypoxia.This is due to 1) [...]

[...] to have anaesthetic powers was nitrous oxide (N2O) which is inert, colourless, odourless and tasteless. Nitrous oxide was first isolated [...]

[...] cannot be applied here as patient is receiving heparin Entonox: Administering 50%oxygen+50%nitrous oxide(entonox), is another way of providing pain relief.Animal studies proved the teratogenic [...]

[...] regimen for patients with  susceptibility to malignant hyperthermia is propofol,fentanyl, nitrous oxide, and a non depolarising muscle relaxant.Classicaly malignant hyperthermia occurs [...]

[...] procedure of the spinal or epidural space. According to Carrie and Collins [1]  post dural puncture headache (PDPH) is "a headache occurring after dural puncture and has a significant [...]

[...] neonate and the dural sac can be found at S3-4. This increases the risk of  inadvertent dural puncture or spinal cord injury. Adult levels of L1 and S1 are usually reached by 1 year of age. [...]

[...] intrathoracic pressure variations,and sleep disturbance and arousals lead to increase in blood pressure and lead on to sustained hypertension via chronically heightened sympathetic nervous system [...]

[...] require ventilatory support Marked autonomic dysfunction leads to  Wide fluctuations in blood pressure – hypo / hyper tension, Sudden profuse diaphoresis,Peripheral vasoconstriction [...]

[...] Cardiovascular criteria: No evidence of myocardial ischemia Heart rate less than 140/mt. Blood pressure normal without inotrops or minimal inotropic support eg: dopamine <5 mic/kg/mt Adequate [...]

[...] the surgeon was about to operate. The patient complained of dizziness and vomited once.The blood pressure dropped below70 mm Hg systolic and the pulse was felt slow, feeble and thready. The chest on [...]

[...]  ,intrathecal injection, pneumothorax.,infection, aortic dissection, paraplegia or local anaesthetic toxicity. Ref: An endoscopic ultrasound guided technique(Michaels AJ, Draganov PV, Endoscopic [...]

[...] drugs should be kept ready before administering LAs to any patient. A brief review of local anaesthetic toxicity and its management, is given here.  Pharmacology:  Structurally, all local [...]

[...] . Sequale is, a total spinal block with dilated pupils, apnea, and unconsciousness. Local anaesthetic toxicity  can be either due to intravascular injection or due to overdose resulting in [...]

[...] circulation time is slow. Ventricular afterload is avoided Avoid sudden hypotension when regional anaesthesia is the choice Alternate anaesthetic techniques are Induction by midazolam/nitrous oxide/ [...]

[...] is busy preparing  oxytocin infusion and sedation.The patient who was given regional anaesthesia is now anxious to see her baby.But the enjoyment did not last long as the surgical team [...]

[...] procedure less difficult and often successful and the patient is gaining the benefit of regional anaesthesia over GA. The procedural ego unveils especially when somebody fails to perform upto their [...]

[...] edition pp1261-62 Michael Mulroy,Christopher Bernards, et al; A Practical approach to Regional Anaesthesia, Fourth Edition [...]

[...] are also helpful to reduce stress response to surgery or may be beneficial to combine with General anaesthesia to reduce the dose of intravenous or inhalational agents.Epidurals also help to prevent [...]

[...] ) means outpouring of large volumes of nitrous oxide into the lung during recovery from general anaesthesia and subsequent hypoxia.This is due to 1) Direct replacement of oxygen from lung 2) Diluting [...]

[...] anaesthetic technique with sedative and narcotic drugs. Children will always require general anaesthesia for corrective surgery. Premedication may be given with oral midazolam 0.5 mg/kg along with [...]

[...] ; chickens who were given vitriol fell asleep and awaken unharmed.The first use of general anaesthesia probably dates to early nineteenth century in Japan. On 13th October 1804, a [...]

[...] extubation. 8)Testing loss of resistance. While testing for loss of resistance during epidural anaesthesia always use saline instead of air to avoid complications like pneumocephalus[7],  [...]

[...] of LA by local vasoconstriction and thereby delaying uptake and metabolism. Continuous epidural anaesthesia:  is possible by inserting a catheter into the caudal space, through an indwelling [...]

[...] as he is not able enjoy the advantage of that particular procedure.This is true when epidural anaesthesia is to be performed for a hypertensive patient or PIH patient where a change in hands may [...]