Details of World Anaesthesia day and quiz

1. World Anesthesia Day
151 Base Hospital
16 Oct 22
Dr Shreyas Kate
Asst Professor, Anaesthesiology

2. Dr. Gayatri Patankar

3. Tham Luang Cave in Northern Thailand
23 June – 10 July 2018 (18 days)
Dr. Richard Harris
Australian Anaesthesiologist
Australian of the Year, 2019

5. Theme: Medication Safety

6. # MEDSAFE
•Medication safety = Patient Safety
•It is projected that 5% of all patients who are admitted to a hospital
experience a medication error
•an average hospital will have one medication error every 23 hours or every
20 admissions
•Globally, the cost associated with medication errors has been estimated at
$42 billion USD annually.
•Steps:
• pre-operative routines
• photos of color-coded syringes
• improving communication with colleagues
• Using checklists

7. Beyond putting “A TUBE”
Operation Theatres
ICU
Pain Management
CSSD
MRI and PET Scans
ART
ECT
Code Blue
Burn Centre

8. WHY

9. 16’th OCT 1846
Venue: Massachusetts General Hospital (MGH) in Boston (US)
Surgeon: Henry Jacob Bigellow
Patient: Patient was a young printer named Gilbert Abbott
Surgery: Excision of Vascular tumour of Neck
“Upon awakening after the surgery, he announced that he had felt a scratching
sensation, but no pain”

10. The Ether Controversy
Crawford W.
Long
Horace Wells
Charles Jackson

11. QUIZ

12. MAHATMA GANDHI
UNDERWENT
APPENDICECTOMY IN 1925 ?
1. HOSPITAL ?
2. SURGEON ?
2. ANESTHESIOLOGIST?
3. AGENT USED?
QUESTION 01

13. Sassoon Hospital Pune
12 Jan 1925
British Col Dr Maddock
Dr Date
Open drop Chloroform
ANSWER

14. WHY DID JOHN
COLLINS SAY
“GENTLEMEN THIS IS
NO HUMBUG”
QUESTION 02

15. He gave a demonstration to medical students at the Massachusetts General Hospital in Boston on January 20,
1845. However, the gas was improperly administered and the patient cried out in pain. The patient later admitted
that although he cried out in pain, he remembered no pain and did not know when the tooth was extracted. The
audience of students in the surgical theatre jeered "humbug".
Horace Wells
ANSWER

16. IDENTIFY THIS FRUIT
AND ITS CONTRIBUTION
QUESTION 03

17. ANSWER
Opium (or poppy tears, scientific name:
Lachryma papaveris) is dried latex obtained
from the seed capsules of the opium poppy
Papaver somniferum
Approx 12 % of opium is made up of the analgesic
alkaloid morphine, which is processed
chemically to produce heroin and other synthetic
opioids for medicinal use and for the illegal drug
trade
“The traditional, labor-intensive method of
obtaining the latex is to scratch ("score")
the immature seed pods (fruits) by hand; the
latex leaks out and dries to a sticky yellowish
residue that is later scraped off and dehydrated”

18. IDENTIFY THESE LEAVES
AND FRUIT
WHAT IS THE RELATIONSHIP
OF THESE LEAVES WITH
ANAESTHESIA?
QUESTION 04

19. Erythroxylum coca
Cocaine
“first used as a local anesthetic
in 1884”
1899, when August Bier subjected himself to a
clinical experiment in which he observed the
anesthetic effect, but also the typical side effect of
postpunctural headache.
ANSWER

20. WHICH ANESTHETIC
WAS RESPONSIBLE FOR
DEATH OF MICHAEL
JACKSON?
Repeatedly asking him for
“MILK”
QUESTION 05

21. “Jackson's physician Conrad Murray was present to help Jackson
sleep and gave him various drugs
including diazepam, Ativan, lorazepam and midazolam while
monitoring him by his bedside. After several hours and several drug
injections, Jackson was still unable to fall asleep, and, according to
Murray, was repeatedly asking him for "milk", a term for the powerful
sedative PROPOFOL, which Jackson had used in the past as a
sleep aid. At 10:40 AM, with Jackson still not asleep, Murray
relented to his requests and injected him with 25 mg of propofol
diluted with lidocaine.”
25 June 2009
ANSWER

22. IDENTIFY THIS
UBIQUITOUS
DEVICE WITH
COMPLETE NAME
QUESTION 06

23. GUEDEL AIRWAY
MAINTAIN AIRWAY IN PATIENTS
WITH POOR GCS
(UNCONSCIOUS)
SHORT TERM
ANSWER

24. WHAT IS HIS
RELATIONSHIP
TO FIELD OF
ANESTHESIA?
QUESTION 07

25. On 29 December 2013, Schumacher was skiing
with his then-14-year-old son Mick, in the French
Alps. While crossing an unsecured area between
he fell and hit his head on a rock, sustaining a
serious head injury despite wearing a ski helmet.
Schumacher was put into a MEDICALLY INDUCED
COMA because of traumatic brain injury.
ANSWER

26. What is the
contribution of
John Snow in the
field of
Anaesthesia ?
QUESTION 08

27. The use of chloroform as an anaesthetic for childbirth
was seen as unethical by many physicians and even
the Church of England. However, on 7 April
1853, Queen Victoria asked John Snow
to administer chloroform during the delivery of her
eighth child, Leopold. He then repeated the
procedure for the delivery of her daughter Beatrice in
1857
ANSWER

28. WHICH WAS THE
FIRST MUSCLE
RELAXANT TO BE
USED?
QUESTION 09

29. Curare was known as “arrow poison”
The indigenes of America
Chondrodendron tomentosum
The first clinical use of curare as muscle relaxant
during an operation is reported on January
23rd 1942. The anesthesiologist Harold Griffith
injected a synthetic preparation of curare to a
young man before appendectomy. The era of
muscle relaxants in surgery had started
ANSWER

30. IDENTIFY THIS PIECE OF EQUIPMENT
QUESTION 10

31. An IRON LUNG is a type of negative pressure
ventilator (NPV), a mechanical respirator
Despite the advantages of positive
ventilation systems, negative
pressure ventilation is a truer approximation
of normal physiological breathing and
results in a more normal distribution of air in
the lungs. It may also be preferable in
certain rare conditions,such as central
hypoventilation syndrome,
ANSWER

32. FIRST LADY ANAESTHESIOLOGIST IN
WORLD ?
QUESTION 11

33. Dr. (Miss) Rupa Bai Furdoonji was
the first lady anaesthetist of the world. She
had administered anaesthesia in the British
residency hospital (present Sultan Bazaar
hospital), Afzalgunz Hospital and Zenana
Hospital, Hyderabad, in the years 1889-1917
A.D
Hyderabad Chloroform Commissions
ANSWER

34. FIRST COLLEGE / HOSPITAL TO START POST
GRADUATE COURSE IN
ANAESTHESIOLOGY ?
QUESTION 12

35. A post independence with the Diploma in
Anaesthesia in Bombay in 1946 and D. A.
of College of Physicians and Surgeons in 1948.
The first degree course, M. S. in
Anaesthesia was started in Muzaffarpur
and Darbhanga.
In 1890 in Hyderabad Medical School,
2 students were deputed for all cases that
were to be given chloroform anaesthesia, one
person administering anaesthesia and the
other taking detailed notes
These trained anesthetists were called
“Chloroformists”
Dr. Jyotindranath Mukherjee L.M.S.
was appointed as “Paid Anaesthetist in
Calcutta Medical College” on September 1st,
1914 on a salary of Rs. 50/- per month!
ANSWER