1. The document provides an introduction to the field of anesthesiology, including definitions of anesthesia, the origin of the word, and a brief history from ancient times to modern day.
2. It describes the scope and roles of anesthesiologists, including providing anesthesia for surgical and other medical procedures, intensive care, pain management, and cardiopulmonary resuscitation.
3. The document emphasizes the importance of basic airway and resuscitation skills for all medical professionals to save lives and relieve pain.
New advancements and discoveries in science and technology had made an intervention in the field of medicine making the lives of the people more efficient.
seminar is about the mechanism of action of the central and periphary acting analgesics. the pathway of pain and various analgesic and their properties
A slideshow on how general anaesthesia works and its history, modern usage and procedure. This slide gives a concise and comprehensive review on General anaesthesia
Dr rowan molnar anaesthetics study guide part 1
To understand the scope of the practice of anaesthesia.
To understand the role of the anaesthetist as part of the surgical or procedural team.
To gain exposure to airway management and other procedural skills
To understand the importance of the perioperative process including pre-anaesthetic assessment, investigations, and optimisation.
To understand post anaesthetic care including pain management, and the indications for specialised postanaesthetic monitoring & support.
To revise/enhance key concepts & simple competencies in emergency assessment and resuscitation, including CPR/BLS/ALS.
For those interested, to acquire insight into anaesthetics as a medical career option.
Dr Rowan Molnar,
Dr Rowan Molnar Anaesthetics,
Dr Rowan
Scorpions are a common arthropod found all over the world.
If threatened, a scorpion may use its long, flexible tail to sting a potential predator.
Frequently, people unknowingly come into contact with these species and experience the painful sensation of envenomation
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
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5. Origin of Anaesthesia word
Oliver Wendell Holmes
Sr
August 29, 1809 – October 7, 1894
6. The letter of “Anaesthesia”
• Holmes wrote: "Everybody wants to have a
hand in a great discovery. All I will do is to
give a hint or two as to names—or the name
—to be applied to the state produced and the
agent. The state should, I think, be called
'Anaesthesia.' This signifies insensibility—
more particularly ... to objects of touch."
•
Small, MR (1962). Oliver Wendell Holmes New York: Twayne Publishers. p. 55. "In a letter to dentist
William T. G. Morton
7. Some Basic Questions
• I am a student /intern-I don’t need to
learn Anaesthesia
• I am not specialising in Anaesthesia
• I am keen to learn –But I think its very
risky
8. Why should I know it ?
• Airway skills –life saving
• Expertise in IV access-life saving
• CPR-Life giving
• Some knowledge of GA ,LA, Pain Relief
whatever you may practice
13. Areas of the practice of anesthesiology
• 1. clinical anesthesia
-in operating room
-Radiologic department : CT MRI INR RT
-Cardiac laboratory : catheterization EPS insertion of
AICD,PCD
-ECT
• 2. pain management
• 3.intensive care and Respiratory Care
• 4.CPR
14. Clinical Roles of the anesthesiologist
1. OR ,RR, LR, ER
2. ICU, ward, Respiratory care unit
3. Pain clinic
4. CPR team, EMS ,intravenous team
15. Expanding Role of
Anesthesiologist
• The anesthesiologist is the perioperative
physician
• From Surgical Anesthesia to Critical
Care Medicine and Pain Medicine
• Administrative ,Co ordinating roles
17. Early Records-
East
• Sumerians the
opium poppy (
Papaver somniferum)
3400 BC
•
Sushruta
Samhita - wine with
incense of cannabis for anesthesia.[
•
8th century AD, Arab traders had
brought opium to India[ and China.[21
18. China
• Hua Tuo AD 145220 2nd century AD. by mixing
wine with a mixture of herbal extracts he
called mafeisan
19. Primitive Anesthesia
• Ancient civilizations- opium poppy, coca
leaves, mandrake root, alcohol
• Regional anesthesia in ancient timescompression of nerve trunks or the
application of cold (cryoanalgesia)
20. Middle Ages and Renaissance
• 1200 - 1500 A.D. in England, a potion
called dwale was used as an anesthetic.
contained bile, opium, lettuce, bryony,
and hemlock.
21. 19 th Century
• Crawford Long-1842
• employed ether as a
general anesthetic
for limb
amputations
and parturition
23. World Anaesthesia Day
• On 16 October 1846,
John Collins Warren
removed a tumor from
the neck of a local
printer,Edward Gilbert
Abbott. Warren
reportedly quipped,
"Gentlemen, this is no
humbug.
• MGH Boston
25. Journey of anesthesia
• Local anesthesia : chewed coca leaves and
spat saliva
• The evolution of modern anesthesia : first
with inhalation anesthesia=> local and
regional anesthesia=> finally intravenous
anesthesia
26. Birth of modern Anaesthesia
• 1913,Chevalier Jackson-use of direct
laryngoscopy as a means to intubate the
trachea
• Sodium Pentathal - first used in
humans on 8 March 1934 by Ralph M.
Waters
28. What I need to learn as
Student /Intern
• Recognise Breathing problems
• Mask Ventilation
• Airway manuevres
• Intubation skills
• Intravenous Access
47. regional anesthesia
• Intradermal infiltrating and nerve blocks »
Bier block ( intravenous regional anesthesia
of the arm) » spinal anesthesia » caudal
epidural anesthesia » lumbar epidural
anesthesia
48. • Techniques of anesthesia
1. GA
2. RA or LA
Choice of anesthesia : technique, agents
1. LA
2. GA
3. RA
4. MAC
How to choose
1. the operation
2. the patient
3. the anesthetist
4. the surgeon
49. advantages of anesthesia
1. good operating condition
2. no suffer to pain
3. decrease stress response to surgery
4. maintain physiologic balance
50. Challenges of anesthesia
• Alter physiology and control
• Adequate but not too much
• Anticipate ,Prevent & Treat
Complications
51. Care of the anesthetized patient
• 1. preanesthetic care
Routine preanesthesia evaluation
1. History
2. physical examination
3. laboratory evaluation
4. ASA classification
Preanesthetic preparation
Premedication
52. Care of the anesthetized patient
• 2. anesthetic care
- preinduction phase
- induction phase
- maintenance phase
- emergence phase
53. Care of the anesthetized patient
• 3. postanesthesia care
3.1 immediate : RR or PACU
3.2 late postanesthesia care
- pain control
-complication
-monitoring
54. The primary goal of the anesthetist ☺ to
see the patient safety and comfortably
through procedure
57. Malpractice Risk according to
Speciality
• Anupam B. Jena, M.D., Ph.D., Seth Seabury, Ph.D., Darius
Lakdawalla, Ph.D., and Amitabh Chandra, Ph.D.
• New England Journal of Medicine
2011;Aug 18; 365(7):629-6
58. The most common specialties
• Anesthesiology
• Family General Practice
• Internal Medicine
61. Anaesthesiology as a Career Vis-À-Vis
Professional Satisfaction in Developing
Countries
•
Sanjeev Singh1, Arti Singh Anbarasu Annamalai
and Gaurav Goel
• J Anesthe Clinic Res 4: 304
62. Average working hours per week
•
• • <50 hrs–28%
• • 51-60 hrs–22%
• • 61-70 hrs–15%
• • 71-80 hrs–12%
• • >81 hrs–23%
63. What career would you like to opt
for in your post graduation
• 1. Anaesthesiology 11%
• 2. Surgery 8%
• 3. Pediatrics 7%
• 4. Medicine 17%
• 5. Radiology 21%
• 6. Ophthalmology 3%
• 7. Orthopedics18%
• 8. Others (Please Specify) 1%
?
64. Satisfaction as Anaesthetist
• Overall, 78%-149
(i.e.58% in grade 4 and
20% in grade 5) in our
study of
anaesthesiologists were
satisfied bytheir
professional work.
• 11% wanted to
choose
anaesthesiology as a
career because of
increasing value of
anaesthesiologists
and not much initial
cost required in
setup
65. • Look Ahead and Explore
• Anesthesiologists are those who do not
run way from challenges of life