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Anesthesia and its complication
 

Anesthesia and its complication

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Credits to Ma'am Evangeline Teruel

Credits to Ma'am Evangeline Teruel

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    Anesthesia and its complication Anesthesia and its complication Presentation Transcript

    • Ex:Neomycin SO4 streptomycin SO4polymycin A and B SO4colistin SO4kanamycin SO4.
    • MAO (monoamineoxidase) inhibitors
    • thiazides
    • ReserpineHydralazinemethyldopa
    • HeparinCoumadin
    • cortisone
    • GA1. CARDIAC ARREST
    • 2. RESPIRATORY DEPRESSION a. Excessive mucus b. CNS depression c. Bronchospasm/ laryngospasm
    • 3. HYPOTENSION AND SHOCK
    • 4. LOSS OF PROTECTIVE RESPONSE TO PAIN
    • 5. VOMITING AND ASPIRATIONS
    • 6.
    • 7. Malignant hyperthermia: possible treatment with dantrolene
    •  Establish an open airway. Give oxygen. Notify the surgeon. Fast-acting barbiturate is usual treatment. If toxic reaction is untreated, unconsciousness, hypotension, apnea, cardiac arrest, and death may result.
    • COMPLICATIONS
    • 1. Anaphylaxis Immunologic sensitization  methylparaben Overdosage  Hazardous site: ▪ Vascular: Tracheobronchial mucosa ▪ Tissue: head, neck, paravertebral.
    • 1.HYPOTENSION
    • PREVENTION: Infuse 500-800 mL of IV if not prone to CHFINTERVENTION: Oxygen administration Vasoconstrictive drugs Trendelenburg position 10-20 mins after induction
    • PREVENTION: Avoid extreme trendelenburg position before level of anesthesia setsINTERVENTION: Artificial airway
    • 2.NAUSEA AND VOMITINGINTERVENTION: Oxygen administration Give ephedrine, anti- emetics IVF
    • 3. HEADACHE – excessive loss of CSF due to: a.Loss of large spinal fluid b.Poor hydration
    • PREVENTION: Use of small needle Administer IV before and after induction Keep well hydrated to aid in spinal fluid replacement. inject client blood to plug the hole (10cc) Flat on bed for 6 to 8 hours
    • INTERVENTION:Apply tight abdominal binderIV administrationAnalgesic
    • 4.Overdosage
    • 5. RESPIRATORY PARALYSIS – happens when drug reaches upper thoracic and cervical cord in large amount or in heavy doses
    • 6. Neurological Complication - maybe due to: a. unsterile needle, syringes or anesthetic agent b. per-existing disease of CNS c. transient response to anesthetics d. position during surgery
    • supportive care for transient forms antibiotic and steroid therapy rehabilitation for permanent paralysis
    • The side effects of local anesthetics Local effects- local irritation and skin breakdown CNS effects if systemic absorption occurs- headache, restlessness, anxiety, dizziness, tremors and blurred vision. GI system- nausea, vomiting Cardio- arrhythmias, peripheral vasodilation, myocardial depression, and rarely, cardiac arrest