The document outlines potential complications during and after anesthesia and intubation. It discusses intraoperative complications that can arise from laryngoscopy and endotracheal tube insertion such as aspiration, hypoxia, hypotension/hypertension, and hypothermia/hyperthermia. Postoperative complications include trauma to lips, teeth, tongue, tonsils, epiglottis or vocal cords, as well as injury to the trachea or blockage of the endotracheal tube. The document provides guidelines for monitoring patients' oxygen levels, end-tidal carbon dioxide, blood pressure, blood sugar, fluid intake and output, and temperature during and after the procedure.

1. PROF. N K AGRAWAL
JNMC,SAWNGI
WARDHA
INDIA

2.  INDUCTION
 MUCSLE RELAXATION
 INTUBATION
 VENTILATION
 REVERSAL

3.  The complication may be divided
 Intra operative
 Post operative

4.  Due to - laryngoscopy
- endotracheal tube
 Aspiration - secretions
- blood
 Due to anesthetic drugs- hypoxia
-
hypotension/hypertension
-
hypercarbia/hypocarbia
-
hypothermia/hyperthermia

5.  Hypoglycemia/hyperglycemia
 Less or over fluid infusion
 Anemia
 Hyper thyrodism/ hypothyroidism
 IHD, MI
 Air embolism , fat embolism

6.  TRAUMA TO LIPS
 TRAUMA TO TEETH
 TRAUMA TO TONGUE
 TRAUMA TO TONSILAR PILLAR
 TRAUMA TO EPIGLOTIES, VOCAL CORDS

7.  Injury to vocal cords
 Injury to trachea
 Blockage of tube – secretions
 - blood clot
 - foreign body
 Branchospasm

8.  Low oxygen pressure

 Spo2- < 92 %
 Pao2-< 60 mm of hg

9.  Normal ETCO2- 30 -42 mm hg
 > 50 mm Hg

10.  Systolic BP < 80 mm Hg
 10 % fall in blood pressure from base line

11.  Fasting – 80-120 mg/dl
 Post meal- 120-180 mg/dl

12.  Blood sugar < 60 mg/dl

13.  Blood sugar > 200 mg/dl

14.  Normal 98.4 f
 < 96 f

15.  Maintenance- 2ml/kg/hr
 Intra operative- 4ml/kg/hr – 8ml/kg/hr
 Urine out put < 1ml/kg/hr

16.  Signs of retention of fluid
edema over eyes
Pulmonary edema

17.  Anemia
 IHD
 MI

18.  Inadequate reversal
 Laryngospasm
 Bronchospasm
 Meiosis
 Bradycardia
 Urine retention

19.  Aspiration
 Hypoxia
 Hypercarbia
 Hypo/hyperglycemia
 Hypotension

20.  Hoarseness of voice
 Soar throat
 Cough
 Tracheities
 Tracheal stenosis

21.  P A C --DELAY SURGERY IF
 URI
 FEVER
 DM
 HT
 IHD
 MI
 HYPERTHYROIDISM

22.  4- 6 HOURS

23.  ANTI-PSILOGOGUS
 ANTI-EMETIC
 ANTI-HISTAMINIC
 ANTA-ACID
 ANALGESIC
 AMNESIA
 ADDITIVE

24.  PULSE
 BP
 SPO2
 ETCO2
 TEMPERATURE
 GLUCOSE
 ECG

25.  WAIT TILL PATIENT CAN BREATH ON ROOM
AIR MINIMUM FOR 5 MIN
 CONCIOUS
 RESPONDING
 REGULAR RESPIRATION
 RRGULAR HR
 NORMAL BP

26.  KEEP IN I C U