SEMINAR ON ANESTHETIC
METHEDS AND EQUIPMENTS
 BY G/WAHD ALEMU-
 G/YOHANS TESFAYE
 GEDAMU W/YFRAW
 GETACHEW
History
First successful demonstration of GA
In Boston General Hospital USA in 1846
•By Morton(Local Dentist)
Pre-Anesthetic Assesment
AIM
• Reduce morbidity of surgery
• Increase quality of perioperativ care & to
return the pt’ to ...
History point Anesthesia plans requiring extra time
Asthma Use bronchiodilators,extubat during deep
anesthesia
GERD Admins...
History
• Recent medical care(medication)
• Allergies/for anesthesia/
• Last time he took anesthesia
• Last time alcohol
•...
cont’d
• History of clotting problem
• Nause & vomiting/GI desease
Physical examination
• Measure the BP,PR&Temp
• CVS,Respiratory&CNS
Anesthetic Implication of DM
When using regional anesthesia in DM pt’s it
should be lower in quantity as risk of nerve
in...
During Anesthesia…
Control –BP,Temp,
Use pt monitoring device to control
inspiratory oxygen conc, saturation,ECG,
Common Anesthetic Agents
IV anesthetic agents
 To induce GA/unconciousness,analgesia ,
immobility&/or amnesia
 Have cvs&...
Volatile Anesthetic Agents-maintainGA
Enflurane
Desflurane
Sevoflurane
Halothane
Isoflurane
e
• Neuro Muscular Blocking Agents
Depolarizing
Succinylcholine
Non depolarizing
Pancronium
Mivacurium
Atracurium{hypot}...
Drugs for spinal anesthesia
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Seminar on anesthetic metheds and equipments

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Seminar on anesthetic metheds and equipments

  1. 1. SEMINAR ON ANESTHETIC METHEDS AND EQUIPMENTS  BY G/WAHD ALEMU-  G/YOHANS TESFAYE  GEDAMU W/YFRAW  GETACHEW
  2. 2. History First successful demonstration of GA In Boston General Hospital USA in 1846 •By Morton(Local Dentist)
  3. 3. Pre-Anesthetic Assesment AIM • Reduce morbidity of surgery • Increase quality of perioperativ care & to return the pt’ to desirable functioning as quickely as posible • A study in University of Florida fouynd that pre-anestetic evaluation provided information leading to change in care planes fo 20% of all patients
  4. 4. History point Anesthesia plans requiring extra time Asthma Use bronchiodilators,extubat during deep anesthesia GERD Adminster H2 blockers, use rapid sequence induction of anesthesia Malignant hyperthermia Obtain clean anesthesia machine
  5. 5. History • Recent medical care(medication) • Allergies/for anesthesia/ • Last time he took anesthesia • Last time alcohol • His ability to walk up stairs play sports with out being in short of breath • If he ever had awakened & felt short of breath • Ask history of asthma,evidens of obstruction,order to stop smoking before anesthesia
  6. 6. cont’d • History of clotting problem • Nause & vomiting/GI desease
  7. 7. Physical examination • Measure the BP,PR&Temp • CVS,Respiratory&CNS
  8. 8. Anesthetic Implication of DM When using regional anesthesia in DM pt’s it should be lower in quantity as risk of nerve injury is high Combination of local anesthetic with epinephrine poses a risk
  9. 9. During Anesthesia… Control –BP,Temp, Use pt monitoring device to control inspiratory oxygen conc, saturation,ECG,
  10. 10. Common Anesthetic Agents IV anesthetic agents  To induce GA/unconciousness,analgesia , immobility&/or amnesia  Have cvs&resp depression, pain on injection&vomiting as side effect  Include Ethomedate Ketamine propofole/commonest&maintainance/ Tiopental
  11. 11. Volatile Anesthetic Agents-maintainGA Enflurane Desflurane Sevoflurane Halothane Isoflurane
  12. 12. e • Neuro Muscular Blocking Agents Depolarizing Succinylcholine Non depolarizing Pancronium Mivacurium Atracurium{hypot} Local anesthetics esters(cocaisn,procaine and chloro procain) amides(lidocain,Bupivacaine ,Ropivacaine) ADRS -allergy
  13. 13. Drugs for spinal anesthesia

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