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Anesthesia LRR by Dr. Wajid Ali 2

The document provides an overview of anaesthesia, including airway assessment, ASA classification, and preferred anaesthesia types for various patient scenarios. It details components of general anaesthesia, muscle relaxants, inhalational agents, and anaesthesia machines, along with ventilation modes and techniques for specific conditions. Additionally, it briefly mentions Biers block and its application.

Uploaded by

Mayur Rupnar
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377 views183 pages

Anesthesia LRR by Dr. Wajid Ali 2

The document provides an overview of anaesthesia, including airway assessment, ASA classification, and preferred anaesthesia types for various patient scenarios. It details components of general anaesthesia, muscle relaxants, inhalational agents, and anaesthesia machines, along with ventilation modes and techniques for specific conditions. Additionally, it briefly mentions Biers block and its application.

Uploaded by

Mayur Rupnar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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RAPID REVISION OF ANAESTHESIA

AIRWAY ASSESSMENT
A S A CLASSIFICATION:
I.

II.
III.
IV.

V.

VI.
'
• 25 year old patient posted for torsion of testis surgery
which anaesthesia is preferred?
• A 50 yrs old lady posted for tkr surgery,which
anaesthesia can be given?
• 60 yrs old patients diagnosed with Tvd now posted
for CABG which anaesthesia is preferred ?
GENERAL ANAESTHESIA

Components of General Anaesthesia:


Muscle relaxants
Muscle Relaxants/ Neuro Muscular Blockers Are:

A. Depolarising (SCH)- Cannot be reversed by Neostigmine.

B. Non-Depolarising-can be reversed by Neostigmine


Steroidal. Benzylisoquinolinium
• D Tubocurare-
• Atracurium-

• Cisatracuruium-

• Shortest acting NDMR


• Longest acting NDMR
•
• Pancuronium-

• Vecuronium

• Rocurunium
Scholene:
Side effects of scholene
To check the Adequacy of muscle Paralysis we use train of Ratio
• In DMR the TOF = 1, and in NMDR the TOF < 1.
• ULNAR Nerve is M/C Nerve used.
•
Inhalational Agents:
•
1. MAC

2. B/G Partition Co-Efficient


HALOTHANE:

ISOFLURANE:

SEVOFLURANE:
COMPOUND ‘A’ OLEFIN

DESFLURANE:

.
NITROUS OXIDE:
Condition IV Induction Muscle relaxant Inhalational
Agent agent

Heart disease

Asthma

Shock

Day care
Surgery
Neurosurgery
Anaesthesia machine:

• Also called as Boyle’s machine.

• Introduced by Edmund gaskin boyle.


• MC Used Cylinder is Type “ E” Cylinder.
• Pin Index is Used To Prevent Wrong Attachment of Cylinders.
CIRCUITS
a. Semi Closed Circuits.
b. Closed Circuit :

• Semiclosed also K/A Mapelson Circuit

Mapleson Circuit :

•
(B) Closed Circuit :
M A: Laryngeal Mask Air Way.
• When we put a ETT tube black marking on tube should be at glotic area, ETT
should be placed
• 4 can above carina
CAPNOGRAM
• For neuro surgeries the tube of choice is armoured/flexometalic tube.
• Patient met with road traffic accident bought to the
hospital in a gasping state ,he was revived and sent
to the Icu on mechanical ventilator ..which is the
initial mode of ventilation in this patient
MODES OF VENTILATION
a. CMV

b. Volume control

c. Pressure control

d. Pressure Support
e. SIMV
For ARDS
a. Inverse ratio vent
b. APRV(airway pressure release vent)
c. Prone position vent

For emergencies
d. High frequency ventilation
MISCELLANEOUS
Biers Block

• Tourniquet applied in bierrs block provide anaesthesia for 1 hr.


THANK YOU

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